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NCLEX 3000 Maternal-Antepartum exam with complete solution 2024_2025.
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NCLEX 3000 Maternal-Antepartum exam with complete solution 2024_2025.
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NCLEX 3000 Maternal-Antepartum examwith complete solution 2024/2025
An adolescent in her first trimester of pregnancy continues to smoke cigarettes.
The client tells the nurse that she'd like to quit but she doesn't want to gain any
more weight. What should the nurse do for this client? - ANSWER-1. Review the
hazards of smoking with the client and suggest a smoking-cessation class.
The labor and delivery unit has 10 clients in varying stages of labor. Staffing for
the upcoming shift consists of four registered nurses (RNs) and one licensed
practical nurse (LPN). Which client care assignment is best? - ANSWER-The
stable clients in the early stages of labor should be assigned to the LPN.
"Which of the following nutritional instructions should the nurse provide to a 32-
year-old primigravida? - ANSWER-" 1. Caloric intake should be increased 300
cal/day. 2. Protein intake should be increased by more than 30 g/day. 5. Intake of
all minerals, especially iron, should be increased. "
The nurse is reviewing a pregnant client's nutritional status. To determine
whether she has an adequate intake of vitamin A, the nurse should check her diet
for consumption of: - ANSWER-4. dairy products"
A pregnant client in her second trimester reveals that she feels very anxious
because of a lack of knowledge about giving birth. Which intervention by the
nurse is most appropriate for this client? - ANSWER-provide her with the
information and teach her the skills she'll need to understand and cope during
A pregnant client tells the nurse that she dreads coming for her prenatal
examinations. She states, "When I see the physician, he constantly reminds me
that so many women keep weight on after having children; it really depresses
me." How should the nurse respond? - ANSWER-2. "Have you asked the
physician why he feels it's important for him to say that to you?"
,A client, 8 weeks pregnant, has a history of lactose intolerance. To prevent a
nutritional deficiency as a result of lactose intolerance, the nurse teaches her
about lactase replacement. Which teaching point is appropriate? - ANSWER-3.
Add lactase replacement drops to milk at least 24 hours before drinking it.
A client in her second trimester of pregnancy has been diagnosed with
gestational diabetes. While instructing the client about home glucose monitoring
the client states, "Why should I use this if the diabetes is going to resolve after I
have my baby anyway?" Which response by the nurse is best? - ANSWER-4. "The
monitor helps you see how your blood sugar is being controlled during your
pregnancy to help prevent complications."
A client who's 12 weeks pregnant attends a class on fetal development as part of
a childbirth education program. The nurse says that at 16 weeks' gestation, the
client's fetus will likely: - ANSWER-3. have audible heart sounds.
A client, 7 months pregnant, is admitted to the unit with abdominal pain and
bright red vaginal bleeding. Which action should the nurse take? - ANSWER-1.
Place the client on her left side and start supplemental oxygen, as ordered, to
maximize fetal oxygenation
"During a prenatal screening of a client with diabetes, the nurse should keep in
mind that the client is at increased risk for which complications? - ANSWER-1.
Still birth 3. Pregnancy-induced hypertension 5. Spontaneous abortion
The nurse uses nitrazine paper to determine whether a pregnant client's
membranes have ruptured. If the membranes have ruptured, the paper will turn
which color? - ANSWER-2. Blue
A pregnant client asks the nurse about the percentage of congenital anomalies
caused by drug exposure. How should the nurse respond? - ANSWER-1. 1%
When teaching a group of pregnant adolescents about reproduction and
conception, the nurse is correct when stating that fertilization occurs: - ANSWER-
4. in the first third of the fallopian tube.
Which of the following would the nurse expect to find as presumptive signs of
pregnancy? - ANSWER-1. Amenorrhea and quickening
, A client is admitted for an amniocentesis. Initial data collection findings include
the following: 16 weeks pregnant, vital signs within normal limits, hemoglobin
12.2 gm, hematocrit 35%, and type O-negative blood. Which action would be most
important to include in the client's plan of care after the amniocentesis has been
completed? - ANSWER-1. Administer RhoGAM.
Infertility in a 25-year-old couple is defined as: - ANSWER-3. the couple's inability
to conceive after 1 year of unprotected attempts
Which of the following functions would the nurse expect to be unrelated to the
placenta? - ANSWER-4. Production of maternal antibodies
A client with hyperemesis gravidarum is on a clear liquid diet. Which foods would
be appropriate for the nurse to serve? - ANSWER-"3. Tea and gelatin 4. Ginger ale
and apple juice 5. Cranberry juice and chicken broth "
A woman who's 10 weeks pregnant tells the nurse that she's worried about her
fatigue and frequent urination. The nurse should: - ANSWER-1. recognize these
as normal early pregnancy signs and symptoms.
A client has just expelled a hydatidiform mole. She's visibly upset over the loss
and wants to know when she can try to become pregnant again. Which of the
following would be the nurse's best response? - ANSWER-2. ""I can see that
you're upset; however, you must wait at least 1 year before becoming pregnant
again.""
A client has come to the clinic for her first prenatal visit. The nurse should
include which statement about using drugs safely during pregnancy in her
teaching? - ANSWER-4. ""Consult with your health care provider before taking
any medications.""
During her first prenatal visit, a pregnant client admits to the nurse that she uses
cocaine at least once per day. Which nursing diagnosis is most appropriate for
this client? - ANSWER-"3. Imbalanced nutrition: Less than body requirements
related to limited food intake
When questioned, a pregnant client admits she sometimes has several glasses of
wine with dinner. Her alcohol consumption puts her fetus at risk for which
condition? - ANSWER-4. Learning disability
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