Maternity NCLEX Questions
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Question 1 of 5.
The nurse is evaluating the client in triage for possible labor. The client's contractions are every 3 to 4 minutes, 60 to 70 seconds in duration, and moderate by palpation. Her cervical exam in the office was illustration 1. Her current exam is illustration 2. What conclusions should the nurse draw from illustration 2?
A. The client is not dilated or effaced.
B. The client is completely dilated but not effaced.
C. The client has minimally dilated, but completely effaced.
D. The client is not dilated, but completely effaced.
Explanation: In illustration 2, the client is completely effaced and has some dilation. Illustration 1 (not illustration 2) shows that the client is neither effaced nor dilated. The cervical opening is minimally dilated, not completely dilated, and completely effaced. Illustration 2 shows some dilation.
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.
Related Questions
At this point in the client's pregnancy, which test is typically used to detect genetic disorders?
Which of the following is most indicative of the presence of hydatidiform mole?
The nurse emphasizes which safety measure during prenatal education?
Which intervention is most appropriate for a client experiencing low self-esteem during pregnancy?