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Maternity NCLEX questions & answers 100%.
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Maternity NCLEX questions & answers100%.
What is the Kleihauer-Betke ("KB") test and when is it used? ANS - 1. Used to measure the amount of
fetal hemoglobin transferred from a fetus to a mother's bloodstream.
2. Used to detect transplacental hemorrhage (TPH)
A client has an extremely high quantitative HCG level. What could the reason be? Select all that apply.
a. impending misscarriage
b. multi gestation preg
c. hydatiform mold
d. Rh sensitivity
e. hyperemesis gravidarum ANS - a. c. e.
High levels of HCG can be seen in a muli gestation preg, hydatiform mole, or hyperemesis gravidarum.
A maternal serum alpha-fetoprotein level is drawn and is high. What should be looked for? Select all
that apply.
a. down syndrome
b. multiple gestation
c. neural tube defects
d. trisomy 18
e. cystic fibrosis ANS - b. multigestation
c. neural tube defects
A 24-hour urine collection is done for what reason in a pregnant woman? ANS - To check protein levels
in pregnancy-induced hypertension
What is tested for in TORCH titer? ANS - In TORCH titer, toxoplasmosis, other (syphilis, parvovirus B19,
and Varicella virus), rubella, cytomegalovirus, and herpes simplex are tested for.
, A positive contraction stress test involves what?
a. FHR acc-cells during contractions
b. FHR d-cells without contractions in 20 minutes
c. FHR acc-cells with contractions
d. FHR acc-cells without contractions in 20 minutes ANS - A positive CST is having fetal heart rate
decelerations without contractions. This is also called a "non-reassuring contraction stress test".
A client is being evaluated and treated for preterm labor. What are the various interventions to be used
in this situation? Select all that apply.
a. tocolytic therapy
b. glucocorticoids for lung materity
c. IV mannitol
d. GBS evaluation
e. Ambulation ad lib
f. external fetal monitoring ANS - A.b.d.f.
A client with preterm labor can have tocolytic therapy, IV glucocorticoids, Group B strep testing,
restictions on ambulation and external fetal monitoring to evaluate for the presence of contractions.
What is the number one cause of neonatal death?
a. GBS infection
b. Preterm birth
c. congenital anomalies
d. chromosomal defects ANS - B. sixty to eighty five percent of all neonatal death is related to preterm
birth
Tocolytic therapy is ordered for a 32 week gestation woman. What tocolytics might be used? Select all
that apply,
a. IV glucocorticoids
b. subcutaneous terbutaline
c. magnesium sulfate IV
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