Maternity and Newborn NCLEX RN Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The client presents for a routine antepartum visit Item 1 of 1 Progress Note Primary Healthcare Provider (PHCP) Progress Note • A 40-year-old nulliparous female is at 25 gestational weeks. • The client is receiving appropriate antepartum care, taking a prenatal vitamin, and is appropriately vaccinated. • She has a pre-pregnancy medical history of vitamin D deficiency, metabolic syndrome, and hypothyroidism. Nursing Assessment Age: 40 years old Gestational Weeks: 25 Height: 5 feet, 7 inches Weight: 194 pounds (88 kilograms) Body Mass Index (BMI): 30 Fetal Heart Rate: 130 beats-per-minute Vital Signs • Oral temperature 97° F (36° C); Pulse 85 bpm; Respirations 16; BP 119/73 mm Hg; O2 saturation 96% on room air
The client presents for a routine antepartum visit. After reviewing the PHCP's progress note and the nursing assessment, which antepartum testing would the PHCP likely prescribe? Complete the following sentence by dragging one (1) antepartum test and two (2) relevant nursing assessment findings into each blank. The client will need a................... as evidenced by .................And...............
A. glucose tolerance test
B. chorionic villus sampling
C. blood pressure 119/73 mm Hg
D. body mass index (BMI) of 30
E. fetal heart rate of 130 beats-per-minute
F. advanced maternal age.
Explanation: A glucose tolerance test is indicated due to BMI of 30 and advanced maternal age, which increase the risk of gestational diabetes.
Question 2 of 5.
The nurse is caring for a client in the third trimester of pregnancy. Which of the following assessment findings would be expected? Select All That Apply.
A. Persistent abdominal pain
B. Increased fetal movement
C. Swollen ankles and feet
D. Weight loss
E. Decreased frequency of urination
Explanation: Increased fetal movement and swollen ankles/feet are normal due to fetal growth and fluid retention. Persistent abdominal pain, weight loss, and decreased urination are concerning and require investigation.
Question 3 of 5.
Your pregnant client has been hospitalized with hyperemesis gravidarum. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?
A. Continued nausea and vomiting
B. Prolonged QT interval
C. Respiratory distress
D. Constipation
Explanation: Ondansetron can cause prolonged QT interval, a serious cardiac risk, requiring monitoring.
Question 4 of 5.
The nurse is performing an obstetrics history on a client who is pregnant at 25 gestational weeks. The client reports giving birth to twins at 31 weeks of gestation. She had a stillborn infant at 23 weeks gestation and a spontaneous abortion at 12 weeks gestation. The nurse is correct in documenting her GTPAL as
A. G4-T0-P2-A1-L2
B. G4-T0-P1-A2-L2
C. G4-T0-P1-A2-L3
D. G4-T1-P1-A1-L2
Explanation: GTPAL: G4 (4 pregnancies), T0 (no term births), P2 (twins at 31 weeks, preterm), A1 (spontaneous abortion), L2 (two living children from twins).
Question 5 of 5.
The nurse is caring for a pregnant client who has a rubella infection. Which of the following issues is the client's fetus at risk of developing? Select all that apply.
A. intrauterine growth restriction (IUGR)
B. hemolytic disease
C. hydrocephaly
D. large for gestational age (LGA)
E. stillbirth
Explanation: Rubella can cause congenital rubella syndrome, leading to IUGR, hydrocephaly, and stillbirth. Hemolytic disease and LGA are unrelated.
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