Maternal Newborn NCLEX RN Practice Questions
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Question 1 of 5.
The nurse is preparing to perform Leopold maneuvers on a client who is pregnant. The nurse understands that the purpose of this procedure is to
A. determine the location and presentation of the fetus.
B. prevent compression to the inferior vena cava.
C. measure the involution progress of the uterus.
D. assess whether the amniotic sac has ruptured.
Explanation: Leopold maneuvers assess fetal position and presentation through abdominal palpation.
Question 2 of 5.
The nurse is caring for a 30-year-old client who has developed iron-deficiency anemia during pregnancy. Which complication would this client be at an increased risk for due to iron deficiency anemia? Select all that apply.
A. Low birth weight
B. Preterm delivery
C. Gestational diabetes
D. Perinatal mortality
E. Placenta previa
Explanation: Iron-deficiency anemia reduces oxygen-carrying capacity, increasing risks for low birth weight, preterm delivery, and perinatal mortality due to compromised fetal oxygenation. Gestational diabetes and placenta previa are unrelated to iron deficiency.
Question 3 of 5.
At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a urine specimen to look for all of the following, except:
A. Ketones
B. Sexually transmitted infections
C. Glucose
D. Testosterone levels
Explanation: Urine tests during prenatal visits screen for ketones, glucose, and infections, but testosterone levels are not relevant to pregnancy monitoring.
Question 4 of 5.
The nurse is teaching parents about antepartum testing. Which statements should the nurse include? Select all that apply.
A. Oral glucose tolerance testing will measure fetal activity at certain intervals.
B. A nonstress test may be used to measure fetal heart rate.
C. Amniocentesis may be used to assess if you have preeclampsia.
D. Chorionic villus sampling may be done to assess for neural tube defects.
E. You may need to fill up your bladder prior to an ultrasound.
Explanation: Nonstress tests monitor fetal heart rate, and a full bladder may be needed for ultrasound visualization. The other statements are incorrect.
Question 5 of 5.
A nurse at an obstetric clinic has conducted a teaching class on sexuality during pregnancy. Which of the following comments from a participant would indicate that the teaching has been effective?
A. At around the time I would normally have my period, I should abstain from intercourse.
B. I should no longer have sex during the last trimester of pregnancy.
C. My sexual desire will remain the same for the entire pregnancy.
D. The best time to enjoy sex is in the second trimester.
Explanation: The second trimester is often the most comfortable for sexual activity due to reduced nausea and fatigue.
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