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NCLEX RN Practice Questions Maternity Questions

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Question 1 of 5

While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the nurse would instruct the client to contact her physician immediately if the client experiences which of the following?

Correct Answer: D

Rationale: Increased dyspnea at rest can indicate worsening heart function.

Question 2 of 5

A client asks about the disadvantages of the contraceptive sponge. Which of the following would the nurse include?

Correct Answer: A

Rationale: The contraceptive sponge can be difficult to insert and remove, especially for some users. It does not protect against STIs, can be left in place for up to 24 hours (not 48), and is less effective for women who have given birth due to changes in vaginal anatomy.

Question 3 of 5

The physician determines that the fetus of a multiparous client in active labor is in distress, necessitating a cesarean delivery with general anesthesia. Before the cesarean delivery, the anesthesiologist orders cimetidine (Tagamet) 300 mg PO. After administering the drug, the nurse should assess the client for reduction in which of the following?

Correct Answer: C

Rationale: Cimetidine, an H2-receptor blocker, is given before general anesthesia to reduce gastric acid levels, minimizing the risk of aspiration pneumonitis. It does not affect bronchospasm, secretions, or postoperative ulcers directly.

Question 4 of 5

Which of the following instructions should the nurse give to the parents of a neonate diagnosed with hyperbilirubinemia who is receiving phototherapy?

Correct Answer: A

Rationale: Keeping the neonate's eyes completely covered protects them from potential retinal damage during phototherapy.

Question 5 of 5

After reinforcing the danger signs to report with a gravida 2 client at 32 weeks' gestation with an elevated blood pressure, which client statements would demonstrate her understanding of when to call the physician's office? Select all that apply.

Correct Answer: A,B,C,F

Rationale: These symptoms could indicate complications needing medical attention.

Similar Questions

A nurse is counseling a client about the use of spermicides. Which of the following client statements indicates a need for further teaching?
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For the past 8 hours, a 20-year-old primigravid client in active labor with intact membranes has been experiencing regular contractions. The fetal heart rate is 136 bpm with good variability. After determining that the client is still in the latent phase of labor, the nurse should observe the client for:
A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; temperature, 100° F(37.8° C); pulse, 100 bpm; respirations, 18 breaths/minute. Which of the following would the nurse expect the physician to order?

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