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Maternity Nursing NCLEX Challenge Exam (Quiz #1 75 Questions & answers)
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Maternity Nursing NCLEX ChallengeExam (Quiz #1 75 Questions & answers)
A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of
the following would the nurse be alert?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis ANS - A. Endometritis
A client at 36 weeks gestation is scheduled for a routine ultrasound prior to amniocentesis. After
teaching the client about the purpose of the ultrasound, which of the following client statements would
indicate to the nurse in charge that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
B. The ultrasound identifies blood flow through the umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid. ANS - B. The ultrasound identifies blood flow through
the umbilical cord.
While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs
would the nurse expect to administer if the client develops complications related to heparin therapy?
A. Calcium gluconate
B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin) ANS - B. Protamine sulfate
,When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in
charge would expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours. ANS - D. Check the vital signs every 2 to 4 hours.
A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block
anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the
following locations identified by the client as the area of relief would indicate to the nurse that the
teaching was effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum ANS - D. Perineum
The nurse is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care
measures for common discomforts of pregnancy, the nurse determines that the client understands the
instructions when she says:
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
B. "If I start to leak colostrum, I should cleanse my nipples with soap and water."
C. "If I have a vaginal discharge, I should wear nylon underwear."
D. "Leg cramps can be alleviated if I put an ice pack on the area." ANS - A. "Nausea and vomiting can be
decreased if I eat a few crackers before rising."
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant
care. By this time, the nurse expects that the phase of postpartum psychological adaptation that the
client would be in would be termed which of the following?
, A. Taking in
B. Letting go
C. Taking hold
D. Resolution ANS - C. Taking hold
A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells
the client that the usual treatment for partial placenta previa is which of the following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. ANS - A. Activity limited to bed rest.
The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. Which
of the following measures would the nurse include in the teaching plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours. ANS - C. Breastfeeding the neonate at frequent
intervals.
When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands open,
and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
A. Startle reflex
B. Babinski reflex
C. Grasping reflex
D. Tonic neck reflex ANS - A. Startle reflex
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