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MATERNITY AND PEDIATRICS NCLEX PN REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNITY AND PEDIATRICS NCLEX PN REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNITY AND PEDIATRICS NCLEXPN REVIEW QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
GTPAL acronym - ANSWER G = Gravidity (number of pregnancies)
T = Term (number born after 37 weeks)
P = Preterm (number born before 37 weeks)
A = Abortions/Miscarriages
L = live births (number of living children)
A nurse is collecting data from a client who is pregnant with triplets. The client also has a 3-year-old child
who was born at 39 weeks gestation. The nurse should document which gravida and para status on this
client? - ANSWER Gravida II, para I
Gravida refers to a woman who is or who has been pregnant, regardless of the duration of the
pregnancy. Parity (para) is a term that means the number of births after 20 weeks gestation.
The nurse notes that the HCP has documented the presence of Goodell's sign. The nurse determines that
this sign is indicative of which change that occurs with pregnancy? - ANSWER A softening of the cervix
This occurs during the early weeks of pregnancy. The cervix becomes softer as a result of pelvic
vasoconstriction. This is found during the pelvic exam.
A primipara is being evaluated in the clinic during her second trimester of pregnancy. Which of the
following would indicate an abnormal physical finding that necessitates further testing? - ANSWER Fetal
heart rate of 180 beats per minute
The FHR depends on the gestational age. It it 160 to 170 bpm during the first trimester, and it slows with
fetal growth to approximately 120 to 160 bpm.
A client is currently 28 weeks gestation. At her prior prenatal visit, her fundal height measured 22 cm.
The nurse measures the fundal height at this visit in cm and should expect which finding? - ANSWER 26
cm
During the second and third trimesters, the fundal height in cm approximately equals the fetus' age in
weeks plus or minus 2 cm.
, Which are the probable signs of pregnancy that the nurse should note? - ANSWER - Ballottement
- Chadwick's sign
- Uterine enlargement
- Braxton Hicks contractions
The client is undergoing an amniocentesis at 16 weeks gestation to detect the presence of biochemical
or chromosomal abnormalities. Which instructions should the nurse reinforce to the client? - ANSWER
The bladder must be full during the exam.
Before 20 weeks gestation, the bladder must be kept full to support the weight of the uterus.
A contraction stress test is scheduled for the client. The woman asks the nurse about the test. Which
response describes the most accurate description of the test? - ANSWER "The uterus is stimulated to
contract by either small amounts of oxytocin or by nipple stimulation."
A contraction stress test assesses placental oxygenation and function and determines the fetus's ability
to tolerate labor, as well as its well-being.
The nurse is talking to a pregnant client with HIV infection regarding care for the newborn after delivery.
The client asks the nurse about the feeding options that are available. Which response should the nurse
make to the client? - ANSWER "You will need to bottle-feed your newborn."
Transmission of HIV can occur in the postpartum period if the mother is breastfeeding. Clients who have
HIV are advised not to breastfeed.
During a prenatal visit, the nurse is explaining dietary management to a client with DM. The nurse
determine that the teaching has been effective when the client makes which statement? - ANSWER "I
need to increase the fiber in my diet to control my blood glucose and prevent constipation."
A client in her second trimester complains of frequent low back pain and ankle edema at the end of the
day. The nurse should recommend which measure to help relieve both discomforts? - ANSWER Lie on
the floor with the legs elevated onto a couch or padded chair, with the hips and knees at a right angle.
This position will produce the posture of the pelvic tilt while countering gravity as the force that leads to
the edema of the lower extremities.
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