Maternity NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Maternity
Question 1 of 5.
The pregnant client has an abnormal 1-hour glucose screen and completes a 3-hour, 100-g oral glucose tolerance test (OGTT). Which test results should the nurse interpret as being abnormal?
A. Fasting blood glucose = 104 mg/dL
B. 1-hour = 179 mg/dL
C. 2-hour = 146 mg/dL
D. 3-hour = 129 mg/dL
Explanation: The fasting blood glucose of 104 mg/dL is abnormal for the OGTT; normal is 95 mg/dL or lower. A 1-hour OGTT value of 179 mg/dL is normal; normal is 180 mg/dL or lower. The 2-hour OGTT value of 146 mg/dL is normal; an abnormal value is 155 mg/dL or higher. The 3-hour OGTT value of 129 mg/dL is normal; an abnormal value is 140 mg/dL or higher.
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