Maternity RN NCLEX Questions
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Question 1 of 5.
A primigravid client in active labor with a fetus in LOP position complains of severe back pressure. Which of the following would be the priority nursing diagnosis for this client?
A. Anxiety related to fear of maternal-fetal outcomes.
B. Ineffective coping related to lack of experience in labor.
C. Urinary retention related to prolonged labor process.
D. Pain related to occipitoposterior position and prolonged fetal descent.
Explanation: Severe back pain due to the LOP position is a priority, as it impacts the client's comfort and labor experience. Pain management (e.g., counterpressure) is critical. Anxiety, coping, and urinary retention are secondary concerns.
Question 2 of 5.
An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with the health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options?
A. Satisfaction with prior methods.
B. Preference of sexual partner.
C. Breast- or bottle-feeding plan.
D. History of clotting disease.
Explanation: A history of clotting disease significantly impacts birth control options, as hormonal methods like combined oral contraceptives may increase the risk of thromboembolism, making non-hormonal or progestin-only methods safer choices.
Question 3 of 5.
A client visits the clinic seeking a prescription for oral contraceptives. Which of the following would alert the nurse to further assess the client before the contraceptives are prescribed?
A. The client has a history of fibrocystic breast disease.
B. The client has a family history of ovarian cancer.
C. The client is a smoker and 37 years old.
D. The client experienced irregular menstrual cycles as an adolescent.
Explanation: Smoking at age 37 is a significant risk factor for cardiovascular complications with combined oral contraceptives, requiring further assessment. Fibrocystic breast disease and irregular cycles are not contraindications, and family history of ovarian cancer is less relevant.
Question 4 of 5.
A nurse is teaching a client about the use of condoms for contraception. Which of the following statements by the client indicates understanding of the teaching?
A. Condoms must be stored in a hot, humid environment.
B. Condoms can be reused if washed thoroughly.
C. Condoms provide some protection against STIs.
D. Condoms are 100% effective in preventing pregnancy.
Explanation: Condoms provide some protection against sexually transmitted infections, which is a key benefit. They should be stored in a cool, dry place, cannot be reused, and are not 100% effective in preventing pregnancy.
Question 5 of 5.
A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include in the response?
A. Long-term use eliminates the risk of ovarian cancer.
B. Long-term use may increase the risk of blood clots.
C. Long-term use causes permanent infertility.
D. Long-term use leads to significant weight loss.
Explanation: Long-term use of oral contraceptives may increase the risk of blood clots, especially in smokers or those with other risk factors. It reduces ovarian cancer risk, does not cause permanent infertility, and weight changes vary.
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