NCLEX Practice Questions Maternal Newborn
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Question 1 of 5.
The nurse is preparing a 3-day-old infant for discharge from the hospital. When checking the record for completeness, the nurse checks to see that the infant has had which of the following?
A. DTP and polio immunizations
B. MMR immunization and tuberculin test
C. Pneumococcal vaccine and HIV test
D. Hepatitis B vaccine and PKU test
Explanation: Newborns typically receive the hepatitis B vaccine and a PKU test before discharge.
Question 2 of 5.
The nurse is caring for an adult woman who had a vaginal hysterectomy today. The client is now returned to the nursing care unit following an uneventful stay in the postanesthesia care unit. What is the priority nursing action for this client?
A. Offer her the bedpan.
B. Encourage coughing and deep breathing.
C. Immediately administer pain medication.
D. Assess chest tubes for patency.
Explanation: Coughing and deep breathing are critical post-hysterectomy to prevent respiratory complications like atelectasis or pneumonia.
Question 3 of 5.
The nurse is caring for a woman after insertion of radium rods for treatment of cancer of the cervix. The nurse positions her in a supine position with legs extended for which reason?
A. To keep the rods in the correct position
B. To prevent the urinary bladder from becoming overdistended
C. To reduce pressure on the pelvic and back areas
D. To limit the amount of radiation exposure
Explanation: The supine position with legs extended helps maintain the correct placement of radium rods for effective treatment.
Question 4 of 5.
A client asks the nurse the difference between an intrauterine device (IUD) and a diaphragm. The nurse's response should be based on which information?
A. The diaphragm is inserted into the uterine cavity, and the IUD covers the cervix.
B. The IUD is 97% effective, and the diaphragm is 50% effective.
C. The IUD is placed into the uterine cavity by the doctor, and the diaphragm is placed into the vagina each time by the user.
D. The IUD must be used with contraceptive jelly, and the diaphragm does not require contraceptive jelly.
Explanation: The IUD is inserted into the uterus by a physician, while the diaphragm is user-inserted into the vagina before intercourse.
Question 5 of 5.
The physician prescribes clomiphene (Clomid) for a woman who has been having difficulty getting pregnant. When discussing this drug with the woman, the nurse should know that which of the following is known to be a side effect of clomiphene?
A. Infertility
B. Multiple births
C. Vaginal bleeding
D. Painful intercourse
Explanation: Clomiphene stimulates ovulation, increasing the risk of multiple births as a side effect.
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