Maternal Newborn Nclex Practice Questions

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The nurse provides counseling on coitus interruptus. What important counseling should be included?

  • A. The partners must communicate well to use this method.
  • B. This method is 100 percent effective because semen does not enter the vagina.
  • C. BBT must be used with this method.
  • D. All persons are able to control ejaculate in time to withdraw.
Correct Answer: A

Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.

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A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take?

  • A. Decrease maintenance IV solution infusion rate.
  • B. Place the client in lateral position.
  • C. Administer misoprostol 25 mcg vaginally D
  • D. Administer oxygen via face mask at 2 L/min
Correct Answer: B

Rationale: Late decelerations of the fetal heart rate can indicate uteroplacental insufficiency, which may be a result of decreased oxygen supply to the fetus. Placing the client in a lateral position can help enhance uteroplacental perfusion by relieving pressure on the vena cava and improving maternal blood flow to the placenta. This position change can help improve fetal oxygenation and decrease the occurrence of late decelerations. Other actions such as administering oxygen and assessing for other contributing factors should also be done, but placing the client in a lateral position is the most appropriate immediate intervention in this scenario.

A woman Hydatidiform mole evacuated and is prepared for

  • A. The nurse should make certain that she understands that it is essential that she
  • B. Not become pregnant until after the follow-up program is completed
  • C. receives Rhogam for her next pregnancy and birth
  • D. have her BP checked weekly for 30 days
Correct Answer: A

Rationale: The correct response is A because after a hydatidiform mole is evacuated, it is crucial for the woman to understand the importance of not becoming pregnant until after the follow-up program is completed. This is essential for monitoring her health and ensuring she does not experience any complications from the molar pregnancy. It allows healthcare providers to closely monitor her progress and provide appropriate care.

The nurse is caring for a client who just had a cesarean delivery. What is the priority nursing action?

  • A. Assess the surgical site.
  • B. Monitor for signs of infection.
  • C. Assess the uterine fundus for firmness.
  • D. Encourage early ambulation.
Correct Answer: C

Rationale: Assessing fundal firmness helps detect uterine atony and prevent postpartum hemorrhage after delivery.

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.

The nurse is preparing a client for induction of labor. What is the primary purpose of administering oxytocin?

  • A. Enhance cervical dilation.
  • B. Increase maternal blood pressure.
  • C. Strengthen uterine contractions.
  • D. Prevent postpartum hemorrhage.
Correct Answer: C

Rationale: Oxytocin is used to stimulate uterine contractions to induce or augment labor.

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