Free NCLEX Maternity Questions
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Question 1 of 5.
The nurse is reviewing the laboratory report from the first prenatal visit of the pregnant client. Which laboratory result should the nurse most definitely discuss with the HCP?
A. Hemoglobin 11 g/dL; hematocrit 33%
B. White blood cell (WBC) count: 7000/mm3
C. Pap smear: human papilloma virus changes
D. Urine pH: 7.4; specific gravity 1.015
Explanation: A Pap smear with HPV changes reflects an abnormal result. HPV changes are a risk factor for cervical cancer. The nurse should discuss the result with the HCP because it requires further assessment and follow-up. A normal Hgb is 12—15 g/dL; nutritional counseling should be initiated when the Hgb is less than 12 g/dL. An Hct of 33% is also low (normal Hct value = 38% to 47%; this decreases by 4% to 7% in pregnancy), but increasing the Hgb with iron-rich foods should also raise the Hct. A WBC count of 7000/mm3 is within the normal range of 5000 to 12,000/mm3. A urine pH of 7.4 is within the normal range of 4.6 to 8.0; the specific gravity is within the normal range of 1.010 to 1.025.
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.
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