NCLEX MATERNITY 2023 - 2024 LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS AND VERIFIED
GRADED A++
B. Organogenesis occurs.
(B) Weeks 4-8, known as the embryonic period, are the time organogenesis
occurs and pose the greatest potential for major congenital malformations. All
major internal and external organs and systems are formed. (
When teaching a class of nursing students, the nurse asks why the embryonic period
(weeks 4-8) of pregnancy is so critical.
A gynecoid pelvis
most favorable for vaginal birth
fallopian tubes
where fertilization takes place
stay for 3 days
implantation occurs
6 - 8 days after ovulation
Ovulation occurs
14 days before the next menstrual period
Amniotic fluids
normal- 800- 1200 ml
Measure the fetal kidney function
Placenta
,Nutrient and waste exchange
O2 exchange
In the 3rd trimester transfer immunoglobulin and passive immunity
Bacteria cannot cross it
Complete by 12 weeks
Umbilical cord
2 A / 1 V = 2 arteries and one vein
2 arteries = carry the de oxygenated blood from the fetus
One vein = carry o2 blood and nutrient to the fetus
family planning
Depends on women preferences •
Sterilization = if they don't have plan to have children •
Women taking contraceptive pills ( progestin) is at risk for tubal or ectopic pregnancy
A. Nausea and vomiting
(A) Nausea and vomiting are experienced by almost half of all pregnant women
during the first 3 months of pregnancy as a result of elevated human chorionic
gonadotropin levels and changed carbohydrate metabolism.
The nurse practitioner determines that a client is approximately 9 weeks' gestation.
During the visit, the practitioner informs the client about symptoms of physical changes
that she will experience during her first trimester, such as:
D. Increased human placental lactogen levels
(D) Human placental lactogen levels increase later in pregnancy. This hormonal
,antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the
circulation of free fatty acids.
Pregnant women with diabetes often have problems related to the effectiveness of
insulin in controlling their glucose levels during their second half of pregnancy. The
nurse teaches the client that this is due to:
B. Gravida 3 para 2
The client is currently pregnant for the third time (G = 3), regardless of the length
of the pregnancy, and has had two prior pregnancies with birth after the 20th
week (P = 2), whether infant was alive or dead.
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She
has been pregnant twice before; the first delivery produced a viable baby girl at 39
weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2
years ago. Both children are living and well. Using the gravida and para system to
record the client's obstetrical history, the nurse should record:
A. Gravida 3 para 1
B. Gravida 3 para 2
C. Gravida 2 para 1
D. Gravida 2 para 2
B. Gravida 5, para 3, ab 1
(B) Your client has been pregnant five times, delivered three children, and had
one abortion.
A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy
test was positive, she has two living children, she had one spontaneous abortion, and
one infant died at the age of 3 months. Which of the following best describes the client
at the present?
D. Help the client to a sitting position
(D) This would move the gravid uterus off of the client‘s vena cava, which would
alleviate the maternal hypotension that is the cause of her symptoms.
, A pregnant client continues to visit the clinic regularly during her pregnancy. During one
of her visits while lying supine on the examining table, she tells the RN that she is
becoming light-headed. The RN notices that the client has pallor in her face and is
perspiring profusely. The first intervention the RN should initiate is to:
A. Place the examining table in the Trendelenburg position B. Assess the client to see if
she is having vaginal bleeding
C. Obtain the client's vital signs immediately D. Help the client to a sitting position
B. A threatened abortion
A) An inevitable abortion includes the signs of cervical dilation and effacement as
well as pain and bleeding.
(B) A threatened abortion is a condition in which intrauterine bleeding occurs
early in pregnancy, the cervix remains undilated, and the uterine contents are not
necessarily expelled.
C) An incomplete abortion occurs when some portions of the products of
conception are expelled from the uterus.
(D) A missed abortion occurs when the embryo dies in utero and is retained in the
uterus.
A female client at 10 weeks' gestation complains to her physician of slight vaginal
bleeding and mild cramps. On examination, her physician determines that her cervix is
closed. The client is exhibiting signs of:
A. An inevitable abortion
B. A threatened abortion
C. An incomplete abortion
D. A missed abortion
B. A distended or ruptured fallopian tube
(A) The embryo itself may develop normally in the first several weeks of an
ectopic pregnancy.
