NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
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?
Correct Answer: A
Rationale: Prostaglandin E2 gel stimulates contractions, so assessing baseline contraction frequency ensures it is safe to administer (e.g., no hyperstimulation). Membrane status and positioning are secondary, and amniotomy is not required.
Question 2 of 5
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?
Correct Answer: C
Rationale: Atrial septal defects are not significantly more common in females, indicating a need for further instruction.
Question 3 of 5
A viable male neonate delivered to a 28-year-old multiparous client by cesarean delivery because of placenta previa is diagnosed with respiratory distress syndrome. Which of the following would the nurse explain as the factor placing the neonate at the greatest risk for this syndrome?
Correct Answer: B
Rationale: Preterm delivery is the primary risk factor for RDS due to immature lung development and insufficient surfactant production.
Question 4 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 5 of 5
A primigravid client at 39 weeks' gestation is admitted in early labor with contractions every 6 minutes. The nurse notes a fetal heart rate of 145 bpm with occasional variable decelerations. What is the nurse's first action?
Correct Answer: C
Rationale: Variable decelerations may indicate umbilical cord compression. Repositioning the client to her left side is the first action to relieve pressure on the cord and improve fetal oxygenation. Notification, oxygen, or increased fluids are considered if decelerations persist.