Maternity NCLEX questions
A 24-hour urine collection is done for what reason in a pregnant woman? - ANS-To check
protein levels in pregnancy-induced hypertension
\A 32 week gestation client has suffered a motor vehicle trauma but is minimally injured.
Even so, what test( s) should be done to assess the pregnancy? Select all that apply.
a. Kleihauer-Betke test
b. CBC
c. Liver function tests
d. Non-stress test
e. C-reactive protein f. D-dimer test - ANS-Answer: a. d. After maternal trauma in an Rh
negative mother, a Kleinhauer-Betke test for the presence of fetal cells in maternal serum
should be checked and Rhogam given if positive. A non-stress test can evaluate the health
of the fetus. CBC, C-reactive protein and D-dimer tests are less important tests to order in
this situation.
\A client has an extremely high quantitative HCG level. What could the reason be? Select all
that apply.
a. impending misscarriage
b. multi gestation preg
c. hydatiform mold
d. Rh sensitivity
e. hyperemesis gravidarum - ANS-a. c. e.
High levels of HCG can be seen in a muli gestation preg, hydatiform mole, or hyperemesis
gravidarum.
\A client has an extremely high quantitative HCG level. What could the reason be? Select all
that apply.
a. Impending miscarriage
b. Multiple gestation pregnancy
c. Hydatiform mole
d. Rh sensitivity e. Hyperemesis gravidarum - ANS-Answer: a. c. e. High levels of HCG can
be seen in a multiple gestation pregnancy, hydatiform mole, or hyperemesis gravidarum.
Impending miscarriage would have a low HCG level and Rh sensitivity is not related to HCG
level.
\A client is being evaluated and treated for preterm labor. What are the various interventions
to be used in this situation? Select all that apply.
a. tocolytic therapy
b. glucocorticoids for lung materity
c. IV mannitol
d. GBS evaluation
e. Ambulation ad lib
f. external fetal monitoring - ANS-A.b.d.f.
A client with preterm labor can have tocolytic therapy, IV glucocorticoids, Group B strep
testing, restictions on ambulation and external fetal monitoring to evaluate for the presence
of contractions.
\A client is showing proteinuria on a urine dipstick during labor. What does this mean?
, a. The patient is suffering from pre-eclampsia
b. The patient is at risk for eclampsia
c. This is normal during labor
d. The patient has kidney disease . - ANS-Answer: c. Proteinuria in labor is normal from all
of the muscle exertion that happens in labor.
\A client presents in early labor. What is the most important park of the nursing assessment?
a. Check for lower extremity edema
b. Leopold's maneuver
c. check the fundal height
d. GBS culture - ANS-Answer: b. Leopold's maneuvers in early labor can help determine that
the fetus is head down and what the fetal lie is. If the baby is breech, it usually means the
client needs a cesarean section. The other measurements and assessments are not usually
indicated or important in labor.
\A client who is pregnant with a positive HIV test demonstrates she understands the
education she has received by saying what?
a. "My baby will never get AIDS".
b. "I must take anti-retrovirals throughout my pregnancy".
c. "I will start to take anti-retrovirals when I go into labor".
d. "I will need to take anti-retrovirals even while breastfeeding". - ANS-Answer: b. c. e. The
risk of ectopic pregnancy is increased with having a history of PID, having an IUD in place
and having a history of previous tubal surgery. The others are not a risk factor for ectopic
pregnancy.
\A maternal serum alpha-fetoprotein level is drawn and is high. What should be looked for?
Select all that apply.
a. down syndrome
b. multiple gestation
c. neural tube defects
d. trisomy 18
e. cystic fibrosis - ANS-b. multigestation
c. neural tube defects
\A positive contraction stress test involves what?
a. FHR acc-cells during contractions
b. FHR d-cells without contractions in 20 minutes
c. FHR acc-cells with contractions
d. FHR acc-cells without contractions in 20 minutes - ANS-A positive CST is having fetal
heart rate decelerations without contractions. This is also called a "non-reassuring
contraction stress test".
\A pregnant woman is having a biophysical profile. How do you educate the client about the
test? a. It scores 5 different physical parameters to assess fetal health on ultrasound. b. It
requires a small sampling of the fetal placenta. c. It is usually done in the first trimester. d.
The maximum score is 5. - ANS-Answer: a. A biophysical profile is usually done in the third
trimester to assess fetal health by checking five different fetal parameters on a scale of 0-2
per parameter for a total maximum score of 10.
\A vaginal and rectal swab for group B beta strep culture should be obtained at ___ week's
of gestation? - ANS-answer: 35-37 weeks
\Complications of a precipitous delivery include the following. Select all that apply.
a. Fetal distress in labor
b. Vaginal or peritoneal hematoma
A 24-hour urine collection is done for what reason in a pregnant woman? - ANS-To check
protein levels in pregnancy-induced hypertension
\A 32 week gestation client has suffered a motor vehicle trauma but is minimally injured.
