Maternal NCLEX Questions
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Question 1 of 5.
The nurse is caring for the postpartum primiparous client who is 13 hours post—vaginal delivery. The nurse observes that the client is passive and hesitant about making decisions about her own and her newborn's care. In response to this observation, which interventions should be implemented by the nurse? Select all that apply.
A. Question her closely about the presence of pain.
B. Ask if she would like to talk about her birth experience.
C. Encourage her to nap when her infant is napping.
D. Encourage attendance in teaching sessions about infant care.
E. Suggest that she begin to write her birth announcements.
Explanation: Many women hesitate to ask for medication, as they believe their pain is expected. Thus, the nurse should ask the client about pain and assure her that there are methods to decrease her pain. During the initial postpartum “taking-in†phase, the client may have a great need to talk about her birthing experience and to ask questions for clarification as necessary. By encouraging this verbalization, the nurse helps the client to accept the experience and enables her to move to the next maternal phase. Physical discomfort can be intense initially postpartum and can interfere with rest. Sleep is a major need and should be encouraged. Anxiety and preoccupation with her new role often narrow the client's perceptions, and information is not as easily assimilated at this time. Therefore, attending education sessions should be delayed if possible until the mother has completed this “taking in†phase. The client needs to suspend her involvement in everyday responsibilities during the “taking—in†phase, so writing birth announcements should be delayed until the mother has completed this phase.
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.
Related Questions
Which statement by the client indicates understanding of prenatal education?
The nurse identifies which factor as contributing to the client's stress?
The nurse explains that true labor contractions are characterized by which feature?
The nurse teaches the client to report which postpartum symptom immediately?