Maternal NCLEX Questions
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Question 1 of 5.
While assessing the postpartum client who is 10 hours post—vaginal delivery, the nurse notes a perineal pad that is totally saturated. To determine the significance of this finding, which question should the nurse ask the client first?
A. “How often are you experiencing uterine cramping?â€
B. “When was the last time you changed your peri-pad?â€
C. “Are you having any bladder urgency or frequency?â€
D. “Did you pass clots that required changing your peri-pad?â€
Explanation: Once the nurse has determined the length of time the pad has been in place, the nurse could decide if asking about uterine cramping is appropriate. The amount of lochia on a perineal pad is influenced by the individual client's pad changing practices. Thus, the nurse should ask about the length of time the current pad has been in place before making a judgment about whether the amount is concerning. Although bladder incontinence could cause pad saturation, it is more important to ask about the length of time the pad has been in place. Based on the client's answer, the nurse could decide if asking about bladder urgency or frequency needs further assessment. Passing clots may require more frequent pad change, but first the nurse should determine if the reason for the saturated pad is the length of time it has been in place.
Question 2 of 5.
Which explanation by the nurse correctly describes the occurrence of identical twins?
A. Two separate ova are fertilized by identical sperm.
B. The mother releases two identical ova.
C. One fertilized ovum divides into two identical halves.
D. Two identical ova are fertilized by two identical sperm.
Explanation: Identical twins result from one fertilized ovum splitting into two identical embryos, sharing the same genetic material.
Question 3 of 5.
In the primigravid client, when is fetal movement typically felt for the first time?
A. Between 10 and 14 weeks' gestation
B. Between 16 and 20 weeks' gestation
C. Between 22 and 26 weeks' gestation
D. Between 28 and 32 weeks' gestation
Explanation: Primigravid women typically feel fetal movement (quickening) between 16 and 20 weeks, later than multigravida women.
Question 4 of 5.
Which method best promotes client comfort during the pelvic examination?
A. Have the client lift her head off the table.
B. Have the client press her back into the examination table.
C. Have the client tighten her buttocks.
D. Tell the client to let her knees fall outward.
Explanation: Letting the knees fall outward relaxes the pelvic muscles, reducing discomfort during the pelvic examination.
Question 5 of 5.
Which nursing instructions concerning exercise during pregnancy are accurate? Select all that apply.
A. Avoid exercising during hot, humid weather.
B. Avoid exercises involving bouncing or jumping movements.
C. Drink plenty of fluids before and after exercising.
D. Limit strenuous activity to no more than 60 minutes a session.
E. Perform exercises only in the supine position.
F. Limit exercising to once per week.
Explanation: Exercising in hot weather risks overheating, bouncing movements may strain joints, and hydration is crucial. Supine exercises are avoided late in pregnancy.
Related Questions
Which statement by the client indicates understanding of prenatal education?
The nurse identifies which factor as contributing to the client's stress?
The nurse explains that true labor contractions are characterized by which feature?
The nurse teaches the client to report which postpartum symptom immediately?