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NCLEX 3000 Maternal-Antepartum test questions with solutions.
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NCLEX 3000Maternal-
Antepartum test
questions with
solutions
An adolescent in her first trimester of
pregnancy continues to smoke cigarettes.
The client tells the nurse that she'd like to
quit but she doesn't want to gain any more
weight. What should the nurse do for this
client? - answer 1. Review the hazards of
smoking with the client and suggest a
smoking-cessation class.
The labor and delivery unit has 10 clients in
varying stages of labor. Staffing for the
upcoming shift consists of four registered
,nurses (RNs) and one licensed practical nurse
(LPN). Which client care assignment is best? -
answer The stable clients in the early stages
of labor should be assigned to the LPN.
"Which of the following nutritional
instructions should the nurse provide to a 32-
year-old primigravida? - answer " 1. Caloric
intake should be increased 300 cal/day. 2.
Protein intake should be increased by more
than 30 g/day. 5. Intake of all minerals,
especially iron, should be increased. "
The nurse is reviewing a pregnant client's
nutritional status. To determine whether she
has an adequate intake of vitamin A, the
nurse should check her diet for consumption
of: - answer 4. dairy products"
A pregnant client in her second trimester
reveals that she feels very anxious because
of a lack of knowledge about giving birth.
Which intervention by the nurse is most
appropriate for this client? - answer provide
her with the information and teach her the
,skills she'll need to understand and cope
during
A pregnant client tells the nurse that she
dreads coming for her prenatal examinations.
She states, "When I see the physician, he
constantly reminds me that so many women
keep weight on after having children; it really
depresses me." How should the nurse
respond? - answer 2. "Have you asked the
physician why he feels it's important for him
to say that to you?"
A client, 8 weeks pregnant, has a history of
lactose intolerance. To prevent a nutritional
deficiency as a result of lactose intolerance,
the nurse teaches her about lactase
replacement. Which teaching point is
appropriate? - answer 3. Add lactase
replacement drops to milk at least 24 hours
before drinking it.
A client in her second trimester of pregnancy
has been diagnosed with gestational
diabetes. While instructing the client about
home glucose monitoring the client states,
, "Why should I use this if the diabetes is
going to resolve after I have my baby
anyway?" Which response by the nurse is
best? - answer 4. "The monitor helps you see
how your blood sugar is being controlled
during your pregnancy to help prevent
complications."
A client who's 12 weeks pregnant attends a
class on fetal development as part of a
childbirth education program. The nurse says
that at 16 weeks' gestation, the client's fetus
will likely: - answer 3. have audible heart
sounds.
A client, 7 months pregnant, is admitted to
the unit with abdominal pain and bright red
vaginal bleeding. Which action should the
nurse take? - answer 1. Place the client on
her left side and start supplemental oxygen,
as ordered, to maximize fetal oxygenation
"During a prenatal screening of a client with
diabetes, the nurse should keep in mind that
the client is at increased risk for which
complications? - answer 1. Still birth 3.
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