NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
After being treated with heparin therapy for thrombophlebitis, a multiparous client who delivered 4 days ago is to be discharged on oral warfarin (Coumadin). After teaching the client about the medication and possible effects, which of the following client statements indicates successful teaching?
Correct Answer: C
Rationale: Using a soft toothbrush minimizes bleeding risk, a key consideration with warfarin.
Question 2 of 5
Assessment of a 2-day-old neonate delivered at 34 weeks' gestation reveals absent apical pulse left of the midclavicular line, cyanosis, grunting, and diminished breath sounds. The nurse should first:
Correct Answer: A
Rationale: These symptoms suggest a serious condition like dextrocardia or pneumothorax, and consulting for a chest x-ray is the priority to confirm the diagnosis.
Question 3 of 5
A primiparous client, 48 hours after a vaginal delivery, is to be discharged with a prescription for vitamins with iron because she is anemic. To maximize absorption of the iron, the nurse instructs the client to take the medication with which of the following?
Correct Answer: A
Rationale: Vitamin C in orange juice enhances iron absorption, unlike milk, which can inhibit it.
Question 4 of 5
A nurse is teaching a client about the use of the contraceptive patch. Which of the following client statements indicates a need for further teaching?
Correct Answer: D
Rationale: The contraceptive patch does not prevent ovulation permanently; it suppresses ovulation during use and is reversible. The other statements are correct, indicating a need for further teaching.
Question 5 of 5
A full-term client is admitted for induction of labor. When admitted, her cervix is 2/50/0. The initial goal is cervical ripening prior to labor induction. Which drug will prepare her cervix for induction?
Correct Answer: C
Rationale: Dinoprostone (Cervidil) is a prostaglandin used for cervical ripening in clients with an unfavorable cervix (e.g., 2 cm, 50% effaced). Nalbuphine is for pain, oxytocin induces contractions, and betamethasone promotes fetal lung maturity.