NCLEX-RN (5th Ed.) - Maternity
Nursing Exam
/. A nursing student is preparing a prenatal class on the process of fetal circulation. The
nursing instructor asks the student specifically to describe the process through the
umbilical cord. Which of the following statements from the student is correct? - Answer-
✅"The two arteries in the umbilical cord carry deoxygenated blood & waste products
away from the fetus to the placenta."
/.A nursing student is assigned to care for a client in labor. A nursing instructor asks the
student to describe fetal circulation, specifically the ductus venous. The nursing
instructor determines that the student understands fetal circulation if the student states
that the ductus venous: - Answer-✅Connects the umbilical vein to the inferior vena
cava.
/.A pregnant client tells the clinic nurse that she wants to know the sex of her baby as
soon as it can be determined. The nurse understands that he client should be able to
find out at 12 weeks' gestation because by the end of the twelfth week: - Answer-✅The
sex of the fetus can be determined by the appearance of the external genitalia.
/.A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes
that the fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate
nursing action is to: - Answer-✅Notify the physician.
/.A nurse is conducting a prenatal class on the female reproductive system. When a
client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, the
nurse responds that the reason for this is that it: - Answer-✅Promotes the fertilized
ovum's normal implantation in the top portion of the uterus.
/.A nursing instructor is reviewing the menstrual cycle with a nursing student who will be
conducting a prenatal teaching session. The instructor asks the student to describe the
follicle-stimulating hormone (FSH) & the luteinizing hormone (LH). The student
accurately responds by stating that: - Answer-✅FSH & LH are released from the
anterior pituitary gland.
/.A couple comes to the family planning clinic & asks about sterilization procedures.
Which question by the nurse would determine if this method of family planning would be
appropriate? - Answer-✅"Do you plan to have any other children?"
, /.A nurse should explain which of the following to a pregnant client found to have a
gynecoid pelvis? - Answer-✅That her type of pelvis is the most favorable for labor &
birth.
/.A nurse explains some of the purposes of the placenta to a client during a prenatal
visit. The nurse determines that the client understands some of these purposes when
the client states that the placenta: - Answer-✅Is the way the baby gets food & oxygen.
/.A nursing instructor asks a nursing student to list the functions of the amniotic fluid.
The student responds correctly by stating that which of the following are functions of
amniotic fluid: - Answer-✅* Allows for fetal movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
/.A nurse is performing an assessment of a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal height in centimeters & expects the finding to
be which of the following? - Answer-✅30 cm
/.A nurse is collecting data during an admission assessment of a client who is pregnant
with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks &
tells the nurse that she does not have a Hx of any type of abortion or fetal demise. The
nurse would document the GTPAL for this client as - Answer-✅G=2, T=1, P=0, A=0,
L=1
/.A pregnant client is seen in a health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions, & the nurse determines
that she is experiencing Braxton Hicks contractions. Based on this finding, which
nursing action is appropriate? - Answer-✅Inform the client that these contractions are
common & may occur throughout the pregnancy.
/.A nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. The nurse tells the client that: - Answer-
✅A cesarean section will be necessary if vaginal lesions are present at the time of
labor.
/.A nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. The physician has documented the presence of Goodell's sign. The nurse
determines that this sign indicates: - Answer-✅A softening of the cervix.
/.A client arrives at the clinic for the first prenatal assessment. The client tells a nurse
that the first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the
nurse determines the estimated date of confinement is: - Answer-✅July 26, 2013
Nursing Exam
/. A nursing student is preparing a prenatal class on the process of fetal circulation. The
nursing instructor asks the student specifically to describe the process through the
umbilical cord. Which of the following statements from the student is correct? - Answer-
✅"The two arteries in the umbilical cord carry deoxygenated blood & waste products
away from the fetus to the placenta."
/.A nursing student is assigned to care for a client in labor. A nursing instructor asks the
student to describe fetal circulation, specifically the ductus venous. The nursing
instructor determines that the student understands fetal circulation if the student states
that the ductus venous: - Answer-✅Connects the umbilical vein to the inferior vena
cava.
/.A pregnant client tells the clinic nurse that she wants to know the sex of her baby as
soon as it can be determined. The nurse understands that he client should be able to
find out at 12 weeks' gestation because by the end of the twelfth week: - Answer-✅The
sex of the fetus can be determined by the appearance of the external genitalia.
/.A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes
that the fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate
nursing action is to: - Answer-✅Notify the physician.
/.A nurse is conducting a prenatal class on the female reproductive system. When a
client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, the
nurse responds that the reason for this is that it: - Answer-✅Promotes the fertilized
ovum's normal implantation in the top portion of the uterus.
/.A nursing instructor is reviewing the menstrual cycle with a nursing student who will be
conducting a prenatal teaching session. The instructor asks the student to describe the
follicle-stimulating hormone (FSH) & the luteinizing hormone (LH). The student
accurately responds by stating that: - Answer-✅FSH & LH are released from the
anterior pituitary gland.
/.A couple comes to the family planning clinic & asks about sterilization procedures.
Which question by the nurse would determine if this method of family planning would be
appropriate? - Answer-✅"Do you plan to have any other children?"
, /.A nurse should explain which of the following to a pregnant client found to have a
gynecoid pelvis? - Answer-✅That her type of pelvis is the most favorable for labor &
birth.
/.A nurse explains some of the purposes of the placenta to a client during a prenatal
visit. The nurse determines that the client understands some of these purposes when
the client states that the placenta: - Answer-✅Is the way the baby gets food & oxygen.
/.A nursing instructor asks a nursing student to list the functions of the amniotic fluid.
The student responds correctly by stating that which of the following are functions of
amniotic fluid: - Answer-✅* Allows for fetal movement
* Is a measure of kidney function
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
/.A nurse is performing an assessment of a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal height in centimeters & expects the finding to
be which of the following? - Answer-✅30 cm
/.A nurse is collecting data during an admission assessment of a client who is pregnant
with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks &
tells the nurse that she does not have a Hx of any type of abortion or fetal demise. The
nurse would document the GTPAL for this client as - Answer-✅G=2, T=1, P=0, A=0,
L=1
/.A pregnant client is seen in a health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions, & the nurse determines
that she is experiencing Braxton Hicks contractions. Based on this finding, which
nursing action is appropriate? - Answer-✅Inform the client that these contractions are
common & may occur throughout the pregnancy.
/.A nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. The nurse tells the client that: - Answer-
✅A cesarean section will be necessary if vaginal lesions are present at the time of
labor.
/.A nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. The physician has documented the presence of Goodell's sign. The nurse
determines that this sign indicates: - Answer-✅A softening of the cervix.
/.A client arrives at the clinic for the first prenatal assessment. The client tells a nurse
that the first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the
nurse determines the estimated date of confinement is: - Answer-✅July 26, 2013
