NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a neonate at 38 weeks' gestation when the nurse observes marked peristaltic waves on the neonate's abdomen. After this observation, the neonate exhibits projectile vomiting. The nurse notifies the pediatrician because these signs are indicative of which of the following?
Correct Answer: B
Rationale: Marked peristaltic waves and projectile vomiting are classic signs of pyloric stenosis, a condition involving hypertrophy of the pylorus muscle.
Question 2 of 5
The nurse managing the admission nursery is beginning the shift. There are 2 infants under the care of a primary staff nurse and are remaining in the nursery while their mothers sleep. One newborn is waiting to be transferred to the special care nursery (SCN) with a diagnosis of possible sepsis. The SCN cannot accept a transfer for 30 minutes. The nurse has been notified that another infant has been born and is breathing at a rate of 80 bpm and needs to be admitted to the nursery. There are also two infants who are waiting for social services to determine discharge plans. There can be no other additions to the nursery until at least one newborn leaves the area. How should the nurse manage this situation?
Correct Answer: C
Rationale: Calling social services to expedite discharge of one of the waiting infants allows space for the new admission with a high respiratory rate, which requires urgent assessment.
Question 3 of 5
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
Correct Answer: A
Rationale: Plan B is most effective when taken within 72 hours of unprotected intercourse, ideally as soon as possible. Waiting 3 to 4 days reduces its efficacy, indicating a need for further explanation.
Question 4 of 5
A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which of the following client statements indicates effective teaching?
Correct Answer: A
Rationale: Tubal ligation involves blocking or tying the fallopian tubes, often through a small abdominal incision. Reversal is complex with lower success rates, it does not significantly reduce ovarian cancer risk, and it does not affect menopause timing.
Question 5 of 5
A client who is considering a contraceptive implant asks the nurse about its advantages. Which of the following would the nurse include in the response?
Correct Answer: B
Rationale: The contraceptive implant is effective for up to 3 years and is reversible, making it a long-acting, convenient option. It does not protect against STIs, is not taken daily, and is generally safe for women with clotting risks as it is progestin-only.