Free NCLEX Maternity Questions
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Question 1 of 5.
The clinic nurse reviews the laboratory results illustrated from the postpartum client who is 3 days postdelivery. What should the nurse do in response to these results?
A. Document the laboratory report findings
B. Assess the client for increased lochia
C. Assess the client's temperature orally
D. Notify the health care provider immediately
Explanation: The only action required is to document the findings; all values are within expected parameters. Nonpathological leukocytosis often occurs during labor and in the immediate postpartum period because labor produces a mild pro-inflammatory state. WBCs should return to normal by the end of the first postpartum week. Hct and Hgb will begin to decrease on postpartum day 3 or 4 from hemodilution. Assessing the client's lochia is unnecessary with these results. Assessing the client's temperature is unnecessary with these results. Notifying the HCP is unnecessary with these results.
Question 2 of 5.
To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.
A. Swimming in chlorinated water
B. Sitting in hot tubs
C. Wearing boxer shorts
D. Wearing colored underwear
E. Smoking cigarettes
F. Refraining from strenuous exercise
Explanation: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.
Question 3 of 5.
Which response by the nurse about Chadwick's sign is most accurate?
A. It's a bluish discoloration of the cervix, vagina, and vulva that occurs as a result of the presence of an increased number of blood vessels.
B. It's a softening of the cervix that occurs because of an increased amount of blood flowing to the reproductive organs.
C. It's a dark brown line extending from the umbilicus to the symphysis pubis that occurs as a result of hormonal changes.
D. None of the above
Explanation: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.
Question 4 of 5.
Using Naegele's Rule, the nurse can assume the client's expected delivery date to be approximately which date?
A. 13-Nov
B. 23-Nov
C. 3-Dec
D. 20-Dec
Explanation: Naegele's Rule: Subtract 3 months from the first day of the last menstrual period (March 13) and add 7 days, resulting in December 3.
Question 5 of 5.
Which fetal heart rate must the nurse report immediately to the physician?
A. 100 beats/minute
B. 120 beats/minute
C. 140 beats/minute
D. 160 beats/minute
Explanation: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.