Maternity newborn Test 1 NCLEX style questions
The nursing instructor asks a nursing student to describe the process of quickening. Which statement indicates an understanding of this term? A) " It is the fetal movement that is felt by the mother" B) " It is the compressibility of the lower uterine segment" C) " It is the irregular, painless, contractions that occur throughout pregnancy D) " It is the soft blowing sound that can be heard when the uterus is auscultated"
A) " It is the fetal movement that is felt by the mother"
The nursing student is asked to describe the size of the uterus in a non pregnant client. Which response indicates an understanding of the anatomy of this structure? A) " The uterus weighs about 2 ounces" B) "The uterus weighs about 2.2 pounds" C) "The uterus has a capacity of about 50 milliliters" D) "The uterus is round in shape and weighs approximately 1000 grams"
A) " 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? A) " You will need to bottle feed your newborn" B) " You will need to feed your newborn by nasogastric tube" C) " You will be able to breast-feed for 6 months and then will need to switch to bottle feeding" D) " You will be able to breast-feed for 9 months and then will need to switch to Bottle- feeding"
A) " You will need to bottle feed your newborn"
The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of which change that occurs with pregnancy? A) A softening of cervix B) The presence of fetal movement C) The presence of human chorionic gonadotropin in the urine D) A soft blowing sound that corresponds with the material pulse that is heard while auscultating the uterus.
A) A softening of cervix
The nurse is checking a client's record for probable signs of pregnancy that the nurse should note? (Select all that apply) A) Ballottement B) Chadwick's sign C) Uterine enlargement D) Braxton Hicks contractions E) Outline of fetus via radiography or ultrasound F) Fetal heart rate detected by a nonelectronic device
A) Ballottement B) Chadwick's sign C) Uterine enlargement D) Braxton Hicks contractions
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 gynecoid pelvis. The nurse plans care understanding that which findings are characteristics of this type of pelvis? (Select all that apply) A) Round shape B) Shallow depth C) Narrow pubic arch D) Diagonal conjugate measures 12.5cm to 13cm E) Blunt, somewhat widely separated ischial spines
A) Round shape D) Diagonal conjugate measures 12.5cm to 13cm E) Blunt, somewhat widely separated ischial spines
The client is undergoing an amniocentesis at 16 weeks' gestation to detect the presence of biochemical or chromosomal abnormalities. Which instructions should the nurse reinforce to the client? A) The bladder must be full during the examination B) The bladder must be empty during the examination C) She should not eat or drink anything 4 to 6 hours before the examination D) She will be given Rh0 (D) immune globulin because she is RH positive
A) The bladder must be full during the examination
The nurse is monitoring a pregnant client with gestational hypertension ( GH) who is at risk for pre-eclampsia. The nurse should check the client for which signs of pre-eclampsia ? ( SELECT ALL THAT APPLY) A)Proteinuria B) Hypertension C) Low-grade fever D) Increased pulse rate E) Increased respiratory rate
A)Proteinuria B) Hypertension
A couple comes in 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? A) " Have either of you ever had surgery" B) " Do you plan to have any other children " C) " Do either of you have diabetes mellitus" D) " Do either of you have problems with high blood pressure"
B) " Do you plan to have any other children "
A contraction stress test is scheduled for the client. The woman asks the nurse about the test. Which response describes the most accurate description of the test? A) " Uterine contractions are simulated by Leopold's maneuvers" B) " The uterus is simulated to contract by either oxytocin or by nipple stimulation" C) " An internal fetal monitor is attached, and you will walk on a treadmill until contractions begin" D) " Small amounts of oxytocin are administered during internal fetal monitoring to simulate uterine contractions"
B) " The uterus is simulated to contract by either oxytocin or by nipple stimulation"
The nurse has a teaching session with a malnourished client regarding iron supplementation to prevent anemia during pregnancy. Which statement indicates successful learning? A) " Iron supplements will give me diarrhea" B) "The iron is needed for the red blood cells" C) " Meat does not provide iron and should be avoided" D) " My body has all the iron and I don't need to take supplements"
B) "The iron is needed for the red blood cells"
The nurse is collecting data from a pregnant client who is currently at 28 weeks' gestation. At her prior prenatal visit, her fundal height measured 22cm. The nurse measures the fundal height at this visit in centimeters and should expect which finding? A) 22cm B) 26cm C) 32cm D) 40cm
B) 26cm
The perinatal client is admitted to the obstetrical unit during an exacerbation of a heart condition . When planning for the nutritional requirements of the client, the nurse should consult with the dietician to ensure which dietary measure? A) A low calorie diet to ensure the absence of weight gain B) A diet that is high in fluids and fiber to decrease blood volume C) A diet that is low in fluids and fiber to decrease blood volume D) Unlimited sodium intake to increase the circulating blood volume.
