NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A primiparous client, 48 hours after a vaginal delivery, is to be discharged with a prescription for vitamins with iron because she is anemic. To maximize absorption of the iron, the nurse instructs the client to take the medication with which of the following?
Correct Answer: A
Rationale: Vitamin C in orange juice enhances iron absorption, unlike milk, which can inhibit it.
Question 2 of 5
A preterm infant delivered 2 hours ago at 34 weeks' gestation is experiencing rapid respirations, grunting, no breath sounds on one side, and a shift in location of heart sounds. The nurse should prepare to assist with which of the following?
Correct Answer: D
Rationale: These symptoms suggest a pneumothorax, and inserting a chest tube is the priority to relieve air trapping.
Question 3 of 5
During the first hour after delivery, assessment of a multiparous client who delivered a neonate weighing 4,593 g (10 lb, 2 oz) by cesarean delivery reveals a soft fundus with excessive lochia rubra. The nurse should include which of the following in the client's plan of care?
Correct Answer: A
Rationale: A soft fundus and excessive lochia suggest uterine atony, which is treated with oxytocin to promote uterine contraction.
Question 4 of 5
A nurse is discussing the benefits of the copper IUD with a client. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: The copper IUD is effective for up to 10 years, providing long-term contraception. It may increase menstrual bleeding, does not require daily monitoring, and does not prevent ovulation, working primarily by affecting sperm motility.
Question 5 of 5
A multigravid client is admitted at 4-cm dilation and requesting pain medication. The nurse gives the client Nubain 15 mg and Phenergan 25 mg slow I.V. push. Within 5 minutes, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should first:
Correct Answer: B
Rationale: A sudden urge to have a bowel movement in labor often indicates rapid progression to full dilation or fetal descent. A vaginal examination confirms dilation and station to guide next steps (e.g., preparing for delivery). Naloxone, preparation, or documentation are premature without assessment.