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Maternity RN NCLEX Questions Questions

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Question 1 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 2 of 5

A primigravid client at 39 weeks' gestation is admitted to the hospital in active labor. On admission, the client's cervix is 6 cm dilated. After 2 hours of active labor, the client's cervix is still dilated at 6 cm with 100% effacement at -1 station. Contractions are 3 to 5 minutes apart, lasting 45 seconds, and of moderate intensity. The nurse determines that the client is most likely experiencing which of the following?

Correct Answer: A

Rationale: Lack of cervical dilation (6 cm after 2 hours) despite adequate contractions suggests cephalopelvic disproportion, where the fetal head cannot pass through the pelvis. Prolonged latent phase occurs earlier, transition is at 8–10 cm, and hypotonic contractions are weaker.

Question 3 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 4 of 5

A client asks about the disadvantages of oral contraceptives. Which of the following would the nurse include?

Correct Answer: A

Rationale: Oral contraceptives must be taken at the same time daily for maximum effectiveness, as timing affects hormone levels. They are short-term (daily), have potential side effects, and do not protect against STIs.

Question 5 of 5

While assessing a neonate weighing 3,175 g (7 lb) who was born at 39 weeks' gestation to a primiparous client who admits to cocaine use during pregnancy, which of the following would alert the nurse to possible cocaine withdrawal?

Correct Answer: B

Rationale: A high-pitched cry is a common sign of cocaine withdrawal in neonates, indicating neurological irritability.

Similar Questions

After instructing a primiparous client who is bottle-feeding about burping, which of the following client statements indicates that the client needs further teaching?
When caring for a neonate diagnosed with gastroschisis, which of the following actions should the nurse record to do first?
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:
When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which of the following would the nurse include?
A primiparous client who is bottle-feeding her neonate at 12 hours after birth asks the nurse, "When will my menstrual cycle return?" Which of the following responses by the nurse would be most appropriate?

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