Maternity NCLEX RN Questions
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Question 1 of 5.
The nurse assesses a primiparous client in labor for 20 hours. The nurse identifies late decelerations on the monitor and initiates standard procedures for the labor client with this wave pattern. Which intravenous should the nurse perform? Select all that apply.
A. Administering oxygen via mask to the client.
B. Questioning the client about the effectiveness of pain relief.
C. Placing the client on her side.
D. Readjusting the monitor to a more comfortable position.
E. Applying an internal fetal monitor to help identify the cause of the decelerations.
Explanation: Late decelerations indicate uteroplacental insufficiency. Standard interventions include administering oxygen to improve fetal oxygenation and placing the client on her side to enhance uterine perfusion. Questioning pain relief or readjusting the monitor does not address the issue, and internal monitoring may be considered but is not the first step.
Question 2 of 5.
A client asks the nurse about the effectiveness of natural family planning methods. Which of the following responses by the nurse is most accurate?
A. Natural family planning is as effective as oral contraceptives when used correctly.
B. The effectiveness of natural family planning depends on consistent monitoring and abstinence during fertile periods.
C. Natural family planning is less effective than barrier methods likeå®Â石
D. Natural family planning requires no special equipment or cost.
Explanation: The effectiveness of natural family planning depends on consistent monitoring and abstinence during fertile periods. It is less effective than oral contraceptives or barrier methods due to variability in ovulation and user adherence.
Question 3 of 5.
A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan?
A. Another method of contraception is needed until the sperm count is 0.
B. Vasectomy is easily reversed if children are desired in the future.
C. Vasectomy is contraindicated in males with prior history of cardiac disease.
D. Vasectomy requires only a yearly follow-up once the procedure is completed.
Explanation: After a vasectomy, another contraception method is needed until a follow-up semen analysis confirms a zero sperm count, ensuring sterility.
Question 4 of 5.
A 24-year-old client is discussing contraception options with the nurse and expresses interest in an intrauterine device (IUD). Which of the following statements by the client indicates a need for further teaching?
A. I understand the IUD can remain in place for several years.
B. The IUD will prevent ovulation each month.
C. I may experience heavier menstrual periods with the copper IUD.
D. The IUD does not protect against sexually transmitted infections.
Explanation: The IUD does not primarily prevent ovulation; it works by affecting sperm movement and preventing fertilization (copper IUD) or thinning the uterine lining (hormonal IUD). The other statements are correct, indicating a need for further teaching about its mechanism.
Question 5 of 5.
A client asks about the benefits of breastfeeding for contraception. Which of the following responses by the nurse is most accurate?
A. Breastfeeding is a reliable contraceptive method for the first year postpartum.
B. The lactational amenorrhea method is effective only if the client is exclusively breastfeeding and amenorrheic.
C. Breastfeeding prevents ovulation permanently while nursing.
D. Breastfeeding is equally effective whether the client supplements with formula.
Explanation: The lactational amenorrhea method (LAM) is effective for up to 6 months postpartum if the client is exclusively breastfeeding, amenorrheic, and the infant is under 6 months. It is not reliable for a year, does not permanently prevent ovulation, and is less effective with formula supplementation.
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