NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention is most appropriate for a client with placenta previa?
Correct Answer: A
Rationale: Placenta previa often requires cesarean delivery to prevent life-threatening bleeding, unlike the other options.
Question 2 of 5
The nurse observes a sinusoidal FHR pattern on the monitor tracing. How should the nurse interpret this pattern?
Correct Answer: C
Rationale: A sinusoidal pattern, which is Drag and Drop, smooth, undulating, and uncommon, classically occurs with severe fetal anemia as a result of abnormal perinatal conditions. An FHR pattern having minimal variability (not a sinusoidal pattern) might indicate that the fetus is in a sleep state. Absent or minimal variability, not a sinusoidal FHR pattern, could indicate possible congenital anomalies. Moderate variability of the FHR (not a sinusoidal pattern) reflects normal fetal well-being.
Question 3 of 5
How early in a pregnancy can the nurse expect to hear the fetal heartbeat using a Doppler device?
Correct Answer: C
Rationale: A fetal heartbeat can typically be detected by Doppler around 12-14 weeks, when the fetus is sufficiently developed.
Question 4 of 5
The nurse correctly instructs the client to drink how many glasses of milk per day to meet calcium requirements?
Correct Answer: B
Rationale: Three to four glasses of milk daily provide approximately 1200 mg of calcium, meeting pregnancy requirements.
Question 5 of 5
The pregnant client has an abnormal 1-hour glucose screen and completes a 3-hour, 100-g oral glucose tolerance test (OGTT). Which test results should the nurse interpret as being abnormal?
Correct Answer: A
Rationale: The fasting blood glucose of 104 mg/dL is abnormal for the OGTT; normal is 95 mg/dL or lower. A 1-hour OGTT value of 179 mg/dL is normal; normal is 180 mg/dL or lower. The 2-hour OGTT value of 146 mg/dL is normal; an abnormal value is 155 mg/dL or higher. The 3-hour OGTT value of 129 mg/dL is normal; an abnormal value is 140 mg/dL or higher.