NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
The physician orders an intramuscular injection of phytonadione (AquaMEPHYTON) for a term neonate. The nurse explains to the mother that this medication is used to prevent which of the following?
Correct Answer: C
Rationale: Phytonadione (vitamin K) is administered to newborns to prevent hemorrhagic disease due to low vitamin K levels, which are necessary for blood clotting.
Question 2 of 5
A multiparous client at 24 hours postpartum demonstrates a positive Homan's sign with discomfort. The nurse should:
Correct Answer: C
Rationale: A positive Homan's sign suggests possible deep vein thrombosis, requiring immediate physician notification.
Question 3 of 5
The physician orders whole blood replacement for a multigravid client with abruptio placentae. Before administering the intravenous blood product, the nurse should first:
Correct Answer: A
Rationale: Validating client information and blood product is essential to prevent transfusion errors.
Question 4 of 5
The nurse is assessing the perineal changes of a multigravid client in the second stage of labor. The illustration below represents which of the following perineal changes?
Correct Answer: D
Rationale: If the illustration shows the fetal head visible at the perineum with no retraction between contractions, and the perineal area appears bulging or stretched, this indicates crowning — the point at which birth is imminent.
Question 5 of 5
Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
Correct Answer: A
Rationale: Mild analgesics like ibuprofen can effectively manage menstrual pain. There is no evidence supporting avoiding cold foods, and moderate exercise can alleviate cramps. Sexual intercourse during menstruation is a personal choice and not medically contraindicated.