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Maternity NCLEX Questions

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Question 1 of 5.

The nurse observes a sinusoidal FHR pattern on the monitor tracing. How should the nurse interpret this pattern?

A. The fetus may be in a sleep state.

B. Congenital anomalies are possible.

C. This may indicate severe fetal anemia.

D. This predicts normal fetal well-being.

Explanation: A sinusoidal pattern, which is Drag and Drop, smooth, undulating, and uncommon, classically occurs with severe fetal anemia as a result of abnormal perinatal conditions. An FHR pattern having minimal variability (not a sinusoidal pattern) might indicate that the fetus is in a sleep state. Absent or minimal variability, not a sinusoidal FHR pattern, could indicate possible congenital anomalies. Moderate variability of the FHR (not a sinusoidal pattern) reflects normal fetal well-being.

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

The client has a vaginal delivery of a full-term newborn. Immediately after delivery, the nurse assesses that the client's perineum and labia are edematous, but she does not have an episiotomy or a perineal laceration. Which intervention should the nurse implement?

The postpartum client, who is 24 hours post—cesarean section, tells the nurse that she has much less lochial discharge after this birth than with her vaginal birth 2 years ago. The client asks if this is normal after a cesarean birth. Which statement should be the basis for the nurse's response?

The nurse is evaluating a breastfeeding session. The nurse determines that the infant has appropriately latched on to the mother's breast when which observations are made? Select all that apply.

During the first postpartum checkup, the nurse is assessing whether the client's chloasma has diminished. At which anatomical location is the nurse performing the assessment?

The postpartum client suffered a fourth-degree perineal laceration during her vaginal birth. Which interventions should the nurse add to the client's plan of care? Select all that apply.

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