2023 Maternity Nursing (OB Maternal & Newborn) NCLEX Practice QUESTION AND ANSWERS A+

1. 1. Question 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? o A. Endometritis o B. Endometriosis o C. Salpingitis o D. Pelvic thrombophlebitis ANSWER Correct Answer: A. Endometritis Endometritis is an infection of the uterine lining and can occur after prolonged rupture of membranes. Symptoms include swelling of the abdomen, abnormal vaginal bleeding or discharge, fever, discomfort with bowel movement, and pain in the lower abdomen or pelvic region. 1. 2. Question 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? o A. The ultrasound will help to locate the placenta. o B. The ultrasound identifies blood flow through the umbilical cord. o C. The test will determine where to insert the needle. o D. The ultrasound locates a pool of amniotic fluid. ANSWER Correct Answer: B. The ultrasound identifies blood flow through the umbilical cord. Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating a pool of amniotic fluid, and showing the physician where to insert the needle. Color Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A routine ultrasound does not accomplish this. 1. 3. Question 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? o A. Calcium gluconate o B. Protamine sulfate o C. Methylergonovine (Methergine) o D. Nitrofurantoin (Macrodantin) ANSWER Correct Answer: B. Protamine sulfate Protamine sulfate is a heparin antagonist given intravenously to counteract bleeding complications caused by heparin overdose