NCLEX-PN
Free NCLEX Maternity Questions Questions
Extract:
Question 1 of 5
The postpartum client tells the nurse that she has pain when she breastfeeds. The nurse identifies that the infant has poor latch during breastfeeding. Which breast appearance shows that the client is experiencing symptoms associated with poor latch?
Correct Answer: D
Rationale: This graphic shows normal breasts. This graphic shows the left breast with mastitis. Mastitis frequently presents as redness, warmth, and tenderness of the breast tissue, rather than the nipple. This graphic shows engorged breasts. This graphic shows breasts that have reddened nipples, one of which is cracked. If proper latch is not obtained during breastfeeding, the newborn’s sucking may cause nipple cracking, blistering, and bleeding.
Question 2 of 5
The nurse practitioner informs the new nurse that the laboring client’s monitor is showing prolonged decelerations. Which interpretation by the new nurse is correct?
Correct Answer: C
Rationale: A prolonged deceleration occurs when the FHR decreases 15 bpm or more below baseline for at least 2 but not more than 10 minutes. The prolonged deceleration may resolve spontaneously or with the aid of interventions. A U- or V-shaped pattern with abrupt decrease in the FHR to less than 70 bpm, lasting more than 60 seconds, describes variable (not prolonged) deceleration typically associated with cord compression. Any episodic or periodic acceleration of FHR that lasts 2 minutes or more but less than 10 minutes in duration describes prolonged acceleration, not deceleration. The fetal heart monitor is monitoring the FHR and not the mother’s heart rate.
Question 3 of 5
The client, who is 12 days postpartum, telephones the clinic and tells the nurse that she is concerned that she may have an infection because her vaginal discharge has been creamy white for two days now. Which response by the nurse is correct?
Correct Answer: D
Rationale: There is no need to be seen in the clinic; vaginal discharge that turns creamy white 10 days postpartum is normal. The client does not have an infection, and no antibiotic is necessary. There is no reason to take her temperature when the discharge is normal. Creamy white discharge 10 to 21 days postpartum is normal. Her lochia changed color on her 10th postpartum day.
Question 4 of 5
When providing information about iron supplements, which instruction by the nurse is most appropriate?
Correct Answer: B
Rationale: Taking iron with orange juice (rich in vitamin
C) enhances absorption, addressing the client's constipation concern.
Question 5 of 5
The husband of the postpartum client diagnosed with moderate postpartum depression (PPD) asks the nurse about the treatments his wife will require. The nurse’s response should be based on knowing that which treatments are included in the initial collaborative plan of care? Select all that apply.
Correct Answer: A,B
Rationale: SSRIs are first-line agents for treating moderate PPD. Individual or group psychotherapy is a treatment for moderate PPD. If the client is displaying rejection of or aggression toward the infant, she should not be left alone with the infant, but the infant does not need to be removed from the home. Hypnotic agents are medications that promote sleep, but they are not to be used during the postpartum period. If sleep deprivation is occurring, a TCA may be prescribed. ECT would not be used in the initial treatment of moderate PPD. If puerperal psychosis develops, ECT is a treatment option.