NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
The physician orders intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which of the following medications should the nurse have readily available at the client's bedside?
Correct Answer: C
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity.
Question 2 of 5
The nurse is managing care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client?
Correct Answer: C
Rationale: Regular assessment of anesthesia/pain levels is critical to ensure the client's comfort and to adjust pain management strategies as labor progresses. Oxygen saturation monitoring is not typically required every half hour unless specific complications arise. Supine positioning can cause supine hypotensive syndrome and is generally avoided. Vaginal bleeding and rupture of membranes (ROM) assessments are important but typically performed more frequently than every shift during active labor.
Question 3 of 5
The nurse is teaching a multiparous breast-feeding client about managing mastitis. Which instruction is most appropriate?
Correct Answer: B
Rationale: Warm compresses before feeding promote milk flow and relieve duct blockage, aiding mastitis resolution.
Question 4 of 5
In which of the following maternal locations would the nurse place the ultrasound transducer of the external electronic fetal heart rate monitor if a fetus at 34 weeks' gestation is in the left occipitoanterior(LOA) position?
Correct Answer: C
Rationale: The transducer should be placed below the umbilicus on the left side for LOA position.
Question 5 of 5
A primigravid client at 39 weeks' gestation is admitted in early labor with contractions every 6 minutes. The nurse notes a fetal heart rate of 145 bpm with occasional variable decelerations. What is the nurse's first action?
Correct Answer: C
Rationale: Variable decelerations may indicate umbilical cord compression. Repositioning the client to her left side is the first action to relieve pressure on the cord and improve fetal oxygenation. Notification, oxygen, or increased fluids are considered if decelerations persist.