NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
The physician orders betamethasone (Celestone) for a 34-year-old multigravid client at 32 weeks' gestation who is experiencing preterm labor. Previously, the client has experienced one infant death due to preterm birth at 28 weeks' gestation. The nurse explains that this drug is given for which of the following reasons?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung maturity.
Question 2 of 5
After instructing a multigravid client diagnosed with mild preeclampsia how to keep a record of fetal movement patterns at home, the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans?
Correct Answer: C
Rationale: Counting fetal movements for one hour daily is a common method to monitor fetal well-being.
Question 3 of 5
A multigravid client in active labor at 39 weeks' gestation has a history of smoking one to two packs of cigarettes daily. For which of the following should the nurse be alert when assessing the client's neonate?
Correct Answer: C
Rationale: Maternal smoking is strongly associated with low birth weight due to placental insufficiency and reduced fetal growth. Hyperirritability, hyperbilirubinemia, and hypocalcemia are less directly linked.
Question 4 of 5
Prophylactic heparin therapy is ordered to treat thrombophlebitis in a multiparous client who delivered 24 hours ago. After instructing the client about the medication, the nurse determines that the client understands the instructions when she states which of the following as the purpose of the drug?
Correct Answer: D
Rationale: Heparin prevents further clot formation in thrombophlebitis without dissolving existing clots.
Question 5 of 5
Which of the following instructions should the nurse give to the parents of a neonate diagnosed with hyperbilirubinemia who is receiving phototherapy?
Correct Answer: A
Rationale: Keeping the neonate's eyes completely covered protects them from potential retinal damage during phototherapy.