NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
The nurse is monitoring a primiparous client with postpartum hemorrhage. Which intervention is the highest priority?
Correct Answer: B
Rationale: Inserting a second IV line ensures access for fluid resuscitation, critical in managing hemorrhage.
Question 2 of 5
Several pregnant clients are waiting to be seen in the triage area of the obstetrical unit. Which client should the nurse see first?
Correct Answer: C
Rationale: Epigastric pain in a preeclamptic client can indicate impending eclampsia.
Question 3 of 5
Following an epidural and placement of internal monitors, a client's labor is augmented. Contractions are lasting greater than 90 seconds and occurring every 1½ minutes. The uterine resting tone is greater than 20 mm mercury with a nonreassuring fetal heart rate and pattern. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Hyperstimulation (contractions >90 seconds, frequent, with high resting tone) and nonreassuring fetal heart rate indicate fetal distress. Stopping oxytocin is the first step to reduce uterine activity and improve fetal oxygenation. Repositioning, notifying the provider, or increasing fluids follow.
Question 4 of 5
During a home visit to a breast-feeding primiparous client at 1 week postpartum, the client tells the nurse that her nipples have become sore and cracked from the feedings. Which of the following should the nurse instruct the client to do?
Correct Answer: B
Rationale: Proper positioning with the areola in the baby's mouth prevents and heals sore nipples.
Question 5 of 5
A nurse is counseling a client about the use of barrier methods. Which of the following client statements indicates a need for further teaching?
Correct Answer: C
Rationale: The cervical cap requires spermicide for effectiveness, indicating a need for further teaching. The other statements are correct regarding condom use and diaphragm care.