Module 5 NCLEX Questions

Module 5 NCLEX Questions 1.Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse checks which important client parameter?A.Temperature B.Lochial Flow C.Urine Output D.Blood Pressure 2.A pregnant client asks the nurse about the hormone that stimulates postpartum contractions. The nurse tells the client that which primary hormone stimulates postpartum contractions?A.Prolactin B.Oxytocin C.Progesterone D.Testosterone 3.The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likely day for ovulation in a 30-day menstrual cycle is which day?A.Day 14 B.Day 16 C.Day 18 D.Day 28 4.The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormones identified by the student indicate an understanding of the hormones produced by this endocrine gland? Select all that apply.A.Oxytocin B.Estrogen C.Progesterone D.Luteinizing Hormone E.Follicle-Stimulating Hormone F.Thyroid-Stimulating Hormone 5.The nurse-midwife is conducting a session on the process of conception with a group of nursing students. Which statements reflect that the nursing students understand the process of conception? Select all that apply.A."Fertilization occurs in the outer third of the fallopian tube." B."Only 1 sperm will penetrate the ovum to produce fertilization." C."The pre-embryonic period is defined as the first 8 weeks of gestation." D."Implantation occurs in the anterior or posterior fundal region of the uterus." E."The ovary produces hormones to maintain the pregnancy before placental development." 6.The nursing student is conducting a clinical conference regarding the hormones that are related to pregnancy, and the instructor asks the student about the function of progesterone. Which response made by the student indicates an understanding of the function of this hormone? Select all that apply.A."It is the primary hormone of milk production." B."It maintains the uterine lining for implantation."

Module 5 NCLEX Questions C."It softens the muscles and joints of the pelvis." D."It relaxes all smooth muscle, including the uterus." E."It increases during pregnancy to stimulate the basal metabolic rate." 7.The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for further teaching in this area? Select all that apply.A.Luteal Phase B.Ovulatory Phase C.Secretory Phase D.Proliferative Phase E.Preovulatory Phase 8.Which should be included in the plan of care for a pregnant teenager to reinforce instructions regarding dental care?A.Tell the dental office staff that she is pregnant.B.Avoid the use of local anesthetics during dental work.C.Use toothpaste with baking soda to decrease plaque buildup.D.Expect to lose at least one tooth because of calcium and phosphorus leaving the teeth to nourish the fetus.

9.The nurse is providing information to a pregnant woman about food items high in folic acid. Which mid-afternoon snack should be recommended to supply folic acid?A.1½ cups of yogurt B.One medium banana C.Nuts and green, leafy vegetables D.1 cup milk with two graham crackers

• A client beginning week 30 of gestation comes to the clinic for a routine visit.

Which observation by the nurse indicates a need for further teaching?A.The client is wearing pantyhose.B.The client is wearing nonslip shoes.C.The client is wearing knee-high hose.D.The client is wearing shoes with arch supports.

11.A second-day postpartum client diagnosed with a stable cardiac condition has scant lochia with a foul odor and a temperature of 102.2° F. The primary health care provider suspects infection and writes prescriptions to treat the client.Which prescription written by the primary health care provider should the nurse implement first?A.Administer prescribed antibiotic.B.Increase the intake of oral fluids.C.Obtain culture and sensitivity of lochia and urine.D.Reassess the client's temperature in 30 minutes.

12.The nurse is asked to assist the primary health care provider in performing Leopold's maneuvers on a client. Which nursing intervention should be implemented before this procedure is performed?A.Locate fetal heart tones.B.Warm the sonogram gel.C.Have the client empty her bladder.D.Have the client drink 8 ounces of water.

