Maternity Nursing NCLEX Challenge Exam Quiz

Maternity Nursing NCLEX Challenge Exam (Quiz

#1: 75 Questions)

5.0 (1 review) Terms in this set (75) Science MedicineObstetrics Save A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?

• Endometritis
• Endometriosis
• Salpingitis
• Pelvic thrombophlebitis
• Endometritis

A client at 36 weeks gestation is scheduled for a routine ultrasound prior to amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?

• The ultrasound will help to locate

the placenta.

• The ultrasound identifies blood

flow through the umbilical cord.

• The test will determine where to

insert the needle.

• The ultrasound locates a pool of

amniotic fluid.

• The ultrasound identifies blood flow through the

umbilical cord.While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the nurse expect to administer if the client develops complications related to heparin therapy?

• Calcium gluconate
• Protamine sulfate
• Methylergonovine (Methergine)
• Nitrofurantoin (Macrodantin)
• Protamine sulfate

When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following?

• Turn the neonate every 6 hours
• Encourage the mother to

discontinue breastfeeding.

• Notify the physician if the skin

becomes bronze in color.

• Check the vital signs every 2 to 4

hours.

• Check the vital signs every 2 to 4 hours.

A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?

• Back
• Abdomen
• Fundus
• Perineum
• Perineum

The nurse is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the

instructions when she says:

• "Nausea and vomiting can be

decreased if I eat a few crackers before rising."

• "If I start to leak colostrum, I

should cleanse my nipples with soap and water."

• "If I have a vaginal discharge, I

should wear nylon underwear."

• "Leg cramps can be alleviated if I

put an ice pack on the area."

• "Nausea and vomiting can be decreased if I eat

a few crackers before rising." Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. By this time, the nurse expects that the phase of postpartum psychological adaptation that the client would be in would be termed which of the following?

• Taking in
• Letting go
• Taking hold
• Resolution
• Taking hold