Maternal Newborn NCLEX RN Questions
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Question 1 of 5.
Extract:The nurse in the antepartum clinic is caring for a 32-year-old female at 30 weeks' gestation. Item 2 of 6 Nurses' Note 1128: Client reports that she is ‘looking forward to her delivery.' She reports occasional foot and ankle swelling while on her legs for prolonged periods. This has become bothersome because her shoes feel tight at the end of the day. She has occasional backache, which is relieved by her doing shoulder circles. She reports that she has been constipated on occasion, and straining causes her to notice little spots of bright red blood after she wipes. She denies any trouble with sleep, but about two weeks ago, her legs became restless at night. Over the past two weeks, she noticed that she had become more tired than usual and that someone mentioned that she looked unusually pale. She also began noticing daily headaches that lasted for a few hours. She also had to stop going to the gym because of what she describes as intense fatigue. Upon assessment, the client appeared pale and had dry skin. She is alert and fully oriented. Clear lung fields bilaterally. S1/S2/S3 heart tones auscultated. Peripheral pulses 2+. Fundal height is 30 cm. Fetal heart rate via Doppler was 134 bpm. She reports that the fetus moves about 10 times per hour. Denies having any vaginal discharge or burning with urination. Vital Signs 1129: • 97.8° F (36.6° C) • P 93 • RR 19 • BP 133/79 • Pulse oximetry reading 98% on room air
For each client finding below, click to specify if the finding is consistent with the disease process of iron-deficiency anemia, preeclampsia, or congestive heart failure.
Description | Options |
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Lorem ipsum dolor sit amet consectetur. |
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Lorem ipsum dolor sit amet consectetur. |
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Lorem ipsum dolor sit amet consectetur. |
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Explanation: S3 heart tone (A) is consistent with congestive heart failure due to fluid overload. Headache (B) can occur in preeclampsia (from hypertension) and iron-deficiency anemia (from reduced oxygen delivery). Restless legs (C) are associated with iron-deficiency anemia. Peripheral edema (D) is common in preeclampsia and congestive heart failure due to fluid retention.
Question 2 of 5.
The nurse is teaching a client about newly prescribed iron supplementation. Which of the following information should the nurse include?
A. To minimize an upset stomach, take the iron supplements with milk.
B. Consume the iron supplements with meals.
C. Take the iron supplement with orange juice.
D. Iron supplements may cause diarrhea, and you should eat foods low in fiber.
Explanation: Vitamin C (in orange juice) enhances iron absorption. Milk can inhibit absorption due to calcium, and iron is more likely to cause constipation than diarrhea.
Question 3 of 5.
The nurse is providing care to an 11-week pregnant client who is complaining about hemorrhoids. The nurse recognizes that hemorrhoids can occur due to pressure on the rectal veins from the growing fetus. Which of the following measures is not recommended for alleviating hemorrhoid pain in this client?
A. Instruct the client to use mineral oil to soften her stools.
B. Rest in a side-lying position daily.
C. Increase the client's fiber and water intake.
D. Apply a cold compress to the area.
Explanation: Mineral oil is not recommended during pregnancy due to potential nutrient absorption interference. The other measures help reduce hemorrhoid discomfort.
Question 4 of 5.
The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client Select all that apply.
A. eat dry crackers before getting out of bed in the morning.
B. consume fluids at least 30 minutes before or after solid food.
C. lie down soon after eating.
D. brush their teeth immediately after a meal.
E. avoid overfilling your stomach.
Explanation: These measures help reduce nausea by stabilizing stomach acid and preventing overfilling. Lying down after eating or brushing teeth immediately may worsen nausea.
Question 5 of 5.
The nurse is preparing to measure the fundal height of a client at 16 gestational weeks. The nurse should prepare the client for this assessment by instructing the client to
A. lay in a side-lying position with the knees bent.
B. prepare for the insertion of an intravenous (IV) catheter.
C. not to eat or drink two hours after this assessment.
D. empty their bladder.
Explanation: An empty bladder ensures accurate fundal height measurement by reducing interference from a full bladder.
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