SAUNDERS NCLEX-RN EXAM (5TH ED.) -
MATERNITY NURSING QUESTIONS AND
ANSWERS
Avcnursingvcstudentvcisvcpreparingvcavcprenatalvcclassvconvcthevcprocessvcofvcfatalvccirculation.vcThevcnursin
cinstructorvcasksvcthevcstudentvcspecificallyvctovcdescribevcthevcprocessvcthroughvcthevcumbilicalvccord.vcW
chvcofvcthevcfollowingvcstatementsvcfromvcthevcstudentvcisvccorrect?vc-
vcanswer--"Thevctwovcarteriesvcinvcthevcumbilicalvccordvccarryvcdeoxygenatedvcbloodvc&vcwastevcproductsv
wayvcfromvcthevcfetusvctovcthevcplacenta."
Avcnursingvcstudentvcisvcassignedvctovccarevcforvcavcclientvcinvclabour.vcAvcnursingvcinstructorvcasksvcthevcstu
entvctovcdescribevcfatalvccirculation,vcspecificallyvcthevcductusvcvenous.vcThevcnursingvcinstructorvcdetermi
svcthatvcthevcstudentvcunderstandsvcfatalvccirculationvcifvcthevcstudentvcstatesvcthatvcthevcductusvcvenous:vc-
vcanswer--Connectsvcthevcumbilicalvcveinvctovcthevcinferiorvcvenavccava.
Avcpregnantvcclientvctellsvcthevcclinicvcnursevcthatvcshevcwantsvctovcknowvcthevcsexvcofvchervcbabyvcasvcsoonv
svcitvccanvcbevcdetermined.vcThevcnursevcunderstandsvcthatvchevcclientvcshouldvcbevcablevctovcfindvcoutvcatvc1
cweeks'vcgestationvcbecausevcbyvcthevcendvcofvcthevctwelfthvcweek:vc-vcanswer--
Thevcsexvcofvcthevcfoetusvccanvcbevcdeterminedvcbyvcthevcappearancevcofvcthevcexternalvcgenitalia.
Avcnursevcisvcperformingvcasvcassessmentvconvcavcclientvcwhovcisvcatvc38vcweeks'vcgestationvc&vcnotesvctha
hevcfatalvcheartvcratevcisvc174vcbeats/
min.vcOnvcthevcbasisvcofvcthisvcfinding,vcthevcappropriatevcnursingvcactionvcisvcto:vc-vcanswer--
Notifyvcthevcphysician.
Avcnursevcisvcconductingvcavcprenatalvcclassvconvcthevcfemalevcreproductivevcsystem.vcWhenvcavcclientvcinv
evcclassvcasksvcwhyvcthevcfertilizedvcovumvcstaysvcinvcthevcfallopianvctubevcforvc3vcdays,vcthevcnursevcrespon
svcthatvcthevcreasonvcforvcthisvcisvcthatvcit:vc-vcanswer--
Promotesvcthevcfertilizedvcovum'svcnormalvcimplantationvcinvcthevctopvcportionvcofvcthevcuterus.
Avcnursingvcinstructorvcisvcreviewingvcthevcmenstrualvccyclevcwithvcavcnursingvcstudentvcwhovcwillvcbevccond
ctingvcavcprenatalvcteachingvcsession.vcThevcinstructorvcasksvcthevcstudentvctovcdescribevcthevcfollicle-
stimulatingvchormonevc(FSH)vc&vcthevcluteinizingvchormonevc(LH).vcThevcstudentvcaccuratelyvcrespondsvc
vcstatingvcthat:vc-vcanswer--FSHvc&vcLHvcarevcreleasedvcfromvcthevcanteriorvcpituitaryvcgland.
Avccouplevccomesvctovcthevcfamilyvcplanningvcclinicvc&vcasksvcaboutvcsterilizationvcprocedures.vcWhichvcqu
tionvcbyvcthevcnursevcwouldvcdeterminevcifvcthisvcmethodvcofvcfamilyvcplanningvcwouldvcbevcappropriate?vc-
vcanswer--"Dovcyouvcplanvctovchavevcanyvcothervcchildren?"
Avcnursevcshouldvcexplainvcwhichvcofvcthevcfollowingvctovcavcpregnantvcclientvcfoundvctovchavevcavcgynecoid
elvis?vc-vcanswer--Thatvchervctypevcofvcpelvisvcisvcthevcmostvcfavourablevcforvclabourvc&vcbirth.
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, Avcnursevcexplainsvcsomevcofvcthevcpurposesvcofvcthevcplacentavctovcavcclientvcduringvcavcprenatalvcvisit.vcTh
cnursevcdeterminesvcthatvcthevcclientvcunderstandsvcsomevcofvcthesevcpurposesvcwhenvcthevcclientvcstates
hatvcthevcplacenta:vc-vcanswer--Isvcthevcwayvcthevcbabyvcgetsvcfoodvc&vcoxygen.
