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NCLEX RN· RN Maternal Newborn · Maternal Newborn NCLEX RN Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse at a gynecology clinic speaks with a 25-year-old, 32-week pregnant client. The nurse assesses the client and the client's laboratory results. Which of the following findings should most concern the nurse?

A. Glucose present in the urine
B. The client reports +1 pedal edema at the end of the day
C. The client reports increased vaginal discharge
D. A hemoglobin level of 14 g/dL [11.5 to 14 g/dL]

Expert Explanatory Rationale

Correct Answer: Glucose present in the urine

Question 2 of 5

The nurse is assessing a pregnant client who reports difficulty with mobility. Which pregnancyrelated spinal change is likely affecting the client's mobility?

A. Ankylosing spondylosis
B. Lordosis
C. Scoliosis
D. Kyphosis

Expert Explanatory Rationale

Correct Answer: Lordosis

Question 3 of 5

The nurse is caring for a client who has a confirmed pregnancy. Using Naegele's rule, the estimated date of delivery for this client, whose menstrual period was May 5th, will be which date?

A. February 5th
B. February 12th
C. January 28th
D. April 12th

Expert Explanatory Rationale

Correct Answer: February 12th

Question 4 of 5

The nurse is caring for a client who has just given birth and is resting in the postpartum unit when suddenly she feels a sharp pain in the chest and is having difficulty breathing. Upon assessment by the nurse, she has a heart rate of 120 and a respiratory rate of 24. She is suspected of having a pulmonary embolism. What should be the initial action of the nurse?

A. Start a peripheral vascular access device
B. Monitor the client's blood pressure
C. Draw up morphine sulfate
D. Give oxygen via face mask at 8-10 liters per minute

Expert Explanatory Rationale

Correct Answer: Give oxygen via face mask at 8-10 liters per minute

Question 5 of 5

The nurse is preparing a prenatal class focused on nutrition. Which of the following statements should the nurse make?

A. Raw sushi is okay to consume during pregnancy because of its high protein level.
B. Caffeine intake should be limited during pregnancy to less than 200 mg/day.
C. To increase your iron intake, choose citrus fruits or strawberries.
D. Sodium intake is restricted to 1 gram per day during all three trimesters.

Expert Explanatory Rationale

Correct Answer: Caffeine intake should be limited during pregnancy to less than 200 mg/day.

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