NCLEX RN· RN Maternity · RN NCLEX Maternal Neonatal Nursing
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:
Expert Explanatory Rationale
Correct Answer: 12 months.
One-half hour after vaginal delivery of a term neonate, the nurse palpates the fundus of a primigravid client, noting several large clots and a small trickle of bright red vaginal bleeding. The client's blood pressure is 136/92 mm Hg. Which of the following would the nurse do first?
Expert Explanatory Rationale
Correct Answer: Immediately notify the physician of the client's symptoms.
On arrival at the emergency department, a client tells the nurse that she suspects that she may be pregnant but has been having a small amount of bleeding and has severe pain in the lower abdomen. The client's blood pressure is 70/50 mm Hg and her pulse rate is 120 bpm. The nurse notifies the physician immediately because of the possibility of:
Expert Explanatory Rationale
Correct Answer: Ectopic pregnancy.
While the nurse is caring for a primiparous client on the first postpartum day, the client asks, "How is that woman doing who lost her baby from prematurity?"Â Which of the following responses by the nurse would be most appropriate?
Expert Explanatory Rationale
Correct Answer: Explain to the client that "Nurses are not allowed to discuss other clients on the unit."Â
A nurse is teaching a client about the lactational amenorrhea method. Which of the following client statements indicates a need for further teaching?
Expert Explanatory Rationale
Correct Answer: I can use this method even if my periods have returned.
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