NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
A primigravid client at 30 weeks' gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50% effaced. The nurse should next assess the client's:
Correct Answer: D
Rationale: Temperature should be assessed to monitor for infection.
Question 2 of 5
A 30-year-old woman, G 4, P 4, has delivered a healthy term female neonate by cesarean delivery due to a nonreassuring fetal heart rate tracing. At 2 hours postpartum, the nurse assesses the client's retention catheter and observes that the client's urine is slightly red tinged. Which of the following should the nurse do next?
Correct Answer: C
Rationale: Red-tinged urine may indicate catheter trauma or misplacement, requiring assessment of catheter placement.
Question 3 of 5
Before surgery to remove an ectopic pregnancy and the fallopian tube, which of the following would alert the nurse to the possibility of tubal rupture?
Correct Answer: B
Rationale: Falling hematocrit and hemoglobin levels indicate internal bleeding.
Question 4 of 5
Which of the following statements about a fetal biophysical profile would be incorporated into the teaching plan for a primigravid client with insulin-dependent diabetes?
Correct Answer: B
Rationale: Biophysical profiles are noninvasive and use real-time ultrasound.
Question 5 of 5
Assessment of a primigravid client reveals cervical dilation at 8 cm and complete effacement. The client complains of severe back pain during this phase of labor. The nurse explains that the client's severe back pain is most likely caused by the fetal occiput being in a position that is identified as which of the following?
Correct Answer: C
Rationale: Severe back pain in labor is commonly associated with a posterior occiput position (e.g., occipitoposterior), where the fetal head presses against the maternal sacrum. Breech, transverse, or anterior positions are less likely to cause intense back pain.