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NCLEX RN Maternity Questions Questions

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Question 1 of 5

The nurse is assessing fetal presentation in a multiparous client. The illustration below indicates which of the following types of presentation?

Correct Answer: D

Rationale: Without the illustration, the context suggests a typical presentation for a multiparous client, which is most likely vertex (head-down), the most common and favorable for vaginal delivery.

Question 2 of 5

A woman who is Rh-negative has delivered an Rh-positive infant. The nurse explains to the client that she will receive RhoGAM. The nurse determines that the client understands the purpose of RhoGAM when she states:

Correct Answer: B

Rationale: RhoGAM prevents maternal antibody formation against Rh-positive blood.

Question 3 of 5

A nurse is teaching a client about the fertility awareness method. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Tracking basal body temperature and cervical mucus daily is essential for the fertility awareness method to identify fertile days. Intercourse is avoided only during fertile periods, the method is less reliable with irregular periods, and pregnancy tests do not monitor ovulation.

Question 4 of 5

When developing the plan of care for a multiparous client in active labor who receives an epidural anesthetic, which of the following would the nurse anticipate that the physician will order if the client develops moderate hypotension?

Correct Answer: A

Rationale: Ephedrine sulfate is commonly used to treat epidural-related hypotension by increasing blood pressure through vasoconstriction and cardiac stimulation. Epinephrine is for emergencies, methylergonovine treats uterine atony, and atropine addresses bradycardia.

Question 5 of 5

A multigravid client is in active labor with twins at 38 weeks' gestation. The nurse should monitor the client closely for symptoms of which of the following?

Correct Answer: D

Rationale: Twin pregnancies increase the risk of precipitous delivery due to uterine overdistension, which can lead to rapid labor. Hypertension, infections, or chorioamnionitis are possible but less specific to twins.

Similar Questions

Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
The labor and delivery nurse is assigned to triage for the day. There are four clients already in rooms and the following reports have been received about each of these clients. To provide the safest care and best manage time, the nurse should plan to see which client first?
A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which of the following information should be part of this report? Select all that apply.
The nurse is teaching a multiparous breast-feeding client about managing mastitis. Which instruction is most appropriate?
After the physician explains the prognosis and medical management for atrial septal defect to a primiparous client whose 2-day-old female neonate was diagnosed with this condition, the nurse determines that the mother needs further instructions when she says which of the following?

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