Questions 81

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RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

A primiparous client expresses concern, asking the nurse why her neonate's eyes are crossed. Which of the following would the nurse include when teaching the mother about neonatal strabismus?

Correct Answer: B

Rationale: Neonatal strabismus is common due to immature eye muscle coordination and typically resolves as the muscles develop.

Question 2 of 5

Which of the following nursing diagnoses is the priority after delivery for a multiparous client who received an epidural anesthetic?

Correct Answer: C

Rationale: Epidural anesthesia poses a risk for injury due to potential complications like hypotension or impaired mobility, making this the priority post-delivery. Pain, anxiety, and fluid overload are secondary concerns.

Question 3 of 5

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

Correct Answer: A

Rationale: The cervical cap should be left in place for at least 6 hours after intercourse to ensure effectiveness. It can be inserted up to 6 hours before intercourse, must be cleaned after use, and is applied over the cervix, not the vaginal wall.

Question 4 of 5

A multigravid client at 34 weeks' gestation is being treated with indomethacin(Indocin) to halt preterm labor. If the client delivers a preterm infant, the nurse should notify the nursery personnel about this therapy because of the possibility for which of the following?

Correct Answer: C

Rationale: Indomethacin can increase the risk of hyperbilirubinemia in preterm infants.

Question 5 of 5

The nurse is to assess a newborn for incurving of the trunk. Which illustration indicates the position in which the nurse should place the newborn?

Correct Answer: B

Rationale:
To assess for incurving of the trunk, the newborn should be placed in a side-lying position to observe spinal curvature.

Similar Questions

Twenty-four hours after cesarean delivery, a neonate at 30 weeks' gestation is diagnosed with respiratory distress syndrome (RDS). When explaining to the parents about the cause of this syndrome, the nurse should include a discussion about an alteration in the body's secretion of which of the following?
While the nurse is preparing to assist the primiparous client to the bathroom to void 6 hours after a vaginal delivery under epidural anesthesia, the client says that she feels dizzy when sitting up on the side of the bed. The nurse explains that this is most likely caused by which of the following?
A multigravid client at 39 weeks' gestation diagnosed with insulin-dependent diabetes is admitted for induction of labor with oxytocin (Pitocin). Which of the following should the nurse include in the teaching plan as a possible disadvantage of this procedure?
One-half hour after vaginal delivery of a term neonate, the nurse palpates the fundus of a primigravid client, noting several large clots and a small trickle of bright red vaginal bleeding. The client's blood pressure is 136/92 mm Hg. Which of the following would the nurse do first?
A primiparous client who delivered 12 hours ago under epidural anesthesia with a midline episiotomy tells the nurse that she is experiencing a great deal of discomfort when she sits in a chair with the baby. Which of the following instructions would be most appropriate?

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