Avcnursingvcinstructorvcasksvcavcnursingvcstudentvctovclistvcthevcfunctionsvcofvcthevcamnioticvcfluid.vcThevcstu
ntvcrespondsvccorrectlyvcbyvcstatingvcthatvcwhichvcofvcthevcfollowingvcarevcfunctionsvcofvcamnioticvcfluid:vc-
vcanswer--*vcAllowsvcforvcfetalvcmovement
*vcIsvcavcmeasurevcofvckidneyvcfunction
*vcSurrounds,vccushions,vc&vcprotectsvcthevcfetus.
*vcMaintainsvcthevcbodyvctemperaturevcofvcthevcfetus.
Avcnursevcisvcperformingvcanvcassessmentvcofvcavcpregnantvcclientvcwhovcisvcatvc28vcweeksvcofvcgestation.vc
evcnursevcmeasuresvcthevcfundalvcheightvcinvccentimetersvc&vcexpectsvcthevcfindingvctovcbevcwhichvcofvcthev
lowing?vc-vcanswer--30vccm
Avcnursevcisvccollectingvcdatavcduringvcanvcadmissionvcassessmentvcofvcavcclientvcwhovcisvcpregnantvcwithvc
ns.vcThevcclientvchasvcavchealthyvc5-year-
oldvcchildvcwhovcwasvcdeliveredvcatvc38vcweeksvc&vctellsvcthevcnursevcthatvcshevcdoesvcnotvchavevcavcHxvcofvc
yvctypevcofvcabortionvcorvcfetalvcdemise.vcThevcnursevcwouldvcdocumentvcthevcGTPALvcforvcthisvcclientvcasvc
vcanswer--G=2,vcT=1,vcP=0,vcA=0,vcL=1
Avcpregnantvcclientvcisvcseenvcinvcavchealthvccarevcclinicvcforvcavcregularvcprenatalvcvisit.vcThevcclientvctellsvct
vcnursevcthatvcshevcisvcexperiencingvcirregularvccontractions,vc&vcthevcnursevcdeterminesvcthatvcshevcisvcexp
riencingvcBraxtonvcHicksvccontractions.vcBasedvconvcthisvcfinding,vcwhichvcnursingvcactionvcisvcappropriate
vc-vcanswer--
Informvcthevcclientvcthatvcthesevccontractionsvcarevccommonvc&vcmayvcoccurvcthroughoutvcthevcpregnancy
Avcnursevcisvcprovidingvcinstructionsvctovcavcpregnantvcclientvcwithvcgenitalvcherpesvcaboutvcthevcmeasures
hatvcarevcneededvctovcprotectvcthevcfetus.vcThevcnursevctellsvcthevcclientvcthat:vc-vcanswer--
Avccesareanvcsectionvcwillvcbevcnecessaryvcifvcvaginalvclesionsvcarevcpresentvcatvcthevctimevcofvclabor.
Avcnursevcisvcreviewingvcthevcrecordvcofvcavcclientvcwhovchasvcjustvcbeenvctoldvcthatvcavcpregnancyvctestvcisvc
sitive.vcThevcphysicianvchasvcdocumentedvcthevcpresencevcofvcGoodell'svcsign.vcThevcnursevcdeterminesvc
atvcthisvcsignvcindicates:vc-vcanswer--Avcsofteningvcofvcthevccervix.
Avcclientvcarrivesvcatvcthevcclinicvcforvcthevcfirstvcprenatalvcassessment.vcThevcclientvctellsvcavcnursevcthatvcth
firstvcdayvcofvchervclastvcmenstrualvcperiodvcwasvcOct.vc19,vc2012.vcUsingvcNagele'svcrule,vcthevcnursevcdete
minesvcthevcestimatedvcdatevcofvcconfinementvcis:vc-vcanswer--Julyvc26,vc2013
Avcnurse-
midwifevcisvcassessingvcavcpregnantvcclientvcforvcthevcpresencevcofvcballottement.vcTovcmakevcthisvcdeterm
ation,vcthevcnurse-midwifevcdoesvcwhichvcofvcthevcfollowing?vc-vcanswer--
Initiatesvcavcgentlevcupwardvctapvconvcthevccervix.
