Interventions have been prescribed by the HCP for the client with decr

Maternity NCLEX Questions

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Question 1 of 5.

Interventions have been prescribed by the HCP for the client with decreased fetal movement at 35 weeks' gestation. Place the prescribed interventions in the sequence that they should be performed by the nurse.

A. Prepare for a nonstress test
B. Prepare for a biophysical profile
C. Palpate for fetal movement
D. Apply and explain the external fetal monitor

Correct arrangement

C. Palpate for fetal movement
D. Apply and explain the external fetal monitor
A. Prepare for a nonstress test
B. Prepare for a biophysical profile

Explanation: Palpate for fetal movement should be performed first. Assessment should be first to verify fetal movement. Apply and explain the external fetal monitor should be next. The fetus should be monitored for heart rate changes. Prepare for an NST. The NST is performed to determine fetal well-being. Prepare for a biophysical profile (BPP). The BPP is an assessment of five fetal biophysical variables: FHR acceleration, fetal breathing, fetal movements, fetal tone, and amniotic fluid volume. The first criterion is assessed with the NST. The other variables are assessed by ultrasound scanning.

Question 2 of 5.

The nurse correctly explains that fertilization usually takes place in which structure?

A. Fallopian tube

B. Ovary

C. Uterus

D. Vagina

Explanation: Fertilization typically occurs in the fallopian tube, where the sperm meets the ovum after ovulation.

Question 3 of 5.

If the client reports the following signs and symptoms, which one represents a probable sign of pregnancy?

A. Absence of monthly periods

B. Abdominal enlargement

C. Nausea and vomiting

D. Frequent urination

Explanation: Abdominal enlargement is a probable sign of pregnancy, as it is more objective and indicative of uterine growth.

Question 4 of 5.

On the basis of the client's statement, what can the nurse conclude?

A. The client is having twins.

B. The client is between 14 and 18 weeks' gestation.

C. The client is in the first trimester.

D. The client's due date will be difficult to calculate.

Explanation: Fetal movement in a multigravida is typically felt earlier, around 14-18 weeks, aligning with the client's report.

Question 5 of 5.

How early in a pregnancy can the nurse expect to hear the fetal heartbeat using a Doppler device?

A. 4 to 6 weeks

B. 8 to 10 weeks

C. 12 to 14 weeks

D. 16 to 18 weeks

Explanation: A fetal heartbeat can typically be detected by Doppler around 12-14 weeks, when the fetus is sufficiently developed.