Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity RN NCLEX Questions Questions

Extract:


Question 1 of 5

When caring for a neonate diagnosed with gastroschisis, which of the following actions should the nurse record to do first?

Correct Answer: D

Rationale: Covering the abdomen with moistened sterile gauze prevents infection and dehydration of the exposed intestines, which is the first priority.

Question 2 of 5

The nurse is administering intravenous magnesium sulfate as ordered for a client at 34 weeks' gestation with severe preeclampsia. Which of the following are desired outcomes of this therapy? Select all that apply.

Correct Answer: A,E,F,G

Rationale: Desired outcomes include stable vital signs, absence of late decelerations, and controlled deep tendon reflexes.

Question 3 of 5

After the nurse teaches a primiparous client planning to return to work in 6 weeks about storing breast milk, which of the following client statements indicates the need for further teaching?

Correct Answer: A

Rationale: Breast milk should not be left out for more than 4-6 hours; 10 hours risks spoilage.

Question 4 of 5

A client asks about the disadvantages of oral contraceptives. Which of the following would the nurse include?

Correct Answer: A

Rationale: Oral contraceptives must be taken at the same time daily for maximum effectiveness, as timing affects hormone levels. They are short-term (daily), have potential side effects, and do not protect against STIs.

Question 5 of 5

A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe pregnancy-induced hypertension. While caring for the client, the nurse observes that the client is beginning to have a seizure. Which of the following actions should the nurse do first?

Correct Answer: D

Rationale: A seizure in pregnancy-induced hypertension (eclampsia) is a medical emergency. Calling for immediate assistance ensures rapid intervention (e.g., magnesium sulfate). Padding rails, repositioning, or inserting a tongue blade (which is outdated) are secondary.

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