NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
While caring for a moderately obese primigravid client in active labor at term, the nurse should monitor the client for signs of which of the following?
Correct Answer: C
Rationale: Obesity in labor increases the risk of soft tissue dystocia due to excess pelvic fat impeding fetal descent. Hypotonic reflexes are not typically associated with obesity, increased uterine resting tone is more related to hyperstimulation, and while anxiety may occur, it is not specific to obesity-related complications.
Question 2 of 5
A primiparous client who underwent a cesarean delivery 30 minutes ago is to receive Rho(D) immune globulin (RhoGAM). The nurse should administer the medication within which of the following time frames after delivery?
Correct Answer: C
Rationale: RhoGAM should be administered within 72 hours postpartum to prevent Rh sensitization.
Question 3 of 5
A 38-year-old client at about 14 weeks' gestation is admitted to the hospital with a diagnosis of complete hydatidiform mole. Soon after admission, the nurse would assess the client for signs and symptoms of which of the following?
Correct Answer: A
Rationale: Pregnancy-induced hypertension is a common complication of hydatidiform mole.
Question 4 of 5
When developing the initial plan of care for a neonate who was born at 41 weeks' gestation, was diagnosed with meconium aspiration syndrome (MAS), and requires mechanical ventilation, which of the following should the nurse include:
Correct Answer: A
Rationale: Care of an umbilical arterial line is necessary for monitoring blood gases and blood pressure in a neonate on mechanical ventilation.
Question 5 of 5
A newly delivered client is asking to go to the bathroom 45 minutes after delivery. She had an epidural for labor & delivery, has an IV infusing, and every 15 minutes assessments are in progress. To provide the safest care for this client the nurse should:
Correct Answer: B
Rationale: Post-epidural, assessing the client's ability to stand and bear weight ensures safety due to potential residual numbness or weakness. Remaining in bed delays care, sitting first is insufficient, and ambulating with assistance assumes mobility not yet confirmed.