The nurse is assessing the Hispanic client who is in the active stage

Maternal NCLEX Questions

Home / Nursing & Allied Health Certifications / NCLEX PN / Maternity

Question 1 of 5.

The nurse is assessing the Hispanic client who is in the active stage of labor. Which is the most crucial information that the nurse should assess related to the client's ethnicity and stage of labor?

A. Choice of pain control measures

B. Desire for hot or cold fluids

C. Persons to be in the room during labor and birth

D. Desire for circumcision if a male infant is born

Explanation: Because cultural variations exist in pain control measures used and pain tolerance, the most crucial assessment in the active stage of labor is the client's choice of pain control measures. A desire for hot or cold fluids is an important aspect that should be determined during the early stage of labor. Determination of support persons is an important aspect that should be made during the early stage of labor. The desire for circumcision is an important consideration, but it is not the primary need during the active stage of labor.

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.