Maternal Newborn Nclex Practice Questions

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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.

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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.

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.

A nurse is doing genetic counseling with a couple. give to a client undergoing a mastectomy? The mother has Down syndrome and the father

  • A. Tylenol should be avoided after surgery. has no chromosomal abnormalities. What is the
  • B. The affected arm should remain in a sling for chance of their offspring being affected by this 4 weeks. disorder?
  • C. The client should expect the affected arm to be
  • D. 25%
Correct Answer: D

Rationale: When a woman with Down syndrome (trisomy 21) has a child with a man who does not have any chromosomal abnormalities, the chance of their offspring having Down syndrome is 25%. This is because the mother can only pass on one copy of the extra chromosome 21 to her child, resulting in a 50% chance of passing it on. However, since the father does not have an extra chromosome 21 to contribute, the overall chance of the child having Down syndrome is reduced to 25%.

The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction should the nurse provide?

  • A. Strict bed rest is required after the procedure.
  • B. Hospitalization is necessary for 24 hours after the procedure.
  • C. An informed consent needs to be signed before the procedure.
  • D. A fever is expected after the procedure because of the trauma to the abdomen.
Correct Answer: C

Rationale: Informed consent is essential before an invasive procedure like amniocentesis. Monitoring post-procedure symptoms is also crucial.

During which cycle day of a typical 28-day menstrual cycle does the follicular phase occur?

  • A. Cycle days 1-14
  • B. Cycle days 7-14
  • C. Cycle days 1-6
  • D. Cycle days 14-28
Correct Answer: A

Rationale: The follicular phase is the first phase of the menstrual cycle, during which the follicles in the ovaries mature in preparation for ovulation. In a typical 28-day menstrual cycle, the follicular phase occurs from cycle days 1 to 14. Ovulation usually takes place around day 14, marking the end of the follicular phase and the beginning of the luteal phase. During the follicular phase, the levels of estrogen gradually increase, stimulating the thickening of the uterine lining and the development of a dominant follicle containing the egg that will be released at ovulation.

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