Even so, what test( s) should be done to assess the pregnancy? Select all that apply.
a. Kleihauer-Betke test
b. CBC
c. Liver function tests
d. Non-stress test
e. C-reactive protein f. D-dimer test - ANS-Answer: a. d. After maternal trauma in an Rh
negative mother, a Kleinhauer-Betke test for the presence of fetal cells in maternal serum
should be checked and Rhogam given if positive. A non-stress test can evaluate the health
of the fetus. CBC, C-reactive protein and D-dimer tests are less important tests to order in
this situation.
\A client has an extremely high quantitative HCG level. What could the reason be? Select all
that apply.
a. impending misscarriage
b. multi gestation preg
c. hydatiform mold
d. Rh sensitivity
e. hyperemesis gravidarum - ANS-a. c. e.
High levels of HCG can be seen in a muli gestation preg, hydatiform mole, or hyperemesis
gravidarum.
\A client has an extremely high quantitative HCG level. What could the reason be? Select all
that apply.
a. Impending miscarriage
b. Multiple gestation pregnancy
c. Hydatiform mole
d. Rh sensitivity e. Hyperemesis gravidarum - ANS-Answer: a. c. e. High levels of HCG can
be seen in a multiple gestation pregnancy, hydatiform mole, or hyperemesis gravidarum.
Impending miscarriage would have a low HCG level and Rh sensitivity is not related to HCG
level.
\A client is being evaluated and treated for preterm labor. What are the various interventions
to be used in this situation? Select all that apply.
a. tocolytic therapy
b. glucocorticoids for lung materity
c. IV mannitol
d. GBS evaluation
e. Ambulation ad lib
f. external fetal monitoring - ANS-A.b.d.f.
A client with preterm labor can have tocolytic therapy, IV glucocorticoids, Group B strep
testing, restictions on ambulation and external fetal monitoring to evaluate for the presence
of contractions.
\A client is showing proteinuria on a urine dipstick during labor. What does this mean?
, a. The patient is suffering from pre-eclampsia
b. The patient is at risk for eclampsia
c. This is normal during labor
d. The patient has kidney disease . - ANS-Answer: c. Proteinuria in labor is normal from all
of the muscle exertion that happens in labor.
\A client presents in early labor. What is the most important park of the nursing assessment?
a. Check for lower extremity edema
b. Leopold's maneuver
c. check the fundal height
d. GBS culture - ANS-Answer: b. Leopold's maneuvers in early labor can help determine that
the fetus is head down and what the fetal lie is. If the baby is breech, it usually means the
client needs a cesarean section. The other measurements and assessments are not usually
indicated or important in labor.
\A client who is pregnant with a positive HIV test demonstrates she understands the
education she has received by saying what?
a. "My baby will never get AIDS".
b. "I must take anti-retrovirals throughout my pregnancy".
c. "I will start to take anti-retrovirals when I go into labor".
d. "I will need to take anti-retrovirals even while breastfeeding". - ANS-Answer: b. c. e. The
risk of ectopic pregnancy is increased with having a history of PID, having an IUD in place
and having a history of previous tubal surgery. The others are not a risk factor for ectopic
pregnancy.
\A maternal serum alpha-fetoprotein level is drawn and is high. What should be looked for?
Select all that apply.
a. down syndrome
b. multiple gestation
c. neural tube defects
d. trisomy 18
e. cystic fibrosis - ANS-b. multigestation
c. neural tube defects
\A positive contraction stress test involves what?
a. FHR acc-cells during contractions
b. FHR d-cells without contractions in 20 minutes
c. FHR acc-cells with contractions
d. FHR acc-cells without contractions in 20 minutes - ANS-A positive CST is having fetal
heart rate decelerations without contractions. This is also called a "non-reassuring
contraction stress test".
\A pregnant woman is having a biophysical profile. How do you educate the client about the
test? a. It scores 5 different physical parameters to assess fetal health on ultrasound. b. It
requires a small sampling of the fetal placenta. c. It is usually done in the first trimester. d.
The maximum score is 5. - ANS-Answer: a. A biophysical profile is usually done in the third
trimester to assess fetal health by checking five different fetal parameters on a scale of 0-2
per parameter for a total maximum score of 10.
\A vaginal and rectal swab for group B beta strep culture should be obtained at ___ week's
of gestation? - ANS-answer: 35-37 weeks
\Complications of a precipitous delivery include the following. Select all that apply.
a. Fetal distress in labor
b. Vaginal or peritoneal hematoma
