NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention is most appropriate for a client experiencing low self-esteem during pregnancy?
Correct Answer: A
Rationale: A prenatal support group fosters peer support and boosts self-esteem, addressing the client's emotional needs.
Question 2 of 5
Two hours after the client’s vaginal delivery, she reports feeling “several large, warm gushes of fluid” from her vagina. The nurse assesses the client’s perineum and finds a large pool of blood on the client’s bed. Which nursing action is priority?
Correct Answer: D
Rationale: A full bladder may displace the uterus, causing increased bleeding. However, a more complete assessment must be performed prior to getting the client out of bed to prevent increased bleeding and syncope. Vigorously massaging the uterus may result in inversion of the uterus. The client should not simply be reassured that heavy bleeding is expected because further assessment is necessary before concluding that the client’s blood loss is WNL. The nurse’s first action should be to support the lower uterine segment and to assess the fundus. Increased bleeding will occur if soft or “boggy.” Failing to support the lower uterine segment may result in inversion of the uterus.
Question 3 of 5
Which intervention is most appropriate for a client with placenta previa?
Correct Answer: A
Rationale: Placenta previa often requires cesarean delivery to prevent life-threatening bleeding, unlike the other options.
Question 4 of 5
Interventions have been prescribed by the HCP for the client with decreased fetal movement at 35 weeks’ gestation. Place the prescribed interventions in the sequence that they should be performed by the nurse.
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: Palpate for fetal movement should be performed first. Assessment should be first to verify fetal movement. Apply and explain the external fetal monitor should be next. The fetus should be monitored for heart rate changes. Prepare for an NST. The NST is performed to determine fetal well-being. Prepare for a biophysical profile (BPP). The BPP is an assessment of five fetal biophysical variables: FHR acceleration, fetal breathing, fetal movements, fetal tone, and amniotic fluid volume. The first criterion is assessed with the NST. The other variables are assessed by ultrasound scanning.
Question 5 of 5
The nurse correctly instructs the client to drink how many glasses of milk per day to meet calcium requirements?
Correct Answer: B
Rationale: Three to four glasses of milk daily provide approximately 1200 mg of calcium, meeting pregnancy requirements.