NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
After the nurse teaches a primiparous client planning to return to work in 6 weeks about storing breast milk, which of the following client statements indicates the need for further teaching?
Correct Answer: A
Rationale: Breast milk should not be left out for more than 4-6 hours; 10 hours risks spoilage.
Question 2 of 5
When preparing a multigravid client at 34 weeks' gestation experiencing preterm labor for the shake test performed on amniotic fluid, the nurse would instruct the client that this test is done to evaluate the maturity of which of the following fetal systems?
Correct Answer: D
Rationale: The shake test evaluates pulmonary maturity.
Question 3 of 5
A client is considering permanent contraception. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: Both tubal ligation and vasectomy require follow-up to confirm effectiveness (e.g., sperm count for vasectomy, imaging for tubal ligation). Reversal is not guaranteed, tubal ligation does not affect hormones, and vasectomy is not linked to prostate cancer.
Question 4 of 5
A multigravid client is admitted at 4-cm dilation and requesting pain medication. The nurse gives the client Nubain 15 mg and Phenergan 25 mg slow I.V. push. Within 5 minutes, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should first:
Correct Answer: B
Rationale: A sudden urge to have a bowel movement in labor often indicates rapid progression to full dilation or fetal descent. A vaginal examination confirms dilation and station to guide next steps (e.g., preparing for delivery). Naloxone, preparation, or documentation are premature without assessment.
Question 5 of 5
During an assessment of a neonate born at 33 weeks' gestation, a nurse finds and reports a heart murmur. The neonate is diagnosed with patent ductus arteriosus, for which the neonate received indomethacin. An expected outcome after the administration of indomethacin to a neonate with patent ductus arteriosus is:
Correct Answer: A
Rationale: Indomethacin promotes closure of the patent ductus arteriosus by inhibiting prostaglandin synthesis.