©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
MATERNITY NCLEX QUESTIONS
WITH 100% CORRECT ANSWERS
Which of the following maternal factors may decrease fetal oxygenation? Select all that
apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural - ✔️✔️A. Asthma
C. Hypertension
D. Epidural
A 25 year old female is 25 weeks pregnant. she has had one previous pregnancy at 35
weeks and the baby is now 2 years old. she has no history of abortion - ✔️✔️G=2, T=0,
P=1, A= 0, L=1
So I think the answer would be
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,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
G=2, T=0, P=1, A= 0, L=1
More complete description of pregnancy outcomesGTPALG-gravidaT-term>37 weeksP-
preterm <37 weeksA-abortions (SAB or TAB)L- living children
2. A woman is 37 weeks pregnant and experiencing contractions lasting an average of
35 seconds with varying frequency, her last ones being 12 minutes apart, 8 minutes
apart and then 25 minutes. She is 2 cm dilated, her physician would explain that she is
in the .... - ✔️✔️1st Stage, latent phase of labor
Rationale:
1st stage: (latent) frequency 5-30 minutes, duration 30-40seconds, dilation 0-3cm
( active) frequency 3-5 minutes, duration 40-70 seconds, dilation 4-7cm
(transition) frequency 2-3 minutes, duration, 45-90 seconds, 10 cm dilated
Second stage: full dilation, progresses to contractions every 1-2 minutes
Third stage: delivery of the neonate
fourth stage: delivery of the placenta
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,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Which of the following are maternal changes during pregnancy? (select all that apply)
A. Decreased cardiac output
B. Increased clotting factors
C. Decreased lung volume
D. Skin color changes that should return to normal after pregnancy
E. Supine hypertensive syndrome - ✔️✔️Answers: B, C, D
A is incorrect because cardiac output increases with the 30% increased blood volume to
compensate for blood loss during birth and to provide fetus with nutrient. E is incorrect
because pregnant women develop supine hypotension syndrome (vena caval
syndrome), from baby putting pressure on the inferior vena cava.
A pregnant woman who is in her late 3rd trimester called her primary care provider
complaining of contractions. Which of the following indicates that the patient is
experiencing true labor? Select all that apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long
C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart - ✔️✔️Answer B,C,D
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, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Rational: True labor is regular, location is back to front, and the duration remains
constant. Cervical change is a true indicator of labor.
A pregnant women presents to her doctors office with nausea, vomiting, and sharp
abdominal pain. The doctor suspects an ectopic pregnancy. What would her HCG levels
look like?
HCG level slowly declining over 48 hours
HCG level rising but not doubling appropriately in 48 hours
HCG level drastically drops within 24 hours
No HCG hormone detected - ✔️✔️Answer B
Rational: HCG levels would still rise because the fertilized ovum is still secreting HCG
even though it is in the wrong place. The HCG level would decline over 48 hours if their
was a spontaneous abortion/loss.
Janine is a 34-year-old female who is 36 weeks pregnant with fraternal twins, has two
living children that are also fraternal twins and now 4 years old, that she delivered at 36
weeks via c-section. She had a therapeutic abortion at 23 years old and spontaneously
aborted during her second pregnancy at 27 years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
B.) G=4, T=1, P=0, A=2, L=2
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