Free NCLEX Maternity Questions | Nurselytic

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Free NCLEX Maternity Questions Questions

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Question 1 of 5

The nurse assesses the 34-week pregnant client (G2P1). Place the assessment findings in the sequence that they should be addressed by the nurse from the most significant to the least significant.

Order the Items

Source Container

Pedal edema at +3
BP 144/94 mm Hg
Positive group beta streptococcus vaginal culture
Fundal height increase of 4.5 cm in 1 week

Correct Answer: B,D,A,C

Rationale: BP 144/94 mm Hg warrants immediate evaluation. It could indicate preeclampsia, a condition that can progress to serious complications. Fundal height increase of 4.5 cm in 1 week is abnormal and requires further follow-up. Normal fundal height increase is 1 to 2 cm per week. An increase in fundal size can be related to gestational diabetes, large-for-gestational-age fetus, fetal anomalies, or polyhydramnios. Pedal edema at +3 may be a normal physiological process if it is an isolated finding. Pedal edema warrants further assessment because it can be a symptom of preeclampsia. Positive group beta streptococcus vaginal culture warrants antibiotic treatment in labor but does not warrant intervention during the pregnancy.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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