NCLEX-PN
Maternity NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse recommends which supplement for a vegetarian pregnant client?
Correct Answer: A
Rationale: Vitamin B12 supplementation is crucial for vegetarian pregnant clients, as it is primarily found in animal products and supports fetal neurological development.
Question 3 of 5
The nurse teaches the client to recognize which early labor sign?
Correct Answer: A
Rationale: Bloody show, a mucous discharge tinged with blood, is a common early labor sign as the cervix begins to dilate.
Question 4 of 5
The nurse is counseling the client who is trying to become pregnant. To promote fetal health when the client is unaware of a pregnancy, the nurse should stress the inclusion of which nutrient in daily food intake?
Correct Answer: C
Rationale: The nurse should educate the client about the need for adequate folic acid intake. Folic acid is important in preventing neural tube defects, especially during the first four weeks of fetal development. Potassium is important in preventing leg cramps during pregnancy, but this is usually not an issue during the first four weeks of gestation. Calcium is important for fetal development of bones, teeth, heart, nerves, and muscles, but the fetus will take calcium from the mother. Calcium is more important to maternal health than fetal development. Sodium is important for maintaining optimal electrolyte balance but is typically ingested in more than adequate amounts in a typical diet.
Question 5 of 5
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?
Correct Answer: B
Rationale: A decision regarding labor and delivery location is the priority for the client in order to properly plan for a home birth versus a hospital birth, HCP availability at the location, and type of labor and delivery settings available at the location. The decision on feeding the newborn can be made up to the time of the first feeding. The decision on pain management can be made early but can be changed up through the early stages of labor. The decision of delivery method should be made early but cannot be determined until the decision is made on labor and delivery location.