A 29-year-old woman who is pregnant for the first time and is 40 weeks

NCLEX Questions Maternal Newborn Nursing

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Question 1 of 5.

A 29-year-old woman who is pregnant for the first time and is 40 weeks gestation is admitted to labor and delivery. She is 3-cm dilated, 80% effaced, and head at 0 station. She and her husband have been to prepared childbirth classes and are eager to give birth naturally. During her first contraction in the hospital, which lasts 30 seconds, the nurse observes the client using rapid pant-blow breathing. What is the most appropriate response for the nurse to make at this time?

A. Don't pant. It's too early in labor for panting.'

B. Continue using pant-blow breathing until the RN checks to see if you are fully dilated.'

C. Good. You are using your breathing from class. Keep it up.'

D. What kinds of breathing techniques did you learn in childbirth class?'

Explanation: Rapid pant-blow breathing is typically used in later labor, so it's too early at 3 cm, indicating a need to adjust her technique.

Question 2 of 5.

A young woman has been having lower abdominal pain and amenorrhea. She is diagnosed as having an ovarian cyst. She asks the nurse what the usual treatment is for an ovarian cyst. What is the best response for the nurse to make?

A. Most women with your condition are placed on estrogen therapy for 6 to 12 months until the symptoms disappear.'

B. The most effective treatment for ovarian cysts is to shrink the cyst with radiation therapy.'

C. Ovarian cysts are usually surgically removed.'

D. Steroid therapy is often given. The cyst usually resolves in three months.'

Explanation: Ovarian cysts often require surgical removal, especially if symptomatic or large, as they may not resolve spontaneously.

Question 3 of 5.

The nurse is caring for a woman after the insertion of radium rods for treatment of cancer of the cervix. Which discomfort should the nurse anticipate that the client may have while the rods are in place?

A. Headache

B. Urinary retention

C. Constipation

D. Uterine cramps

Explanation: Uterine cramps are common due to irritation from radium rods in the cervix.

Question 4 of 5.

A young woman tells the nurse that her boyfriend used a 'rubber' once. What is the most important information about condoms for the nurse to provide the client?

A. Always use Vaseline as a lubricant.

B. Apply the condom to the penis right before ejaculation.

C. You do not need a medical prescription for condoms.

D. The condom must be applied before any penile-vaginal contact.

Explanation: Condoms must be applied before any penile-vaginal contact to prevent pregnancy and STD transmission.

Question 5 of 5.

A young couple asks the nurse which method of contraception is the best and the one that they should use. Which response is most helpful to the couple?

A. The pill is the best because it is 100% effective with few side effects.'

B. The best method is the one that you both agree upon and will use consistently.'

C. The condom is the best method because it prevents diseases as well as pregnancy.'

D. No method is completely effective; you should practice abstinence until you are ready to have children.'

Explanation: The best contraceptive method is one both partners agree on and will use consistently, ensuring effectiveness.