NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client?
Correct Answer: C
Rationale: Ovulation typically occurs around day 14 (plus or minus 2 days) before the next menstrual cycle in a 28-day cycle, which is critical for understanding fertility windows. The ovum survives for about 12-24 hours, not 96 hours, and basal body temperature rises after ovulation.
Question 2 of 5
For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which of the following assessment findings would alert the nurse to suspect hypermagnesemia?
Correct Answer: A
Rationale: Decreased deep tendon reflexes are a sign of hypermagnesemia.
Question 3 of 5
A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include?
Correct Answer: A
Rationale: Long-term use of oral contraceptives may increase the risk of blood clots, especially in at-risk populations. It may reduce ovarian cancer risk, does not cause permanent weight loss, and does not guarantee regular cycles.
Question 4 of 5
The nurse is instructing a preeclamptic client about monitoring the movements of her fetus to determine fetal well-being. Which statement by the client indicates that she needs further instruction about when to call the health care provider concerning fetal movement?
Correct Answer: D
Rationale: Increased fetal movement can be a sign of distress, so the client should be instructed to report any significant changes in movement.
Question 5 of 5
During the first hour after a precipitous delivery, the nurse should monitor a multiparous client for signs and symptoms of which of the following?
Correct Answer: B
Rationale: Precipitous delivery increases the risk of uterine atony due to rapid labor, potentially causing postpartum hemorrhage. Postpartum blues, intrauterine infection, or urinary tract infection are less immediate concerns.