MATERNITY NURSING NCLEX EXAM 1 LATEST 2024/2025 WITH 75 Q&A’S WITH RATIONALES GUARANTEED PASS | RATED A+

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MATERNITY NURSING NCLEX EXAM 1 LATEST 2024/2025 WITH 75 Q&A’S WITH RATIONALES GUARANTEED PASS | RATED A+ 1. 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? o A. Endometritis o B. Endometriosis o C. Salpingitis o D. Pelvic thrombophlebitis Correct Answer: A. Endometritis Endometritis is an infection of the uterine lining and can occur after prolonged rupture of membranes. Symptoms include swelling of the abdomen, abnormal vaginal bleeding or discharge, fever, discomfort with bowel movement, and pain in the lower abdomen or pelvic region.  Option B: Endometriosis does not occur after a strong labor and prolonged rupture of membranes. It is a painful disorder in which tissue similar to the tissue that normally lines the inside of the uterus grows outside of the uterus.  Option C: Salpingitis is a tubal infection and could occur if endometritis is not treated. It is an inflammation of the fallopian tubes caused by bacterial infection.  Option D: Pelvic thrombophlebitis involves a clot formation, but it is not a complication of prolonged rupture of membranes. It is an extremely rare condition that occurs after delivery when an infected blood clot, or thrombus, causes inflammation in the pelvic vein. 2. 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?  A. The ultrasound will help to locate the placenta.  B. The ultrasound identifies blood flow through the umbilical cord.  C. The test will determine where to insert the needle.  D. The ultrasound locates a pool of amniotic fluid. Correct Answer: B. The ultrasound identifies blood flow through the umbilical cord. Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating a pool of amniotic fluid, and showing the physician where to insert the needle. Color Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A routine ultrasound does not accomplish this.  Option A: As early as 10 weeks, the placenta can be detected by an ultrasound. The normal placenta is discoid with uniform echogenicity and rounded margins. It is usually located along the anterior or posterior uterine walls, extending into the lateral walls.  Option C: Ultrasound is done before and during amniocentesis to ensure that the needle can safely pass through the walls of the abdomen and womb.  Option D: The sample of amniotic fluid is removed through a fine needle inserted into the uterus through the abdomen, under ultrasound guidance. 3. 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?  A. Calcium gluconate  B. Protamine sulfate  C. Methylergonovine (Methergine)  D. Nitrofurantoin (Macrodantin) Correct Answer: B. Protamine sulfate Protamine sulfate is a heparin antagonist given intravenously to counteract bleeding complications caused by heparin overdose.  Option A: Calcium gluconate is the calcium salt of gluconic acid, an intravenous medication used to treat conditions arising from calcium deficiencies such as hypocalcemic tetany and hypocalcemia.  Option C: Methylergonovine is used to prevent or treat bleeding from the uterus that can happen after childbirth or an abortion.  Option D: Nitrofurantoin is used to treat urinary tract infections. It is an antibiotic that works by killing bacteria that cause infection. [Show More]

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