Maternity NCLEX RN Questions
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Question 1 of 5.
A multigravid laboring client has an extensive documented history of drug addiction. Her last reported usage was 5 hours ago. She is 2 cm dilated with contractions every 3 minutes of moderate intensity. The physician orders nalbuphine (Nubain) 15 mg slow I.V. push for pain relief followed by an epidural when the client is 4 cm dilated. Within 10 minutes of receiving the nalbuphine, the client states she thinks she is going to have her baby now. Of the following drugs available at the time of the delivery, which should the nurse avoid using with this client in this situation?
A. 1% lidocaine (Xylocaine).
B. Naloxone hydrochloride (Narcan).
C. Local anesthetic.
D. Pudendal block.
Explanation: In a client with recent opioid use, naloxone (Narcan) could precipitate withdrawal symptoms, which is risky during delivery. Lidocaine, local anesthetics, or pudendal blocks are safe for perineal anesthesia and do not interact with the client's history.
Question 2 of 5.
A client asks the nurse 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 likeå®Â石
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 3 of 5.
A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan?
A. Another method of contraception is needed until the sperm count is 0.
B. Vasectomy is easily reversed if children are desired in the future.
C. Vasectomy is contraindicated in males with prior history of cardiac disease.
D. Vasectomy requires only a yearly follow-up once the procedure is completed.
Explanation: After a vasectomy, another contraception method is needed until a follow-up semen analysis confirms a zero sperm count, ensuring sterility.
Question 4 of 5.
A 24-year-old client is discussing contraception options with the nurse and expresses interest in an intrauterine device (IUD). Which of the following statements by the client indicates a need for further teaching?
A. I understand the IUD can remain in place for several years.
B. The IUD will prevent ovulation each month.
C. I may experience heavier menstrual periods with the copper IUD.
D. The IUD does not protect against sexually transmitted infections.
Explanation: The IUD does not primarily prevent ovulation; it works by affecting sperm movement and preventing fertilization (copper IUD) or thinning the uterine lining (hormonal IUD). The other statements are correct, indicating a need for further teaching about its mechanism.
Question 5 of 5.
A client asks about the benefits of breastfeeding for contraception. Which of the following responses by the nurse is most accurate?
A. Breastfeeding is a reliable contraceptive method for the first year postpartum.
B. The lactational amenorrhea method is effective only if the client is exclusively breastfeeding and amenorrheic.
C. Breastfeeding prevents ovulation permanently while nursing.
D. Breastfeeding is equally effective whether the client supplements with formula.
Explanation: The lactational amenorrhea method (LAM) is effective for up to 6 months postpartum if the client is exclusively breastfeeding, amenorrheic, and the infant is under 6 months. It is not reliable for a year, does not permanently prevent ovulation, and is less effective with formula supplementation.
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