Maternal NCLEX Practice Questions
Question 1 of 5.
On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?
A. Multipara
B. Primipara
C. Primigravida
D. Multigravida
Explanation: A primigravida is a woman pregnant for the first time, which matches the client's status of being possibly 2 months pregnant with no prior pregnancies.
Question 2 of 5.
Which assessment finding best represents a positive sign of pregnancy?
A. Palpable fetal outline
B. Blotchy tan facial skin
C. Positive pregnancy test
D. Fetal heartbeat
Explanation: A fetal heartbeat, detected by Doppler or ultrasound, is a positive sign of pregnancy, as it directly confirms the presence of a living fetus.
Question 3 of 5.
Before the pelvic examination, which intervention by the nurse is most appropriate?
A. Give the client an enema.
B. Instruct the client to urinate.
C. Shave the client's perineum.
D. Give the client a mild sedative.
Explanation: Instructing the client to urinate ensures a comfortable examination by emptying the bladder, which can interfere with pelvic assessment.
Question 4 of 5.
The nurse responds that, for clients with uncomplicated pregnancies, it is usually best to plan monthly visits for the first 28 weeks and then more frequent visits following which schedule?
A. Weekly for the remainder of the pregnancy
B. Every 2 weeks for the remainder of the pregnancy
C. Every 2 weeks up to 36 weeks, then weekly for the last month
D. Weekly up to 36 weeks, then twice weekly for the last month
Explanation: Standard prenatal care involves monthly visits until 28 weeks, biweekly until 36 weeks, and weekly thereafter for uncomplicated pregnancies.
Question 5 of 5.
Before teaching the client about the nutritional needs during pregnancy, which nursing intervention is most appropriate?
A. Determine if the client needs to gain or lose weight.
B. Assess the client's current eating pattern and preferences.
C. Determine if the client knows how to accurately count calories.
D. Develop a sample menu that includes the required nutrients.
Explanation: Assessing the client's eating patterns and preferences provides a baseline for tailored nutritional education.
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