MATERNITY NURSING NCLEX EXAM 1 LATEST UPDATE 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?