NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
Which of the following would the nurse identify as the priority to achieve when developing the plan of care for a primigravid client at 38 weeks' gestation who is hospitalized with severe preeclampsia and receiving intravenous magnesium sulfate?
Correct Answer: D
Rationale: Preventing seizures is the priority in managing severe preeclampsia.
Question 2 of 5
The nurse is caring for a primipara in active labor when the fetus develops severe bradycardia with late decelerations, and an emergency cesarean delivery is performed with the client under general anesthesia. After the delivery, the client tells the nurse, 'I feel terrible. This is exactly what I didn't want to happen!' Which of the following is a priority nursing diagnosis for this client?
Correct Answer: D
Rationale: The client's statement reflects disappointment and possible feelings of failure due to the unplanned cesarean, making situational low self-esteem the priority. Pain, anxiety, and family processes are secondary concerns post-delivery.
Question 3 of 5
A client asks about the use of a cervical cap for contraception. Which of the following instructions should the nurse provide?
Correct Answer: B
Rationale: The cervical cap requires a prescription and fitting by a healthcare provider to ensure proper size and placement. It can be left in place for up to 48 hours, requires spermicide for effectiveness, and is not ideal for women with pelvic infections due to infection risk.
Question 4 of 5
A client has admitted use of cocaine prior to beginning labor. After the infant is born, the nurse should anticipate the need to include which of the following actions in the infant's plan of care?
Correct Answer: A
Rationale: Urine toxicology screening is necessary to assess for potential drug exposure in the newborn, which can affect their health and care plan.
Question 5 of 5
A primiparous client who delivered a viable neonate 8 hours ago tells the nurse that she gained 26 lb during pregnancy and asks how long it will take to return to her normal prepregnant weight. The nurse should tell the client that the usual time frame for returning to prepregnant weight is:
Correct Answer: D
Rationale: Returning to prepregnant weight typically takes about 12 weeks with proper diet and exercise.