NCLEX-RN
Maternity NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following observations is expected when the nurse is assessing the gestational age of a neonate delivered at term?
Correct Answer: C
Rationale: Sole creases covering the entire foot are characteristic of a term neonate, indicating full gestational maturity.
Question 2 of 5
A 19-year-old primigravid client at 38 weeks' gestation is admitted to the hospital in active labor that began 8 hours ago. When the client's cervix is 7 cm dilated and the presenting part is at +1 station, the client tells the nurse, 'I need to push!' Which of the following would the nurse do next?
Correct Answer: C
Rationale: At 7 cm dilation, the client is not fully dilated, and pushing can cause cervical trauma. A pant-blow breathing pattern helps manage the urge to push until full dilation. The McDonald procedure is for cervical cerclage, and increasing oxygen/fluids or encouraging pushing is inappropriate.
Question 3 of 5
A neonate has a large amount of secretions. After vigorously suctioning the neonate, the nurse should assess for what possible result?
Correct Answer: A
Rationale: Vigorous suctioning can stimulate the vagus nerve, leading to bradycardia in a neonate.
Question 4 of 5
A 16-year-old unmarried primigravid client at 37 weeks' gestation with severe preeclampsia is in early active labor. Her mother is at the bedside. The client's blood pressure is 164/110 mm Hg. Which of the following would alert the nurse that the client may be about to experience a seizure?
Correct Answer: C
Rationale: Epigastric pain is a warning sign of impending eclampsia.
Question 5 of 5
A client asks about the risks of the contraceptive patch. Which of the following would the nurse include?
Correct Answer: A
Rationale: The contraceptive patch may increase the risk of blood clots, especially in smokers or those with risk factors. It does not cause permanent infertility, guarantee weight loss, or eliminate periods (it causes withdrawal bleeding).