NCLEX-PN
Maternal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is counseling the client who is pregnant. The nurse should teach that which assessment finding requires follow-up with the HCP?
Correct Answer: C
Rationale: The nurse needs to teach the client that generalized edema is a sign of preeclampsia and requires follow-up by an HCP for further evaluation. Dependent edema is typical during pregnancy, resulting from relaxation of the blood vessels in the legs and decreased venous blood return. Edema in the hands is typical during pregnancy, particularly when a high-sodium diet is consumed. Edema that occurs every evening is a normal finding associated with decreased venous return and pelvic congestion from daily activity.
Question 2 of 5
While assessing the breastfeeding mother 24 hours postdelivery, the nurse notes that the client’s breasts are hard and painful. Which interventions should be implemented by the nurse? Select all that apply.
Correct Answer: B,D,F
Rationale: Moving the baby from the initial breast to the second breast during the feeding, before the initial breast is completely emptied, may result in neither breast being totally emptied and thus promote continued engorgement. Because engorgement is caused, in part, by swelling of the breast tissue surrounding the milk gland ducts, applying ice at intervals between feedings will help to decrease this swelling. Giving supplemental formula, thus limiting the time the baby nurses at the breast, prevents total emptying of the breast and promotes increased engorgement. Administering anti-inflammatory medication will decrease breast pain and inflammation. Because heat application increases blood flow, moist heat packs would exacerbate the engorgement. Pumping the breasts may be necessary if the infant is unable to completely empty both breasts at each feeding. Pumping at this time will not cause a problematic increase in breast milk production.
Question 3 of 5
The client has been in labor for 21 hours. Induction was started 16 hours ago, and she is now dilated 5 cm. She has made little progress, and there has been no fetal descent. The HCP identifies cephalopelvic disproportion (CPD). The nurse should prepare the client for which mode of delivery?
Correct Answer: D
Rationale: A fetus diagnosed with CPD is unable to be delivered vaginally and requires a cesarean section birth. A vaginal delivery is contraindicated once CPD has been identified due to the risk of fetal and maternal trauma. Forceps delivery is contraindicated once CPD has been identified due to the risk of fetal and maternal trauma. Vacuum delivery is contraindicated once CPD has been identified due to the risk of fetal and maternal trauma.
Question 4 of 5
Which condition increases the risk of congenital anomalies in the fetus?
Correct Answer: A
Rationale: Maternal diabetes, if poorly controlled, increases the risk of congenital anomalies due to elevated blood glucose levels.
Question 5 of 5
Which instruction should the nurse provide about newborn feeding?
Correct Answer: B
Rationale: Feeding on demand supports the newborn's nutritional needs and promotes bonding and growth.