Maternal Newborn NCLEX RN Questions
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Question 1 of 5.
Extract:The nurse in the emergency department is caring for a 37-year-old female client. • History and Physical 0830: A 37-year-old nulliparous woman at 36 weeks gestation presents to the emergency department with complaints of severe headache, blurred vision, and upper abdominal pain. She reports feeling generally unwell and fatigued for the past 24 hours. Her pregnancy has been uncomplicated until now, with consistent prenatal care. On arrival, her vital signs are: blood pressure 160/100 mmHg, heart rate 88 bpm, respiratory rate 20 breaths per minute, temperature 98.6°F (37°C), and oxygen saturation 98% on room air. Physical exam reveals mild lower extremity edema and no signs of trauma. Fetal monitoring shows a baseline heart rate of 150 bpm with moderate variability, no accelerations, and no decelerations. The client has no uterine contractions. Orders 0830 • Complete Blood Count (CBC) • Comprehensive Metabolic Panel (CMP) • Urinalysis (UA) • Continuous Fetal Monitoring
The nurse is waiting for the laboratory data to arrive in the client's electronic health record, but suspects that the client is experiencing preeclampsia.For each laboratory test, indicate whether the result will likely be increased or decreased in the pregnant client with preeclampsia.Each row must have one (1) response option selected.
| Description | Options |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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Explanation: In clients with preeclampsia, a series of physiological events is grounded in a reduction in perfusion. This includes an elevation of the liver enzymes, LDH, AST, and ALT. Reduced kidney perfusion decreases the glomerular filtration rate and can lead to degenerative glomerular changes and oliguria, manifested by increased blood urea nitrogen (BUN) and creatinine levels. The platelet count decreases as a result of the hemodilution present in pregnancy, as well as an increase in hemolysis. The elevated rate of platelet destruction is caused by the increase in the size of the spleen and its rate of platelet destruction from a higher blood volume that accompanies pregnancy.
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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