NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse teaches the client to recognize which early labor sign?
Correct Answer: A
Rationale: Bloody show, a mucous discharge tinged with blood, is a common early labor sign as the cervix begins to dilate.
Question 2 of 5
If the client reports the following signs and symptoms, which one represents a probable sign of pregnancy?
Correct Answer: B
Rationale: Abdominal enlargement is a probable sign of pregnancy, as it is more objective and indicative of uterine growth.
Question 3 of 5
Which response by the nurse is most relevant when another participant talks about having recurrent mood swings?
Correct Answer: A
Rationale: Avoiding fatigue and stress helps manage mood swings, which are common due to hormonal changes in pregnancy.
Question 4 of 5
The client has a vaginal delivery of a full-term newborn. Immediately after delivery, the nurse assesses that the client’s perineum and labia are edematous, but she does not have an episiotomy or a perineal laceration. Which intervention should the nurse implement?
Correct Answer: A
Rationale: If perineal edema is present, ice packs should be applied for the first 24 hours. Ice reduces edema and vulvar irritation. The client should be taught to tighten, not relax, her buttocks when sitting. This compresses the buttocks and reduces pressure on the perineum. After 24 hours, heat is recommended to increase circulation to the area. Donut cushions should be avoided because they promote separation of the buttocks and decrease venous blood flow to the area, thus increasing pain.
Question 5 of 5
The nurse is counseling the client who is trying to become pregnant. To promote fetal health when the client is unaware of a pregnancy, the nurse should stress the inclusion of which nutrient in daily food intake?
Correct Answer: C
Rationale: The nurse should educate the client about the need for adequate folic acid intake. Folic acid is important in preventing neural tube defects, especially during the first four weeks of fetal development. Potassium is important in preventing leg cramps during pregnancy, but this is usually not an issue during the first four weeks of gestation. Calcium is important for fetal development of bones, teeth, heart, nerves, and muscles, but the fetus will take calcium from the mother. Calcium is more important to maternal health than fetal development. Sodium is important for maintaining optimal electrolyte balance but is typically ingested in more than adequate amounts in a typical diet.