Questions 81

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

While the nurse is preparing to assist the primiparous client to the bathroom to void 6 hours after a vaginal delivery under epidural anesthesia, the client says that she feels dizzy when sitting up on the side of the bed. The nurse explains that this is most likely caused by which of the following?

Correct Answer: A

Rationale: Dizziness when sitting up is likely due to residual effects of epidural anesthesia, which can cause orthostatic hypotension.

Question 2 of 5

During a home visit on the fourth postpartum day, a primiparous client tells the nurse that she is aware of a "let-down sensation" in her breasts and asks what causes it. The nurse explains that the let-down sensation is stimulated by which of the following?

Correct Answer: D

Rationale: Oxytocin triggers the let-down reflex, releasing milk during breastfeeding.

Question 3 of 5

A client has just had a cesarean section for a prolapsed cord. In reviewing the client's history, which of the following factors places a client at risk for cord prolapse? Select all that apply.

Correct Answer: A,B,C,D,F

Rationale: These factors increase the risk of cord prolapse.

Question 4 of 5

The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with pregnancy-induced hypertension to the labor and delivery area. Which of the following client care rooms is most appropriate for this client?

Correct Answer: D

Rationale: Pregnancy-induced hypertension requires close monitoring for seizures (eclampsia). A darkened private room near the nurses' station minimizes stimulation and ensures rapid access to care.

Question 5 of 5

A primiparous client who delivered a viable term neonate vaginally 48 hours ago has a midline episiotomy and a third-degree laceration. When preparing the client for discharge, which of the following assessments would be most important?

Correct Answer: C

Rationale: Excessive bleeding is critical to assess due to the risk of hemorrhage with a third-degree laceration.

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