NCLEX RN Questions Maternal Newborn Nursing

Question 1 of 5.

Extract:The nurse in the antepartum clinic is caring for a 32-year-old female at 30 weeks' gestation. Item 4 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 potential order, click to specify whether the potential order is indicated or not indicated for the client.

Question 2 of 5.

The nurse is conducting a prenatal class with a group of clients. Which vitamin should the nurse encourage to prevent neural tube defects in the newborn?

Question 3 of 5.

The nurse is reviewing a client's contraction stress test results. Which action should the nurse take based on the results? Click the exhibit button for additional client information.

Question 4 of 5.

At 25 weeks gestation, a pregnant client presents with a uterine growth size that is less than expected, decreased fetal movement, and an easily palpable fetus. Which of the following is this likely related to?

Question 5 of 5.

A pregnant client who is Rh-negative is ordered an indirect Coombs' test. The nurse understands that the purpose of this test is to determine