The nurse asks the 12-hour postpartum client, who is breastfeeding her

Maternal NCLEX Questions

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Question 1 of 5.

The nurse asks the 12-hour postpartum client, who is breastfeeding her baby now, why she has not yet received a dinner tray. The client states that her mother is bringing curry and that she won't be eating the hospital food tonight. Which response by the nurse is best?

A. â€œPlease let me know if you change your mind. I can order food for you later.â€

B. â€œSince you are breastfeeding, you should avoid eating highly spiced food.â€

C. â€œI will ask the dietitian to meet with you so you can discuss your nutritional needs.â€

D. â€œYou should not be eating highly spiced food 12 hours after delivery.â€

Explanation: Offering to order food later if the client changes her mind is the best response. Many clients have culturally based beliefs about food and beverages that should be consumed in the postpartum period. Unless contraindicated, nurses should support and encourage women to incorporate food preferences with cultural significance into their postpartum diet. Some breastfeeding infants are sensitive to certain flavors, seasonings, or foods, but, there is no evidence to support maternal food restrictions unless the infant shows a sensitivity. If there is a strong family history of a food allergy that causes anaphylaxis, such as a peanut allergy, these foods may be avoided. Many women would benefit from speaking to a dietician, but this client is not at any increased risk that would make a dietary consultation necessary. There are no food restrictions 12 hours after delivery unless there have been complications.

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.