NCLEX RN· RN Maternity · Maternity Questions NCLEX RN Quizlet
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Showing all 5 practice questions with expert explanatory rationales.
After circumcision with a Plastibell, the nurse should instruct the neonate's mother to cleanse the circumcision site with which of the following?
Expert Explanatory Rationale
Correct Answer: Warm water.
After surgery to remove a ruptured fallopian tube, a multigravid client receives discharge instructions about potential complications to report to her physician. Which of the following, if stated by the client as a complication, indicates a need for additional teaching?
Expert Explanatory Rationale
Correct Answer: Headache.
The nurse is caring for a primipara in active labor when the fetus develops severe bradycardia with late decelerations, and an emergency cesarean delivery is performed with the client under general anesthesia. After the delivery, the client tells the nurse, 'I feel terrible. This is exactly what I didn't want to happen!' Which of the following is a priority nursing diagnosis for this client?
Expert Explanatory Rationale
Correct Answer: Situational low self-esteem related to inability to deliver vaginally.
Four days after a vaginal delivery, the client visits the clinic complaining of excessive lochia rubra with clots. The physician orders methylergonovine maleate (Methergine), 0.2 mg intramuscularly. Before administering this drug, the nurse should assess:
Expert Explanatory Rationale
Correct Answer: Blood pressure.
The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following?
Expert Explanatory Rationale
Correct Answer: High-fiber foods and adequate fluids.
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