NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse assigns an individual who is an unlicensed assistive personnel (UAP) to care for a client. Which of the following would be appropriate to delegate to this person? Select all that apply.
Correct Answer: A,D,F
Rationale: UAPs can perform tasks like changing pads, reinforcing hygiene, and assisting with ambulation, but tasks requiring clinical judgment (e.g., fundal checks, breastfeeding assistance, or counseling) are reserved for licensed personnel.
Question 2 of 5
A primiparous client who is bottle-feeding her neonate at 12 hours after birth asks the nurse, "When will my menstrual cycle return?" Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: For bottle-feeding mothers, menstruation typically resumes 6 to 10 weeks postpartum due to the absence of breastfeeding's hormonal suppression.
Question 3 of 5
When preparing a multigravid client at 34 weeks' gestation experiencing preterm labor for the shake test performed on amniotic fluid, the nurse would instruct the client that this test is done to evaluate the maturity of which of the following fetal systems?
Correct Answer: D
Rationale: The shake test evaluates pulmonary maturity.
Question 4 of 5
The nurse is assessing a client at her postpartum checkup 6 weeks after a vaginal delivery. The mother is bottle feeding her baby. Which client finding indicates a problem at this time?
Correct Answer: B
Rationale: White, thick vaginal discharge at 6 weeks suggests an infection, as lochia should be minimal or absent by this time.
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.