Maternity NCLEX Questions
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Question 1 of 5.
The nurse is evaluating a breastfeeding session. The nurse determines that the infant has appropriately latched on to the mother's breast when which observations are made? Select all that apply.
A. The mother reports a firm tugging feeling on her nipple.
B. A smacking sound is heard each time the baby sucks.
C. The infant's mouth covers only the mother's nipple.
D. The baby's nose, mouth, and chin are touching the breast.
E. The infant's cheeks are rounded when sucking.
F. The infant's swallowing can be heard after sucking.
Explanation: If the latch is correct, the mother should feel only a firm tugging and not pain or pinching when the infant sucks. A smacking or clicking noise heard when the infant sucks is an indication that the latch is incorrect and that the infant's tongue may be inappropriately placed. Sucking only on the mother's nipple will cause sore nipples, and milk will not be ejected from the milk ducts. When an infant is correctly latched to the breast, 2 to 3 centimeters (1/3 to 3/4 inch) of areola should be covered by the infant's mouth. If this occurs, it will result in the infant's nose, mouth, and chin touching the breast. When the infant is latched correctly, the cheeks will be rounded rather than dimpled. When the infant is latched correctly, the swallowing will be audible.
Question 2 of 5.
The nurse correctly explains that fertilization usually takes place in which structure?
A. Fallopian tube
B. Ovary
C. Uterus
D. Vagina
Explanation: Fertilization typically occurs in the fallopian tube, where the sperm meets the ovum after ovulation.
Question 3 of 5.
If the client reports the following signs and symptoms, which one represents a probable sign of pregnancy?
A. Absence of monthly periods
B. Abdominal enlargement
C. Nausea and vomiting
D. Frequent urination
Explanation: Abdominal enlargement is a probable sign of pregnancy, as it is more objective and indicative of uterine growth.
Question 4 of 5.
On the basis of the client's statement, what can the nurse conclude?
A. The client is having twins.
B. The client is between 14 and 18 weeks' gestation.
C. The client is in the first trimester.
D. The client's due date will be difficult to calculate.
Explanation: Fetal movement in a multigravida is typically felt earlier, around 14-18 weeks, aligning with the client's report.
Question 5 of 5.
How early in a pregnancy can the nurse expect to hear the fetal heartbeat using a Doppler device?
A. 4 to 6 weeks
B. 8 to 10 weeks
C. 12 to 14 weeks
D. 16 to 18 weeks
Explanation: A fetal heartbeat can typically be detected by Doppler around 12-14 weeks, when the fetus is sufficiently developed.
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