Maternal NCLEX Questions
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Question 1 of 5.
The nurse is teaching the postpartum client, who is breastfeeding, about returning to sexual activity after vaginal delivery. Which statement should the nurse include?
A. “Orgasm may decrease the amount of breast milk you produce.â€
B. “You may need to use lubrication when resuming sexual intercourse.â€
C. “You should not have sexual intercourse until two months postpartum.â€
D. “Your HCP will let you know when you can resume sexual activity.â€
Explanation: Oxytocin is released when the client has an orgasm and may cause breast milk to leak or squirt from the breasts. The production of breast milk may increase, not decrease. The nurse should inform the client that she may need lubrication with sexual intercourse because the low estrogen levels in the early postpartum period causes vaginal dryness. Women should refrain from sexual intercourse until lochia has ceased, which usually takes about 3 weeks. There is no need to wait two months if the lochia has ceased. The client's HCP does not need to give approval to return to sexual activity.
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?