Maternity NCLEX Questions | Nurselytic

Questions 51

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Maternity NCLEX Questions Questions

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Question 1 of 5

Which response by the nurse is most relevant when another participant talks about having recurrent mood swings?

Correct Answer: A

Rationale: Avoiding fatigue and stress helps manage mood swings, which are common due to hormonal changes in pregnancy.

Question 2 of 5

The pregnant client presents to a clinic with ongoing nausea, vomiting, and anorexia at 29 weeks’ gestation. Her Hgb level is 5 g/dL, and a blood smear reveals that newly formed RBCs are macrocytic. Which condition should the nurse further explore?

Correct Answer: B

Rationale: With the client’s symptoms and laboratory findings, the nurse should further explore folic acid deficiency. It is usually seen in the third trimester and coexists with iron-deficiency anemia. Sickle cell anemia is an inherited disorder in which the Hgb is abnormally formed. The chief symptom among individuals with sickle cell anemia is pain. Beta-thalassemia minor is an inherited hematological disorder. There is a defect in the synthesis of the beta chain within the Hgb molecule. Beta-thalassemia minor typically results in mild anemia. Beta-thalassemia major is an inherited hematological disorder. There is a defect in the synthesis of the beta chain within the Hgb molecule, but it is more severe than beta-thalassemia minor. Pregnancy in individuals with beta-thalassemia major is rare. Symptoms are usually severe anemia that warrants transfusion therapy.

Question 3 of 5

At this point in the client's pregnancy, which test is typically used to detect genetic disorders?

Correct Answer: B

Rationale: Chorionic villi sampling is performed at 10-13 weeks to detect genetic disorders, suitable for a 10-week pregnancy.

Question 4 of 5

Which screening is recommended for a client over 35 years old?

Correct Answer: A

Rationale: Amniocentesis is recommended for women over 35 to screen for genetic disorders due to increased risk with advanced maternal age.

Question 5 of 5

If the client reports the following signs and symptoms, which one represents a probable sign of pregnancy?

Correct Answer: B

Rationale: Abdominal enlargement is a probable sign of pregnancy, as it is more objective and indicative of uterine growth.

Similar Questions

The nurse is teaching the pregnant client during her first trimester. The nurse identifies that which decision is most important for her to make first?
The client at 32 weeks’ gestation presents to a hospital with a severe headache. Her admission BP is 184/104 mm Hg. Based on the assessment and findings of the serum laboratory report, which most severe complication warrants the nurse’s further assessment?
The client has a vaginal delivery of a full-term newborn. Immediately after delivery, the nurse assesses that the client’s perineum and labia are edematous, but she does not have an episiotomy or a perineal laceration. Which intervention should the nurse implement?
The nurse is assessing the postpartum client, who is 5 hours postdelivery. Initially, the nurse is unable to palpate the client’s uterine fundus. Prioritize the nurse’s actions to locate the client’s fundus by placing each step in the correct sequence.
On the basis of the client's statement, what can the nurse conclude?

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