NCLEX Maternity Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Maternity
Question 1 of 5.
The postpartum client's blood type is A negative, and her newborn infant's blood type is AB negative. The client received RhoGAM in her second trimester and another dose in her third trimester, after a minor car accident. The client is preparing for discharge and asks the nurse when she will receive her RhoGAM injection. The nurse correctly responds with which statement?
A. “You already received two doses of RhoGAM and do not need an additional dose.â€
B. “I will give your last dose of RhoGAM today, before you are discharged to home.â€
C. “You and your baby have negative blood types; a dose of RhoGAM is not needed.â€
D. “RhoGAM would have been already given while you were in the delivery room.â€
Explanation: The number of RhoGAM doses given in pregnancy does not affect whether or not the client receives a dose postpartum. Both the client and newborn are Rh negative; no dose is required. Rh immune globulin (RhoGAM) is administered to women with Rh negative blood types at approximately 28 weeks of gestation and again after any trauma, such as a car accident or fall. After delivery, RhoGAM is only indicated if the newborn has a positive blood type; both the client and newborn are Rh negative. For postpartum clients who require RhoGAM, the dose is given within 72 hours of delivery. However, no dose is necessary because the client and newborn are both Rh negative.
Question 2 of 5.
When the client asks the nurse about the viability of the ovum after ovulation, the nurse correctly explains that after ovulation, the ovum remains alive for how many hours?
A. 2 hours
B. 24 hours
C. 48 hours
D. 72 hours
Explanation: The ovum remains viable for approximately 24 hours after ovulation, during which it can be fertilized by sperm.
Question 3 of 5.
The nurse correctly sends a requisition and specimen for which laboratory test?
A. Alpha-fetoprotein (AFP)
B. Corticotropin-releasing hormone (CRH)
C. Human chorionic gonadotropin (hCG)
D. Follicle-stimulating hormone (FSH)
Explanation: Human chorionic gonadotropin (hCG) is the hormone tested to confirm pregnancy, as it is produced by the placenta shortly after implantation.
Question 4 of 5.
According to the TPAL method, which of the following reflects the client's obstetric history?
A. T-III, P-0, A-0, L-III
B. T-III, P-II, A-0, L-0
C. T-III, P-II, A-0, L-II
D. T-III, P-0, A-0, L-III
Explanation: TPAL: Term (3, one son and twin daughters), Preterm (0), Abortions (0), Living (3). The client has three term deliveries and three living children.
Question 5 of 5.
Which action by the nurse best ensures that an accurate fetal heart rate is obtained?
A. Assess the fetal heart rate when the client is lying on her right side.
B. Assess the fetal heart rate when the client reports fetal movement.
C. Assess the fetal heart rate between Braxton Hicks contractions.
D. Assess the maternal pulse and fetal heart rate, and compare the two.
Explanation: Comparing maternal pulse with fetal heart rate ensures the nurse is not mistaking the maternal pulse for the fetal heartbeat.
Related Questions
Which assessment finding best indicates the presence of this condition?
Which pregnant client should the nurse encourage to undergo hepatitis B testing?
Which activity should the nurse recommend to prepare for labor?
The nurse recognizes which behavior as a sign of potential depression in a pregnant client?
The nurse prepares the client for which pain management option during labor?