QUESTIONS AND CORRECT ANSWERS AND VERIFIED
GRADED A++
B. Organogenesis occurs.
(B) Weeks 4-8, known as the embryonic period, are the time organogenesis
occurs and pose the greatest potential for major congenital malformations. All
major internal and external organs and systems are formed. (
When teaching a class of nursing students, the nurse asks why the embryonic period
(weeks 4-8) of pregnancy is so critical.
A gynecoid pelvis
most favorable for vaginal birth
fallopian tubes
where fertilization takes place
stay for 3 days
implantation occurs
6 - 8 days after ovulation
Ovulation occurs
14 days before the next menstrual period
Amniotic fluids
normal- 800- 1200 ml
Measure the fetal kidney function
Placenta
,Nutrient and waste exchange
O2 exchange
In the 3rd trimester transfer immunoglobulin and passive immunity
Bacteria cannot cross it
Complete by 12 weeks
Umbilical cord
2 A / 1 V = 2 arteries and one vein
2 arteries = carry the de oxygenated blood from the fetus
One vein = carry o2 blood and nutrient to the fetus
family planning
Depends on women preferences •
Sterilization = if they don't have plan to have children •
Women taking contraceptive pills ( progestin) is at risk for tubal or ectopic pregnancy
A. Nausea and vomiting
(A) Nausea and vomiting are experienced by almost half of all pregnant women
during the first 3 months of pregnancy as a result of elevated human chorionic
gonadotropin levels and changed carbohydrate metabolism.
The nurse practitioner determines that a client is approximately 9 weeks' gestation.
During the visit, the practitioner informs the client about symptoms of physical changes
that she will experience during her first trimester, such as:
D. Increased human placental lactogen levels
(D) Human placental lactogen levels increase later in pregnancy. This hormonal
,antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the
circulation of free fatty acids.
Pregnant women with diabetes often have problems related to the effectiveness of
insulin in controlling their glucose levels during their second half of pregnancy. The
nurse teaches the client that this is due to:
B. Gravida 3 para 2
The client is currently pregnant for the third time (G = 3), regardless of the length
of the pregnancy, and has had two prior pregnancies with birth after the 20th
week (P = 2), whether infant was alive or dead.
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She
has been pregnant twice before; the first delivery produced a viable baby girl at 39
weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2
years ago. Both children are living and well. Using the gravida and para system to
record the client's obstetrical history, the nurse should record:
A. Gravida 3 para 1
B. Gravida 3 para 2
C. Gravida 2 para 1
D. Gravida 2 para 2
B. Gravida 5, para 3, ab 1
(B) Your client has been pregnant five times, delivered three children, and had
one abortion.
A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy
test was positive, she has two living children, she had one spontaneous abortion, and
one infant died at the age of 3 months. Which of the following best describes the client
at the present?
D. Help the client to a sitting position
(D) This would move the gravid uterus off of the client‘s vena cava, which would
alleviate the maternal hypotension that is the cause of her symptoms.
, A pregnant client continues to visit the clinic regularly during her pregnancy. During one
of her visits while lying supine on the examining table, she tells the RN that she is
becoming light-headed. The RN notices that the client has pallor in her face and is
perspiring profusely. The first intervention the RN should initiate is to:
A. Place the examining table in the Trendelenburg position B. Assess the client to see if
she is having vaginal bleeding
C. Obtain the client's vital signs immediately D. Help the client to a sitting position
B. A threatened abortion
A) An inevitable abortion includes the signs of cervical dilation and effacement as
well as pain and bleeding.
(B) A threatened abortion is a condition in which intrauterine bleeding occurs
early in pregnancy, the cervix remains undilated, and the uterine contents are not
necessarily expelled.
C) An incomplete abortion occurs when some portions of the products of
conception are expelled from the uterus.
(D) A missed abortion occurs when the embryo dies in utero and is retained in the
uterus.
A female client at 10 weeks' gestation complains to her physician of slight vaginal
bleeding and mild cramps. On examination, her physician determines that her cervix is
closed. The client is exhibiting signs of:
A. An inevitable abortion
B. A threatened abortion
C. An incomplete abortion
D. A missed abortion
B. A distended or ruptured fallopian tube
(A) The embryo itself may develop normally in the first several weeks of an
ectopic pregnancy.
