NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
I.V. oxytocin.png
Correct Answer: D
Rationale: Oxytocin (Pitocin) stimulates uterine contractions. If it causes excessive uterine activity (e.g., more than 5 contractions in 10 minutes or contractions lasting longer than 90 seconds), it can reduce placental perfusion
Question 2 of 5
While the nurse is caring for a multiparous client in active labor at 36 weeks' gestation, the client tells the nurse, 'I think my water just broke.' Which of the following should the nurse do first?
Correct Answer: C
Rationale: Rupture of membranes can affect fetal well-being, particularly in preterm labor (36 weeks). Assessing the fetal heart rate pattern first ensures the fetus is not in distress (e.g., due to cord compression). Fluid characteristics and dilation are assessed next.
Question 3 of 5
A full-term client is admitted for induction of labor. When admitted, her cervix is 2/50/0. The initial goal is cervical ripening prior to labor induction. Which drug will prepare her cervix for induction?
Correct Answer: C
Rationale: Dinoprostone (Cervidil) is a prostaglandin used for cervical ripening in clients with an unfavorable cervix (e.g., 2 cm, 50% effaced). Nalbuphine is for pain, oxytocin induces contractions, and betamethasone promotes fetal lung maturity.
Question 4 of 5
A nurse and a nursing assistant are caring for clients in a labor and delivery unit. Which task should the registered nurse assign to the nursing assistant?
Correct Answer: B
Rationale: A nursing assistant can assist with mobility tasks like removing a fetal monitor and helping a client to the bathroom. Fundal checks, medication administration, and teaching require RN skills.
Question 5 of 5
A primigravid client at 39 weeks' gestation is admitted to the hospital for induction of labor. The physician has ordered prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2 gel to the client, which of the following should the nurse do first?
Correct Answer: A
Rationale: Prostaglandin E2 gel stimulates contractions, so assessing baseline contraction frequency ensures it is safe to administer (e.g., no hyperstimulation). Membrane status and positioning are secondary, and amniotomy is not required.