The experienced nurse is observing the new nurse determine the fetal p

Maternal NCLEX Questions

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Question 1 of 5.

The experienced nurse is observing the new nurse determine the fetal position of the pregnant client using Leopold maneuver. The experienced nurse determines that the new nurse correctly identifies the first Leopold maneuver when placing the hands in which position illustrated first?

A. Image A

B. Image B

C. Image C

D. Image D

Explanation: This illustration shows the first step of Leopold's maneuver. The nurse palpates the fundus to determine which fetal body part (e.g., head or buttocks) occupies the uterine fundus. Image A shows the fourth Leopold maneuver. The nurse's fingertips are used to determine the location of the cephalic prominence. Image C shows the third Leopold maneuver (â€œPawlik maneuverâ€). During this maneuver the fetal part in the fundal region is compared with the part in the lower uterine segment. It is completed primarily to confirm that the fetus is in a cephalic (head) presentation. Image D shows the second Leopold maneuver. The second maneuver determines the location of the fetal back or spine.

Question 2 of 5.

Which explanation by the nurse correctly describes the occurrence of identical twins?

A. Two separate ova are fertilized by identical sperm.

B. The mother releases two identical ova.

C. One fertilized ovum divides into two identical halves.

D. Two identical ova are fertilized by two identical sperm.

Explanation: Identical twins result from one fertilized ovum splitting into two identical embryos, sharing the same genetic material.

Question 3 of 5.

In the primigravid client, when is fetal movement typically felt for the first time?

A. Between 10 and 14 weeks' gestation

B. Between 16 and 20 weeks' gestation

C. Between 22 and 26 weeks' gestation

D. Between 28 and 32 weeks' gestation

Explanation: Primigravid women typically feel fetal movement (quickening) between 16 and 20 weeks, later than multigravida women.

Question 4 of 5.

Which method best promotes client comfort during the pelvic examination?

A. Have the client lift her head off the table.

B. Have the client press her back into the examination table.

C. Have the client tighten her buttocks.

D. Tell the client to let her knees fall outward.

Explanation: Letting the knees fall outward relaxes the pelvic muscles, reducing discomfort during the pelvic examination.

Question 5 of 5.

Which nursing instructions concerning exercise during pregnancy are accurate? Select all that apply.

A. Avoid exercising during hot, humid weather.

B. Avoid exercises involving bouncing or jumping movements.

C. Drink plenty of fluids before and after exercising.

D. Limit strenuous activity to no more than 60 minutes a session.

E. Perform exercises only in the supine position.

F. Limit exercising to once per week.

Explanation: Exercising in hot weather risks overheating, bouncing movements may strain joints, and hydration is crucial. Supine exercises are avoided late in pregnancy.