SAUNDERS NCLEX-MATERNITY EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS

SAUNDERS NCLEX-MATERNITY EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS A pregnant client in the first trimester calls the nurse at a health care clinic and reports noticing a thin, colorless vaginal drainage. The nurse would make which statement to the client? A. "Come to the clinic immediately." B. "The vaginal discharge may be bothersome, but is a normal occurrence." C. "Report to the emergency department at the maternity center immediately." D. "Use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours." - Answer-B. "The vaginal discharge may be bothersome, but is a normal occurrence." Leukorrhea begins during the first trimester. Many clients notice a thin, colorless, or yellow vaginal discharge throughout pregnancy. Some clients become distressed about this condition, but it does not require that the client report to the health care clinic or emergency department immediately. If vaginal discharge is profuse, the client may use panty liners, but should not wear tampons because of the risk of infection. If the client uses panty liners, the client needs to change them frequently. A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The primary health care provider prescribes a contraction stress test, and the results are documented as negative. How would the nurse document this finding? A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section - Answer-A. A normal test result Contraction stress test results may be interpreted as negative (normal), positive (abnormal), or equivocal. A nega- tive test result indicates that no late decelerations occurred in the fetal heart rate, although the fetus was stressed by 3 contractions of at least 40 seconds' duration in a 10-minute period. Options 2, 3, and 4 are incorrect interpretations. A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus vaccine is prescribed to be administered before discharge. The nurse provides which information to the client about the vaccine? Select all that apply. A. Breast/chest-feeding needs to be stopped for 3 months. B. Pregnancy needs to be avoided for 1 to 3 months. C. The vaccine is administered by the subcutaneous route. D. Exposure to immunosuppressed individuals needs to be avoided.