NCLEX-PN
Maternal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
On the basis of the health history data, how should the nurse record the client's pregnancy status on the prenatal records?
Correct Answer: C
Rationale: 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 2 of 5
Which response by the nurse is best?
Correct Answer: B
Rationale: No safe level of alcohol consumption during pregnancy has been established, as it may cause fetal alcohol spectrum disorders.
Question 3 of 5
The client is diagnosed with pregnancy-related diabetes at 28 weeks’ gestation. In teaching the client, the nurse includes which information for managing her blood glucose levels? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Hgb A1c will be drawn and monitored throughout the pregnancy, with a goal of reaching a level of less than 7%. Home blood glucose monitoring will help the client identify when her blood glucose is outside normal parameters. Excessive weight gain worsens control of glucose levels. Exercise adapted for the pregnant body is important to glucose control. Oral diabetic agents are contraindicated in pregnant clients.
Question 4 of 5
Which condition increases the risk of congenital anomalies in the fetus?
Correct Answer: A
Rationale: Maternal diabetes, if poorly controlled, increases the risk of congenital anomalies due to elevated blood glucose levels.
Question 5 of 5
The nurse is caring for the client who is Rh negative at 13 weeks’ gestation. The client is having cramping and has moderate vaginal bleeding. Which HCP order should the nurse question?
Correct Answer: B
Rationale: Obtaining the BHCG level is not indicated at 13 weeks’ gestation. BHCG levels are followed in early pregnancy before a fetal heartbeat can be confirmed. RhoGAM is indicated for any pregnant client with bleeding who is Rh negative. An ultrasound can identify the cause of bleeding and confirm fetal viability. Continuous external fetal monitoring can be used to confirm a fetal heartbeat, fetal viability, and fetal risk.