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NCLEX RN· RN Maternity · RN NCLEX Maternal Neonatal Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:

A. 3 months.
B. 6 months.
C. 9 months.
D. 12 months.

Expert Explanatory Rationale

Correct Answer: 12 months.

Question 2 of 5

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?

A. Continue to monitor the client's fundus every 15 minutes.
B. Ask the physician for an order for methylergonovine (Methergine).
C. Immediately notify the physician of the client's symptoms.
D. Change the client's perineal pads every 15 minutes.

Expert Explanatory Rationale

Correct Answer: Immediately notify the physician of the client's symptoms.

Question 3 of 5

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:

A. Ectopic pregnancy.
B. Abruptio placentae.
C. Gestational trophoblastic disease.
D. Complete abortion.

Expert Explanatory Rationale

Correct Answer: Ectopic pregnancy.

Question 4 of 5

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?" Which of the following responses by the nurse would be most appropriate?

A. Ignore the client's question and continue with morning care.
B. Tell the client "I'm not sure how the other woman is doing today."
C. Tell the client "I need to ask the woman's permission before discussing her well-being."
D. Explain to the client that "Nurses are not allowed to discuss other clients on the unit."

Expert Explanatory Rationale

Correct Answer: Explain to the client that "Nurses are not allowed to discuss other clients on the unit."

Question 5 of 5

A nurse is teaching a client about the lactational amenorrhea method. Which of the following client statements indicates a need for further teaching?

A. I need to exclusively breastfeed for this method to work.
B. This method is effective for up to 6 months postpartum.
C. I can use this method even if my periods have returned.
D. I must breastfeed on demand, including at night.

Expert Explanatory Rationale

Correct Answer: I can use this method even if my periods have returned.

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