NCLEX Maternity Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Maternity
Question 1 of 5.
The 39-year-old client with type 1 DM presents at 36 weeks' gestation with Drag and Drop contractions. An HCP decides to do an amniocentesis. Which statement best supports why the nurse and NA should prepare the client for an amniocentesis now?
A. Diabetic women have a higher incidence of birth defects, and the HCP wants to determine if a birth defect is present.
B. The client is over 35, at 36 weeks' gestation with Drag and Drop contractions, and is at risk for chromosomal disorders.
C. An amniocentesis performed at 36 weeks' gestation is being completed to determine if the fetal lungs have matured.
D. The amniocentesis is more accurate than the fetal fibronectin test in determining if delivery is imminent.
Explanation: Infants of diabetic mothers are less likely to have mature lung capacity at 36 weeks; knowing lung maturity can influence whether delivery should proceed. In mid pregnancy, the cells in amniotic fluid can be studied for genetic abnormalities such as Down's syndrome and birth defects, but amniocentesis would not be performed for this purpose when the client is in preterm labor. Many women over the age of 35 have amniocentesis completed to test for chromosomal disorders, but not this late in the pregnancy. Fetal fibronectin testing is used to determine if a preterm birth is likely, but it cannot be used to determine lung maturity.
Question 2 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 3 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 4 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 5 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.
Related Questions