NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with the health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options?
Correct Answer: D
Rationale: A history of clotting disease significantly impacts birth control options, as hormonal methods like combined oral contraceptives may increase the risk of thromboembolism, making non-hormonal or progestin-only methods safer choices.
Question 2 of 5
A primigravid client at 39 weeks' gestation is admitted to the hospital for induction of labor. The physician has ordered prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2 gel to the client, which of the following should the nurse do first?
Correct Answer: A
Rationale: Prostaglandin E2 gel stimulates contractions, so assessing baseline contraction frequency ensures it is safe to administer (e.g., no hyperstimulation). Membrane status and positioning are secondary, and amniotomy is not required.
Question 3 of 5
Approximately 90 minutes after birth, the nurse should encourage the mother of a term neonate to do which of the following?
Correct Answer: A
Rationale: Feeding within 90 minutes promotes bonding, stabilizes blood glucose, and initiates breastfeeding or formula feeding.
Question 4 of 5
The nurse observes a bottle-feeding multiparous client tilting the bottle so the nipple is partially filled with air. The nurse should:
Correct Answer: A
Rationale: Tilting the bottle to fill the nipple prevents air swallowing, reducing the risk of gas and regurgitation.
Question 5 of 5
A neonate delivered at 37 weeks' gestation has been admitted to the neonatal intensive care unit for respiratory distress. The physician has ordered an I.V. for fluid support. To increase safety prior to hanging new I.V. fluids for a neonate, the nurse should:
Correct Answer: D
Rationale: Double-checking the fluids and physician's order with another nurse ensures accuracy and safety, reducing the risk of medication or fluid errors.