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NCLEX RN Practice Questions Maternity Questions

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Question 1 of 5

A primigravida is admitted to the labor area with ruptured membranes and contractions occurring every 2 to 3 minutes, lasting 45 seconds. After 3 hours of labor, the client's contractions are now every 7 to 10 minutes, lasting 30 seconds. The nurse administers oxytocin (Pitocin) as ordered. The expected outcome of this drug is:

Correct Answer: B

Rationale: Oxytocin is used to augment labor by increasing contraction frequency, duration, and intensity. The expected outcome is regular contractions every 2–3 minutes, lasting 40–60 seconds, with moderate intensity and adequate resting tone, promoting effective labor progression. The other options describe unrealistic or unrelated effects.

Question 2 of 5

A client asks about the benefits of male condoms. Which of the following would the nurse include?

Correct Answer: B

Rationale: Male condoms provide some protection against STIs, which is a key benefit. They are not 100% effective, cannot be reused, and do not require a prescription.

Question 3 of 5

A nurse is teaching a client about the use of female condoms. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The female condom can be inserted up to 8 hours before intercourse, providing flexibility. It cannot be reused, does not require spermicide for effectiveness, and should be stored in a cool, dry place.

Question 4 of 5

A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include?

Correct Answer: A

Rationale: Long-term use of oral contraceptives may increase the risk of blood clots, especially in at-risk populations. It may reduce ovarian cancer risk, does not cause permanent weight loss, and does not guarantee regular cycles.

Question 5 of 5

Which of the following measures would the nurse expect to include in the teaching plan for a multiparous client who delivered 24 hours ago and is receiving intravenous antibiotic therapy for cystitis?

Correct Answer: D

Rationale: Avoiding acidic juices reduces bladder irritation during cystitis treatment.

Similar Questions

While caring for a multiparous client 4 hours after vaginal delivery of a term neonate, the nurse notes that the mother's temperature is 99.8°F (37.2°C), the pulse is 66 bpm, and the respirations are 18 breaths/minute. Her fundus is firm, midline, and at the level of the umbilicus. The nurse should:
The nurse on the postpartum mother-baby unit is assigned to take care of four couplets and a new couplet will be admitted within the next 30 minutes. All assessments are complete. The nurse can delegate care for which couplet to the unlicensed nursing personnel?
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?
A multigravid client at 38 weeks' gestation, G4 P3, is 6 cm dilated with contractions every 3 minutes. The nurse observes meconium-stained amniotic fluid after spontaneous rupture of membranes. What is the priority nursing action?
Which of the following forms the basis for the teaching plan about avoiding medication use unless prescribed for a primiparous client who is breast-feeding?

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