Maternal NCLEX Questions

Maternal NCLEX Questions Related

Review Maternal NCLEX Questions related questions and content

The nurse asks the 12-hour postpartum client, who is breastfeeding her baby now, why she has not yet received a dinner tray. The client states that her mother is bringing curry and that she won’t be eating the hospital food tonight. Which response by the nurse is best?

  • A. “Please let me know if you change your mind. I can order food for you later.”
  • B. “Since you are breastfeeding, you should avoid eating highly spiced food.”
  • C. “I will ask the dietitian to meet with you so you can discuss your nutritional needs.”
  • D. “You should not be eating highly spiced food 12 hours after delivery.”
Correct Answer: A

Rationale: Offering to order food later if the client changes her mind is the best response. Many clients have culturally based beliefs about food and beverages that should be consumed in the postpartum period. Unless contraindicated, nurses should support and encourage women to incorporate food preferences with cultural significance into their postpartum diet. Some breastfeeding infants are sensitive to certain flavors, seasonings, or foods, but, there is no evidence to support maternal food restrictions unless the infant shows a sensitivity. If there is a strong family history of a food allergy that causes anaphylaxis, such as a peanut allergy, these foods may be avoided. Many women would benefit from speaking to a dietician, but this client is not at any increased risk that would make a dietary consultation necessary. There are no food restrictions 12 hours after delivery unless there have been complications.

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Which nursing instructions concerning exercise during pregnancy are accurate? Select all that apply.

  • A. Avoid exercising during hot, humid weather.
  • B. Avoid exercises involving bouncing or jumping movements.
  • C. Drink plenty of fluids before and after exercising.
  • D. Limit strenuous activity to no more than 60 minutes a session.
  • E. Perform exercises only in the supine position.
  • F. Limit exercising to once per week.
Correct Answer: A,B,C

Rationale: Exercising in hot weather risks overheating, bouncing movements may strain joints, and hydration is crucial. Supine exercises are avoided late in pregnancy.

Which nursing instruction given to the client complaining about shortness of breath is most appropriate?

  • A. Contact your health care provider immediately.
  • B. Decrease your activity level to conserve oxygen.
  • C. Ask your physician for a mild sedative.
  • D. Sleep with your upper body elevated on pillows.
Correct Answer: D

Rationale: Sleeping with the upper body elevated reduces pressure on the diaphragm, easing shortness of breath.

The nurse explains that true labor contractions are characterized by which feature?

  • A. Irregular timing
  • B. Increasing intensity and frequency
  • C. Relief with walking
  • D. Occurrence only at night
Correct Answer: B

Rationale: True labor contractions increase in intensity and frequency, distinguishing them from false labor.

The nurse assesses the pregnant client who comes to the triage unit and determines that she is at 4/50/—1 and that the fetal HR is 148. What priority information should the nurse collect before proceeding?

  • A. Time and amount of last meal
  • B. Number of weeks’ gestation
  • C. Who is attending the delivery
  • D. History of previous illnesses
Correct Answer: B

Rationale: Knowing the weeks of gestation is most important because if she is in premature labor, she may need to be given tocolytics to stop the process and to ensure adequate fetal lung maturity. If she is full term, the labor process could continue. The time and amount of last meal is important to know, but number of weeks’ gestation is more important. This client is dilated at 4 cm and in active labor. Who will attend the delivery should be identified during admission to the labor unit, but it is not the most important when being evaluated in triage. History of previous illnesses should be collected during admission to the labor unit, but it is not the most important when being evaluated in triage.

When one participant asks the nurse what can be done to relieve leg cramps while working, which instruction by the nurse is correct?

  • A. Increase protein intake to five to six servings per day.
  • B. Wear elastic stockings when at work.
  • C. Point the toes frequently toward the head.
  • D. Massage the leg when a cramp occurs.
Correct Answer: C

Rationale: Pointing toes toward the head (dorsiflexion) relieves leg cramps by stretching the calf muscles, unlike the other options.

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