Questions 82

NCLEX-RN

Home > NCLEX-RN > RN Maternity > NCLEX RN Maternity Questions
NCLEX-RN Test Bank

NCLEX RN Maternity Questions Questions

Extract:


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

While caring for a male neonate diagnosed with gastroschisis, the nurse observes that the parents seem hesitant to touch the neonate because of his appearance. The nurse determines the presence of which of the following stages of grief?

Correct Answer: B

Rationale: The parents' hesitation to touch the neonate suggests shock, as they are likely overwhelmed by the neonate's condition.

Question 3 of 5

A primigravid client at 30 weeks' gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50% effaced. The nurse should next assess the client's:

Correct Answer: D

Rationale: Temperature should be assessed to monitor for infection.

Question 4 of 5

After suction and evacuation of a complete hydatidiform mole, the 28-year-old multigravid client asks the nurse when she can become pregnant again. The nurse would advise the client not to become pregnant again for at least which of the following time spans?

Correct Answer: B

Rationale: Waiting 12 months allows for monitoring for choriocarcinoma.

Question 5 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.

Similar Questions

The nurse is caring for a primipara in active labor when the fetus develops severe bradycardia with late decelerations, and an emergency cesarean delivery is performed with the client under general anesthesia. After the delivery, the client tells the nurse, 'I feel terrible. This is exactly what I didn't want to happen!' Which of the following is a priority nursing diagnosis for this client?
After instructing a primigravid client at 38 weeks' gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following?
A primiparous client has just delivered a healthy male infant. The client and her husband are Muslim and the husband begins chanting a song in Arabic while holding the neonate. The nurse interprets the father's actions as indicative of which of the following?
The nurse is caring for a multiparous client 48 hours after cesarean delivery. Which finding indicates a potential complication?
A nurse is teaching a client about the fertility awareness method. Which of the following instructions should the nurse include?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days