NCLEX RN Practice Questions Maternity
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Question 1 of 5.
A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; temperature, 100° F(37.8° C); pulse, 100 bpm; respirations, 18 breaths/minute. Which of the following would the nurse expect the physician to order?
A. Intravenous penicillin.
B. Intravenous gentamicin sulfate(Garamycin).
C. Intramuscular betamethasone(Celestone).
D. Intramuscular cefaclor(Ceclor).
Explanation: Penicillin is used to treat group B streptococcus.
Question 2 of 5.
Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client?
A. The ovum survives for 96 hours after ovulation, making conception possible during this time.
B. The basal body temperature falls at least 0.2°F after ovulation has occurred.
C. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
D. Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus.
Explanation: Ovulation typically occurs around day 14 (plus or minus 2 days) before the next menstrual cycle in a 28-day cycle, which is critical for understanding fertility windows. The ovum survives for about 12-24 hours, not 96 hours, and basal body temperature rises after ovulation.
Question 3 of 5.
After conducting a class for female adolescents about human reproduction, which of the following statements indicates that the school nurse's teaching has been effective?
A. Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes, resulting in pregnancy.
B. I won't become pregnant if I abstain from intercourse during the last 14 days of my menstrual cycle.
C. Both of the above
D. None of the above
Explanation: Sperm can reach the ovum in 15-30 minutes under ideal conditions, which is accurate. Abstaining during the last 14 days of the cycle is not a reliable contraception method, as ovulation timing varies.
Question 4 of 5.
A client asks about the effectiveness of natural family planning methods. Which of the following responses by the nurse is most accurate?
A. Natural family planning is as effective as oral contraceptives when used correctly.
B. The effectiveness of natural family planning depends on consistent monitoring and abstinence during fertile periods.
C. Natural family planning is less effective than barrier methods like condoms.
D. Natural family planning requires no special equipment or cost.
Explanation: The effectiveness of natural family planning depends on consistent monitoring and abstinence during fertile periods. It is less effective than oral contraceptives or barrier methods due to variability in ovulation and user adherence.
Question 5 of 5.
A nurse is counseling a client about the use of a vaginal contraceptive ring. Which of the following client statements indicates understanding?
A. I should remove the ring every night before bed.
B. The ring is left in place for three weeks, then removed for one week.
C. I need to replace the ring every two weeks.
D. The ring protects against HIV transmission.
Explanation: The vaginal contraceptive ring is left in place for three weeks, then removed for one week to allow a withdrawal bleed. It is not removed nightly, replaced every two weeks, or protective against HIV.
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