Free NCLEX Maternity Questions
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Question 1 of 5.
The husband of the postpartum client diagnosed with moderate postpartum depression (PPD) asks the nurse about the treatments his wife will require. The nurse's response should be based on knowing that which treatments are included in the initial collaborative plan of care? Select all that apply.
A. Antidepressant medication
B. Individual or group psychotherapy
C. Removal of the infant from the home
D. Sedative-hypnotic agents
E. Electroconvulsive therapy (ECT)
Explanation: SSRIs are first-line agents for treating moderate PPD. Individual or group psychotherapy is a treatment for moderate PPD. If the client is displaying rejection of or aggression toward the infant, she should not be left alone with the infant, but the infant does not need to be removed from the home. Hypnotic agents are medications that promote sleep, but they are not to be used during the postpartum period. If sleep deprivation is occurring, a TCA may be prescribed. ECT would not be used in the initial treatment of moderate PPD. If puerperal psychosis develops, ECT is a treatment option.
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.