NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe pregnancy-induced hypertension. While caring for the client, the nurse observes that the client is beginning to have a seizure. Which of the following actions should the nurse do first?
Correct Answer: D
Rationale: A seizure in pregnancy-induced hypertension (eclampsia) is a medical emergency. Calling for immediate assistance ensures rapid intervention (e.g., magnesium sulfate). Padding rails, repositioning, or inserting a tongue blade (which is outdated) are secondary.
Question 2 of 5
I.V. oxytocin.png
Correct Answer: D
Rationale: Oxytocin (Pitocin) stimulates uterine contractions. If it causes excessive uterine activity (e.g., more than 5 contractions in 10 minutes or contractions lasting longer than 90 seconds), it can reduce placental perfusion
Question 3 of 5
A nurse is teaching a client about the use of the vaginal contraceptive ring. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The vaginal contraceptive ring is left in place for 3 weeks, then removed for 1 week to allow a withdrawal bleed. It is not inserted daily, applied to the vaginal wall (it sits in the vagina), or replaced every 6 months (it's monthly).
Question 4 of 5
The nurse is administering intravenous magnesium sulfate as ordered for a client at 34 weeks' gestation with severe preeclampsia. Which of the following are desired outcomes of this therapy? Select all that apply.
Correct Answer: A,E,F,G
Rationale: Desired outcomes include stable vital signs, absence of late decelerations, and controlled deep tendon reflexes.
Question 5 of 5
A primiparous client diagnosed with postpartum depression at 2 weeks postpartum asks about treatment options. The nurse should include:
Correct Answer: B
Rationale: Counseling and medication are standard treatments for postpartum depression, tailored to the client's needs.