Maternal NCLEX questions

The nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation consists of which components? 1. Two umbilical veins and one umbilical artery 2. Two umbilical arteries and one umbilical vein 3. Arteries that carry oxygenated blood to the fetus 4. Veins that carry deoxygenated blood to the fetus

Two umbilical arteries and one umbilical vein

A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse helps determine whether this method of family planning is appropriate? 1. "Have either of you ever had surgery?" 2. "Do you plan to have any other children?" 3. "Do either of you have diabetes mellitus?" 4. "Do either of you have problems with high blood pressure?"

"Do you plan to have any other children?"

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure? 1. "The uterus weighs about 2 ounces.' 2. "The uterus weighs about 2.2 pounds." 3. "The uterus has a capacity of about 50 milliliters." 4. "The uterus is round in shape and weighs approximately 1000 grams."

"The uterus weighs about 2 ounces.'

The nurse is talking to a pregnant client with human immunodeficiency virus (HIV) infection regarding care for the newborn after delivery. The client asks the nurse about the feeding options that are available. Which response should the nurse make to the client? 1. "You will need to bottle-feed your newborn." 2. "You will need to feed newborn by naso- your gastric tube feeding." 3. "You will be able to breast-feed for 6 months and then will need to switch to bottle-feeding. 4. "You will be able to breast-feed for 9 months and then will need to switch to bottle-feeding.

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During a prenatal visit, the nurse checks the fetal heart rate (FHR) of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted? 1. 80 beats per minute 2. 100 beats per minute 3. 150 beats per minute 4. 180 beats per minute

150 beats per minute

A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. The instructor determines that the student under- stands the structure of the ductus venosus if the student states which about the ductus venosus? 1. Connects the pulmonary artery to the aorta 2. Is an opening between the right and left atria 3. Connects the umbilical vein to the inferior vena cava 4. Connects the umbilical artery to the inferior vena cava

Connects the umbilical vein to the inferior vena cava

The nurse is reinforcing teaching to a pregnant woman about the physiological effects and hor- monal changes that occur during pregnancy. The woman asks the nurse about the purpose of estro- gen. The nurse bases the response on which pur- pose of estrogen? 1. It maintains the uterine lining for implantation. 2. It stimulates the metabolism of glucose and converts glucose to fat. 3. It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation. 4. It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed.

It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation.

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The stu- dent needs further teaching if which responses are made? Select all that apply. 1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus 5. Prevents large particles such as bacteria from passing to the fetus 6. Provides an exchange of nutrients and waste products between the mother and the fetus

Prevents large particles such as bacteria from passing to the fetus. Provides an exchange of nutrients and waste products between the mother and the fetus.

The client asks the nurse about the purpose of the placenta. The nurse plans to respond to the client knowing which about the placenta? 1. Cushions and protects the fetus 2. Maintains the body temperature of the fetus 3. Surrounds the fetus and allows for fetal movement 4. Provides an exchange of nutrients and waste products between the mother and the fetus

Provides an exchange of nutrients and waste products between the mother and the fetus

The nurse working in a prenatal clinic reviews a client's chart and notes that the primary health care provider documents that the client has a gyne- coid pelvis. The nurse plans care understanding that which findings are characteristic of this type of pelvis? Select all that apply. 1. Round shape 2. Shallow depth 3. Narrow pubic arch 4.Diagonal conjugate measures 12.5 cm to 13 cm 5. Blunt, somewhat widely separated ischial spines

Round shape Diagonal conjugate measures 12.5 cm to 13 cm Blunt, somewhat widely separated ischial spines

The nurse is collecting data from a pregnant client when the client asks the nurse about the purpose of the fallopian tubes. Which is the accurate response the nurse should make? 1. The organ of copulation 2. Where the fetus develops 3. Where fertilization occurs 4. The organ that secretes estrogen and progesterone

Where fertilization occurs