Questions 82

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Maternity Questions

Extract:


Question 1 of 5

After instructing a multigravid client diagnosed with mild preeclampsia how to keep a record of fetal movement patterns at home, the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans?

Correct Answer: C

Rationale: Counting fetal movements for one hour daily is a common method to monitor fetal well-being.

Question 2 of 5

A primigravid client delivered vaginally 2 hours ago with no complications. As the nurse plans care for this postpartum client, which postpartum goal would have the highest priority?

Correct Answer: B

Rationale: The highest priority in the immediate postpartum period is ensuring the client can perform self-care and infant care, as this promotes safety and independence, which are critical for recovery and newborn care.

Question 3 of 5

While assessing a primigravid client admitted at 36 weeks' gestation, the nurse observes multiple bruises on the client's face, neck, and abdomen. When asked about the bruises, the client admits that her boyfriend beats her now and then and says, 'I want to leave him because I'm afraid he will hurt the baby.' Which of the following actions is the nurse's priority?

Correct Answer: C

Rationale: Suspected domestic violence requires referral to a social worker to provide resources (e.g., shelters, counseling) and ensure maternal-fetal safety. Advising immediate leaving is impractical, fetal movement assessment is secondary, and reporting to the supervisor does not directly help the client.

Question 4 of 5

A client asks about the benefits of male condoms. Which of the following would the nurse include?

Correct Answer: B

Rationale: Male condoms provide some protection against STIs, which is a key benefit. They are not 100% effective, cannot be reused, and do not require a prescription.

Question 5 of 5

An adolescent primiparous client 24 hours postpartum asks the nurse how often she should hold her neonate. Which of the following responses would be most appropriate?

Correct Answer: B

Rationale: Holding the neonate as much as desired promotes bonding and emotional security without risk of overstimulation.

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