Review Maternal Newborn Nclex Practice Questions related questions and content
A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that
A. Spontaneous abortion is more common with twins
B. Women pregnant with twins are less likely to develop complications
C. Twins are less likely to have complications that single babies
D. Perinatal mortality rate of monoamniotic siblings is 50%
Correct Answer: C
Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.
You may also like to solve these questions
The nurse is caring for a client with gestational diabetes. What complication should the nurse monitor for during labor?
A. Placental abruption.
B. Macrosomia.
C. Preterm labor.
D. Postpartum hemorrhage.
Correct Answer: B
Rationale: Macrosomia is a common complication of gestational diabetes, increasing the risk of delivery challenges.
What is Lamaze International Childbirth Education based on?
A. breathing techniques
B. comprehensive evidence-based childbirth teachings
C. empowerment of the nursing staff
D. positions to promote breast-feeding
Correct Answer: B
Rationale: Lamaze focuses on evidence-based practices to empower birthing individuals, not just breathing techniques or nursing staff.
Magnesium sulfate is given to a pregnant client for which of the following reasons? (Select all that apply) Provide fetal neuroprotection Improve patellar reflexes and increase respiratory efficiency Induction of labor Prevent seizures Stop/decrease uterine contractions The clinical nurse talks with a client about her possible pregnancy. The client has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. What are these symptoms best described as? Possible signs of pregnancy Positive signs pregnancy Presumptive signs of pregnancy Probable signs of pregnancy The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?
A. Agree that these signs usually signal pregnancy so no test is needed.
B. Delete the order for the pregnancy test and inform the provider.
C. Explain that these symptoms can be caused by other conditions.
D. Inform the woman that this is standard procedure and must be done.
Correct Answer: C
Rationale: The best action for the nurse to take in this situation is to explain to the patient that these symptoms can be caused by other conditions besides pregnancy. It is important for the nurse to educate the patient that while these symptoms are commonly associated with pregnancy, they are not definitive signs and can also be attributed to other factors or medical conditions. Encouraging the patient to undergo a pregnancy test can help confirm or rule out pregnancy and provide appropriate care and guidance moving forward.
The nurse is reviewing a prenatal client's record and notes a diagnosis of oligohydramnios. What complication is associated with this condition?
A. Preterm labor.
B. Fetal growth restriction.
C. Cord prolapse.
D. Placenta previa.
Correct Answer: B
Rationale: Oligohydramnios, or low amniotic fluid levels, is often associated with fetal growth restriction.
The nurse is monitoring a client at 36 weeks' gestation with suspected polyhydramnios. What complication is associated with this condition?
A. Preterm labor.
B. Placenta previa.
C. Cord prolapse.
D. Gestational hypertension.
Correct Answer: C
Rationale: Excessive amniotic fluid increases the risk of cord prolapse, especially after membrane rupture.
Nokea