NCLEX RN Maternity Questions
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Question 1 of 5.
The nurse is managing care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client?
A. Oxygen saturation monitoring every half hour.
B. Supine positioning on back, if it is comfortable.
C. Anesthesia/pain level assessment every 30 minutes.
D. Vaginal bleeding, ROM assessment every shift.
Explanation: Regular assessment of anesthesia/pain levels is critical to ensure the client's comfort and to adjust pain management strategies as labor progresses. Oxygen saturation monitoring is not typically required every half hour unless specific complications arise. Supine positioning can cause supine hypotensive syndrome and is generally avoided. Vaginal bleeding and rupture of membranes (ROM) assessments are important but typically performed more frequently than every shift during active labor.
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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