Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity Questions NCLEX RN Quizlet Questions

Extract:


Question 1 of 5

Two hours after vaginally delivering a viable male neonate under epidural anesthesia, the client with a midline episiotomy ambulates to the bathroom to void. After voiding, the nurse assesses the client's bladder, finding it distended. The nurse interprets this finding based on the understanding that the client's bladder distention is most likely caused by which of the following?

Correct Answer: D

Rationale: Edema in the lower urinary tract, often from delivery trauma or epidural anesthesia, can cause urinary retention and bladder distention.

Question 2 of 5

A 17-year-old client at 33 weeks' gestation diagnosed with mild preeclampsia is prescribed bed rest at home. The nurse instructs the client to contact the health care provider immediately if she experiences which of the following?

Correct Answer: A

Rationale: Blurred vision can indicate worsening preeclampsia and requires immediate medical attention.

Question 3 of 5

A nurse is teaching a client about the lactational amenorrhea method. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The lactational amenorrhea method requires exclusive breastfeeding, amenorrhea, and being less than 6 months postpartum to suppress ovulation effectively. The other options reduce its reliability.

Question 4 of 5

Assessment of a primigravid client in active labor who has had no analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse should expect the client to exhibit which of the following behaviors during this phase of labor?

Correct Answer: B

Rationale: During the transition phase (8–10 cm dilation), primigravid clients without analgesia often experience intense contractions and may feel overwhelmed, leading to a perceived loss of control. Excitement is more common in early labor, numbness of the legs is associated with epidural anesthesia, and feelings of relief typically occur after delivery.

Question 5 of 5

A client who is considering a contraceptive implant asks the nurse about its advantages. Which of the following would the nurse include in the response?

Correct Answer: B

Rationale: The contraceptive implant is effective for up to 3 years and is reversible, making it a long-acting, convenient option. It does not protect against STIs, is not taken daily, and is generally safe for women with clotting risks as it is progestin-only.

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