NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
Two hours ago, a multigravid client was admitted in active labor with her cervix dilated at 5 cm and completely effaced and the fetus at 0 station. Currently, the client is experiencing nausea and vomiting, a slight chill with perspiration beads on her lip, and extreme irritability. The nurse should first:
Correct Answer: D
Rationale: Nausea, chills, perspiration, and irritability are signs of the transition phase (8–10 cm dilation). Assessing cervical dilation and station confirms progression and guides care. Warming the room, increasing fluids, or administering antiemetics are secondary.
Question 2 of 5
After instructing a multigravid client at 10 weeks' gestation diagnosed with chronic hypertension about the need for frequent prenatal visits, the nurse determines that the instructions have been successful when the client states which of the following?
Correct Answer: B
Rationale: Chronic hypertension increases the risk of having a small-for-gestational-age infant.
Question 3 of 5
Which of the following would the nurse expect to assess in a neonate delivered at 28 weeks' gestation who is diagnosed with intraventricular hemorrhage (IVH)?
Correct Answer: C
Rationale: Bulging fontanels are a sign of increased intracranial pressure from IVH in preterm neonates.
Question 4 of 5
A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which of the following information should be part of this report? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: A comprehensive shift report includes fetal monitor interpretation, analgesia/anesthesia use, vaginal bleeding/discharge, support persons, and prior delivery history to ensure continuity of care. Anticipated birth control is not relevant during labor.
Question 5 of 5
A nurse is counseling a client about the contraceptive sponge. Which of the following client statements indicates a need for further teaching?
Correct Answer: C
Rationale: The contraceptive sponge is a single-use device and cannot be reused, even if cleaned, indicating a need for further teaching. The other statements are correct.