Avcpregnantvcclientvcasksvcavcnursevcinvcthevcclinicvcwhenvcshevcwillvcbevcablevctovcbeginvctovcfeelvcthevcfetus
ove.vcThevcnursevcrespondsvcbyvctellingvcthevcmothervcthatvcfetalvcmovementsvcwillvcbevcnotedvcbetweenvcw
chvcofvcthevcfollowingvcweeksvcofvcgestation?vc-vcanswer--16vc&vc20
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MATERNITY NURSING QUESTIONS AND
ANSWERS
Avcnursingvcstudentvcisvcpreparingvcavcprenatalvcclassvconvcthevcprocessvcofvcfatalvccirculation.vcThevcnursin
cinstructorvcasksvcthevcstudentvcspecificallyvctovcdescribevcthevcprocessvcthroughvcthevcumbilicalvccord.vcW
chvcofvcthevcfollowingvcstatementsvcfromvcthevcstudentvcisvccorrect?vc-
vcanswer--"Thevctwovcarteriesvcinvcthevcumbilicalvccordvccarryvcdeoxygenatedvcbloodvc&vcwastevcproductsv
wayvcfromvcthevcfetusvctovcthevcplacenta."
Avcnursingvcstudentvcisvcassignedvctovccarevcforvcavcclientvcinvclabour.vcAvcnursingvcinstructorvcasksvcthevcstu
entvctovcdescribevcfatalvccirculation,vcspecificallyvcthevcductusvcvenous.vcThevcnursingvcinstructorvcdetermi
svcthatvcthevcstudentvcunderstandsvcfatalvccirculationvcifvcthevcstudentvcstatesvcthatvcthevcductusvcvenous:vc-
vcanswer--Connectsvcthevcumbilicalvcveinvctovcthevcinferiorvcvenavccava.
Avcpregnantvcclientvctellsvcthevcclinicvcnursevcthatvcshevcwantsvctovcknowvcthevcsexvcofvchervcbabyvcasvcsoonv
svcitvccanvcbevcdetermined.vcThevcnursevcunderstandsvcthatvchevcclientvcshouldvcbevcablevctovcfindvcoutvcatvc1
cweeks'vcgestationvcbecausevcbyvcthevcendvcofvcthevctwelfthvcweek:vc-vcanswer--
Thevcsexvcofvcthevcfoetusvccanvcbevcdeterminedvcbyvcthevcappearancevcofvcthevcexternalvcgenitalia.
Avcnursevcisvcperformingvcasvcassessmentvconvcavcclientvcwhovcisvcatvc38vcweeks'vcgestationvc&vcnotesvctha
hevcfatalvcheartvcratevcisvc174vcbeats/
min.vcOnvcthevcbasisvcofvcthisvcfinding,vcthevcappropriatevcnursingvcactionvcisvcto:vc-vcanswer--
Notifyvcthevcphysician.
Avcnursevcisvcconductingvcavcprenatalvcclassvconvcthevcfemalevcreproductivevcsystem.vcWhenvcavcclientvcinv
evcclassvcasksvcwhyvcthevcfertilizedvcovumvcstaysvcinvcthevcfallopianvctubevcforvc3vcdays,vcthevcnursevcrespon
svcthatvcthevcreasonvcforvcthisvcisvcthatvcit:vc-vcanswer--
Promotesvcthevcfertilizedvcovum'svcnormalvcimplantationvcinvcthevctopvcportionvcofvcthevcuterus.
Avcnursingvcinstructorvcisvcreviewingvcthevcmenstrualvccyclevcwithvcavcnursingvcstudentvcwhovcwillvcbevccond
ctingvcavcprenatalvcteachingvcsession.vcThevcinstructorvcasksvcthevcstudentvctovcdescribevcthevcfollicle-
stimulatingvchormonevc(FSH)vc&vcthevcluteinizingvchormonevc(LH).vcThevcstudentvcaccuratelyvcrespondsvc
vcstatingvcthat:vc-vcanswer--FSHvc&vcLHvcarevcreleasedvcfromvcthevcanteriorvcpituitaryvcgland.
Avccouplevccomesvctovcthevcfamilyvcplanningvcclinicvc&vcasksvcaboutvcsterilizationvcprocedures.vcWhichvcqu
tionvcbyvcthevcnursevcwouldvcdeterminevcifvcthisvcmethodvcofvcfamilyvcplanningvcwouldvcbevcappropriate?vc-
vcanswer--"Dovcyouvcplanvctovchavevcanyvcothervcchildren?"
Avcnursevcshouldvcexplainvcwhichvcofvcthevcfollowingvctovcavcpregnantvcclientvcfoundvctovchavevcavcgynecoid
elvis?vc-vcanswer--Thatvchervctypevcofvcpelvisvcisvcthevcmostvcfavourablevcforvclabourvc&vcbirth.
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, Avcnursevcexplainsvcsomevcofvcthevcpurposesvcofvcthevcplacentavctovcavcclientvcduringvcavcprenatalvcvisit.vcTh
cnursevcdeterminesvcthatvcthevcclientvcunderstandsvcsomevcofvcthesevcpurposesvcwhenvcthevcclientvcstates
hatvcthevcplacenta:vc-vcanswer--Isvcthevcwayvcthevcbabyvcgetsvcfoodvc&vcoxygen.
