NCLEX-PN
Maternal NCLEX Questions
Question 1 of 5
The nurse correctly explains that the bleeding is the result of sloughing of which structure?
Correct Answer: A
Rationale: Menstrual bleeding occurs due to the sloughing of the endometrium, the inner lining of the uterus, when pregnancy does not occur.
Question 2 of 5
On the basis of this finding, the nurse can assume that the client is at least how many months' pregnant?
Correct Answer: A
Rationale: Ballottement, the rebound of the fetus when the cervix is tapped, is typically detectable around 4-5 months, indicating at least 5 months' gestation.
Question 3 of 5
The nurse correctly assists the client into which position?
Correct Answer: A
Rationale: The lithotomy position, with legs elevated and apart, is standard for pelvic examinations to provide access to the pelvic area.
Question 4 of 5
Which response by the nurse is most accurate?
Correct Answer: C
Rationale: The maternal serum alpha-fetoprotein (AFP) test screens for neural tube defects like spina bifida by measuring AFP levels.
Question 5 of 5
The nurse advises the client that this test is typically performed at what time during the pregnancy?
Correct Answer: B
Rationale: Amniocentesis is typically performed early in the second trimester (15-20 weeks) to assess for genetic abnormalities.