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Saunders NCLEX-RN Exam (5th Ed.) - Maternity Nursing questions with answers.
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Saunders NCLEX-RN Exam (5th Ed.) -Maternity Nursing questions with
answers.
A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing instructor
asks the student specifically to describe the process through the umbilical cord. Which of the following
statements from the student is correct? ANS - "The two arteries in the umbilical cord carry
deoxygenated blood & waste products away from the fetus to the placenta."
A nursing student is assigned to care for a client in labor. A nursing instructor asks the student to
describe fetal circulation, specifically the ductus venous. The nursing instructor determines that the
student understands fetal circulation if the student states that the ductus venous: ANS - Connects the
umbilical vein to the inferior vena cava.
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it can be
determined. The nurse understands that he client should be able to find out at 12 weeks' gestation
because by the end of the twelfth week: ANS - The sex of the fetus can be determined by the
appearance of the external genitalia.
A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes that the fetal
heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing action is to: ANS -
Notify the physician.
A nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks
why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that the reason for this
is that it: ANS - Promotes the fertilized ovum's normal implantation in the top portion of the uterus.
A nursing instructor is reviewing the menstrual cycle with a nursing student who will be conducting a
prenatal teaching session. The instructor asks the student to describe the follicle-stimulating hormone
(FSH) & the luteinizing hormone (LH). The student accurately responds by stating that: ANS - FSH & LH
are released from the anterior pituitary gland.
,A couple comes to the family planning clinic & asks about sterilization procedures. Which question by
the nurse would determine if this method of family planning would be appropriate? ANS - "Do you plan
to have any other children?"
A nurse should explain which of the following to a pregnant client found to have a gynecoid pelvis? ANS
- That her type of pelvis is the most favorable for labor & birth.
A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse
determines that the client understands some of these purposes when the client states that the placenta:
ANS - Is the way the baby gets food & oxygen.
A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student
responds correctly by stating that which of the following are functions of amniotic fluid: ANS - * Allows
for fetal movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse
measures the fundal height in centimeters & expects the finding to be which of the following? ANS - 30
cm
A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The
client has a healthy 5-year-old child who was delivered at 38 weeks & tells the nurse that she does not
have a Hx of any type of abortion or fetal demise. The nurse would document the GTPAL for this client
as ANS - G=2, T=1, P=0, A=0, L=1
A pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the nurse that
she is experiencing irregular contractions, & the nurse determines that she is experiencing Braxton Hicks
contractions. Based on this finding, which nursing action is appropriate? ANS - Inform the client that
these contractions are common & may occur throughout the pregnancy.
A nurse is providing instructions to a pregnant client with genital herpes about the measures that are
needed to protect the fetus. The nurse tells the client that: ANS - A cesarean section will be necessary if
vaginal lesions are present at the time of labor.
, A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The
physician has documented the presence of Goodell's sign. The nurse determines that this sign indicates:
ANS - A softening of the cervix.
A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that the first day of
her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the nurse determines the estimated
date of confinement is: ANS - July 26, 2013
A nurse-midwife is assessing a pregnant client for the presence of ballottement. To make this
determination, the nurse-midwife does which of the following? ANS - Initiates a gentle upward tap on
the cervix.
A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus move. The
nurse responds by telling the mother that fetal movements will be noted between which of the
following weeks of gestation? ANS - 16 & 20
A nurse is performing as assessment of a primigravida who is being evaluated in a clinic during her
second trimester of pregnancy. Which of the following indicates an abnormal physical finding that
necessitates further testing? ANS - Fetal heart rate of 180 beats / min
A nurse is assisting in performing an assessment on a client who suspects that she is pregnant & is
checking the client for probable signs of pregnancy. Which of the following are probable signs of
pregnancy. ANS - * Ballotement
* Chadwicks sign
* Uterine enlargement
* Braxton Hick's contractions/
A nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. The nurse
tells the client that: ANS - An informed consent needs to be signed before the procedure.
A pregnant client in the first trimester calls nurse at a health care clinic & reports that she has noticed a
thin, colorless vaginal drainage. The nurse should make which assessment to the client? ANS - "The
vaginal discharge may be bothersome, but is a normal occurrence."
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