Free NCLEX Maternity Questions
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Question 1 of 5.
The nurse is reviewing laboratory results of the client in labor prior to her receiving epidural anesthesia. Which result is most important to report to the HCP prior to the initiation of the epidural?
A. White blood cells: 24,000/mm3
B. Glucose: 78 grams/dL
C. Hemoglobin: 10.2 g/dL
D. Platelets: 100,000/mm3
Explanation: The nurse should report the low platelet count of 100,000/mm3 (normal is 150,000 to 450,000/mm3). A low count can contribute to bleeding and affect the use of epidural anesthesia. The WBC count in labor is normally increased due to the stress of labor and can be as high as 25,000/mm3 to 30,000/mm3. The glucose level normally falls during labor because of an expenditure of energy in labor. Anemia or a reduction in the Hgb and Hct is common in pregnancy. Hgb levels less than 10 g/dL are considered abnormal in pregnancy.
Question 2 of 5.
To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.
A. Swimming in chlorinated water
B. Sitting in hot tubs
C. Wearing boxer shorts
D. Wearing colored underwear
E. Smoking cigarettes
F. Refraining from strenuous exercise
Explanation: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.
Question 3 of 5.
Which response by the nurse about Chadwick's sign is most accurate?
A. It's a bluish discoloration of the cervix, vagina, and vulva that occurs as a result of the presence of an increased number of blood vessels.
B. It's a softening of the cervix that occurs because of an increased amount of blood flowing to the reproductive organs.
C. It's a dark brown line extending from the umbilicus to the symphysis pubis that occurs as a result of hormonal changes.
D. None of the above
Explanation: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.
Question 4 of 5.
Using Naegele's Rule, the nurse can assume the client's expected delivery date to be approximately which date?
A. 13-Nov
B. 23-Nov
C. 3-Dec
D. 20-Dec
Explanation: Naegele's Rule: Subtract 3 months from the first day of the last menstrual period (March 13) and add 7 days, resulting in December 3.
Question 5 of 5.
Which fetal heart rate must the nurse report immediately to the physician?
A. 100 beats/minute
B. 120 beats/minute
C. 140 beats/minute
D. 160 beats/minute
Explanation: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.