NCLEX Nursing Fundermentals Module 4 Questions

NCLEX Nursing Fundermentals Module 4 Questions and answers – Keiser University

• The nurse is collecting data from a pregnant client when the client asks the nurse

about the purpose of the fallopian tubes. Which is the accurate response the nurse should make?

• The organ of copulation
• Where the fetus develops
• Where fertilization occurs
• The organ
• The nurse working in a prenatal clinic reviews a client's chart and notes that the

primary health care provider documents that the client has a gynecoid pelvis. The nurse plans care understanding that which findings are characteristic of this type of pelvis? Select all that apply.

• Round shape
• Shallow depth
• Narrow pubic arch
• Diagonal conjugate measures 12.5 cm to 13 cm
• Blunt, somewhat widely separated ischial spines
• The client asks the nurse about the purpose of the placenta. The nurse plans to

respond to the client knowing which about the placenta?

• Cushions and protects the fetus
• Maintains the body temperature of the fetus
• Surrounds the fetus and allows for fetal movement
• Provides an exchange of nutrients and waste products between the mother

and the fetus

• The nurse is describing the process of fetal circulation to a client during a

prenatal visit. The nurse should tell the client that fetal circulation consists of which components?

• Two umbilical veins and one umbilical artery

• Two umbilical arteries and one umbilical vein
• Arteries that carry oxygenated blood to the fetus
• Veins that carry deoxygenated blood to the fetus
• The nurse is reinforcing teaching to a pregnant woman about the physiological

effects and hormonal changes that occur during pregnancy. The woman asks the nurse about the purpose of estrogen. The nurse bases the response on which purpose of estrogen?

• It maintains the uterine lining for implantation.
• It stimulates the metabolism of glucose and converts glucose to fat.
• It stimulates uterine development to provide an environment for the fetus and

stimulates the breasts to prepare for lactation.

• It prevents the involution of the corpus luteum and maintains the production

of progesterone until the placenta is formed.

• A couple comes to the family planning clinic and asks about sterilization

procedures. Which question by the nurse helps determine whether this method of family planning is appropriate?

• "Have either of you ever had surgery?"
• "Do you plan to have any other children?"
• "Do either of you have diabetes mellitus?"
• "Do either of you have problems with high blood pressure?"
• The client arrives at the prenatal clinic for her first prenatal assessment. The

client tells the nurse that the first day of her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the nurse determines the estimated date of birth is which date?

• July 12, 2020
• July 27, 2020
• August 12, 2020
• August 27, 2020
• A pregnant client asks the nurse in the clinic when she will be able to start feeling

the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of gestation?

• 6 and 8 weeks' gestation

• 8 and 10 weeks' gestation
• 10 and 12 weeks' gestation
• 16 and 20 weeks' gestation
• The nurse is collecting data from a client who is pregnant with twins. The client

has a healthy 5-year-old child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse should document which as the GTPAL for this client?

A. G = 3, T = 2, P = 0, A = 0, L = 1

B. G = 2, T = 1, P = 0, A = 0, L = 1

C. G = 1, T = 1, P = 1, A = 0, L = 1

D. G = 2, T = 0, P = 0, A = 0, L = 1

• The nurse is collecting data from a client who is pregnant with triplets. The client

also has a 3-year-old child who was born at 39 weeks' gestation. The nurse should document which gravida and para status on this client?

• Gravida I, Para II
• Gravida II, Para I
• Gravida II, Para II
• Gravida III, Para II
• During a prenatal visit, the nurse is explaining dietary management to a client

with diabetes mellitus. The nurse determines that the teaching has been effective when the client makes which statement?

• "I can eat more sweets now because I need more calories."
• "I need more fat in my diet so that the baby can gain enough weight."
• "I need to eat a high-protein, low-carbohydrate diet now to control my blood

glucose."

• "I need to increase the fiber in my diet to control my blood glucose and

prevent constipation."

• The nurse is assigned to assist with caring for a client who is at risk for eclampsia.

If the client progresses from preeclampsia to eclampsia, the nurse should take which action first?

• Administer oxygen by face mask.
• Clear and maintain an open airway.

• Check the blood pressure and the fetal heart tones.
• Prepare for the administration of intravenous magnesium sulfate.
• The client is in her second trimester of pregnancy. She complains of frequent low

back pain and ankle edema at the end of the day. The nurse should recommend which measure to help relieve both discomforts?

• Lie on the left side with the feet dorsiflexed.
• Soak the feet in hot water after performing 10 pelvic tilt exercises.
• Lie on the right side with the feet elevated on a pillow and a heating pad on

the back.

• Lie on the floor with the legs elevated onto a couch or padded chair, with the

hips and knees at a right angle.

• The pregnant woman complains of being awakened frequently by leg cramps. The

nurse reinforces instructions to the client's partner and should tell the client to perform which measure?

• Dorsiflex the client's foot while flexing the knee.
• Plantarflex the client's foot while flexing the knee.
• Dorsiflex the client's foot while extending the knee.
• Plantarflex the client's foot while extending the knee.
• The nurse is monitoring a client with mild gestational hypertension (GH). Which

data indicate that GH is a concern?

• Urinary output has increased.
• There is no evidence of proteinuria.
• The client complains of a headache and blurred vision.
• The blood pressure reading has returned to the prenatal baseline.
• The nurse is monitoring a pregnant client with gestational hypertension (GH)

who is at risk for preeclampsia. The nurse should check the client for which signs of preeclampsia? Select all that apply.

• Proteinuria
• Hypertension
• Low-grade fever
• Increased pulse rate
• Increased respiratory rate