Maternity Nursing NCLEX Exam 100 Practice Questions

1 Maternity Nursing NCLEX Exam/ 100 Practice Questions with Correct Verified Answers/ Latest 2024/ Rated A+

A nursing student is assigned to care for a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement is correct regarding the ductus venosus?

• Connects the pulmonary artery to the aorta
• Is an opening between the right and left atria
• Connects the umbilical vein to the inferior vena cava
• Connects the umbilical artery to the inferior vena cava

✓ 3. Connects the umbilical vein to the inferior vena cava

Which explanation should the nurse provide to the prenatal client about the purpose of the placenta?

• It cushions and protects the baby.
• It maintains the temperature of the baby.
• It is the way the baby gets food and oxygen.
• It prevents all antibodies and viruses from passing to the baby

✓ 3. It is the way the baby gets food and oxygen.

The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and expects which finding?

• 22 cm
• 30 cm
• 36 cm 1 / 3

2

• 40 cm

✓ 2. 30 cm

A pregnant client tells the clinic nurse that she wants to know the gender of her baby as soon as it can be determined. The nurse understands that the client should be able to find out the gender at 12 weeks' gestation because of which factor?

• The appearance of the fetal external genitalia
• The beginning of differentiation in the fetal groin
• The fetal testes are descended into the scrotal sac
• The internal differences in males and females become apparent

✓ The appearance of the fetal external genitalia

A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The health care provider prescribes a contraction stress test, and the results are documented as negative. How should the nurse document this finding?✓ A normal test result

A pregnant client tells the nurse that she has been craving "unusual foods." The nurse gathers additional assessment data and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are performed and the nurse determines that which finding indicates a physiological consequence of the client's practice?✓ Hemoglobin 9.1 g/dL

The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing action?

• Document the finding.
• Check the mother's heart rate.
• Notify the health care provider (HCP).
• Tell the client that the fetal heart rate is normal.

✓ 3. Notify the health care provider (HCP) 2 / 3

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The 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, what is the nurse's best response?

• "It promotes the fertilized ovum's chances of survival."
• "It promotes the fertilized ovum's exposure to estrogen and progesterone."
• "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
• "It promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating hormone."

✓ 3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

• Contact the health care provider.
• Instruct the client to maintain bed rest for the remainder of the pregnancy.
• Inform the client that these contractions are common and may occur throughout the pregnancy.
• Call the maternity unit and inform them that the client will be admitted in a prelabor condition.

✓ 3. Inform the client that these contractions are common and may occur throughout the pregnancy.

The nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. Which instruction should the nurse provide to the client?

• Total abstinence from sexual intercourse is necessary during the entire pregnancy.
• Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
• Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy.
• A cesarean section will be necessary if vaginal lesions are present at the time of labor.

✓ 4. A cesarean section will be necessary if vaginal lesions are present at the time of labor.

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