The laboring client just had a convulsion after being given regional a

Maternal NCLEX Questions

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Question 1 of 5.

The laboring client just had a convulsion after being given regional anesthesia. Which interventions should the nurse implement? Select all that apply.

A. Establish an airway.

B. Position on her right side.

C. Provide 100% oxygen.

D. Administer diazepam.

E. Page the anesthesiologist STAT.

Explanation: The client experiencing a convulsion related to anesthesia should first have an airway established. The client experiencing a convulsion related to anesthesia should receive 100% oxygen so that the mother and fetus remain oxygenated. Small doses of diazepam or thiopental can be administered to stop the convulsions. The anesthesiologist should be STAT paged to provide assistance; the convulsion was initiated by the regional anesthetic. The client's head should be turned to the side if vomiting occurs, but the client typically remains in a left lateral tilt position so an airway can be maintained. Positioning on the right side can cause aortocaval compression.

Question 2 of 5.

Which explanation by the nurse correctly describes the occurrence of identical twins?

A. Two separate ova are fertilized by identical sperm.

B. The mother releases two identical ova.

C. One fertilized ovum divides into two identical halves.

D. Two identical ova are fertilized by two identical sperm.

Explanation: Identical twins result from one fertilized ovum splitting into two identical embryos, sharing the same genetic material.

Question 3 of 5.

In the primigravid client, when is fetal movement typically felt for the first time?

A. Between 10 and 14 weeks' gestation

B. Between 16 and 20 weeks' gestation

C. Between 22 and 26 weeks' gestation

D. Between 28 and 32 weeks' gestation

Explanation: Primigravid women typically feel fetal movement (quickening) between 16 and 20 weeks, later than multigravida women.

Question 4 of 5.

Which method best promotes client comfort during the pelvic examination?

A. Have the client lift her head off the table.

B. Have the client press her back into the examination table.

C. Have the client tighten her buttocks.

D. Tell the client to let her knees fall outward.

Explanation: Letting the knees fall outward relaxes the pelvic muscles, reducing discomfort during the pelvic examination.

Question 5 of 5.

Which nursing instructions concerning exercise during pregnancy are accurate? Select all that apply.

A. Avoid exercising during hot, humid weather.

B. Avoid exercises involving bouncing or jumping movements.

C. Drink plenty of fluids before and after exercising.

D. Limit strenuous activity to no more than 60 minutes a session.

E. Perform exercises only in the supine position.

F. Limit exercising to once per week.

Explanation: Exercising in hot weather risks overheating, bouncing movements may strain joints, and hydration is crucial. Supine exercises are avoided late in pregnancy.