NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
A woman who is Rh-negative has delivered an Rh-positive infant. The nurse explains to the client that she will receive RhoGAM. The nurse determines that the client understands the purpose of RhoGAM when she states:
Correct Answer: B
Rationale: RhoGAM prevents maternal antibody formation against Rh-positive blood.
Question 2 of 5
Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
Correct Answer: A
Rationale: Mild analgesics like ibuprofen can effectively manage menstrual pain. There is no evidence supporting avoiding cold foods, and moderate exercise can alleviate cramps. Sexual intercourse during menstruation is a personal choice and not medically contraindicated.
Question 3 of 5
After instructing a primigravid client at 38 weeks' gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following?
Correct Answer: A
Rationale: Preeclampsia does not typically cause hydrocephalus.
Question 4 of 5
The nurse is assessing the perineal changes of a multigravid client in the second stage of labor. The illustration below represents which of the following perineal changes?
Correct Answer: D
Rationale: If the illustration shows the fetal head visible at the perineum with no retraction between contractions, and the perineal area appears bulging or stretched, this indicates crowning — the point at which birth is imminent.
Question 5 of 5
A nurse is teaching a client about the use of spermicides. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Spermicides are most effective when used with barrier methods like condoms or diaphragms, as they increase efficacy. They should be applied 10-30 minutes before intercourse, are less effective alone, and are effective for about 1 hour, not 24 hours.