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NCLEX 3000 Maternal-Antepartum Exam/ Practice Questions with Correct Verified Answers/ Updated .
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NCLEX 3000 Maternal-Antepartum Exam/ PracticeQuestions with Correct Verified Answers/ Updated
2024-2025.
An adolescent in her first trimester of pregnancy continues to smoke cigarettes. The client tells the nurse
that she'd like to quit but she doesn't want to gain any more weight. What should the nurse do for this
client? - ANSWER - 1. Review the hazards of smoking with the client and suggest a smoking-cessation
class.
The labor and delivery unit has 10 clients in varying stages of labor. Staffing for the upcoming shift
consists of four registered nurses (RNs) and one licensed practical nurse (LPN). Which client care
assignment is best? - ANSWER - The stable clients in the early stages of labor should be assigned to the
LPN.
"Which of the following nutritional instructions should the nurse provide to a 32-year-old primigravida? -
ANSWER - " 1. Caloric intake should be increased 300 cal/day. 2. Protein intake should be increased by
more than 30 g/day. 5. Intake of all minerals, especially iron, should be increased. "
The nurse is reviewing a pregnant client's nutritional status. To determine whether she has an adequate
intake of vitamin A, the nurse should check her diet for consumption of: - ANSWER - 4. dairy products"
A pregnant client in her second trimester reveals that she feels very anxious because of a lack of
knowledge about giving birth. Which intervention by the nurse is most appropriate for this client? -
ANSWER - provide her with the information and teach her the skills she'll need to understand and cope
during
A pregnant client tells the nurse that she dreads coming for her prenatal examinations. She states,
"When I see the physician, he constantly reminds me that so many women keep weight on after having
children; it really depresses me." How should the nurse respond? - ANSWER - 2. "Have you asked the
physician why he feels it's important for him to say that to you?"
pg. 1
,A client, 8 weeks pregnant, has a history of lactose intolerance. To prevent a nutritional deficiency as a
result of lactose intolerance, the nurse teaches her about lactase replacement. Which teaching point is
appropriate? - ANSWER - 3. Add lactase replacement drops to milk at least 24 hours before drinking it.
A client in her second trimester of pregnancy has been diagnosed with gestational diabetes. While
instructing the client about home glucose monitoring the client states, "Why should I use this if the
diabetes is going to resolve after I have my baby anyway?" Which response by the nurse is best? -
ANSWER - 4. "The monitor helps you see how your blood sugar is being controlled during your
pregnancy to help prevent complications."
A client who's 12 weeks pregnant attends a class on fetal development as part of a childbirth education
program. The nurse says that at 16 weeks' gestation, the client's fetus will likely: - ANSWER - 3. have
audible heart sounds.
A client, 7 months pregnant, is admitted to the unit with abdominal pain and bright red vaginal bleeding.
Which action should the nurse take? - ANSWER - 1. Place the client on her left side and start
supplemental oxygen, as ordered, to maximize fetal oxygenation
"During a prenatal screening of a client with diabetes, the nurse should keep in mind that the client is at
increased risk for which complications? - ANSWER - 1. Still birth 3. Pregnancy-induced hypertension 5.
Spontaneous abortion
The nurse uses nitrazine paper to determine whether a pregnant client's membranes have ruptured. If
the membranes have ruptured, the paper will turn which color? - ANSWER - 2. Blue
A pregnant client asks the nurse about the percentage of congenital anomalies caused by drug exposure.
How should the nurse respond? - ANSWER - 1. 1%
When teaching a group of pregnant adolescents about reproduction and conception, the nurse is correct
when stating that fertilization occurs: - ANSWER - 4. in the first third of the fallopian tube.
Which of the following would the nurse expect to find as presumptive signs of pregnancy? - ANSWER - 1.
Amenorrhea and quickening
pg. 2
, A client is admitted for an amniocentesis. Initial data collection findings include the following: 16 weeks
pregnant, vital signs within normal limits, hemoglobin 12.2 gm, hematocrit 35%, and type O-negative
blood. Which action would be most important to include in the client's plan of care after the
amniocentesis has been completed? - ANSWER - 1. Administer RhoGAM.
Infertility in a 25-year-old couple is defined as: - ANSWER - 3. the couple's inability to conceive after 1
year of unprotected attempts
Which of the following functions would the nurse expect to be unrelated to the placenta? - ANSWER - 4.
Production of maternal antibodies
A client with hyperemesis gravidarum is on a clear liquid diet. Which foods would be appropriate for the
nurse to serve? - ANSWER - "3. Tea and gelatin 4. Ginger ale and apple juice 5. Cranberry juice and
chicken broth "
A woman who's 10 weeks pregnant tells the nurse that she's worried about her fatigue and frequent
urination. The nurse should: - ANSWER - 1. recognize these as normal early pregnancy signs and
symptoms.
A client has just expelled a hydatidiform mole. She's visibly upset over the loss and wants to know when
she can try to become pregnant again. Which of the following would be the nurse's best response? -
ANSWER - 2. ""I can see that you're upset; however, you must wait at least 1 year before becoming
pregnant again.""
A client has come to the clinic for her first prenatal visit. The nurse should include which statement
about using drugs safely during pregnancy in her teaching? - ANSWER - 4. ""Consult with your health
care provider before taking any medications.""
During her first prenatal visit, a pregnant client admits to the nurse that she uses cocaine at least once
per day. Which nursing diagnosis is most appropriate for this client? - ANSWER - "3. Imbalanced
nutrition: Less than body requirements related to limited food intake
When questioned, a pregnant client admits she sometimes has several glasses of wine with dinner. Her
alcohol consumption puts her fetus at risk for which condition? - ANSWER - 4. Learning disability
pg. 3
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