A 26-year-old, gravida 3, para 0, term 0, preterm 0, abortion 2, livin

NCLEX Maternal Newborn

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Question 1 of 5.

A 26-year-old, gravida 3, para 0, term 0, preterm 0, abortion 2, living 0 in early labor is admitted to labor and delivery. She is not sure if her membranes have ruptured. She has had some leakage of fluid. How should the nurse begin the assessment?

A. Tell me about your other labor experiences.'

B. How old are your other children?'

C. Did you bring an example of the fluid that was leaking with you?'

D. Describe your contractions to me.'

Explanation: Asking about a sample of the leaking fluid aids in confirming membrane rupture, a priority assessment.

Question 2 of 5.

The nurse is caring for a woman who had a hysterectomy. Which vascular complication should the nurse be especially alert for because of the location of the surgery?

A. Thrombophlebitis

B. Varicose veins

C. Cerebral embolism

D. Aortic aneurysm

Explanation: Pelvic surgery, like a hysterectomy, increases the risk of thrombophlebitis due to venous stasis and surgical trauma.

Question 3 of 5.

A woman is to have internal radiation as part of her treatment for cancer of the cervix. In teaching her about the preoperative preparation for this procedure, the nurse should include which information?

A. A high-residue diet will be ordered.

B. An indwelling catheter will be inserted.

C. A nasogastric tube will be inserted.

D. Several units of blood will be ready for transfusion if needed.

Explanation: An indwelling catheter is inserted to keep the bladder empty, reducing radiation exposure to nearby organs.

Question 4 of 5.

A young woman asks the nurse if oral contraceptives have any side effects. What is the best response for the nurse to make?

A. Nausea, fluid retention, and weight gain.'

B. Why do you ask? Look at the benefits.'

C. Are you concerned about something?'

D. Increased libido, decreased breast size, and diarrhea.'

Explanation: Nausea, fluid retention, and weight gain are common side effects of oral contraceptives, providing accurate information.

Question 5 of 5.

The nurse is discussing breast self-examination with a group of women in a clinic. One woman asks, 'When should I do this examination?' What is the best response for the nurse?

A. You should perform breast self-examination early in the morning for most accurate results.'

B. Breast self-examination should be done a few days after your period begins every month.'

C. Breast self-examination should be done by women after the age of 40 on the first of every month.'

D. Breast self-examination is best done just before you expect your menstrual period.'

Explanation: Performing breast self-examination a few days after menstruation, when breasts are less tender, ensures accuracy.