B) A diet that is high in fluids and fiber to decrease blood volume
The nurse is assigned to assist with caring for a client who is at risk for eclampsia. If the client progresses from preeclampsia to eclampsia, the nurse should take which action first? A) Administer oxygen by face mask B) Clear and maintain an open airway C) Check blood pressure and the fetal heart tones. D) Prepare for the administration of intravenous magnesium sulfate.
B) Clear and maintain an open airway
The nurse us reinforcing instructions to a pregnant client regarding measures to prevent heartburn. The nurse should instruct the client to take which best measure? A) Eliminate between- meal snacks B) Drink decaffeinated coffee and tea C) Lie down for 30 minutes after eating D) Substitute salt in cooking for other spices
B) Drink decaffeinated coffee and tea
The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year- old child who was delivered at 38weeks and she tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse should document which as the GTPAL for this client? A) G= 3, T= 2, P=0, A=O, L=1 B) G= 2, T= 1, P=0, A=0, L= 1 C) G= 1, T=1, P= 1, A= 0, L=1 D) G=2, T=0, P=0, A=0, L= 1
B) G= 2, T= 1, P=0, A=0, L= 1
The nurse is collecting data from a client who is pregnant with triplets. The client also has a 3-year-old child who was born at 39 weeks' gestation.The nurse should document which gravida and para status on this client? A) Gravida I, para I B) Gravida II, para I C) Gravida II, para II D) Gravida III, para II
B) Gravida II, para I
The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the first day of her last menstrual period (LMP) was October 20, 2019. Using Nagle's rule, the nurse determines that the estimated date of birth is which date? A) July 12, 2020 B) July 27, 2020 C) August 12, 2020 D) August 27, 2020
B) July 27, 2020
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? A) Two umbilical veins and one umbilical artery B) Two umbilical arteries and one umbilical veins C) Arteries that carry oxygenated blood to the fetus D) Veins that carry deoxygenated blood to the fetus
B) Two umbilical arteries and one umbilical veins
During prenatal visit, the nurse checks the fetal heart rate (FHR) of the client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted? A) 80 beats per minute B) 100 beats per minute C) 150 beats per minute D) 180 beats per minute
C) 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 he student understands the structure of the ductus venosus if the student states whcihc about the ductus venosus? A) Connects the pulmonary artery to the aorta B) Is an opening between the right and left atria C) Connects the umbilical vein to the inferior vena cava D) Connects the umbilical artery to the inferior vena cava
C) Connects the umbilical vein to the inferior vena cava
The pregnant woman complains of being awakened frequently by leg cramps. The nurse reinforces instructions to the client's partner and should tell the client to perform which measure? A) Dorsiflex the client's foot while flexing the knee B) Plantarflex the client's foot while flexing the knee C) Dorsiflex the client's foot while extending the knee D) Plantarflex the client's foot while extending the knee
C) Dorsiflex the client's foot while extending the knee
The nurse is reinforcing teaching to the pregnant woman about the physiological effects and hormonal changes that occur during pregnancy. The woman asks that the nurse about the purpose of estrogen. The nurse bases the response on which purpose of estrogen? A) It maintains the uterine lining for implantation B) It stimulates the metabolism of glucose and converts glucose to fat C) It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation D) It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed.
C) It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation
A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. Based on this finding, which nursing action is appropriate? A) Contact the health care provider B) Instruct the client to maintain bed rest for the remainder of the pregnancy C) Tell the client that these are common and they may occur throughout pregnancy D) Call the maternity unit and inform them that the client will be admitted in a prelabor condition.
