NCLEX Preparation: Maternity Child Nursing

NCLEX Preparation: Maternity + Child Nursing

1.A client who has had a lumpectomy of the breast is about to undergo radiation therapy.What should the nurse’s initial action be when the client visits the surgeon’s office for the first postoperative appointment?a.Provide a protective skin lotion b.Assess the extent of wound healing c.Teach sterile technique for skin care d.Demonstrate how to dispose of urine safely 2.After a mesectomy or a hysterectomy a client may feel incomplete as a woman. Which statement should alert the nurse to this feeling in a client who has undergone a total hysterectomy?a.“I can’t wait to see all my friends again” b.“I feel washed out; there isn’t much left” c.“I’m planning to recuperate at my daughter’s house” d.“I can’t wait to get home; I so want to see my grandchild.” 3.A client whose weight was average for her height before becoming pregnant is concerned because she has gained 15 lb (8.8 kg) after only 23 weeks of pregnancy. What is the nurse’s most appropriate response?a.You have not gained enough weight. Can you increase your daily intake of calories?b.Your weight is not a concern. I’ll refer you to the dietitian who will review your diet.c.You’ve gained too much weight for 23 weeks’ gestation. Are your rings getting tight?d.Your weight is expected for someone at 23 weeks’ gestation. Continue your current diet.

4.A nurse is counseling a pregnant client who maintains a vegetarian diet. What should the nurse plan to do to ensure optimal nutrition during the pregnancy?a.Refer the client to a dietitian to help plan her daily menu b.Encourage the client to join a group that teaches nutrition c.Explain that she needs to include meat in her diet at least once a day d.Advise the client that it is unhealthy to continue a vegetarian diet during pregnancy 5.A client at 42 weeks gestation is admitted for a nonstress test. The nurse concludes that this test is being done because of what possible complication related to a prolonged pregnancy?a.Polyhydramnios b.Postpartum infection c.Subclinical gestational diabetes d.Placental insufficiency 6.During the assessment of a client in labor, the cervix is determined to be dilated 4 cm.What state of labor does the nurse record?a.First This study source was downloaded by 100000847794042 from CourseHero.com on 06-20-2022 13:24:20 GMT -05:00 https://www.coursehero.com/file/48894181/NCLEX-Preparation-Questions-for-Maternity-and-Child-Nursing-Week-2-3docx/

b.Second c.Prodromal d.Transitional 7.During labor a client begins to experience dizziness and tingling of her hands. What should the nurse instruct the client to do?a.Breathe into her cupped hands b.Pant during the next three contractions c.Hold her breath with the next contraction d.Use a fast, deep, or shallow breathing pattern 8.A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information about the client’s activities in the history indicates to the nurse that there is a need for this test?a.The client cares for a neighbour’s cat b.The client works as a dog trainer c.The client uses chemical cleaners d.The client consumes raw vegetables.

9.A female client is scheduled for a hysterectomy. While discussing the preoperative preparations, the nurse determines that the client’s understanding of the surgery is inadequate. What is the next nursing intervention?a.Notifying the surgeon that the client needs more information b.Proceeding with the preoperative plan c.Describing the proposed surgery to the client d.Explaining gently to the client that she should have asked more questions.

10.What types of lochia should the visiting nurse expect to observe on a client’s pad on the fourth day after a vaginal delivery?a.Scant alba (white) b.Scant rubra (red) c.Moderate rubra d.Moderate serosa 11.A 26-year old woman whose sister recently had a lumpectomy for breast cancer calls the local women’s health centre for an appointment for a mammogram. What guidance should the nurse provide the client in preparation for the test?a.Do not eat for 6 hours before the test b.The room will be darkened throughout the procedure c.During the procedure each breast will be compressed between two metal plates 12.As the nurse inspects the perineum of a client who is in active labor, the client suddenly turns pale and states that she feels as if she is going to faint even though she is lying flat on her back. What is the nurse’s priority intervention?a.Turn the client on her left side b.Elevate the head of the bed c.Apply oxygen via a face mask This study source was downloaded by 100000847794042 from CourseHero.com on 06-20-2022 13:24:20 GMT -05:00 https://www.coursehero.com/file/48894181/NCLEX-Preparation-Questions-for-Maternity-and-Child-Nursing-Week-2-3docx/