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Nclex Questions For Maternal And Child Nursing 1(exam Mode) By Rnpedia.com

30 Questions  I  By Rnpedia
NCLEX Questions for Maternal and Child Nursing 1(Exam Mode) by RNpedia.com
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1.  A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? 
A.
B.
C.
D.
2.  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: 
A.
B.
C.
D.
3.  A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense: 
A.
B.
C.
D.
4.  A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in?
A.
B.
C.
D.
5.  A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond? 
A.
B.
C.
D.
6.  A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response? 
A.
B.
C.
D.
7.  While the client is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse’s most appropriate action?
A.
B.
C.
D.
8.  A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several cloth. What is the primary nursing diagnosis for this patient? 
A.
B.
C.
D.
9.  Nurse Julia plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan? 
A.
B.
C.
D.
10.  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?
A.
B.
C.
D.
11.  Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision? 
A.
B.
C.
D.
12.  Normal lochial findings in the first 24 hours post-delivery include: 
A.
B.
C.
D.
13.  The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time? 
A.
B.
C.
D.
14.  While the postpartum client is receiving herapin for thrombophlebitis, which of the following drugs would the nurse Mica expect to administer if the client develops complications related to heparin therapy?
A.
B.
C.
D.
15.  Immediately after a delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which factors determine the type of molding? 
A.
B.
C.
D.
16.  For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied? 
A.
B.
C.
D.
17.  A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform: 
A.
B.
C.
D.
18.  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?
A.
B.
C.
D.
19.  Because cervical effacement and dilation are not progressing in a patient in labor, Dr. Smith orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? 
A.
B.
C.
D.
20.  A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? 
A.
B.
C.
D.
21.  Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss? 
A.
B.
C.
D.
22.  A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? 
A.
B.
C.
D.
23.  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? 
A.
B.
C.
D.
24.  After 3 days of breast-feeding, a postpartal patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she: 
A.
B.
C.
D.
25.  When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
A.
B.
C.
D.
26.  Which of the following would the nurse Sandra most likely expect to find when assessing a pregnant client with abruption placenta? 
A.
B.
C.
D.
27.  After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Which is most likely to occur? 
A.
B.
C.
D.
28.  The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?
A.
B.
C.
D.
29.  Thirty 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 postpartal psychological adaptation that the client would be in would be termed which of the following? 
A.
B.
C.
D.
30.  A female adult patient is taking a progestin-only oral contraceptive, or minipill. Progestin use may increase the patient’s risk for: 
A.
B.
C.
D.
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