Avcnursingvcinstructorvcasksvcavcnursingvcstudentvctovclistvcthevcfunctionsvcofvcthevcamnioticvcfluid.vcThevcstu
ntvcrespondsvccorrectlyvcbyvcstatingvcthatvcwhichvcofvcthevcfollowingvcarevcfunctionsvcofvcamnioticvcfluid:vc-
vcanswer--*vcAllowsvcforvcfetalvcmovement
*vcIsvcavcmeasurevcofvckidneyvcfunction
*vcSurrounds,vccushions,vc&vcprotectsvcthevcfetus.
*vcMaintainsvcthevcbodyvctemperaturevcofvcthevcfetus.
Avcnursevcisvcperformingvcanvcassessmentvcofvcavcpregnantvcclientvcwhovcisvcatvc28vcweeksvcofvcgestation.vc
evcnursevcmeasuresvcthevcfundalvcheightvcinvccentimetersvc&vcexpectsvcthevcfindingvctovcbevcwhichvcofvcthev
lowing?vc-vcanswer--30vccm
Avcnursevcisvccollectingvcdatavcduringvcanvcadmissionvcassessmentvcofvcavcclientvcwhovcisvcpregnantvcwithvc
ns.vcThevcclientvchasvcavchealthyvc5-year-
oldvcchildvcwhovcwasvcdeliveredvcatvc38vcweeksvc&vctellsvcthevcnursevcthatvcshevcdoesvcnotvchavevcavcHxvcofvc
yvctypevcofvcabortionvcorvcfetalvcdemise.vcThevcnursevcwouldvcdocumentvcthevcGTPALvcforvcthisvcclientvcasvc
vcanswer--G=2,vcT=1,vcP=0,vcA=0,vcL=1
Avcpregnantvcclientvcisvcseenvcinvcavchealthvccarevcclinicvcforvcavcregularvcprenatalvcvisit.vcThevcclientvctellsvct
vcnursevcthatvcshevcisvcexperiencingvcirregularvccontractions,vc&vcthevcnursevcdeterminesvcthatvcshevcisvcexp
riencingvcBraxtonvcHicksvccontractions.vcBasedvconvcthisvcfinding,vcwhichvcnursingvcactionvcisvcappropriate
vc-vcanswer--
Informvcthevcclientvcthatvcthesevccontractionsvcarevccommonvc&vcmayvcoccurvcthroughoutvcthevcpregnancy
Avcnursevcisvcprovidingvcinstructionsvctovcavcpregnantvcclientvcwithvcgenitalvcherpesvcaboutvcthevcmeasures
hatvcarevcneededvctovcprotectvcthevcfetus.vcThevcnursevctellsvcthevcclientvcthat:vc-vcanswer--
Avccesareanvcsectionvcwillvcbevcnecessaryvcifvcvaginalvclesionsvcarevcpresentvcatvcthevctimevcofvclabor.
Avcnursevcisvcreviewingvcthevcrecordvcofvcavcclientvcwhovchasvcjustvcbeenvctoldvcthatvcavcpregnancyvctestvcisvc
sitive.vcThevcphysicianvchasvcdocumentedvcthevcpresencevcofvcGoodell'svcsign.vcThevcnursevcdeterminesvc
atvcthisvcsignvcindicates:vc-vcanswer--Avcsofteningvcofvcthevccervix.
Avcclientvcarrivesvcatvcthevcclinicvcforvcthevcfirstvcprenatalvcassessment.vcThevcclientvctellsvcavcnursevcthatvcth
firstvcdayvcofvchervclastvcmenstrualvcperiodvcwasvcOct.vc19,vc2012.vcUsingvcNagele'svcrule,vcthevcnursevcdete
minesvcthevcestimatedvcdatevcofvcconfinementvcis:vc-vcanswer--Julyvc26,vc2013
Avcnurse-
midwifevcisvcassessingvcavcpregnantvcclientvcforvcthevcpresencevcofvcballottement.vcTovcmakevcthisvcdeterm
ation,vcthevcnurse-midwifevcdoesvcwhichvcofvcthevcfollowing?vc-vcanswer--
Initiatesvcavcgentlevcupwardvctapvconvcthevccervix.
Avcpregnantvcclientvcasksvcavcnursevcinvcthevcclinicvcwhenvcshevcwillvcbevcablevctovcbeginvctovcfeelvcthevcfetus
ove.vcThevcnursevcrespondsvcbyvctellingvcthevcmothervcthatvcfetalvcmovementsvcwillvcbevcnotedvcbetweenvcw
chvcofvcthevcfollowingvcweeksvcofvcgestation?vc-vcanswer--16vc&vc20
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