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NGN NCLEX RN 2023 /
2024 QUESTIONS . GET
. QUESTIONS FOR
YOUR COMING EXAM 2023/ 2024
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Question 1 A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Negele’s rule
is:
- March 27
- February 1
- February 27
- January 3
Correct Answer: C
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date of confinement using Negele’s rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is a miscalculation.
Question 2 2 / 4
The nurse practitioner determines that a client is approximately 9 weeks gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will
experience during her first trimester, such as:
- Nausea and vomiting
- Quickening
- A 6-8 lb weight gain
- Abdominal enlargement
Correct Answer: A
(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated human chorionic gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mothers perception of fetal movement and generally does not occur until 1820 weeks after the last menstrual period in primigravida’s, but it may occur as early as 16 weeks in multigravidas. (C) During the first trimester there should be only a modest weight gain of 24 Ib.It is not uncommon for women to lose weight during the first trimester owing to nausea and/or vomiting. 3 / 4
(D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis.
Question 3
A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The
nurse's response is:
- Up to 1 oz daily
- Up to 2 oz daily
- Up to 4 oz weekly
- No alcohol
Correct Answer: D
(A, B, C) No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. (D) The recommended safe dosage of alcohol consumption during pregnancy is none.
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