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Maternity NCLEX RN Questions Questions

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Question 1 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 2 of 5

A 16-year-old unmarried primigravid client at 37 weeks' gestation with severe preeclampsia is in early active labor. Her mother is at the bedside. The client's blood pressure is 164/110 mm Hg. Which of the following would alert the nurse that the client may be about to experience a seizure?

Correct Answer: C

Rationale: Epigastric pain is a warning sign of impending eclampsia.

Question 3 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.

Question 4 of 5

Assessment reveals that the fetus of a multigravid client is at +1 station and 8 cm dilated. Based on these data, the nurse should first:

Correct Answer: C

Rationale: At 8 cm dilation and +1 station, the client is in the transition phase but not fully dilated (10 cm). Pushing before full dilation can lead to cervical edema or lacerations. Encouraging the client to breathe through the urge to push helps prevent premature pushing while supporting labor progression. Increasing the epidural rate or assisting with pushing is inappropriate at this stage, and while family support is valuable, it is not the priority.

Question 5 of 5

A primigravid client in the second stage of labor feels the urge to push. The client has had no analgesia or anesthesia. Anatomically, which of the following would be the best position for the client to assume?

Correct Answer: D

Rationale: Squatting is anatomically optimal for pushing in the second stage as it widens the pelvic outlet, aligns the fetus with the birth canal, and uses gravity to aid descent. Dorsal recumbent and lithotomy positions restrict pelvic mobility, and hands and knees, while helpful for back pain, is less effective for pushing.

Similar Questions

The nurse has received shift report on a group of newborns. The nurse should make rounds on which of the following clients first?
A multigravid laboring client has an extensive documented history of drug addiction. Her last reported usage was 5 hours ago. She is 2 cm dilated with contractions every 3 minutes of moderate intensity. The physician orders nalbuphine (Nubain) 15 mg slow I.V. push for pain relief followed by an epidural when the client is 4 cm dilated. Within 10 minutes of receiving the nalbuphine, the client states she thinks she is going to have her baby now. Of the following drugs available at the time of the delivery, which should the nurse avoid using with this client in this situation?
A client asks the nurse about the effectiveness of natural family planning methods. Which of the following responses by the nurse is most accurate?
A 24-year-old primigravid client in active labor requests use of the jet hydrotherapy tub to aid in pain relief. The nurse bases the response on the understanding that this therapy is commonly contraindicated for clients with which of the following?
A 24-year-old client is discussing contraception options with the nurse and expresses interest in an intrauterine device (IUD). Which of the following statements by the client indicates a need for further teaching?

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