RN NCLEX Maternal Neonatal Nursing
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Maternity
Question 1 of 5.
The nurse in the newborn nursery has just received shift report about a group of newborns and is to receive another admission in 30 minutes. In order to provide the safest care and plan for the new admission, the nurse should do which of the following in order of first to last?
- A. Move quickly from room to room and assess all clients.
- B. Check the room to which the new client will be admitted to be sure all supplies and equipment are available.
- C. Log on to the clinical information system and determine if there are new orders.
- D. Review notes from shift report and prioritize all clients; make rounds on the most critical first.
- D. Review notes from shift report and prioritize all clients; make rounds on the most critical first.
- C. Log on to the clinical information system and determine if there are new orders.
- A. Move quickly from room to room and assess all clients.
- B. Check the room to which the new client will be admitted to be sure all supplies and equipment are available.
Correct arrangement
Explanation: First, review and prioritize clients (D). Then, check for new orders (C), assess all clients (A), and finally prepare the room for the new admission (B).
Question 2 of 5.
After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful?
A. I should perform breast self-examination on the day my menstrual flow begins.
B. It's important that I perform breast self-examination on the same day each month.
C. If I notice that one of my breasts is much smaller than the other, I shouldn't worry.
D. If there is discharge from my nipples, I should call my health care provider.
Explanation: Breast self-examination should be performed about a week after the menstrual period begins, when breasts are least tender. Noticing nipple discharge is a concerning symptom that warrants contacting a healthcare provider, indicating successful teaching.
Question 3 of 5.
The nurse is teaching a group of women about fertility awareness methods of contraception. Which of the following would the nurse include as the most reliable indicator that ovulation has occurred?
A. A slight drop followed by a rise in basal body temperature.
B. A change in cervical mucus to thin, clear, and stretchy.
C. The onset of mittelschmerz, or midcycle pelvic pain.
D. The presence of a thick, cloudy cervical mucus.
Explanation: A slight drop followed by a rise in basal body temperature is the most reliable indicator of ovulation, as it reflects the hormonal shift post-ovulation. Cervical mucus changes and mittelschmerz are less precise, and thick mucus typically occurs post-ovulation.
Question 4 of 5.
A client asks about the side effects of oral contraceptives. Which of the following would the nurse include in the response?
A. Weight loss is a common side effect.
B. Nausea and breast tenderness may occur initially.
C. Hair loss is frequently reported.
D. Oral contraceptives decrease the risk of breast cancer.
Explanation: Nausea and breast tenderness are common initial side effects of oral contraceptives, which often subside. Weight gain, not loss, may occur, hair loss is not typical, and oral contraceptives do not significantly reduce breast cancer risk.
Question 5 of 5.
A nurse is discussing sterilization options with a male client. Which of the following statements by the client indicates a need for further teaching?
A. A vasectomy involves cutting the vas deferens to prevent sperm release.
B. I will need to use another contraceptive method until my sperm count is zero.
C. A vasectomy will decrease my testosterone levels.
D. A vasectomy is considered a permanent form of contraception.
Explanation: A vasectomy does not decrease testosterone levels, as the testes continue to produce hormones. The other statements are correct, indicating a need for further teaching about hormonal effects.
Related Questions