Maternity NCLEX Questions
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Question 1 of 5.
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?
A. A decrease in her lochia is not expected; further assessment is needed.
B. Women usually have increased lochial discharge after cesarean births.
C. Women normally have less lochial discharge after a cesarean birth.
D. The lochia amount depends on whether surgery was emergent or planned.
Explanation: A decrease in lochia is expected after a cesarean birth; no further assessment is needed regarding the lochial amount unless it is totally absent. A decrease in lochia is expected after a cesarean birth, not an increase. The client's lochial discharge is usually decreased after cesarean birth because the uterus is cleaned during surgery. The amount of lochia is not dependent on whether the surgery was emergent or planned because the uterus is cleaned during surgery in both situations.
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
At this point in the client's pregnancy, which test is typically used to detect genetic disorders?
Which of the following is most indicative of the presence of hydatidiform mole?
The nurse emphasizes which safety measure during prenatal education?
Which intervention is most appropriate for a client experiencing low self-esteem during pregnancy?