Maternal NCLEX Questions
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Question 1 of 5.
The nurse informs the pregnant client that her laboratory test indicates she has iron-deficiency anemia. Based on this diagnosis, the nurse should monitor this client for which problems? Select all that apply.
A. Susceptibility to infection
B. Easily fatigued
C. Increased risk for preeclampsia
D. Increased risk of diabetes
E. Congenital defects
Explanation: Iron-deficiency anemia is associated with susceptibility to infection because oxygen is not transported effectively. Iron-deficiency anemia is associated with fatigue because oxygen is not transported effectively. Iron-deficiency anemia is associated with risk of preeclampsia because oxygen is not transported effectively. Iron-deficiency anemia is not associated with an increased risk of diabetes. Iron-deficiency anemia is not associated with an increased risk of congenital defects.
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.
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