Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity Questions NCLEX RN Quizlet Questions

Extract:


Question 1 of 5

A primigravid client in active labor has had no anesthesia. The client's cervix is 7 cm dilated, and she is starting to feel considerable discomfort during the first 10 cm to the client's sacral client is a left side-lying position. The nurse should encourage which of the following?

Correct Answer: D

Rationale: Slow abdominal breathing promotes relaxation and oxygenation, helping manage discomfort in active labor without anesthesia. Rapid or shallow breathing may lead to hyperventilation, and deep chest breathing is less effective for pain control.

Question 2 of 5

Two hours ago, a neonate at 38 weeks' gestation and weighing 3,175 g (7 lb) was born to a primiparous client who tested positive for beta-hemolytic Streptococcus. Which of the following would alert the nurse to notify the pediatrician?

Correct Answer: C

Rationale: Temperature instability can indicate early sepsis, especially in a neonate at risk due to maternal beta-hemolytic Streptococcus.

Question 3 of 5

A client who had a cesarean delivery 24 hours ago complains of pain from abdominal distention. The client has been on nothing-by-mouth status for the past 36 hours. The nurse should:

Correct Answer: D

Rationale: Ambulation promotes bowel motility, relieving abdominal distention.

Question 4 of 5

Which of the following client statements indicates effective teaching about burping a breastfed neonate?

Correct Answer: D

Rationale: Burping when switching breasts helps release air and promotes effective feeding.

Question 5 of 5

The nurse is caring for a multigravid client at 34 weeks' gestation diagnosed with preterm labor. The client has delivered two stillborn infants at 30 weeks' gestation. The client is scheduled for a sonogram before an amniocentesis. Which of the following would be a priority nursing diagnosis for the client?

Correct Answer: B

Rationale: Anxiety related to diagnostic tests is a priority.

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