Mosby's NCLEX-MATERNITY Exam
Tested Questions With Revised
Correct Detailed Answers &
Rationales
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1. When taking the health history of a client who is admitted for repair of a
cystocele and rectocele, the nurse should expect the client to report the
occurren...
1. When taking the health history of a client who is admitted for repair of a
cystocele and rectocele, the nurse should expect the client to report the
occurrence of:
1. white vaginal discharge and itching.
2. sporadic bleeding and abdominal pain.
3. elevated temperature and intractable diarrhea.
4. stress incontinence and low abdominal pressure. - ANSWER 4 As the uterus
drops, the vaginal wall relaxes. When the bladder
herniates into the vagina (cystocele) and the rectal wall herniates into the
vagina (rectocele), the individual feels pressure or pain in the lower back
and/or pelvis. When there is an increase in intraabdominal pressure in the
presence of a cystocele, incontinence results.
1 A white vaginal discharge (leukorrhea) and vaginal itching (pruritus) do
notindicate cystocele and rectocele; they are common with a vaginal
infection. 2 Sporadic bleeding is not expected with cystocele and
rectocele. 3 These are not expected with cystocele and rectocele; a fever
would indicate an infection; constipation, not diarrhea, is more likely to
, occur
2. A client who is scheduled to have an abdominal panhysterectomy asks how the
surgery will affect her periods. How should the nurse respond?
1. "You will not have any more periods."
2. "Your periods will become more regular."
3. "Your periods will become lighter until they disappear."
4. "You will notice that the time between periods will be longer. - ANSWER 1
An panhysterectomy in the premenopausal woman produces artificial
onset of menopause.
2, 3, 4 Because the uterus is removed, there will be no uterine endometrial
proliferation and no desquamation
3. A nurse at the prenatal clinic examines a client and determines that her
uterus has risen out of the pelvis and is now an abdominal organ. At what week
of gestation does this occur?
1. 8th week of pregnancy
2. 10th week of pregnancy
3. 12th week of pregnancy
4. 18th week of pregnancy - ANSWER 3 By this time the fetus and placenta
have grown, expanding the size of
the uterus. The enlarged uterus extends into the abdominal cavity.
1, 2 At this time the uterus is still within the pelvic area. 4 At this time the
uterus has already risen out of the pelvis and is extending farther into the
abdominal area.
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