Maternal NCLEX Practice Questions
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Question 1 of 5.
Which of the following should the nurse plan to have available when providing nursing care to this client? Select all that apply.
A. I.V. start kit
B. An intake and output record
C. Oxygen and face mask
D. Cardiac monitor
E. A consent for a blood transfusion
F. A suction machine
Explanation: Hyperemesis gravidarum with dehydration requires I.V. fluids, intake/output monitoring, oxygen if needed, and suction for vomiting.
Question 2 of 5.
On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?
A. Multipara
B. Primipara
C. Primigravida
D. Multigravida
Explanation: A primigravida is a woman pregnant for the first time, which matches the client's status of being possibly 2 months pregnant with no prior pregnancies.
Question 3 of 5.
Which assessment finding best represents a positive sign of pregnancy?
A. Palpable fetal outline
B. Blotchy tan facial skin
C. Positive pregnancy test
D. Fetal heartbeat
Explanation: A fetal heartbeat, detected by Doppler or ultrasound, is a positive sign of pregnancy, as it directly confirms the presence of a living fetus.
Question 4 of 5.
Before the pelvic examination, which intervention by the nurse is most appropriate?
A. Give the client an enema.
B. Instruct the client to urinate.
C. Shave the client's perineum.
D. Give the client a mild sedative.
Explanation: Instructing the client to urinate ensures a comfortable examination by emptying the bladder, which can interfere with pelvic assessment.
Question 5 of 5.
The nurse responds that, for clients with uncomplicated pregnancies, it is usually best to plan monthly visits for the first 28 weeks and then more frequent visits following which schedule?
A. Weekly for the remainder of the pregnancy
B. Every 2 weeks for the remainder of the pregnancy
C. Every 2 weeks up to 36 weeks, then weekly for the last month
D. Weekly up to 36 weeks, then twice weekly for the last month
Explanation: Standard prenatal care involves monthly visits until 28 weeks, biweekly until 36 weeks, and weekly thereafter for uncomplicated pregnancies.
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