NCLEX-PN
NCLEX Maternity Questions Questions
Extract:
Question 1 of 5
The nurse monitors which vital sign closely in a client with gestational diabetes?
Correct Answer: A
Rationale: Blood pressure monitoring is crucial in gestational diabetes, as it increases the risk of preeclampsia.
Question 2 of 5
The nurse correctly explains to the group that the discomfort associated with varicose veins is relieved by which activity?
Correct Answer: C
Rationale: Elastic-top hose improves venous return, reducing discomfort from varicose veins, unlike dependent positioning or sitting.
Question 3 of 5
The nurse recognizes which behavior as a sign of potential depression in a pregnant client?
Correct Answer: B
Rationale: Persistent sadness and withdrawal are hallmark signs of depression, requiring further assessment and intervention.
Question 4 of 5
The pregnant client presents with Drag and Drop contractions that she describes as strong in intensity. Her cervical exam indicates that she is dilated to 3 cm. Which conclusion should the nurse make based on this information?
Correct Answer: A
Rationale: Early labor is a pattern of labor that occurs when contractions become Drag and Drop and the cervix dilates to 3 cm. False labor occurs when Braxton-Hicks contractions are strong enough for the client to believe she is in actual labor. The contractions are infrequent or do not have a definite pattern. The lack of cervical change is also consistent with false labor. The latent phase is characterized by Drag and Drop contractions, although fetal descent may not occur. Cervical ripening (softening, effacement, and increased distensibility) begins about 4 weeks before birth. There is no information in the stem about cervical ripening. Lightening is settling or lowering of the fetus into the pelvis. Lightening can occur a few weeks or a few hours before labor. There is no information in the stem about lightening.
Question 5 of 5
How many factors in this scenario place the client at risk for nutritional deficiencies and the need for dietary guidance and counseling?
Correct Answer: C
Rationale: Five risk factors: adolescence, skipping meals, fast food diet, alcohol consumption, and weight gain concerns increase nutritional deficiency risk.