C) Tell the client that these are common and they may occur throughout pregnancy
The nurse is monitoring a client with mild gestational hypertension (GH). Which data indicate that GH is a concern? A) Urinary output increased B) There is no evidence of proteinuria C) The client complains of headache and blurred vision D) The blood pressure reading has returned to the prenatal baseline
C) The client complains of headache and blurred vision
The nurse is collecting data from a pregnant client when the client asks the nurse what the fallopian tube. Which is the accurate response the nurse should make? A) The organ of copulation B) Where the fetus develops C) Where fertilization occurs D) The organ that secretes estrogen and progesterone
C) Where fertilization occurs
The client asks the nurse about the purpose of the placenta. The nurse plans to respond to the client knowing which about the placenta? A) Cushions and protects the fetus B) Maintains the body temperature of the fetus C) Surrounds the fetus and allows for fetal movement D) Provides an exchange of nutrients and waste products between the mother and the fetus
D) Provides an exchange of nutrients and waste products between the mother and the fetus
During a prenatal visit, the nurse is explaining dietary management to a client with diabetes mellitus. The nurse determines that the teaching has been effective when the client makes which statement? A) " I can eat more sweets now because I need more calories" B) " I need more fat in my diet so that the baby can gain enough weight" C) " I need to eat a high-protein, low-carb diet now that control my blood glucose" D) " I need to increase the fiber in my diet to control my blood glucose and prevent constipation"
D) " I need to increase the fiber in my diet to control my blood glucose and prevent constipation"
The client at 28 weeks' gestation is Rh negative and coombs antibody negative. The nurse determines that the client understands what the nurse has taught her about Rh sensitization when the client makes which statemtent? A) " I know I can never have another child" B) " I am glad I won't have to have these shots if I have another child" C) " I will have to have an injection once a month until the baby is born" D) " I will tell the nurse at the hospital that I had an Rh shot during pregnancy"
D) " I will tell the nurse at the hospital that I had an Rh shot during pregnancy"
A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of gestation? A) 6 and 8 weeks' gestation B) 8 and 10 weeks' gestation C) 10 and 12 weeks' gestation D) 16 and 20 weeks' gestation
D) 16 and 20 weeks' gestation
While assisting with the measurement of fundal height, the client at 36 weeks' gestation states that she is feeling lightheaded. On the basis of the nurses' knowledge of pregnancy, the nurse determines that this is most likely a result of which reason? A) A full bladder B) Emotional instability C) Insufficient iron intake D) Compression of the Vena cava
D) Compression of the Vena cava
A primipara is being evaluated in the clinic during her second trimester of pregnancy. Which occurrence indicates an abnormal physical finding that necessitates further testing? A) Quickening B) Braxton Hicks contractions C) Consistent increase in fundal height D) Fetal heart rate of 180 beats per minute
D) Fetal heart rate of 180 beats per minute
The client is in her second trimester pf pregnancy. She complains of frequent low back pain and ankle edema at the end of the day. The nurse should recommend which measure to help relieve both discomforts? A) Lie on the left side with the feet dorsiflexed B) Soak the feet in hot water after performing 10 pelvic tilt excercises C) Lie on the right side with the feet elevated on a pillow and a heating pad on the back D) Lie on the floor with the legs elevated onto a couch or padded chair, with the hips and knees at a right angle
D) Lie on the floor with the legs elevated onto a couch or padded chair, with the hips and knees at a right angle
The nurse caring for a client with abruptio placentae is monitoring the client for signs of disseminated intravascular coagulopathy ( DIC). The nurse should suspect DIC if which is observed? A) Rapid clotting times B) Pain and swelling of the calf of one leg C) Laboratory values that indicate increased platelets D) Petechiae, oozing from injection sites, and hematuria
D) Petechiae, oozing from injection sites, and hematuria
The Nurse Instructor asks a nursing student to list the functions of the amniotic fluid. The student needs further teaching if which responses are made? ( Select all that apply) A) Allows for fetal movement B) Is a measure of kidney function C) Surrounds, cushions and protects the fetus D) Maintains the body temperature of the fetus E) Prevents large particles such as bacteria from passing to the fetus F) Provides and exchange of nutrients and waste products between the mother and the fetus
E) Prevents large particles such as bacteria from passing to the fetus F) Provides and exchange of nutrients and waste products between the mother and the fetus