Free NCLEX Maternity Questions
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Question 1 of 5.
The laboring client in the first stage of labor is talking and laughing with her husband. The nurse should conclude that the client is probably in what phase?
A. Transition
B. Active
C. Active pushing
D. Latent
Explanation: During the latent phase (1—3 cm), the client is usually happy and talkative. During the transition phase (8—10 cm), the client is usually more restless, irritable, and more likely to lose control. During the active phase (4—7 cm), the client may become more anxious and fatigued and needs to concentrate on breathing techniques to cope with the increasingly stronger contractions. The client who is actively pushing is focusing on how effective she is in the descent of the fetus and concentrating on how she is coping with contractions. She is usually not expressing happiness or laughter, and is not talkative.
Question 2 of 5.
To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.
A. Swimming in chlorinated water
B. Sitting in hot tubs
C. Wearing boxer shorts
D. Wearing colored underwear
E. Smoking cigarettes
F. Refraining from strenuous exercise
Explanation: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.
Question 3 of 5.
Which response by the nurse about Chadwick's sign is most accurate?
A. It's a bluish discoloration of the cervix, vagina, and vulva that occurs as a result of the presence of an increased number of blood vessels.
B. It's a softening of the cervix that occurs because of an increased amount of blood flowing to the reproductive organs.
C. It's a dark brown line extending from the umbilicus to the symphysis pubis that occurs as a result of hormonal changes.
D. None of the above
Explanation: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.
Question 4 of 5.
Using Naegele's Rule, the nurse can assume the client's expected delivery date to be approximately which date?
A. 13-Nov
B. 23-Nov
C. 3-Dec
D. 20-Dec
Explanation: Naegele's Rule: Subtract 3 months from the first day of the last menstrual period (March 13) and add 7 days, resulting in December 3.
Question 5 of 5.
Which fetal heart rate must the nurse report immediately to the physician?
A. 100 beats/minute
B. 120 beats/minute
C. 140 beats/minute
D. 160 beats/minute
Explanation: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.
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