Maternity NCLEX Questions
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Question 1 of 5.
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.
A. Limit ambulation to bathroom privileges only.
B. Decrease fluid intake to 1000 mL every 24 hours.
C. Instruct the client on a high-fiber diet.
D. Monitor the uterus for firmness every 2 hours.
E. Give pm prescribed stool softeners in the am. and at h.s.
Explanation: Activity should be increased, not decreased, to reduce the potential for constipation. Fluids should be increased, not decreased, to reduce the potential for dehydration and constipation. The client with a fourth-degree perineal laceration should be instructed to increase dietary fiber to help maintain bowel continence and decrease perineal trauma from constipation. A perineal laceration will not affect the condition of the uterus; there is no need to increase uterine monitoring. The client with a fourth-degree perineal laceration should be given a stool softener bid to help maintain bowel continence and decrease perineal trauma from constipation.
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.
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