NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
Which of the following forms the basis for the teaching plan about avoiding medication use unless prescribed for a primiparous client who is breast-feeding?
Correct Answer: C
Rationale: Medications can pass into breast milk, potentially affecting the neonate, making this the primary concern.
Question 2 of 5
While caring for a multiparous client 4 hours after vaginal delivery of a term neonate, the nurse notes that the mother's temperature is 99.8°F (37.2°C), the pulse is 66 bpm, and the respirations are 18 breaths/minute. Her fundus is firm, midline, and at the level of the umbilicus. The nurse should:
Correct Answer: A
Rationale: A slightly elevated temperature (99.8°F) within the first 24 hours is normal; continued monitoring is appropriate with otherwise normal findings.
Question 3 of 5
A nurse is counseling a client about the use of a diaphragm. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Using spermicide with the diaphragm for each act of intercourse is essential for effectiveness. It can be inserted up to 6 hours before intercourse, should be left in place for at least 6 hours after, and stored in a cool, dry place.
Question 4 of 5
The nurse is working with four clients on the obstetrical unit. Which client will be the highest priority for a cesarean section?
Correct Answer: D
Rationale: Active herpes lesions necessitate a cesarean delivery to prevent neonatal transmission.
Question 5 of 5
While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the nurse would instruct the client to contact her physician immediately if the client experiences which of the following?
Correct Answer: D
Rationale: Increased dyspnea at rest can indicate worsening heart function.