NCLEX-RN
Maternity NCLEX RN Questions Questions
Extract:
Question 1 of 5
Two weeks after a breast-feeding primiparous client is discharged, she calls the birthing center and says that she is afraid she is "losing my breast milk. The baby had been nursing every 4 hours, but now she's crying to be fed every 2 hours." The nurse interprets the neonate's behavior as most likely caused by which of the following?
Correct Answer: D
Rationale: Increased feeding frequency at 2 weeks is typical of a growth spurt, requiring more frequent nursing.
Question 2 of 5
A breast-feeding primiparous client with a midline episiotomy is prescribed ibuprofen 200 mg orally. The nurse instructs the client to take the medication:
Correct Answer: C
Rationale: Taking ibuprofen after feeding minimizes the amount of medication in breast milk during the next feeding.
Question 3 of 5
After a lengthy labor process, a primigravid client delivers a healthy newborn boy with a moderate amount of skull molding. Which of the following would the nurse include when explaining to the parents about this condition?
Correct Answer: B
Rationale: Skull molding, a common result of vaginal delivery due to cranial bones overlapping, typically resolves within a few days as the head reshapes. It is not specific to breech or brow presentations, and surgical intervention is rarely needed.
Question 4 of 5
The nurse is to draw a blood sample for glucose testing from a term neonate during the first hour after birth. The nurse should obtain the blood sample from the neonate's foot near which of the following areas?
Correct Answer: B
Rationale: The blood sample should be obtained from the lateral or medial heel of the neonate's foot to minimize pain and avoid major nerves and blood vessels.
Question 5 of 5
The nurse notices that a client who has just delivered her infant is short of breath, ashen in color, and begins to cough. She becomes limp on the delivery table. Determine the nursing actions in the order they should occur.
Order the Items
Source Container
Correct Answer: C,A,D,E,B
Rationale: Assess responsiveness first, then secure the airway, breathing, and circulation.