RN NCLEX Questions on Maternity
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Question 1 of 5.
The labor and delivery nurse is assigned to triage for the day. There are four clients already in rooms and the following reports have been received about each of these clients. To provide the safest care and best manage time, the nurse should plan to see which client first?
A. A primipara in active labor at 5 cm asking to be admitted and wanting an epidural.
B. A primipara who is 100% effaced, 8 cm dilated, and ready to push.
C. A multipara who thinks her water broke 2 hours ago.
D. A multipara with contractions every 5 minutes who is 3 cm dilated.
Explanation: A primipara at 8 cm, 100% effaced, and ready to push is in the second stage of labor, requiring immediate attention to prepare for delivery. Other clients are in earlier stages or need assessment but are less urgent.
Question 2 of 5.
Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client?
A. The ovum survives for 96 hours after ovulation, making conception possible during this time.
B. The basal body temperature falls at least 0.2°F after ovulation has occurred.
C. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
D. Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus.
Explanation: Ovulation typically occurs around day 14 (plus or minus 2 days) before the next menstrual cycle in a 28-day cycle, which is critical for understanding fertility windows. The ovum survives for about 12-24 hours, not 96 hours, and basal body temperature rises after ovulation.
Question 3 of 5.
A client who is planning a pregnancy asks the nurse about the use of herbal supplements to enhance fertility. Which of the following responses by the nurse is most appropriate?
A. Herbal supplements are safe and effective for enhancing fertility.
B. Consult with your health care provider before taking any herbal supplements.
C. Herbal supplements can replace prenatal vitamins during pregnancy.
D. Most herbal supplements are regulated by the FDA for safety.
Explanation: Herbal supplements can interact with medications or affect pregnancy, so consulting a healthcare provider is essential. They are not proven safe or effective for fertility, not a substitute for prenatal vitamins, and are not tightly regulated by the FDA.
Question 4 of 5.
A nurse is discussing emergency contraception with a client. Which of the following statements by the nurse is accurate?
A. Emergency contraception is most effective when taken within 72 hours of unprotected intercourse.
B. Emergency contraception requires a prescription for all women.
C. Emergency contraception is 100% effective in preventing pregnancy.
D. Emergency contraception can be used as a regular method of birth control.
Explanation: Emergency contraception, like Plan B, is most effective within 72 hours of unprotected intercourse. It is available over-the-counter for those 17 and older, is not 100% effective, and is not suitable for regular use due to lower efficacy and side effects.
Question 5 of 5.
A client is considering a hormonal IUD. Which of the following benefits should the nurse highlight?
A. It provides protection against STIs.
B. It can reduce menstrual bleeding over time.
C. It requires replacement every year.
D. It is suitable for women with heavy menstrual bleeding.
Explanation: A hormonal IUD, like Mirena, can reduce menstrual bleeding over time, often leading to lighter periods or amenorrhea. It does not protect against STIs, lasts 3-7 years depending on the type, and is suitable for heavy bleeding, but B is the primary benefit.
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