NCLEX - MATERNITY Day1

Which lifestyle changes should the nurse recommend to reduce heartburn during pregnancy?

• Avoid intake of dairy products
• Drink large amounts of fluid with meals
• Eat several small meals each day
• Eliminate fried, fatty foods
• Lie down on the left side after meals

Client post forceps-assisted vaginal birth reports severe vaginal pain and fullness. Fundus is firm and midline with scant lochia rubra. What is the most likely cause?

• Uterine atony
• Vaginal hematoma
• Cervical lacerations
• Inversion of the uterus
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Which client findings in a prenatal clinic require further assessment?

• Client at 9 weeks gestation with a 2 lb weight gain
• Client at 15 weeks with headaches relieved by acetaminophen
• Client at 19 weeks with bleeding gums
• Client at 20 weeks with increase in diastolic BP by 15 mm Hg
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Which statement indicates correct understanding of breastfeeding technique?

• I will feed my baby for 5–10 minutes on each breast
• I will hold my baby on their back with the head turned toward my breast
• If I need to reposition my baby's latch, I will use my finger to break the suction first
• The baby's mouth should grasp only the nipple without the areola
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Post-cesarean client is restless, tachycardic, and dyspneic. What is the priority?

• Obtain pulse oximetry
• Offer PRN pain medication
• Check legs for warmth and redness
• Teach breathing and relaxation techniques
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Client at 8 weeks reports morning sickness. Most appropriate nurse response?

• Consume hot foods
• Drink 2 glasses of water with each meal
• Consume a dry, high-carbohydrate snack
• Tell client nausea will pass in a few weeks
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Which vaccines are safe during pregnancy at 30 weeks gestation?

• Influenza injection
• Influenza nasal spray
• Measles, mumps, rubella
• Tetanus, diphtheria, pertussis
• Varicella

Signs of magnesium sulfate toxicity in client receiving therapy at 37 weeks gestation?

• Absent patellar reflex
• Blood pressure of 156/84 mm Hg
• Client voiding 600 mL in 8 hours
• Respiratory rate of 10/min
• Somnolence

Which recommendations help a pregnant client with constipation from iron supplements?

• Consume dairy products with iron pills
• Continue daily moderate exercise
• Increase intake of whole grain foods
• Limit coffee to 3 cups daily
• Take stimulant laxatives daily

Which nurse statement about molar pregnancy needs correction?

• A uterine evacuation procedure is the typical treatment for removing the abnormal tissue
• I can provide you with resources for coping with the perinatal loss if needed
• You may start trying to conceive again as soon as you and your partner feel ready
• You will need Rh immune globulin following a molar pregnancy because you have an Rh-negative blood type
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