NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
Which of the following would be the priority when the form of primigravid client whose exercise is dilated at 6 cm when the fetus is at 1+ station and the client has had no analgesia or anesthesia?
Correct Answer: D
Rationale: At 6 cm dilation without analgesia, the client is likely experiencing significant pain and anxiety. Offering encouragement and support is the priority to help her cope emotionally and physically. Hydration, warmth, and perineal cleansing are secondary concerns.
Question 2 of 5
After administering hydralazine(Apresoline) 5 mg intravenously as ordered for a primigravid client with severe preeclampsia at 39 weeks' gestation, the nurse should assess the client for:
Correct Answer: A
Rationale: Tachycardia is a potential side effect of hydralazine.
Question 3 of 5
A newborn who is 20 hours old has a respiratory rate of 66 , is grunting when exhaling, and has occasional nasal flaring. The newborn's temperature is 98 ; he is breathing room air and is pink with acrocyanosis. The mother had membranes that were ruptured 26 hours before delivery. Based on these data, the nurse should include which of the following in the management of the infant's care?
Correct Answer: B
Rationale: The concern with this infant is sepsis based on prolonged rupture of membranes before delivery. Blood cultures would provide an accurate diagnosis of sepsis, but will take 48 hours from the time drawn. Frequent monitoring of infant vital signs, looking for changes, and maintaining contact with the parents is also part of care management while awaiting culture results.
Question 4 of 5
A primigravid client is admitted as an outpatient for an external cephalic version. The nurse should assess the client for which of the following contraindications for the procedure?
Correct Answer: A
Rationale: External cephalic version (ECV) is contraindicated in multiple gestation due to the risk of cord entanglement or placental issues. Breech presentation is an indication for ECV, not a contraindication. Rh-negative blood type and gestational diabetes do not preclude ECV.
Question 5 of 5
The physician orders an intramuscular injection of phytonadione (AquaMEPHYTON) for a term neonate. The nurse explains to the mother that this medication is used to prevent which of the following?
Correct Answer: C
Rationale: Phytonadione (vitamin K) is administered to newborns to prevent hemorrhagic disease due to low vitamin K levels, which are necessary for blood clotting.