NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 of 5
The client in labor received an epidural anesthesia 20 minutes ago. The nurse assesses that the client’s BP is 98/62 mm Hg and that the client is lying supine. What should the nurse do next?
Correct Answer: D
Rationale: The first action is to place the client in a left side-lying position. This displaces the uterus and alleviates aortocaval compression. Increasing the infusion rate may be implemented if repositioning the client does not correct the hypotension. Elevating the client’s legs for 2 to 3 minutes is done with severe or prolonged hypertension to increase blood return from the extremities. It may be implemented after repositioning to left side, increasing the IV rate, and placing in Trendelenburg position. Placing in 10- to 20-degree Trendelenburg position is usually implemented if the BP does not increase within 1 to 2 minutes after repositioning to left side and increasing the IV flow rate.
Question 2 of 5
The nurse emphasizes which safety measure during prenatal education?
Correct Answer: A
Rationale: Avoiding raw or undercooked meat prevents infections like toxoplasmosis, a key safety measure for fetal health.
Question 3 of 5
Which activity promotes postpartum healing?
Correct Answer: A
Rationale: Resting and limiting strenuous activity support physical recovery and healing after childbirth.
Question 4 of 5
Which intervention is most appropriate for a client with placenta previa?
Correct Answer: A
Rationale: Placenta previa often requires cesarean delivery to prevent life-threatening bleeding, unlike the other options.
Question 5 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.