NCLEX-PN
Free NCLEX Maternity Questions Questions
Extract:
Question 1 of 5
When up to the bathroom for the first time after a vaginal delivery, the client states, “A friend told me that I’m going to have trouble with urinary incontinence now that I have had a baby.” Which is the best response by the nurse?
Correct Answer: B
Rationale: Women of any life stage can experience urinary incontinence. Kegel exercises strengthen muscles surrounding the vagina and urinary meatus, preventing urinary incontinence for many women.
To perform Kegel exercise, contract the muscles around the vagina and hold for 10 seconds, then rest for 10 seconds. This should be repeated 30 or more times each day. The nurse should educate the client about ways in which to prevent urinary incontinence, not just offer information about how to manage the condition if it should occur. Surgical repair only occurs in the most extreme circumstances, after less invasive interventions have been unsuccessful.
Question 2 of 5
When providing information about iron supplements, which instruction by the nurse is most appropriate?
Correct Answer: B
Rationale: Taking iron with orange juice (rich in vitamin
C) enhances absorption, addressing the client's constipation concern.
Question 3 of 5
Which response by the nurse about Chadwick's sign is most accurate?
Correct Answer: A
Rationale: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.
Question 4 of 5
Which fetal heart rate must the nurse report immediately to the physician?
Correct Answer: A
Rationale: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.
Question 5 of 5
The nurse is reviewing laboratory results of the client in labor prior to her receiving epidural anesthesia. Which result is most important to report to the HCP prior to the initiation of the epidural?
Correct Answer: D
Rationale: The nurse should report the low platelet count of 100,000/mm3 (normal is 150,000 to 450,000/mm3). A low count can contribute to bleeding and affect the use of epidural anesthesia. The WBC count in labor is normally increased due to the stress of labor and can be as high as 25,000/mm3 to 30,000/mm3. The glucose level normally falls during labor because of an expenditure of energy in labor. Anemia or a reduction in the Hgb and Hct is common in pregnancy. Hgb levels less than 10 g/dL are considered abnormal in pregnancy.