NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 of 5
The client has a vaginal delivery of a full-term newborn. Immediately after delivery, the nurse assesses that the client’s perineum and labia are edematous, but she does not have an episiotomy or a perineal laceration. Which intervention should the nurse implement?
Correct Answer: A
Rationale: If perineal edema is present, ice packs should be applied for the first 24 hours. Ice reduces edema and vulvar irritation. The client should be taught to tighten, not relax, her buttocks when sitting. This compresses the buttocks and reduces pressure on the perineum. After 24 hours, heat is recommended to increase circulation to the area. Donut cushions should be avoided because they promote separation of the buttocks and decrease venous blood flow to the area, thus increasing pain.
Question 2 of 5
On the basis of the client's statement, what can the nurse conclude?
Correct Answer: B
Rationale: Fetal movement in a multigravida is typically felt earlier, around 14-18 weeks, aligning with the client's report.
Question 3 of 5
Which intervention is most appropriate for a client experiencing low self-esteem during pregnancy?
Correct Answer: A
Rationale: A prenatal support group fosters peer support and boosts self-esteem, addressing the client's emotional needs.
Question 4 of 5
The nurse correctly explains that fertilization usually takes place in which structure?
Correct Answer: A
Rationale: Fertilization typically occurs in the fallopian tube, where the sperm meets the ovum after ovulation.
Question 5 of 5
Which dietary adjustment is most appropriate for a pregnant teenager?
Correct Answer: A
Rationale: Pregnant teenagers require about 2,500 calories daily to support their growth and the fetus's development.