Maternal NCLEX Practice Questions
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Question 1 of 5.
The postpartum client is being discharged to home with a streptococcal puerperal infection. The client is taking antibiotics but asks the nurse what precautions she should take at home to prevent spreading the infection to her husband, newborn, and toddler. Which is the best response by the nurse?
A. “No precautions are necessary since you are taking antibiotics.â€
B. “You should always wear a mask when caring for your newborn and toddler.â€
C. “Wash your hands before caring for your children and after toileting and perineal care.â€
D. “Your husband should provide all cares for both children until your infection is gone.â€
Explanation: The course of an endometrial infection is approximately 7 to 10 days, and thus standard precautions should be in place for that period of time even if the client has started antibiotics. Puerperal infections are not spread by droplets, and thus a mask is not necessary. Other than hand hygiene, no additional precautions need to be taken by the client in her home. The client is able to provide cares for her children, but hand washing is required before cares.
Question 2 of 5.
On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?
A. Multipara
B. Primipara
C. Primigravida
D. Multigravida
Explanation: A primigravida is a woman pregnant for the first time, which matches the client's status of being possibly 2 months pregnant with no prior pregnancies.
Question 3 of 5.
Which assessment finding best represents a positive sign of pregnancy?
A. Palpable fetal outline
B. Blotchy tan facial skin
C. Positive pregnancy test
D. Fetal heartbeat
Explanation: A fetal heartbeat, detected by Doppler or ultrasound, is a positive sign of pregnancy, as it directly confirms the presence of a living fetus.
Question 4 of 5.
Before the pelvic examination, which intervention by the nurse is most appropriate?
A. Give the client an enema.
B. Instruct the client to urinate.
C. Shave the client's perineum.
D. Give the client a mild sedative.
Explanation: Instructing the client to urinate ensures a comfortable examination by emptying the bladder, which can interfere with pelvic assessment.
Question 5 of 5.
The nurse responds that, for clients with uncomplicated pregnancies, it is usually best to plan monthly visits for the first 28 weeks and then more frequent visits following which schedule?
A. Weekly for the remainder of the pregnancy
B. Every 2 weeks for the remainder of the pregnancy
C. Every 2 weeks up to 36 weeks, then weekly for the last month
D. Weekly up to 36 weeks, then twice weekly for the last month
Explanation: Standard prenatal care involves monthly visits until 28 weeks, biweekly until 36 weeks, and weekly thereafter for uncomplicated pregnancies.
Related Questions
The nurse includes which topic in the prenatal education plan for a first-time mother?
Which response by the nurse addresses the client's anxiety about childbirth?
Which sign of labor should the nurse teach the client to report immediately?
Which instruction should the nurse provide about postpartum recovery?