NCLEX-RN
RN NCLEX Maternal Neonatal Nursing Questions
Extract:
Question 1 of 5
The physician orders scalp stimulation of the fetal head for a primigravid client in active labor. When explaining to the client about this procedure, which of the following would the nurse include as the purpose?
Correct Answer: C
Rationale: Scalp stimulation is used to assess fetal well-being by eliciting a heart rate acceleration, indicating good oxygenation and variability. It does not assess hematocrit, strengthen contractions, or determine position.
Question 2 of 5
The nurse discovers a medication error where a postpartum client received 400 mg of ibuprofen instead of 800 mg. The nurse should:
Correct Answer: C
Rationale: Notifying the physician and filing an incident report ensures patient safety and proper follow-up.
Question 3 of 5
A client asks about the side effects of oral contraceptives. Which of the following would the nurse include in the response?
Correct Answer: B
Rationale: Nausea and breast tenderness are common initial side effects of oral contraceptives, which often subside. Weight gain, not loss, may occur, hair loss is not typical, and oral contraceptives do not significantly reduce breast cancer risk.
Question 4 of 5
A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:
Correct Answer: D
Rationale: Introducing a sippy cup around 12 months aligns with developmental readiness for independent drinking.
Question 5 of 5
A client has just had a cesarean section for a prolapsed cord. In reviewing the client's history, which of the following factors places a client at risk for cord prolapse? Select all that apply.
Correct Answer: A,B,C,D,F
Rationale: These factors increase the risk of cord prolapse.