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NCLEX Maternity Questions

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Question 1 of 5.

When the client asks the nurse about the viability of the ovum after ovulation, the nurse correctly explains that after ovulation, the ovum remains alive for how many hours?

A. 2 hours

B. 24 hours

C. 48 hours

D. 72 hours

Explanation: The ovum remains viable for approximately 24 hours after ovulation, during which it can be fertilized by sperm.

Question 2 of 5.

The nurse correctly sends a requisition and specimen for which laboratory test?

A. Alpha-fetoprotein (AFP)

B. Corticotropin-releasing hormone (CRH)

C. Human chorionic gonadotropin (hCG)

D. Follicle-stimulating hormone (FSH)

Explanation: Human chorionic gonadotropin (hCG) is the hormone tested to confirm pregnancy, as it is produced by the placenta shortly after implantation.

Question 3 of 5.

According to the TPAL method, which of the following reflects the client's obstetric history?

A. T-III, P-0, A-0, L-III

B. T-III, P-II, A-0, L-0

C. T-III, P-II, A-0, L-II

D. T-III, P-0, A-0, L-III

Explanation: TPAL: Term (3, one son and twin daughters), Preterm (0), Abortions (0), Living (3). The client has three term deliveries and three living children.

Question 4 of 5.

Which action by the nurse best ensures that an accurate fetal heart rate is obtained?

A. Assess the fetal heart rate when the client is lying on her right side.

B. Assess the fetal heart rate when the client reports fetal movement.

C. Assess the fetal heart rate between Braxton Hicks contractions.

D. Assess the maternal pulse and fetal heart rate, and compare the two.

Explanation: Comparing maternal pulse with fetal heart rate ensures the nurse is not mistaking the maternal pulse for the fetal heartbeat.

Question 5 of 5.

When the nurse discusses the tasks to be accomplished during the client's visit at 24 weeks' gestation, which routine test will be performed?

A. Coombs' test

B. Glucose tolerance test

C. Urinalysis

D. Rubella titer

Explanation: The glucose tolerance test is routinely performed around 24-28 weeks to screen for gestational diabetes.

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