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NCLEX Maternity Antepartum questions with answers.
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NCLEX Maternity Antepartum questionswith answers.
Reduce excessive maternal stress and fatigue. ANS - The nurse assists a pregnant client with cardiac
disease in identifying resources to help her care for her 18-month-old child during the last trimester of
pregnancy. The nurse encourages the pregnant client to use these resources primarily to accomplish
which?
Blood pressure changes and the presence of protein in the urine ANS - During a routine prenatal visit
the client states, "I have not been able to get my wedding ring off for the past 2 days. I guess the heat is
making my fingers swell." Which would the nurse check further?
Dehydration ANS - The nurse is assigned to care for a pregnant client with a diagnosis of sickle cell
anemia. The nurse plans care, knowing that which problem should receive highest priority?
"I need to gain only 10 pounds so that my baby will be small like I am." ANS - The nurse in the prenatal
clinic is taking a nutritional history from a pregnant adolescent. Which statement by the client should
alert the nurse to a potential concern regarding adequate nutritional intake during the pregnancy?
Acute anxiety and the need for support ANS - The nurse is caring for a client experiencing a partial
placental abruption. The client is uncooperative and is refusing any interventions until her husband
arrives at the hospital. The nurse analyzes the client's behavior as likely the result of which situation?
1.
Increases blood flow to the uterine vessels
2.
Stimulates development of the breast ducts
3.
Causes vascular changes in the mucous membranes of the nose and mouth ANS - The nurse is teaching
a prenatal class on the anatomy and physiology of the female reproductive system including hormones.
Estrogen produces which effects, either directly or indirectly, during pregnancy? Select all that apply.
,How to check for signs of hypoglycemia and the required treatment ANS - The nurse is assisting in
developing a teaching plan for a pregnant client with diabetes mellitus. Which instruction is the priority
for this client?
"It increases during pregnancy to stimulate basal metabolic rate." ANS - A nursing student is conducting
a clinical conference regarding the hormones related to pregnancy. The instructor asks the student
about the function of thyroxine. Which statement by the student indicates an understanding of this
hormone?
T lymphocyte levels ANS - During initial data collection of a client who is pregnant, the nurse notes that
the laboratory report shows leukopenia, thrombocytopenia, anemia, and an elevated erythrocyte
sedimentation rate. The nurse suspects human immunodeficiency virus (HIV). Which laboratory study
would further support the presence of HIV?
The feelings of guilt that is often associated with grief ANS - The nurse is providing emotional support
to a client who experienced a spontaneous abortion. The nurse can best assist the client by planning
care that focuses on which psychosocial issue?
150 beats per minute ANS - During a prenatal visit, the nurse checks the fetal heart rate (FHR) of a
client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart
rate is noted?
Prolactin ANS - The nurse is conducting a prenatal session with a group of expectant parents. The nurse
tells the parents that which hormone stimulates the secretion of milk?
Two umbilical arteries and one umbilical vein ANS - The nurse is describing the process of fetal
circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation consists
of which?
Progesterone maintains the uterine lining for implantation. ANS - The nurse is teaching a pregnant
woman about the physiological effects and hormone changes that occur in pregnancy, and the woman
asks the nurse about the purpose of progesterone. According to the nurse, what is the purpose of
progesterone?
, "I should avoid stressful situations." ANS - A client is pregnant, has a history of heart disease, and has
been instructed on care at home. Which statement by the client would indicate that she understands
her needs?
"I will tell the nurse at the hospital that I had RhoGAM during pregnancy." ANS - The client at 28 weeks'
gestation is Rh negative and Coombs antibody negative. The nurse determines that the client
understands what the nurse has taught her about Rh sensitization when the client makes which
statement?
Reducing the risk of teratogenic effects to developing fetal organs, tissues, and structures ANS - A client
who consumes alcohol frequently is in the first trimester of pregnancy. Which is the expected outcome
when the nurse initiates interventions to assist the client to cease alcohol consumption?
16 and 20 weeks' gestation ANS - A pregnant client asks the nurse in the clinic when she will be able to
start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be
noted between which weeks of gestation?
Avoid further stress on the maternal immune system. ANS - The nurse is providing health care
information to a pregnant client who is human immunodeficiency virus (HIV) positive. The nurse
instructs the client that it is important to avoid alcohol and cigarettes during pregnancy and to get
adequate rest primarily to accomplish which goal?
Lie on the floor with the legs elevated onto a couch or padded chair, with the hips and knees at a right
angle. ANS - The client is in her second trimester of pregnancy. She 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?
Fresh spinach ANS - The nurse is instructing a pregnant client on dietary sources of iron. Which client
food selection demonstrates an understanding of teaching?
Connects the umbilical vein to the inferior vena cava ANS - A nursing student is assigned to a client in
labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus
venosus. The instructor determines that the student understands the structure of the ductus venosus if
the student states which about the ductus venosus?
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