NCLEX RN Maternity Questions
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Question 1 of 5.
The nurse is caring for a primipara in active labor when the fetus develops severe bradycardia with late decelerations, and an emergency cesarean delivery is performed with the client under general anesthesia. After the delivery, the client tells the nurse, 'I feel terrible. This is exactly what I didn't want to happen!' Which of the following is a priority nursing diagnosis for this client?
A. Interrupted family processes related to cesarean delivery.
B. Anxiety related to incisional scar and neonatal outcome.
C. Pain related to surgical incision and uterine cramping.
D. Situational low self-esteem related to inability to deliver vaginally.
Explanation: The client's statement reflects disappointment and possible feelings of failure due to the unplanned cesarean, making situational low self-esteem the priority. Pain, anxiety, and family processes are secondary concerns post-delivery.
Question 2 of 5.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
A. I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy.
B. My boyfriend can buy Plan B from the pharmacy if he is over 18 years old.
C. The birth control works by preventing ovulation or fertilization of the egg.
D. I can be discussed and have breast tenderness or a headache after using the contraceptive.
Explanation: Plan B is most effective when taken within 72 hours of unprotected intercourse, ideally as soon as possible. Waiting 3 to 4 days reduces its efficacy, indicating a need for further explanation.
Question 3 of 5.
Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
A. Take a mild analgesic if needed for menstrual pain.
B. Avoid cold foods if menstrual pain persists.
C. Stop exercise while menstruating.
D. Avoid sexual intercourse while menstruating.
Explanation: Mild analgesics like ibuprofen can effectively manage menstrual pain. There is no evidence supporting avoiding cold foods, and moderate exercise can alleviate cramps. Sexual intercourse during menstruation is a personal choice and not medically contraindicated.
Question 4 of 5.
A nurse is counseling a client about the use of a diaphragm for contraception. Which of the following instructions should the nurse include?
A. Insert the diaphragm up to 6 hours before intercourse.
B. Remove the diaphragm immediately after intercourse.
C. Use a spermicide with the diaphragm for each act of intercourse.
D. Store the diaphragm in a dry, airtight container.
Explanation: Using spermicide with the diaphragm for each act of intercourse is essential for effectiveness. The diaphragm can be inserted up to 6 hours before and left in place for at least 6 hours after intercourse but not more than 24 hours. It should be stored in a clean, dry container, not necessarily airtight.
Question 5 of 5.
A client is considering the contraceptive patch. Which of the following instructions should the nurse provide?
A. Apply a new patch daily for three weeks, then skip a week.
B. Change the patch weekly for three weeks, then have a patch-free week.
C. Wear the patch for one month, then replace it.
D. Apply the patch to the genital area for best results.
Explanation: The contraceptive patch is changed weekly for three weeks, followed by a patch-free week to allow for a withdrawal bleed. It is not applied daily, worn for a month, or placed on the genital area.
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