NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
Prophylactic heparin therapy is ordered to treat thrombophlebitis in a multiparous client who delivered 24 hours ago. After instructing the client about the medication, the nurse determines that the client understands the instructions when she states which of the following as the purpose of the drug?
Correct Answer: D
Rationale: Heparin prevents further clot formation in thrombophlebitis without dissolving existing clots.
Question 2 of 5
After instructing a multigravid client diagnosed with mild preeclampsia how to keep a record of fetal movement patterns at home, the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans?
Correct Answer: C
Rationale: Counting fetal movements for one hour daily is a common method to monitor fetal well-being.
Question 3 of 5
Which of the following actions should the nurse take when performing external cardiac massage on a neonate born at 28 weeks' gestation?
Correct Answer: A
Rationale: Alternating cardiac massage with ventilation follows neonatal resuscitation guidelines to restore circulation and oxygenation.
Question 4 of 5
The nurse is performing effleurage for a primigravid client in early labor. The nurse should do which of the following?
Correct Answer: C
Rationale: Effleurage is a light, stroking massage of the skin surface (often the abdomen) to promote relaxation and pain relief during labor. Deep kneading, grasping, or prolonged pressure describe other massage techniques not specific to effleurage.
Question 5 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.