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Maternity RN NCLEX Questions Questions

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Question 1 of 5

During the first hour after delivery, assessment of a multiparous client who delivered a neonate weighing 4,593 g (10 lb, 2 oz) by cesarean delivery reveals a soft fundus with excessive lochia rubra. The nurse should include which of the following in the client's plan of care?

Correct Answer: A

Rationale: A soft fundus and excessive lochia suggest uterine atony, which is treated with oxytocin to promote uterine contraction.

Question 2 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 3 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 4 of 5

The nurse is evaluating the client who delivered vaginally 2 hours ago and is experiencing postpartum pain rated 8 on scale of 1 to 10. The client is a G 4, P 4, breast-feeding mother who would like medication to decrease the pain in her uterus. Which of the medications listed on the orders sheet would be the most appropriate for this client?

Correct Answer: B

Rationale: Ibuprofen is safe for breastfeeding mothers and effective for uterine cramping pain, unlike aspirin (risk of bleeding), Colace (stool softener), or Vicodin (opioid, less preferred due to sedation risks).

Question 5 of 5

A preterm infant delivered 2 hours ago at 34 weeks' gestation is experiencing rapid respirations, grunting, no breath sounds on one side, and a shift in location of heart sounds. The nurse should prepare to assist with which of the following?

Correct Answer: D

Rationale: These symptoms suggest a pneumothorax, and inserting a chest tube is the priority to relieve air trapping.

Similar Questions

A primigravid client at 41 weeks' gestation is admitted to the hospital's labor and delivery unit in active labor. After 25 hours of labor with membranes ruptured for 24 hours, the client delivers a healthy neonate vaginally with a midline episiotomy. Which of the following nursing diagnoses should the nurse identify as the priority for the client?
A primigravid client's baseline blood pressure at her initial visit at 12 weeks' gestation was 110/70 mm Hg. During an assessment at 38 weeks' gestation, which of the following data would indicate mild preeclampsia?
During the first hour after delivery, assessment of a multiparous client who delivered a neonate weighing 4,593 g (10 lb, 2 oz) by cesarean delivery reveals a soft fundus with excessive lochia rubra. The nurse should include which of the following in the client's plan of care?
An adolescent primiparous client at 24 hours postpartum tells the nurse that she and her baby will be living with her boyfriend's parents so that she can finish high school and go on to college. The client's boyfriend and parents have been supportive of the client and neonate. Which of the following is an appropriate nursing diagnosis at this time?
The nurse observes a bottle-feeding multiparous client tilting the bottle so the nipple is partially filled with air. The nurse should:

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