Maternal NCLEX Practice Questions
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Question 1 of 5.
The nurse is teaching the Muslim client how to correctly latch her baby to her breast for breastfeeding. Two student nurses are observing the instruction. Later, the client requests that the nurse not be allowed to provide her postpartum care. What most likely caused the client to be uncomfortable with the nurse?
A. Muslim women do not want to breastfeed while in the hospital.
B. Muslim women wait for their milk to come in before they breastfeed.
C. Muslim women are uncomfortable breastfeeding in public situations.
D. Muslim women only breastfeed after the infant is given boiled water.
Explanation: Korean mothers resist breastfeeding in the hospital. Some Asian women believe colostrum is “bad,†and therefore they do not feed until actual breast milk is present. Most Muslim women breastfeed because the Koran encourages it; however, they are uncomfortable about breastfeeding in public situations and prefer privacy. Having two students observing the feeding process most likely would make the client uncomfortable, as she would desire more privacy. Some Asian cultures believe the newborn must be given boiled water until the milk is actually present.
Question 2 of 5.
On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?
A. Multipara
B. Primipara
C. Primigravida
D. Multigravida
Explanation: A primigravida is a woman pregnant for the first time, which matches the client's status of being possibly 2 months pregnant with no prior pregnancies.
Question 3 of 5.
Which assessment finding best represents a positive sign of pregnancy?
A. Palpable fetal outline
B. Blotchy tan facial skin
C. Positive pregnancy test
D. Fetal heartbeat
Explanation: A fetal heartbeat, detected by Doppler or ultrasound, is a positive sign of pregnancy, as it directly confirms the presence of a living fetus.
Question 4 of 5.
Before the pelvic examination, which intervention by the nurse is most appropriate?
A. Give the client an enema.
B. Instruct the client to urinate.
C. Shave the client's perineum.
D. Give the client a mild sedative.
Explanation: Instructing the client to urinate ensures a comfortable examination by emptying the bladder, which can interfere with pelvic assessment.
Question 5 of 5.
The nurse responds that, for clients with uncomplicated pregnancies, it is usually best to plan monthly visits for the first 28 weeks and then more frequent visits following which schedule?
A. Weekly for the remainder of the pregnancy
B. Every 2 weeks for the remainder of the pregnancy
C. Every 2 weeks up to 36 weeks, then weekly for the last month
D. Weekly up to 36 weeks, then twice weekly for the last month
Explanation: Standard prenatal care involves monthly visits until 28 weeks, biweekly until 36 weeks, and weekly thereafter for uncomplicated pregnancies.
Related Questions
The nurse includes which topic in the prenatal education plan for a first-time mother?
Which response by the nurse addresses the client's anxiety about childbirth?
Which sign of labor should the nurse teach the client to report immediately?
Which instruction should the nurse provide about postpartum recovery?