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NCLEX RN· RN Maternity · NCLEX RN Maternity Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks' gestation. She has had a prior pregnancy with pregnancy-induced hypertension. The assessments during this visit include BP 140/90, P 80, and +2 edema of the ankles and feet. Based on the client's past history and current assessment, what further information should the nurse obtain to determine if this client is becoming preeclamptic?

A. Headaches.
B. Blood glucose level.
C. Proteinuria.
D. Edema in lower extremities.

Expert Explanatory Rationale

Correct Answer: Proteinuria.

Question 2 of 5

A nurse is teaching a client about the use of spermicides. Which of the following instructions should the nurse include?

A. Spermicides must be applied at least 1 hour before intercourse.
B. Spermicides are most effective when used alone.
C. Spermicides should be used with barrier methods for increased effectiveness.
D. Spermicides provide long-term contraception for up to 24 hours.

Expert Explanatory Rationale

Correct Answer: Spermicides should be used with barrier methods for increased effectiveness.

Question 3 of 5

A primigravid client is admitted as an outpatient for an external cephalic version. The nurse should assess the client for which of the following contraindications for the procedure?

A. Multiple gestation.
B. Breech presentation.
C. Maternal Rh-negative blood type.
D. History of gestational diabetes.

Expert Explanatory Rationale

Correct Answer: Multiple gestation.

Question 4 of 5

A neonate born by cesarean delivery at 42 weeks' gestation, weighing 4.1 kg (9 lb, 1 oz), with Apgar scores of 8 at 1 minute and 9 at 5 minutes after birth, develops an increased respiratory rate and tremors of the hands and feet 2 hours postpartum. Which of the following nursing diagnoses would be the priority?

A. Ineffective airway clearance related to postterm gestational age.
B. Hyperthermia related to large size and use of a radiant warmer.
C. Decreased cardiac output related to difficult delivery.
D. Imbalanced nutrition: Less than body requirements related to depleted glycogen stores.

Expert Explanatory Rationale

Correct Answer: Imbalanced nutrition: Less than body requirements related to depleted glycogen stores.

Question 5 of 5

A mother is visiting her neonate in the neonatal intensive care unit. Her baby is fussy and the mother wants to know what to do. In order to quiet a sick neonate, which of the following can the nurse teach the mother to do?

A. Bring in toys for distraction.
B. Place a musical mobile over the crib.
C. Stroke the neonate's back.
D. Use constant, gentle touch.

Expert Explanatory Rationale

Correct Answer: Use constant, gentle touch.

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