Maternal Newborn Nclex Practice Questions

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A patient calls the clinic Monday morning. She had condomless sex Friday night and is interested in emergency contraception. What should the nurse tell this patient?

  • A. Emergency contraception pills are very effective for medically induced abortions early in pregnancy.
  • B. If she is not midcycle when she had sex, she does not need emergency contraception.
  • C. It is too late for her to use emergency contraceptive pills, but she can come in for placement of a copper IUD.
  • D. She can use emergency contraceptive pills, even if she has had other condomless sex since the Friday night event.
Correct Answer: D

Rationale: The correct advice for the patient in this scenario is to inform her that she can still use emergency contraceptive pills, even if she has had other condomless sex since the Friday night event. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, but they can still be used within a certain window of time depending on the type of pill used. It is important to inform the patient that she can take emergency contraception in this situation to reduce the risk of an unintended pregnancy.

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How can a nurse support a mother planning to formula-feed her newborn?

  • A. Discourage frequent feeding to avoid overfeeding
  • B. Recommend holding the baby during feeding
  • C. Provide information about formula preparation
  • D. Advise limiting formula feeding to once daily
Correct Answer: C

Rationale: Providing accurate information about formula preparation ensures safe and adequate feeding.

Whose theoretical model describes how clinical judgment evolves with experience?

  • A. Benner
  • B. Tanner
  • C. Lasater
  • D. Nightingale
Correct Answer: A

Rationale: Patricia Benner developed the theoretical model known as the Novice to Expert Theory, which describes how clinical judgment evolves with experience. According to this theory, individuals progress through five levels of proficiency in a skill: novice, advanced beginner, competent, proficient, and expert. Benner's model emphasizes the importance of experiential learning and highlights how nurses develop expertise over time through practical experience and reflection.

The nurse is assessing a client in the third trimester who reports headaches and blurred vision. What is the priority nursing action?

  • A. Check the client's blood pressure.
  • B. Assess fetal heart rate.
  • C. Administer acetaminophen as prescribed.
  • D. Encourage the client to lie down and rest.
Correct Answer: A

Rationale: Headaches and blurred vision can be symptoms of preeclampsia, making blood pressure assessment a priority.

The nurse is monitoring a client at 36 weeks' gestation with suspected polyhydramnios. What complication is associated with this condition?

  • A. Preterm labor.
  • B. Placenta previa.
  • C. Cord prolapse.
  • D. Gestational hypertension.
Correct Answer: C

Rationale: Excessive amniotic fluid increases the risk of cord prolapse, especially after membrane rupture.

A client at 12 weeks' gestation asks why folic acid is important during pregnancy. What is the nurse's best response?

  • A. It helps prevent gestational diabetes.
  • B. It promotes fetal brain development.
  • C. It reduces the risk of neural tube defects.
  • D. It increases maternal energy levels.
Correct Answer: C

Rationale: Folic acid is essential during early pregnancy to reduce the risk of neural tube defects like spina bifida.

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