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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is collecting the health history of a pregnant client. Which of the following conditions would not put this client at an increased risk of developing preeclampsia?

A. Obesity
B. Chronic hypertension
C. Frequent urinary tract infections
D. Multifetal gestation

Expert Explanatory Rationale

Correct Answer: Frequent urinary tract infections

Question 2 of 5

The nurse is providing care to an 11-week pregnant client who is complaining about hemorrhoids. The nurse recognizes that hemorrhoids can occur due to pressure on the rectal veins from the growing fetus. Which of the following measures is not recommended for alleviating hemorrhoid pain in this client?

A. Instruct the client to use mineral oil to soften her stools.
B. Rest in a side-lying position daily.
C. Increase the client's fiber and water intake.
D. Apply a cold compress to the area.

Expert Explanatory Rationale

Correct Answer: Instruct the client to use mineral oil to soften her stools.

Question 3 of 5

A client who is 35-weeks pregnant arrives at the emergency department complaining of heavy, painful vaginal bleeding. It would be a priority for the nurse to monitor the client for

A. abruptio placentae.
B. placenta previa.
C. prelabor rupture of the membranes.
D. passage of the mucus plug.

Expert Explanatory Rationale

Correct Answer: abruptio placentae.

Question 4 of 5

The nurse is caring for a client in labor. The nurse observes a fetal heart rate (FHR) pattern showing variable decelerations. The nurse recognizes that this FHR pattern could be caused by

A. fetal movement.
B. fetal head compression.
C. compression of the maternal vena cava.
D. prolapsed umbilical cord.

Expert Explanatory Rationale

Correct Answer: prolapsed umbilical cord.

Question 5 of 5

The nurse is caring for a pregnant client with a decreased alpha-fetoprotein level. The nurse plans to

A. notify the primary healthcare provider (PHCP) of the results.
B. instruct the client to increase their intake of folic acid.
C. document the result as normal.
D. obtain a urine specimen.

Expert Explanatory Rationale

Correct Answer: notify the primary healthcare provider (PHCP) of the results.

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