Module 5 NCLEX Questions 13.The nurse is assigned to care for a client in the immediate postpartum period who received epidural anesthesia for delivery, and the nurse monitors the client for complications. Which assessment finding most likely indicates a hematoma?A.Changes in vital signs B.Signs of heavy bruising C.Complaints of a tearing sensation D.Complaints of lower abdominal discomfort 14.The nurse is assisting in developing a plan of care for a client in the fourth stage of labor who received an epidural. Which statement by the mother is most likely to occur at this time related to her birth experience?A."I do not feel any urges yet to empty my bladder." B."I feel very anxious about my childbirth experience." C."I am experiencing a lot of pain and feel the need to push." D."I am very tired from the physical exertion I experienced during labor." 15.The nurse is caring for a woman who has delivered a baby after a pregnancy complicated with placenta previa. Which complication is the client most at risk for developing?A.Coagulopathy B.Postpartum infection C.Chronic hypertension D.Postpartum hemorrhage 16.The nurse is assisting in planning care for a client with a diagnosis of placenta previa. The nurse identifies which as the priority goal for the client?A.The client exhibits no signs of fetal distress.B.The client expresses an understanding of her condition.C.The client identifies and uses available support systems.D.The client demonstrates compliance with activity limitations.

17.An elective cesarean delivery is being planned for a pregnant client. The nurse is reviewing the plans for the surgery with the client. A low transverse uterine incision will be used. The client asks the nurse to explain why this approach is being used. The nurse's response is based on which premise?A.This approach requires that a vertical skin incision be made.B.This type of incision allows for extension if a larger incision is needed.C.This approach is the best choice with a placenta previa on the lower anterior uterine wall.D.This incision allows a vaginal birth after cesarean (VBAC) to be possible in a subsequent pregnancy.

18.A client arrives at the birthing center in active labor. Her membranes are still intact, and the nurse-midwife performs an amniotomy. The nurse explains to the client that this procedure will most likely have which effect?A.Less pressure on her cervix B.Increased efficiency of contractions C.Decreased number of contractions D.The need for increased blood pressure (BP) monitoring 19.A client tells the nurse her contractions are getting stronger and that she is getting tired. She appears restless, asks the nurse not to leave her alone, and states, "I can't take it anymore." Based on the client's behavior, the nurse should suspect the client is how far dilated?A.1 to 2 cm

Module 5 NCLEX Questions B.3 to 4 cm C.5 to 7 cm D.8 to 10 cm 20.The nurse is assisting in performing Leopold's maneuvers. The client asks the purpose of the procedure. How should the nurse respond to the client? Select all that apply.A."Leopold's maneuvers are used to determine fetal position." B."Leopold's maneuvers are used to determine actual fetal heart rate." C."Leopold's maneuvers are used to determine duration of contractions." D."Leopold's maneuvers are used to determine frequency of contractions." E."Leopold's maneuvers assist in determining the degree of descent into the pelvis of the presenting part." F."Leopold's maneuvers assist in determining the point of maximal intensity of the fetal heart rate on the maternal abdomen." 21.The nurse assists the nurse-midwife in examining the client. The midwife

documents the following data: cervix 80% effaced and 3 cm dilated, vertex

presentation minus (–) 2 station, membranes ruptured. The nurse anticipates that the midwife will prescribe which activity for the client?A.Up in chair B.Ambulation C.Complete bed rest D.Bathroom privileges 22.A nursing student is conducting a clinical conference regarding the hormones related to pregnancy. The instructor asks the student about the function of thyroxine. Which statements by the student indicate an understanding of this hormone? Select all that apply.A."It softens the muscles and joints of the pelvis." B."It is the primary hormone of milk production." C."It maintains the uterine lining for implantation." D."It may play a role in the neural development of the fetus." E."It increases during pregnancy to stimulate basal metabolic rate." 23.The nurse is reading the primary health care provider's (PHCP) documentation regarding a pregnant client and notes that the PHCP has documented that the client has an android pelvic shape. The nurse understands that which characteristics are included with this pelvic shape? Select all that apply.A.Oval shaped B.Heart shaped C.Straight sidewalls D.Convergent sidewalls E.Wide suprapubic arch F.Narrow interspinous diameter 24.The nurse is measuring the fundal height of a client who is at 30 weeks of gestation. In preparing to perform the procedure the nurse should take which action?A.Have the client stand for the procedure.B.Assist the client from a sitting to a right lateral position.C.Place the client in a prone position with the head of the bed elevated.D.Place the client in a supine position and place a wedge under the right hip.