NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
When developing the initial plan of care for a neonate who was born at 41 weeks' gestation, was diagnosed with meconium aspiration syndrome (MAS), and requires mechanical ventilation, which of the following should the nurse include:
Correct Answer: A
Rationale: Care of an umbilical arterial line is necessary for monitoring blood gases and blood pressure in a neonate on mechanical ventilation.
Question 2 of 5
Approximately 90 minutes after birth, the nurse should encourage the mother of a term neonate to do which of the following?
Correct Answer: A
Rationale: Feeding within 90 minutes promotes bonding, stabilizes blood glucose, and initiates breastfeeding or formula feeding.
Question 3 of 5
During a scheduled cesarean delivery of a primigravid client with a fetus at 39 weeks' gestation in a breech presentation, a neonatologist is present in the operating room. The nurse explains to the client that the neonatologist is present because neonates born by cesarean delivery tend to have an increased incidence of which of the following?
Correct Answer: D
Rationale: Cesarean delivery, especially without labor, increases the risk of respiratory distress syndrome due to retained lung fluid. Breech presentation may exacerbate this. Congenital anomalies, pulmonary hypertension, and meconium aspiration are less directly related.
Question 4 of 5
The nurse is caring for a multigravid client who speaks little English. As the nurse enters the client's room, the nurse observes the client panting on the bed and the fetal head crowning. After calling for assistance and helping the client lie down, which of the following actions should the nurse do next?
Correct Answer: B
Rationale: With the fetal head crowning, providing gentle support prevents rapid expulsion and perineal trauma. Pushing between contractions is incorrect, traction is for shoulder dystocia, and perineal massage is less urgent.
Question 5 of 5
A client at 36 weeks' gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure. The nurse should assess the client for:
Correct Answer: A
Rationale: Abruptio placentae is a complication associated with eclampsia.