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NCLEX-RN
National Council Licensure Examination(NCLEX-RN)
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Version = DEMO
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Version: 7.0
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 Nägele’s rule is:
A. March 27
B. February 1
C. February 27
D. January 3
Answer: C
Explanation:
(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 Nagele’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
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:
A. Nausea and vomiting
B. Quickening
C. A 6–8 lb weight gain
D. Abdominal enlargement
Answer: A
Explanation:
(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 mother’s perception of fetal movement and
generally does not occur until 18–20 weeks after the last menstrual period in primigravidas, 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 2–4 lb. It is not uncommon for women to lose weight during the first
trimester owing to nausea and/or vomiting. (D) Physical changes are not apparent until the second
trimester, when the uterus rises out of the pelvis.
Question: 3
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