NCLEX REVIEW- Maternity
A pregnant anemic client is concerned about her baby's condition following delivery. Which nursing response would best support the client? - correct answer "The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure you are providing the best nutrition and growth potential."
The nurse is monitoring a client who is receiving oxytocin (Pitocin) to augment labor. The nurse determines that the dosage should be decreased and notifies the registered nurse if which is noted? - correct answer Fetal tachycardia
The nurse is admitting a newborn infant to the nursery and notes that the health care provider has documented that the newborn has an omphalocele. The nurse collects data, knowing that in this condition, the viscera are in which location? - correct answer Outside of the abdominal cavity but covered with a translucent sac
A client who has just been told that she is pregnant asks a clinic nurse when the fetus's heart will be developed and beating. The nurse tells the client that the fetal heart is beating at what gestational week? Fill in the blank. - correct answer week 5
The nurse is caring for a client who is in labor. The nurse rechecks the client's blood pressure and notes that it has dropped. To decrease the incidence of supine hypotension, the nurse should encourage the client to remain in which position? - correct answer Side-lying
The nurse is assigned to care for a client admitted to the postpartum unit following delivery of a full-
term healthy infant. The nurse checks the mother's temperature and notes that it is 100.4° F (38° C). Which nursing action is appropriate? - correct answer Encourage oral fluids.
The client is admitted to the labor suite complaining of painless vaginal bleeding. The nurse assists with the examination of the client, knowing that which routine labor procedure is contraindicated? - correct answer A manual pelvic examination Immediately following the delivery of a newborn, the nurse prepares to assist in the delivery of the placenta. Which action is appropriate to deliver the placenta? - correct answer Pull gently on the cord as the mother bears down.
The nurse's assignment is to visit a new mother at home who was recently discharged from the hospital.
Which finding should the nurse expect to note in a healthy breast-feeding mother and newborn? - correct answer A mother breast-feeding with the newborn in a tummy-to-tummy position without signs
of cracked nipples; the baby demonstrates bursts of sucking followed by a pause and swallow
A pregnant client is positive for the human immunodeficiency virus (HIV). Based on this information, the nurse makes which determination? - correct answer HIV antibodies are detected on the enzyme-linked immunosorbent assay (ELISA) test.
The nurse is measuring the fundal height of a client who is at 30 weeks of gestation. In preparing to perform the procedure the nurse should take which action? - correct answer Place the client in a supine
position and place a wedge under the right hip.
The nurse is providing emotional support to a client who experienced a spontaneous abortion. The nurse can best assist the client by planning care that focuses on which psychosocial issue? - correct answer The feelings of guilt that is often associated with grief
A woman with type 1 diabetes mellitus is in labor. Based on the knowledge of insulin and diabetes and pregnancy, the nurse will be prepared to care for a newborn infant who is likely to have which complication? - correct answer Macrosomia
A primigravida's membranes rupture spontaneously. Which action should the nurse take first? - correct answer Determine the fetal heart rate.
A prenatal client has acquired the sexually transmitted infection, condyloma acuminatum (human papillomavirus). When assisting in planning care, which treatment should the nurse consider to be safe for this client? - correct answer Laser therapy
A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse would determine whether this method of family planning would be appropriate? - correct answer "Do you plan to have any other children?"
A pregnant anemic client is concerned about her baby's condition following delivery. Which nursing response would best support the client? - correct answer "The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure you are providing the best nutrition and growth potential."
The nurse is monitoring a client who is receiving oxytocin (Pitocin) to augment labor. The nurse determines that the dosage should be decreased and notifies the registered nurse if which is noted? - correct answer Fetal tachycardia
The nurse is admitting a newborn infant to the nursery and notes that the health care provider has documented that the newborn has an omphalocele. The nurse collects data, knowing that in this condition, the viscera are in which location? - correct answer Outside of the abdominal cavity but covered with a translucent sac
A client who has just been told that she is pregnant asks a clinic nurse when the fetus's heart will be developed and beating. The nurse tells the client that the fetal heart is beating at what gestational week? Fill in the blank. - correct answer week 5
The nurse is caring for a client who is in labor. The nurse rechecks the client's blood pressure and notes that it has dropped. To decrease the incidence of supine hypotension, the nurse should encourage the client to remain in which position? - correct answer Side-lying
The nurse is assigned to care for a client admitted to the postpartum unit following delivery of a full-
term healthy infant. The nurse checks the mother's temperature and notes that it is 100.4° F (38° C). Which nursing action is appropriate? - correct answer Encourage oral fluids.
The client is admitted to the labor suite complaining of painless vaginal bleeding. The nurse assists with the examination of the client, knowing that which routine labor procedure is contraindicated? - correct answer A manual pelvic examination Immediately following the delivery of a newborn, the nurse prepares to assist in the delivery of the placenta. Which action is appropriate to deliver the placenta? - correct answer Pull gently on the cord as the mother bears down.
The nurse's assignment is to visit a new mother at home who was recently discharged from the hospital.
Which finding should the nurse expect to note in a healthy breast-feeding mother and newborn? - correct answer A mother breast-feeding with the newborn in a tummy-to-tummy position without signs
of cracked nipples; the baby demonstrates bursts of sucking followed by a pause and swallow
A pregnant client is positive for the human immunodeficiency virus (HIV). Based on this information, the nurse makes which determination? - correct answer HIV antibodies are detected on the enzyme-linked immunosorbent assay (ELISA) test.
The nurse is measuring the fundal height of a client who is at 30 weeks of gestation. In preparing to perform the procedure the nurse should take which action? - correct answer Place the client in a supine
position and place a wedge under the right hip.
The nurse is providing emotional support to a client who experienced a spontaneous abortion. The nurse can best assist the client by planning care that focuses on which psychosocial issue? - correct answer The feelings of guilt that is often associated with grief
A woman with type 1 diabetes mellitus is in labor. Based on the knowledge of insulin and diabetes and pregnancy, the nurse will be prepared to care for a newborn infant who is likely to have which complication? - correct answer Macrosomia
A primigravida's membranes rupture spontaneously. Which action should the nurse take first? - correct answer Determine the fetal heart rate.
A prenatal client has acquired the sexually transmitted infection, condyloma acuminatum (human papillomavirus). When assisting in planning care, which treatment should the nurse consider to be safe for this client? - correct answer Laser therapy
A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse would determine whether this method of family planning would be appropriate? - correct answer "Do you plan to have any other children?"
