2020 NCLEX-RN TEST PREP: GROWTH AND

2020 NCLEX-RN TEST PREP: GROWTH AND

DEVELOPMENT (STUDY MODE) PRACTICE

QUESTIONS WITH: ANSWERS &

EXPLANATIONS

1.Which of the following complications is associated with premature rupture of membranes in the pregnant client?

• Vaginal or cervical lacerations
• Shoulder dystocia
• Uterine rupture
• Chorioamnionitis

ANSWER D: Premature rupture of membranes occurs when the amniotic sac

of a pregnant client has ruptured before the onset of labor. The client may be at increased risk of chorioamnionitis, which occurs as inflammation of the membranes of the placenta. Infection may develop when bacteria ascend into the uterus without the protection of the intact amniotic sac.

2.A nurse is caring for a child whose parents live in a home with several other unrelated children and adults. Some of the people who live in the home have visited and the nurse discovers that this group all shares finances and living conditions. What type of family is this most likely an example of?

• Blended family
• Communal family
• Foster family
• Extended family

ANSWER B: A communal family is a group classified as a non-traditional

family. In this situation, adults who are not related may live and work with other adults and their children all together in a household. The communal family may share expenses, food, and childcare in the same way as a traditional family.

3.A nurse is educating a female client about progesterone. Which of the following information is appropriate to include in this teaching?

• Progesterone helps the body to maintain pregnancy
• Progesterone stimulates the breasts to secrete milk
• Progesterone causes uterine contractions during delivery
• Progesterone causes development of masculine characteristics in women

ANSWER A: Progesterone is a hormone that is produced by the ovaries in

women. Progesterone affects the tissue of the endometrium by developing the lining of the uterus in support of embryo implantation. In pregnant women, progesterone nourishes the uterine lining and limits uterine contractions to prevent miscarriage.

4.A nurse is assisting with counseling for a pregnant client who has had genetic testing performed for her unborn child. The geneticist tells this mother that her baby has an extra copy of the 21st chromosome in every cell. Based on this information, the nurse knows that the baby will most likely be born with which condition?

• Turner syndrome
• Patau syndrome
• Down syndrome

• Edwards syndrome

ANSWER C: A genetic condition that causes an extra copy of chromosome

21 in each cell is known as trisomy 21, or Down syndrome. Trisomy occurs when there are three chromosomes for each cell instead of the usual two. It is named and its symptoms occur based on the affected chromosomes.

5.A pregnant client who is at 38 weeks' gestation is seen for prenatal care at a community clinic. The nurse asks the client to lie down while waiting for the physician to arrive. After several minutes of lying on her back, the client becomes dizzy and lightheaded; she is agitated and states she feels she might faint. What is the next action of the nurse?

• Call the physician to check the client immediately
• Call 9-1-1 for an ambulance to transport the client to the labor and delivery

unit of the hospital

• Check the client's blood pressure and temperature
• Assist the client to lie on her side

ANSWER D: A pregnant client who is in the second or third trimester may

be unable to lie on her back for extended periods of time. The weight of the baby may compress the vena cava and the descending aorta, decreasing circulation and causing lightheadedness, dizziness, agitation, or syncope.This is referred to as supine hypotension or vena cava syndrome and may be resolved quickly by changing to the side-lying position, thereby restoring circulation.

6.Which of the following symptoms is a presumptive indication of pregnancy?

• Auscultation of fetal heart tones
• A positive home pregnancy test
• Amenorrhea
• Ballottement

ANSWER C: Presumptive pregnancy indications are those symptoms that

may be associated with pregnancy but do not actually confirm a pregnancy.Presumptive symptoms may all be associated with other conditions beyond pregnancy. Amenorrhea, while often caused by pregnancy, may also be due to other conditions, such as illness or increased exercise. Amenorrhea is only a presumptive symptom and does not confirm a true pregnancy.

7.A client is being seen for confirmation of pregnancy. She states her last menstrual period was June 2nd. According to Naegele's rule, what is this client's estimated due date (EDD)?

• April 2
• March 9
• February 2
• February 19

ANSWER B: Naegele's rule is a system of calculating a woman's estimated

due date of pregnancy based on her last menstrual period. After determining the first day of the last menstrual period, count backward three months. Then, add one year and seven days to the date to determine the EDD. For example, three months prior to June 2 would be March 2. Seven days following this date results in an EDD of March 9.

8.