Questions 82

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Maternity Questions

Extract:


Question 1 of 5

A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?

Correct Answer: C

Rationale: Hyperactive reflexes are documented as 3+.

Question 2 of 5

After reinforcing the danger signs to report with a gravida 2 client at 32 weeks' gestation with an elevated blood pressure, which client statements would demonstrate her understanding of when to call the physician's office? Select all that apply.

Correct Answer: A,B,C,F

Rationale: These symptoms could indicate complications needing medical attention.

Question 3 of 5

The nurse is instructing a preeclamptic client about monitoring the movements of her fetus to determine fetal well-being. Which statement by the client indicates that she needs further instruction about when to call the health care provider concerning fetal movement?

Correct Answer: D

Rationale: Increased fetal movement can be a sign of distress, so the client should be instructed to report any significant changes in movement.

Question 4 of 5

A client at 4 weeks postpartum tells the nurse that she can't cope any longer and is overwhelmed by her newborn. The baby has old formula on her clothes and under her neck. The mother does not remember when she last bathed the baby and states she does not want to care for the infant. The nurse should encourage the client and her husband to call their health care provider because the mother should be evaluated further for?

Correct Answer: B

Rationale: Postpartum depression involves feelings of being overwhelmed and unable to care for the infant.

Question 5 of 5

A nurse is counseling a client about the use of spermicides. Which of the following client statements indicates a need for further teaching?

Correct Answer: C

Rationale: Spermicide is effective for about 1 hour after application, not 24 hours, indicating a need for further teaching. The other statements are correct.

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