NCLEX Maternity Questions
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Question 1 of 5.
The primiparous client, who is bottle feeding her infant, asks the nurse when she can expect to start having her menstrual cycle again. Which response by the nurse is most accurate?
A. “Most women who bottle feed can expect their period within 6 to 10 weeks after birth.â€
B. “Your period should return a few days after your lochial discharge stops.â€
C. “Your lochia will change from pink to white; when white, your period should return.â€
D. “Bottle feeding delays the return of a normal menstrual cycle until 6 months postbirth.â€
Explanation: In nonlactating women, the average time to first ovulation is 45 days, and the return of menstruation usually happens within 6 to 10 weeks postbirth. Most women can expect to have lochial discharge for up to 24 days. However, the cessation of discharge is not related to the return of menstruation. The change in lochial color is not related to the return of menstruation. The return of ovulation and menstruation is associated with a rise in serum progesterone levels. Bottle feeding does not affect when this change occurs in the client's body.
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.
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