NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
Which of the following measures would the nurse expect to include in the teaching plan for a multiparous client who delivered 24 hours ago and is receiving intravenous antibiotic therapy for cystitis?
Correct Answer: D
Rationale: Avoiding acidic juices reduces bladder irritation during cystitis treatment.
Question 2 of 5
A client is considering the fertility awareness method. Which of the following factors should the nurse discuss as affecting its reliability?
Correct Answer: B
Rationale: The consistency of the client's menstrual cycle significantly affects the reliability of the fertility awareness method, as irregular cycles make ovulation prediction difficult. Age, parity, STIs, and hormonal contraceptives are less directly relevant.
Question 3 of 5
For the past 8 hours, a 20-year-old primigravid client in active labor with intact membranes has been experiencing regular contractions. The fetal heart rate is 136 bpm with good variability. After determining that the client is still in the latent phase of labor, the nurse should observe the client for:
Correct Answer: A
Rationale: Prolonged latent phase (8 hours) in a primigravid client can lead to maternal exhaustion due to sustained effort and lack of progress, impacting labor stamina. Chills/fever, fluid overload, or meconium-stained fluid are less likely without specific risk factors.
Question 4 of 5
When developing the plan of care for a primiparous client during the first 12 hours after vaginal delivery, which of the following concerns of the client should be the nurse's primary focus of care?
Correct Answer: C
Rationale: In the first 12 hours postpartum, the nurse's primary focus is the client's physical and emotional comfort to promote recovery and prevent complications.
Question 5 of 5
A 30-year-old multigravid client at 8 weeks' gestation has a history of insulin-dependent diabetes since age 20. When explaining about the importance of blood glucose control during pregnancy, the nurse should tell the client that which of the following will occur regarding the client's insulin needs during the first trimester?
Correct Answer: B
Rationale: Insulin needs typically decrease in the first trimester due to increased insulin sensitivity.