Nursing Fundamentals Module 5 NCLEX

Nursing Fundamentals Module 5 NCLEX Questions Fall 2020 1. Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse checks which important client parameter? A. Temperature B. Lochial Flow C. Urine Output D. Blood Pressure 2. A pregnant client asks the nurse about the hormone that stimulates postpartum contractions. The nurse tells the client that which primary hormone stimulates postpartum contractions? A. Prolactin B. Oxytocin C. Progesterone D. Testosterone 3. The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likely day for ovulation in a 30-day menstrual cycle is which day? A. Day 14 B. Day 16 C. Day 18 D. Day 28 4. The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormones identified by the student indicate an understanding of the hormones produced by this endocrine gland? Select all that apply. A. Oxytocin B. Estrogen C. Progesterone D. Luteinizing Hormone E. Follicle-Stimulating Hormone F. Thyroid-Stimulating Hormone 5. The nurse-midwife is conducting a session on the process of conception with a group of nursing students. Which statements reflect that the nursing students understand the process of conception? Select all that apply. A. "Fertilization occurs in the outer third of the fallopian tube." B. "Only 1 sperm will penetrate the ovum to produce fertilization." C. "The pre-embryonic period is defined as the first 8 weeks of gestation." D. "Implantation occurs in the anterior or posterior fundal region of the uterus." E. "The ovary produces hormones to maintain the pregnancy before placental development." 6. The nursing student is conducting a clinical conference regarding the hormones that are related to pregnancy, and the instructor asks the student about the function of progesterone. Which response made by the student indicates an understanding of the function of this hormone? Select all that apply. A. "It is the primary hormone of milk production." B. "It maintains the uterine lining for implantation." C. "It softens the muscles and joints of the pelvis." D. "It relaxes all smooth muscle, including the uterus." E. "It increases during pregnancy to stimulate the basal metabolic rate." 7. The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for further teaching in this area? Select all that apply. A. Luteal Phase B. Ovulatory Phase C. Secretory Phase D. Proliferative Phase E. Preovulatory Phase 8. Which should be included in the plan of care for a pregnant teenager to reinforce instructions regarding dental care? A. Tell the dental office staff that she is pregnant. B. Avoid the use of local anesthetics during dental work. C. Use toothpaste with baking soda to decrease plaque buildup. D. Expect to lose at least one tooth because of calcium and phosphorus leaving the teeth to nourish the fetus. 9. The nurse is providing information to a pregnant woman about food items high in folic acid. Which mid-afternoon snack should be recommended to supply folic acid? A. 1½ cups of yogurt B. One medium banana C. Nuts and green, leafy vegetables D. 1 cup milk with two graham crackers 10. A client beginning week 30 of gestation comes to the clinic for a routine visit. Which observation by the nurse indicates a need for further teaching? A. The client is wearing pantyhose. B. The client is wearing nonslip shoes. C. The client is wearing knee-high hose. D. The client is wearing shoes with arch supports. 11. A second-day postpartum client diagnosed with a stable cardiac condition has scant lochia with a foul odor and a temperature of 102.2° F. The primary health care provider suspects infection and writes prescriptions to treat the client. Which prescription written by the primary health care provider should the nurse implement first? A. Administer prescribed antibiotic. B. Increase the intake of oral fluids. C. Obtain culture and sensitivity of lochia and urine. D. Reassess the client's temperature in 30 minutes. 12. The nurse is asked to assist the primary health care provider in performing Leopold's maneuvers on a client. Which nursing intervention should be implemented before this procedure is performed? A. Locate fetal heart tones. B. Warm the sonogram gel. C. Have the client empty her bladder. D. Have the client drink 8 ounces of water. 13. The nurse is assigned to care for a client in the immediate postpartum period who received epidural anesthesia for delivery, and the nurse monitors the client for complications. Which assessment finding most likely indicates a hematoma? A. Changes in vital signs B. Signs of heavy bruising C. Complaints of a tearing sensation D. Complaints of lower abdominal discomfort 14. The nurse is assisting in developing a plan of care for a client in the fourth stage of labor who received an epidural. Which statement by the mother is most likely to occur at this time related to her birth experience? A. "I do not feel any urges yet to empty my bladder." B. "I feel very anxious about my childbirth experience." C. "I am experiencing a lot of pain and feel the need to push." D. "I am very tired from the physical exertion I experienced during labor." 15. The nurse is caring for a woman who has delivered a baby after a pregnancy complicated with placenta previa. Which complication is the client most at risk for developing? A. Coagulopathy B. Postpartum infection C. Chronic hypertension D. Postpartum hemorrhage 16. The nurse is assisting in planning care for a client with a diagnosis of placenta previa. The nurse identifies which as the priority goal for the client?