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NCLEX RN Maternity Questions Questions

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Question 1 of 5

A nurse is teaching a client about the use of spermicides. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Spermicides are most effective when used with barrier methods like condoms or diaphragms, as they increase efficacy. They should be applied 10-30 minutes before intercourse, are less effective alone, and are effective for about 1 hour, not 24 hours.

Question 2 of 5

The nurse is receiving over the telephone a laboratory results report of a neonate's blood glucose level. The nurse should:

Correct Answer: A

Rationale: Writing the results and confirming with the caller ensures accuracy and compliance with documentation protocols.

Question 3 of 5

The nurse on a mother-baby unit who is working on the night shift is revising the planning worksheet for the remaining 2 hours of the shift. The nurse has the following tasks and orders to complete prior to the 7 a.m. change of shift. Using the work plan below, how should the nurse organize the following tasks so that everything is completed by 7 a.m.?

Order the Items

Source Container

Draw blood for the ordered laboratory tests (CBCs) on 3 postpartum clients with report on charts by shift change.
Start IV of D5 1/2 NS at keep vein open (KVO) rate on postpartum client just prior to change of shift.
Complete admission assessment of newborn turned over to nurse at 5 a.m.
Draw newborn bilirubin level at 6 a.m.

Correct Answer: A,C,D,B

Rationale: 5:00 - Complete admission assessment; 5:30 - Draw CBCs; 6:00 - Draw bilirubin; 6:30 - Start IV. This ensures timely completion.

Question 4 of 5

A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which of the following information should be part of this report? Select all that apply.

Correct Answer: A,B,D,E,F

Rationale: A comprehensive shift report includes fetal monitor interpretation, analgesia/anesthesia use, vaginal bleeding/discharge, support persons, and prior delivery history to ensure continuity of care. Anticipated birth control is not relevant during labor.

Question 5 of 5

In which of the following maternal locations would the nurse place the ultrasound transducer of the external electronic fetal heart rate monitor if a fetus at 34 weeks' gestation is in the left occipitoanterior(LOA) position?

Correct Answer: C

Rationale: The transducer should be placed below the umbilicus on the left side for LOA position.

Similar Questions

A primigravid client at 39 weeks' gestation is admitted to the hospital for induction of labor. The physician has ordered prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2 gel to the client, which of the following should the nurse do first?
Two hours ago, a multigravid client was admitted in active labor with her cervix dilated at 5 cm and completely effaced and the fetus at 0 station. Currently, the client is experiencing nausea and vomiting, a slight chill with perspiration beads on her lip, and extreme irritability. The nurse should first:
The nurse is managing care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client?
A 16-year-old primigravid client, with a history of attending one prenatal visit, is admitted to the hospital in active labor at 37 weeks' gestation. Her cervix is 7 cm dilated with the presenting part at 0 station. She enters the labor unit appearing anxious and hyperventilating. Because of the hyperventilation, the nurse should assess the client for:
After the physician explains the prognosis and medical management for atrial septal defect to a primiparous client whose 2-day-old female neonate was diagnosed with this condition, the nurse determines that the mother needs further instructions when she says which of the following?

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