The nurse is caring for the postpartum family. The nurse determines th

Maternal NCLEX Practice Questions

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Question 1 of 5.

The nurse is caring for the postpartum family. The nurse determines that paternal engrossment is occurring when which observation is made of the newborn's father?

A. Talks to his newborn from across the room

B. Shows similarities between his and the baby's ears

C. Expresses feeling frustrated when the infant cries

D. Seems to be hesitant to touch his newborn

Explanation: Not making face-to-face contact with the infant during communication demonstrates a lack of engrossment. In North American culture, engrossment is demonstrated by the father touching the infant, making eye contact with the infant, and verbalizing awareness of features in the newborn that are similar to his and that validate his claim to that newborn. Feelings of frustration are not uncommon to fathers and are characteristic of the second stage, or reality stage, of the transition to fatherhood but are not a sign of engrossment. A hesitation to touch the infant demonstrates a lack of engrossment.

Question 2 of 5.

On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?

A. Multipara

B. Primipara

C. Primigravida

D. Multigravida

Explanation: A primigravida is a woman pregnant for the first time, which matches the client's status of being possibly 2 months pregnant with no prior pregnancies.

Question 3 of 5.

Which assessment finding best represents a positive sign of pregnancy?

A. Palpable fetal outline

B. Blotchy tan facial skin

C. Positive pregnancy test

D. Fetal heartbeat

Explanation: A fetal heartbeat, detected by Doppler or ultrasound, is a positive sign of pregnancy, as it directly confirms the presence of a living fetus.

Question 4 of 5.

Before the pelvic examination, which intervention by the nurse is most appropriate?

A. Give the client an enema.

B. Instruct the client to urinate.

C. Shave the client's perineum.

D. Give the client a mild sedative.

Explanation: Instructing the client to urinate ensures a comfortable examination by emptying the bladder, which can interfere with pelvic assessment.

Question 5 of 5.

The nurse responds that, for clients with uncomplicated pregnancies, it is usually best to plan monthly visits for the first 28 weeks and then more frequent visits following which schedule?

A. Weekly for the remainder of the pregnancy

B. Every 2 weeks for the remainder of the pregnancy

C. Every 2 weeks up to 36 weeks, then weekly for the last month

D. Weekly up to 36 weeks, then twice weekly for the last month

Explanation: Standard prenatal care involves monthly visits until 28 weeks, biweekly until 36 weeks, and weekly thereafter for uncomplicated pregnancies.