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RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

After the nurse counsels a primiparous client who is breast-feeding her neonate about diet and nutritional needs during the lactation period, which of the following client statements indicates a need for additional teaching?

Correct Answer: B

Rationale: Breastfeeding mothers need 8-10 glasses of fluid daily to support milk production, so five glasses is insufficient.

Question 2 of 5

A client with pregnancy-induced hypertension is to receive magnesium sulfate to run at 3 grams per hour with normal saline to maintain the total I.V. rate at 125 mL/hour. The nurse giving end of shift report stated the client's blood pressures have been elevated during the night. The oncoming nurse checked the client and found magnesium sulfate running at 2 grams per hour. Identify the nursing actions to be taken from first to last.

Order the Items

Source Container

Correct the I.V. rates to magnesium sulfate running at 3 grams/hour and normal saline to complete total rate at 125 mL/hour.
Initiate an incident report.
Assess the client's current status.
Notify the physician of the incident.

Correct Answer: C,A,D,B

Rationale: Assess the client first, correct the error, notify the physician, and then document the incident.

Question 3 of 5

When teaching a primiparous client about the growth and development of the neonate, which of the following should the nurse include as the usual age at which most babies are able to drink from a cup independently?

Correct Answer: C

Rationale: Most babies can drink from a cup independently by 12-14 months as motor skills develop.

Question 4 of 5

While the nurse is caring for a primiparous client with cephalopelvic disproportion 4 hours after a cesarean delivery, the client requests assistance in breast-feeding. To promote maximum maternal comfort, which of the following would be most appropriate for the nurse to suggest?

Correct Answer: A

Rationale: The football hold minimizes pressure on the cesarean incision, promoting comfort during breastfeeding.

Question 5 of 5

A septic preterm neonate's I.V. was removed due to infiltration. While restarting the I.V., the nurse should carefully assess the neonate for:

Correct Answer: C

Rationale: Tachycardia can indicate pain, stress, or cardiovascular compromise during I.V. insertion, especially in a septic preterm neonate.

Similar Questions

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A primiparous client who delivered 12 hours ago under epidural anesthesia with a midline episiotomy tells the nurse that she is experiencing a great deal of discomfort when she sits in a chair with the baby. Which of the following instructions would be most appropriate?
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