NCLEX Maternity Questions

Extract:

Question 1 of 5

Which activity should the nurse recommend to prepare for labor?

Correct Answer: A

Rationale: Practicing relaxation and breathing techniques helps manage labor pain and prepares the client for childbirth.

Question 2 of 5

Which pregnant client should the nurse encourage to undergo hepatitis B testing?

A. A client with a history of cigarette smoking B. A client who is a health care worker C. A client who emigrated in the past year from Haiti D. A client who was recently exposed to Haemophilus influenzae

Correct Answer: C

Rationale: Clients from high-prevalence areas like Haiti are at higher risk for hepatitis B, warranting testing during pregnancy.

Question 3 of 5

Which instruction supports breastfeeding success in the postpartum period?

A. Position the baby to latch correctly B. Feed only when the baby cries C. Limit feeding to every 4 hours D. Supplement with formula immediately

Correct Answer: A

Rationale: Correct latch positioning ensures effective breastfeeding, promoting milk supply and preventing nipple pain.

Question 4 of 5

The nurse advises the client to perform which exercise to strengthen pelvic floor muscles?

A. Kegel exercises B. High-impact aerobics C. Sit-ups D. Weightlifting

Correct Answer: A

Rationale: Kegel exercises strengthen pelvic floor muscles, aiding postpartum recovery and preventing incontinence.

Question 5 of 5

The nurse is reviewing the medication history of the client during preconception counseling. The client reports taking isotretinoin for acne. Which is the nurse’s best response?

A. “Stop taking isotretinoin now! It can cause serious birth defects if you become pregnant.” B. “You need to be on some type of birth control right now. Getting pregnant is not an option.” C. “Talk with your HCP about changing isotretinoin before you consider becoming pregnant.” D. “Once you are off of isotretinoin for treating acne, you can then safely become pregnant.”

Correct Answer: C

Rationale: The best response is to have the client consult her HCP so another medication can be prescribed. This response indicates that isotretinoin (Accutane) is not safe but that alternative medications can be prescribed. Responding to the client emphatically can create anxiety and fear. Telling the client that getting pregnant is not an option is a paternal response and does not facilitate open communication. Clients must wait one month after cessation of isotretinoin before becoming pregnant.

NCLEX Maternity Questions | Nurselytic

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NCLEX-PN

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