Questions 82

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NCLEX RN Practice Questions Maternity Questions

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Question 1 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 2 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 3 of 5

A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; temperature, 100° F(37.8° C); pulse, 100 bpm; respirations, 18 breaths/minute. Which of the following would the nurse expect the physician to order?

Correct Answer: A

Rationale: Penicillin is used to treat group B streptococcus.

Question 4 of 5

When caring for a multiparous client who is human immunodeficiency virus (HIV)-positive and asking to breast-feed her neonate as soon as possible, which of the following instructions about breast milk should the nurse include in the teaching plan?

Correct Answer: D

Rationale: Breast milk from an HIV-positive mother can transmit the virus to the neonate, so breastfeeding is contraindicated to prevent HIV transmission.

Question 5 of 5

While the nurse is caring for a neonate at 32 weeks' gestation in an isolette with continuous oxygen administration, the neonate's mother asks why the neonate's oxygen is humidified. The nurse should tell the mother?

Correct Answer: C

Rationale: Humidified oxygen prevents drying of the mucous membranes, which is critical for maintaining airway health in preterm neonates.

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