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NCLEX RN· RN Maternity · Maternity Questions NCLEX RN Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

After circumcision with a Plastibell, the nurse should instruct the neonate's mother to cleanse the circumcision site with which of the following?

A. Warm water.
B. Povidone-iodine (Betadine) solution.
C. Diluted hydrogen peroxide.

Expert Explanatory Rationale

Correct Answer: Warm water.

Question 2 of 5

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?

A. Pain.
B. Headache.
C. Fever.
D. Bleeding.

Expert Explanatory Rationale

Correct Answer: Headache.

Question 3 of 5

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?

A. Interrupted family processes related to cesarean delivery.
B. Anxiety related to incisional scar and neonatal outcome.
C. Pain related to surgical incision and uterine cramping.
D. Situational low self-esteem related to inability to deliver vaginally.

Expert Explanatory Rationale

Correct Answer: Situational low self-esteem related to inability to deliver vaginally.

Question 4 of 5

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:

A. Blood pressure.
B. Pulse rate.
C. Breath sounds.
D. Bowel sounds.

Expert Explanatory Rationale

Correct Answer: Blood pressure.

Question 5 of 5

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?

A. High-fiber foods and adequate fluids.
B. Low-calorie foods to promote weight loss.
C. High-protein foods only.
D. Caffeinated beverages to maintain energy.

Expert Explanatory Rationale

Correct Answer: High-fiber foods and adequate fluids.

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