NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A primiparous client who is bottle-feeding her neonate at 12 hours after birth asks the nurse, "When will my menstrual cycle return?" Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: For bottle-feeding mothers, menstruation typically resumes 6 to 10 weeks postpartum due to the absence of breastfeeding's hormonal suppression.
Question 2 of 5
The nurse is evaluating the client who delivered vaginally 2 hours ago and is experiencing postpartum pain rated 8 on scale of 1 to 10. The client is a G 4, P 4, breast-feeding mother who would like medication to decrease the pain in her uterus. Which of the medications listed on the orders sheet would be the most appropriate for this client?
Correct Answer: B
Rationale: Ibuprofen is safe for breastfeeding mothers and effective for uterine cramping pain, unlike aspirin (risk of bleeding), Colace (stool softener), or Vicodin (opioid, less preferred due to sedation risks).
Question 3 of 5
While caring for a moderately obese primigravid client in active labor at term, the nurse should monitor the client for signs of which of the following?
Correct Answer: C
Rationale: Obesity in labor increases the risk of soft tissue dystocia due to excess pelvic fat impeding fetal descent. Hypotonic reflexes are not typically associated with obesity, increased uterine resting tone is more related to hyperstimulation, and while anxiety may occur, it is not specific to obesity-related complications.
Question 4 of 5
A primigravid client with class II heart disease who is visiting the clinic at 8 weeks' gestation tells the nurse that she has been maintaining a low-sodium, 1,800-calorie diet. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Increased caloric intake supports fetal growth without compromising maternal health.
Question 5 of 5
The nurse is caring for a neonate shortly after birth when the neonate is diagnosed with sepsis and is to be treated with intravenous antibiotics. Which of the following should the nurse instruct the parents to do because of the neonate's infection?
Correct Answer: C
Rationale: Thorough hand washing is critical to prevent further infection in a neonate with sepsis.