NCLEX-RN ACTUAL EXAM OVER 799 QUESTIONS WITH VERIFIED ANSWERS WITH EXPLANATIONS
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NCLEX RN
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NCLEX RN
QUESTION 3
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to which condition related to her age?
A. Iron-deficiency anemia
B. Sexually transmitted disease (STD)
C. Intrauterine growth retardati...
NCLEX-RN ACTUAL EXAM OVER 799 QUESTIONS
WITH VERIFIED ANSWERS WITH EXPLANATIONS
FOR A GUARANTEED PASS 2023 LATEST
QUESTION 1
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse
practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of
confinement using Nägele's rule
is:
A. March 27
B. February 1
C. February 27
D. January 3
Correct
Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated
date of confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the
result. (D) January 3 is a miscalculation.
QUESTION 2
The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client
about symptoms of physical changes that she will experience during her first trimester, such as:
,NCLEX-RN ACTUAL EXAM OVER 799 QUESTIONS
WITH VERIFIED ANSWERS WITH EXPLANATIONS
FOR A GUARANTEED PASS 2023 LATEST
A. Nausea and vomiting
B. Quickening
C. A 68 lb weight gain
D. Abdominal enlargement
Correct
Answer: A
Section:
(none)
Explanation
Explanation/Reference:
Explanation:
(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of
elevated human chorionic gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal
movement and generally does not occur until 1820
,NCLEX-RN ACTUAL EXAM OVER 799 QUESTIONS
WITH VERIFIED ANSWERS WITH EXPLANATIONS
FOR A GUARANTEED PASS 2023 LATEST
weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) During the first trimester
there should be only a modest weight gain of 24 lb. It is not uncommon for women to lose weight during the first trimester owing to
nausea and/or vomiting. (D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis.
QUESTION 3
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse
should be alert to which condition related to her age?
A. Iron-deficiency anemia
B. Sexually transmitted disease (STD)
C. Intrauterine growth retardation
D. Pregnancy-induced hypertension (PIH)
Correct
Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related. (B) STDs can occur prior to or during pregnancy and
are not age related. (C) Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is
not age related. (D) Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean delivery, fetal and
neonatal mortality, and trisomy.
, NCLEX-RN ACTUAL EXAM OVER 799 QUESTIONS
WITH VERIFIED ANSWERS WITH EXPLANATIONS
FOR A GUARANTEED PASS 2023 LATEST
QUESTION 4
A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of her physical examination are
normal. How does the nurse interpret the effectiveness of the instruction about diet and weight control?
A. She is compliant with her diet as previously taught.
B. She needs further instruction and reinforcement.
C. She needs to increase her caloric intake.
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