Maternal Newborn NCLEX RN Questions
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Question 1 of 5.
The nurse is educating a pregnant client who is admitted with deep vein thrombosis in her left lower extremity. The client is at 24 weeks of gestation. The client is placed on Low Molecular Weight Heparin (LMWH). Which of the following statements by the client indicates that she understands the education regarding LMWH? Select all that apply.
A. My blood thinner will be stopped soon after delivery.
B. Since I am on LMWH, I must have a planned cesarean section.
C. I hate injections. I will likely switch to warfarin after delivery.
D. There is an increased risk of fractures with long term LMWH therapy.
E. If I notice blisters or black-red areas at the injection site, then I will hold LMWH and immediately contact the doctor.
F. If I decide to switch to warfarin after delivery, then I should not breastfeed.
Explanation: LMWH is stopped post-delivery (A), injection site reactions require reporting (E), and warfarin is unsafe for breastfeeding (F). Cesarean isn't required (B), warfarin isn't typical postpartum (C), and fractures (D) are not a significant LMWH risk.
Question 2 of 5.
The nurse is teaching a client about newly prescribed iron supplementation. Which of the following information should the nurse include?
A. To minimize an upset stomach, take the iron supplements with milk.
B. Consume the iron supplements with meals.
C. Take the iron supplement with orange juice.
D. Iron supplements may cause diarrhea, and you should eat foods low in fiber.
Explanation: Vitamin C (in orange juice) enhances iron absorption. Milk can inhibit absorption due to calcium, and iron is more likely to cause constipation than diarrhea.
Question 3 of 5.
The nurse is providing care to an 11-week pregnant client who is complaining about hemorrhoids. The nurse recognizes that hemorrhoids can occur due to pressure on the rectal veins from the growing fetus. Which of the following measures is not recommended for alleviating hemorrhoid pain in this client?
A. Instruct the client to use mineral oil to soften her stools.
B. Rest in a side-lying position daily.
C. Increase the client's fiber and water intake.
D. Apply a cold compress to the area.
Explanation: Mineral oil is not recommended during pregnancy due to potential nutrient absorption interference. The other measures help reduce hemorrhoid discomfort.
Question 4 of 5.
The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client Select all that apply.
A. eat dry crackers before getting out of bed in the morning.
B. consume fluids at least 30 minutes before or after solid food.
C. lie down soon after eating.
D. brush their teeth immediately after a meal.
E. avoid overfilling your stomach.
Explanation: These measures help reduce nausea by stabilizing stomach acid and preventing overfilling. Lying down after eating or brushing teeth immediately may worsen nausea.
Question 5 of 5.
The nurse is preparing to measure the fundal height of a client at 16 gestational weeks. The nurse should prepare the client for this assessment by instructing the client to
A. lay in a side-lying position with the knees bent.
B. prepare for the insertion of an intravenous (IV) catheter.
C. not to eat or drink two hours after this assessment.
D. empty their bladder.
Explanation: An empty bladder ensures accurate fundal height measurement by reducing interference from a full bladder.
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