Twenty-four hours after the birth of her first child, the 25-year-old

Free NCLEX Maternity Questions

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Question 1 of 5.

Twenty-four hours after the birth of her first child, the 25-year-old single client tells the nurse that she has several different male sex partners and asks the nurse to recommend an appropriate birth control method for her. Considering her lifestyle, which method of birth control should the nurse suggest?

A. An intrauterine device (IUD)

B. Depot-medroxyprogesterone acetate injections

C. A female condom with nonoxynol-9

D. A diaphragm

Explanation: IUDs offer no protection against STIs. They are recommended for women who are in a stable, mutually monogamous relationship. Depot-medroxyprogesterone acetate (Depo-Provera) is a long-acting progestin that is highly effective for birth control. A single injection will provide contraception for 3 months but does not offer protection against STIs. A female condom does provide protection against some of the pathogens that cause STIs, and it would be readily available over the counter. A diaphragm offers no protection against STIs.

Question 2 of 5.

To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.

A. Swimming in chlorinated water

B. Sitting in hot tubs

C. Wearing boxer shorts

D. Wearing colored underwear

E. Smoking cigarettes

F. Refraining from strenuous exercise

Explanation: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.

Question 3 of 5.

Which response by the nurse about Chadwick's sign is most accurate?

A. It's a bluish discoloration of the cervix, vagina, and vulva that occurs as a result of the presence of an increased number of blood vessels.

B. It's a softening of the cervix that occurs because of an increased amount of blood flowing to the reproductive organs.

C. It's a dark brown line extending from the umbilicus to the symphysis pubis that occurs as a result of hormonal changes.

D. None of the above

Explanation: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.

Question 4 of 5.

Using Naegele's Rule, the nurse can assume the client's expected delivery date to be approximately which date?

A. 13-Nov

B. 23-Nov

C. 3-Dec

D. 20-Dec

Explanation: Naegele's Rule: Subtract 3 months from the first day of the last menstrual period (March 13) and add 7 days, resulting in December 3.

Question 5 of 5.

Which fetal heart rate must the nurse report immediately to the physician?

A. 100 beats/minute

B. 120 beats/minute

C. 140 beats/minute

D. 160 beats/minute

Explanation: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.