NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 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.
Question 2 of 5
A neonate is delivered by primary cesarean section at 36 weeks' gestation. The temperature in the delivery room is 70F. To prevent heat loss from convection, which action should the nurse take?
Correct Answer: B
Rationale: The neonate should be kept away from drafts, such as from air conditioning vents, which may cause heat loss by convection. Convection involves heat loss due to air movement, and avoiding drafts is the most effective action.
Question 3 of 5
A client asks about the effectiveness of natural family planning methods. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: The effectiveness of natural family planning depends on consistent monitoring and abstinence during fertile periods. It is less effective than oral contraceptives or barrier methods due to variability in ovulation and user adherence.
Question 4 of 5
The physician orders intermittent fetal heart rate monitoring for a 20-year-old obese primigravid client at 40 weeks' gestation who is admitted to the birthing center in the first stage of labor. The nurse should monitor the client's fetal heart rate pattern at which of the following intervals?
Correct Answer: B
Rationale: For a low-risk primigravid client in the active phase of the first stage of labor, intermittent fetal heart rate monitoring is typically performed every 30 minutes to ensure fetal well-being, as per standard obstetric guidelines. More frequent monitoring (every 15 minutes) is reserved for the second stage or high-risk cases, while less frequent intervals (every 60 minutes or 2 hours) are insufficient for active labor.
Question 5 of 5
A viable female neonate was delivered 10 minutes ago and is in stable condition under a radiant warmer. To prevent infant heat loss by convection, the nurse should:
Correct Answer: C
Rationale: Keeping the infant away from air conditioning vents prevents heat loss by convection, which occurs due to air movement.