NCLEX Maternity Questions

Extract:

Question 1 of 5

The nurse caring for the postpartum client who is 15 years old is concerned about this client’s ability to parent a newborn. Which behavior is characteristic of the developmental level of the 15-year-old that justifies the nurse’s concern?

Correct Answer: D

Rationale: The development of autonomy is a developmental task of toddlerhood. School-age children are motivated to follow rules established by others. Adult women are concerned about the effect of childbearing on careers. Although it is biologically possible for the adolescent female to become a parent, her egocentricity and concrete thinking interfere with her ability to parent effectively. Because of this normal development, the adolescent may inadvertently neglect her child.

Question 2 of 5

The nurse advises the client to clean the newborn's umbilical cord with which substance?

A. Alcohol or antiseptic as prescribed B. Soap and water C. Hydrogen peroxide D. No cleaning needed

Correct Answer: A

Rationale: Cleaning with alcohol or antiseptic as prescribed prevents infection until the cord stump falls off.

Question 3 of 5

The client in labor is requesting water therapy (hydrotherapy) to help provide pain relief and relaxation. Her recent vaginal exam was 2/50/—2. How should the nurse respond to the client’s request?

A. “Usually we initiate hydrotherapy during active labor.” B. “You will not need to change positions quite as much.” C. “We will not be able to monitor fetal heart rate as easily.” D. “You can use hydrotherapy for up to 60 minutes at a time.”

Correct Answer: A

Rationale: Hydrotherapy is usually initiated when the client is in active labor, at approximately 4 or 5 cm. This timing will help reduce the risk of prolonged labor and provide a welcome change when the contractions are becoming stronger and closer together. Changing position takes less effort while immersed in water, so women are encouraged to change positions more frequently to help facilitate the process of labor. FHR monitoring can be done just as easily during hydrotherapy, using a wireless external monitor, Doppler, or fetoscope. Internal electrodes can be placed during most types of hydrotherapy but is contraindicated during jet hydrotherapy. There is no time limit for laboring women to use hydrotherapy; they may stay as long as desired, unless complications develop during the labor process.

Question 4 of 5

The nurse correctly explains to the group that the most important condition related to frequent urination during pregnancy is related to what factor?

A. Loss of bladder tone in the mother B. The presence of a urinary tract infection C. The enlarging uterus exerting pressure on the bladder D. The growing fetus excreting increased amounts of waste

Correct Answer: C

Rationale: The enlarging uterus presses on the bladder, causing frequent urination, especially in early and late pregnancy.

Question 5 of 5

The 39-year-old client with type 1 DM presents at 36 weeks’ gestation with Drag and Drop contractions. An HCP decides to do an amniocentesis. Which statement best supports why the nurse and NA should prepare the client for an amniocentesis now?

A. Diabetic women have a higher incidence of birth defects, and the HCP wants to determine if a birth defect is present. B. The client is over 35, at 36 weeks’ gestation with Drag and Drop contractions, and is at risk for chromosomal disorders. C. An amniocentesis performed at 36 weeks’ gestation is being completed to determine if the fetal lungs have matured. D. The amniocentesis is more accurate than the fetal fibronectin test in determining if delivery is imminent.

Correct Answer: C

Rationale: Infants of diabetic mothers are less likely to have mature lung capacity at 36 weeks; knowing lung maturity can influence whether delivery should proceed. In mid pregnancy, the cells in amniotic fluid can be studied for genetic abnormalities such as Down’s syndrome and birth defects, but amniocentesis would not be performed for this purpose when the client is in preterm labor. Many women over the age of 35 have amniocentesis completed to test for chromosomal disorders, but not this late in the pregnancy. Fetal fibronectin testing is used to determine if a preterm birth is likely, but it cannot be used to determine lung maturity.

NCLEX Maternity Questions | Nurselytic

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