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Maternity NCLEX RN Questions Questions

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Question 1 of 5

A primiparous client diagnosed with cystitis at LIM 48 hours postpartum who is receiving intravenous ampicillin asks the nurse, "Can I still continue to breast-feed my baby?" The nurse should tell the client:

Correct Answer: A

Rationale: Ampicillin is generally safe for breastfeeding, allowing the client to continue without interruption.

Question 2 of 5

When performing an initial assessment of a post-term male neonate weighing 4,000 g (9 lb) who was admitted to the observation nursery after a vaginal delivery with low forceps, the nurse detects Ortolani's sign. Which of the following actions should the nurse do next?

Correct Answer: B

Rationale: Ortolani's sign indicates possible developmental dysplasia of the hip, and immediate notification of the pediatrician is necessary.

Question 3 of 5

A primiparous client who will be bottle-feeding her neonate asks, "What is the best position for the baby after feeding?" Which of the following positions should the nurse recommend to aid digestion?

Correct Answer: D

Rationale: Sitting upright after feeding aids digestion by allowing gravity to keep formula in the stomach.

Question 4 of 5

The nurse is caring for a primiparous client and her neonate immediately after delivery. The neonate was born at 41 weeks' gestation and weighs 4,082 g (9 lb). Assessing for signs and symptoms of which of the following conditions should be a priority in the neonate?

Correct Answer: B

Rationale: Large-for-gestational-age neonates (e.g., 4,082 g) are at risk for hypoglycemia due to increased metabolic demand and potential maternal diabetes. Hypoglycemia screening is a priority. Anemia, delayed meconium, or hyperbilirubinemia are less immediate.

Question 5 of 5

A nurse is discussing the contraceptive patch with a client. Which of the following side effects should the nurse mention?

Correct Answer: A

Rationale: The contraceptive patch may cause nausea and skin irritation at the application site, especially initially. It does not cause permanent hair loss, guarantee weight loss, or significantly increase ovarian cyst risk.

Similar Questions

A client asks about the risks of the contraceptive patch. Which of the following would the nurse include?
A neonate born at 29 weeks' gestation received nasal continuous positive airway pressure. The neonate is receiving oxygen at 1 L/minute via nasal cannula at a fraction of inspired oxygen (FiO₂) of 0.23. The pulse oximetry reading is 70% saturation. In which order of priority from first to last should the nurse take these actions?
The physician determines that the fetus of a multiparous client in active labor is in distress, necessitating a cesarean delivery with general anesthesia. Before the cesarean delivery, the anesthesiologist orders cimetidine (Tagamet) 300 mg PO. After administering the drug, the nurse should assess the client for reduction in which of the following?
A client at 28 weeks' gestation in premature labor was placed on ritodrine(Yutopar). To maintain the pregnancy, the physician orders the client to have 10 mg now, 10 mg in 2 hours, and then 20 mg every 4 hours while contractions persist, not to exceed the maximum daily oral dose of 120 mg. At what time will the client have reached the maximum dose if she begins taking the medication at 10:00 a.m. and follows the physician's order?
The nurse has received shift report on a group of newborns. The nurse should make rounds on which of the following clients first?

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