NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
To determine whether a primigravid client in labor with a fetus in the left occipitoanterior (LOA) position is completely dilated, the nurse performs a vaginal examination. During the examination the nurse should palpate which of the following cranial sutures?
Correct Answer: A
Rationale: In the LOA position, the fetus's occiput is anterior, and the sagittal suture (running midline along the skull) is most accessible during vaginal examination to assess dilation and fetal position. Other sutures are less prominent in this presentation.
Question 2 of 5
While a client is being admitted to the birthing unit she states, 'My water broke last night, but my labor started two hours ago.' Which of the following is a concern? Select all that apply.
Correct Answer: E
Rationale: Prolonged rupture of membranes (>18 hours) increases infection risk, and green fluid suggests meconium, indicating potential fetal distress. Normal blood pressure, bloody show, fetal heart rate variability, and fetal movement are not immediate concerns.
Question 3 of 5
A neonate delivered at 30 weeks' gestation and weighing $2,000 \mathrm{~g}$ is admitted to the neonatal intensive care unit. What nursing measure will decrease insensible water loss in a neonate?
Correct Answer: C
Rationale: Using humidity in the incubator helps maintain a moist environment, reducing insensible water loss through the skin, which is critical for preterm neonates with immature skin barriers.
Question 4 of 5
The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following?
Correct Answer: A
Rationale: High-fiber foods and adequate fluids promote bowel function and hydration, which are essential for postpartum recovery.
Question 5 of 5
A client asks about the effectiveness of male condoms. Which of the following responses by the nurse is accurate?
Correct Answer: B
Rationale: Male condoms are highly effective when used correctly, with a low failure rate. They are not 100% effective, do not require a prescription, and are more effective than the withdrawal method.