NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
While a client is being admitted to the birthing unit she states, 'My water broke last night, but my labor started two hours ago.' Which of the following is a concern? Select all that apply.
Correct Answer: E
Rationale: Prolonged rupture of membranes (>18 hours) increases infection risk, and green fluid suggests meconium, indicating potential fetal distress. Normal blood pressure, bloody show, fetal heart rate variability, and fetal movement are not immediate concerns.
Question 2 of 5
The nurse is caring for a neonate at 38 weeks' gestation when the nurse observes marked peristaltic waves on the neonate's abdomen. After this observation, the neonate exhibits projectile vomiting. The nurse notifies the pediatrician because these signs are indicative of which of the following?
Correct Answer: B
Rationale: Marked peristaltic waves and projectile vomiting are classic signs of pyloric stenosis, a condition involving hypertrophy of the pylorus muscle.
Question 3 of 5
After teaching a multiparous client about the effects of hemolysis due to Rh sensitization on the neonate at delivery, the nurse determines that the client needs further instruction when the mother reports that the neonate may have which of the following?
Correct Answer: D
Rationale: Hemolysis due to Rh sensitization causes increased bilirubin levels, not reduced levels, indicating a need for further instruction.
Question 4 of 5
A nurse is discussing sterilization with a male client. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: A vasectomy requires a follow-up sperm count to confirm sterility, as sperm may remain in the vas deferens initially. It is not effective immediately, does not affect testosterone production, and reversal is not always successful.
Question 5 of 5
A nurse is teaching a client about the withdrawal method of contraception. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: The withdrawal method does not protect against STIs and has a high failure rate due to pre-ejaculate containing sperm and reliance on timing. It does not require medical supervision and is less effective than condoms.