OB HESI, Pediatrics HESI PN
Review, Maternity NCLEX PN
Questions and Correct Answers the
Latest Update
When talking with a pregnant client who is experiencing aching swollen, leg
veins, the nurse would explain that this is most probably the result of which of
the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus
✓ D - Explanation
✓ Pressure of the growing uterus on blood vessels results in an increased risk for
venous stasis in the lower extremities. Subsequently, edema and varicose vein
formation may occur. Thrombophlebitis is an inflammation of the veins due to
thrombus formation. Pregnancy-induced hypertension is not associated with these
symptoms. Gravity plays only a minor role with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
✓ A - Explanation
✓ A false-positive reaction can occur if the
✓ pregnancy test is performed less than 10 days after an abortion. Performing the tests
too early or too late in the pregnancy, storing the urine sample too long at room
temperature, or having a spontaneous or missed abortion impending can all produce
false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what
determines the sex of a fetus. Accurate information in response to this question
would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum."
✓ B. Explanation
✓ The sex of the fetus is determined at the point that the sperm fertilizes the ovum to
form the zygote. Sex is ultimately determined by the chromosome contributed by
the sperm.
A. Eating small, frequent meals and avoiding fatty and spicy food
B. Eating high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Sitting upright for 30 minutes after a meal
F. Engaging in regular exercise
✓ A, C, E
The nurse identifies substance abuse behaviors exhibited by a pregnant client
during an initial prenatal screening. While promoting a therapeutic and
accepting environment, the care managment by the nurse would be MOST
appropriate if focused on which of the following?
A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use
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