RN NCLEX Questions on Maternity
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Question 1 of 5.
A nurse is walking down the hall in the main corridor of a hospital. The Code Pink infant security alert system sounds and a Code Pink alert is announced. The first responsibility of the nurse when this situation occurs is to do which of the following?
A. Move to the entrance of the hospital and check each person leaving.
B. Go to the obstetrics unit to determine if they need help with the situation.
C. Call the nursery to ask which baby is missing.
D. Observe individuals in the area for large bags or oversized coats.
Explanation: Observing for suspicious items like large bags helps identify potential abductors during a Code Pink.
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.
A client who is planning a pregnancy asks the nurse about the use of herbal supplements to enhance fertility. Which of the following responses by the nurse is most appropriate?
A. Herbal supplements are safe and effective for enhancing fertility.
B. Consult with your health care provider before taking any herbal supplements.
C. Herbal supplements can replace prenatal vitamins during pregnancy.
D. Most herbal supplements are regulated by the FDA for safety.
Explanation: Herbal supplements can interact with medications or affect pregnancy, so consulting a healthcare provider is essential. They are not proven safe or effective for fertility, not a substitute for prenatal vitamins, and are not tightly regulated by the FDA.
Question 4 of 5.
A nurse is discussing emergency contraception with a client. Which of the following statements by the nurse is accurate?
A. Emergency contraception is most effective when taken within 72 hours of unprotected intercourse.
B. Emergency contraception requires a prescription for all women.
C. Emergency contraception is 100% effective in preventing pregnancy.
D. Emergency contraception can be used as a regular method of birth control.
Explanation: Emergency contraception, like Plan B, is most effective within 72 hours of unprotected intercourse. It is available over-the-counter for those 17 and older, is not 100% effective, and is not suitable for regular use due to lower efficacy and side effects.
Question 5 of 5.
A client is considering a hormonal IUD. Which of the following benefits should the nurse highlight?
A. It provides protection against STIs.
B. It can reduce menstrual bleeding over time.
C. It requires replacement every year.
D. It is suitable for women with heavy menstrual bleeding.
Explanation: A hormonal IUD, like Mirena, can reduce menstrual bleeding over time, often leading to lighter periods or amenorrhea. It does not protect against STIs, lasts 3-7 years depending on the type, and is suitable for heavy bleeding, but B is the primary benefit.
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