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NCLEX RN Practice Questions Maternity Questions

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Question 1 of 5

A viable female neonate was delivered 10 minutes ago and is in stable condition under a radiant warmer. To prevent infant heat loss by convection, the nurse should:

Correct Answer: C

Rationale: Keeping the infant away from air conditioning vents prevents heat loss by convection, which occurs due to air movement.

Question 2 of 5

A client is induced with oxytocin (Pitocin). The fetal heart rate is showing accelerations lasting 15 seconds and exceeding the baseline with fetal movement. What action associated with this finding should the nurse take?

Correct Answer: D

Rationale: Fetal heart rate accelerations with movement indicate fetal well-being, requiring no intervention beyond documentation. Repositioning, oxygen, or notification are unnecessary.

Question 3 of 5

A neonate delivered at 40 weeks' gestation admitted to the nursery is found to be hypoglycemic. At 4 hours of age, the neonate appears pale and his pulse oximeter is reading 75 %. The nurse should:

Correct Answer: B

Rationale: A pulse oximetry reading of 75% indicates hypoxemia, and providing supplemental oxygen is the priority.

Question 4 of 5

A neonate is delivered by primary cesarean section at 36 weeks' gestation. The temperature in the delivery room is 70F. To prevent heat loss from convection, which action should the nurse take?

Correct Answer: B

Rationale: The neonate should be kept away from drafts, such as from air conditioning vents, which may cause heat loss by convection. Convection involves heat loss due to air movement, and avoiding drafts is the most effective action.

Question 5 of 5

The physician orders intermittent fetal heart rate monitoring for a 20-year-old obese primigravid client at 40 weeks' gestation who is admitted to the birthing center in the first stage of labor. The nurse should monitor the client's fetal heart rate pattern at which of the following intervals?

Correct Answer: B

Rationale: For a low-risk primigravid client in the active phase of the first stage of labor, intermittent fetal heart rate monitoring is typically performed every 30 minutes to ensure fetal well-being, as per standard obstetric guidelines. More frequent monitoring (every 15 minutes) is reserved for the second stage or high-risk cases, while less frequent intervals (every 60 minutes or 2 hours) are insufficient for active labor.

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