Saunders NCLEX-RN Exam (5th Ed.) - Maternity Nursing
A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing
instructor asks the student specifically to describe the process through the umbilical cord.
Which of the following statements from the student is correct? - correct answer "The two
arteries in the umbilical cord carry deoxygenated blood & waste products away from the fetus
to the placenta."
A nursing student is assigned to care for a client in labor. A nursing instructor asks the student
to describe fetal circulation, specifically the ductus venous. The nursing instructor determines
that the student understands fetal circulation if the student states that the ductus venous: -
correct answer Connects the umbilical vein to the inferior vena cava.
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it
can be determined. The nurse understands that he client should be able to find out at 12
weeks' gestation because by the end of the twelfth week: - correct answer The sex of the fetus
can be determined by the appearance of the external genitalia.
A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes that the
fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing action is
to: - correct answer Notify the physician.
A nurse is conducting a prenatal class on the female reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that
the reason for this is that it: - correct answer Promotes the fertilized ovum's normal
implantation in the top portion of the uterus.
A nursing instructor is reviewing the menstrual cycle with a nursing student who will be
conducting a prenatal teaching session. The instructor asks the student to describe the follicle-
stimulating hormone (FSH) & the luteinizing hormone (LH). The student accurately responds by
stating that: - correct answer FSH & LH are released from the anterior pituitary gland.
A couple comes to the family planning clinic & asks about sterilization procedures. Which
question by the nurse would determine if this method of family planning would be
appropriate? - correct answer "Do you plan to have any other children?"
A nurse should explain which of the following to a pregnant client found to have a gynecoid
pelvis? - correct answer That her type of pelvis is the most favorable for labor & birth.
A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The
nurse determines that the client understands some of these purposes when the client states
that the placenta: - correct answer Is the way the baby gets food & oxygen.
A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The
student responds correctly by stating that which of the following are functions of amniotic fluid:
- correct answer * Allows for fetal movement
* Is a measure of kidney function
, Saunders NCLEX-RN Exam (5th Ed.) - Maternity Nursing
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters & expects the finding to be which of the
following? - correct answer 30 cm
A nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks & tells the nurse
that she does not have a Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as - correct answer G=2, T=1, P=0, A=0, L=1
A pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the
nurse that she is experiencing irregular contractions, & the nurse determines that she is
experiencing Braxton Hicks contractions. Based on this finding, which nursing action is
appropriate? - correct answer Inform the client that these contractions are common & may
occur throughout the pregnancy.
A nurse is providing instructions to a pregnant client with genital herpes about the measures
that are needed to protect the fetus. The nurse tells the client that: - correct answer A
cesarean section will be necessary if vaginal lesions are present at the time of labor.
A nurse is reviewing the record of a client who has just been told that a pregnancy test is
positive. The physician has documented the presence of Goodell's sign. The nurse determines
that this sign indicates: - correct answer A softening of the cervix.
A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that the
first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the nurse
determines the estimated date of confinement is: - correct answer July 26, 2013
A nurse-midwife is assessing a pregnant client for the presence of ballottement. To make this
determination, the nurse-midwife does which of the following? - correct answer Initiates a
gentle upward tap on the cervix.
A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus move.
The nurse responds by telling the mother that fetal movements will be noted between which of
the following weeks of gestation? - correct answer 16 & 20
A nurse is performing as assessment of a primigravida who is being evaluated in a clinic during
her second trimester of pregnancy. Which of the following indicates an abnormal physical
finding that necessitates further testing? - correct answer Fetal heart rate of 180 beats / min
A nurse is assisting in performing an assessment on a client who suspects that she is pregnant &
is checking the client for probable signs of pregnancy. Which of the following are probable signs
of pregnancy. - correct answer * Ballotement
A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing
instructor asks the student specifically to describe the process through the umbilical cord.
Which of the following statements from the student is correct? - correct answer "The two
arteries in the umbilical cord carry deoxygenated blood & waste products away from the fetus
to the placenta."
A nursing student is assigned to care for a client in labor. A nursing instructor asks the student
to describe fetal circulation, specifically the ductus venous. The nursing instructor determines
that the student understands fetal circulation if the student states that the ductus venous: -
correct answer Connects the umbilical vein to the inferior vena cava.
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it
can be determined. The nurse understands that he client should be able to find out at 12
weeks' gestation because by the end of the twelfth week: - correct answer The sex of the fetus
can be determined by the appearance of the external genitalia.
A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes that the
fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing action is
to: - correct answer Notify the physician.
A nurse is conducting a prenatal class on the female reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that
the reason for this is that it: - correct answer Promotes the fertilized ovum's normal
implantation in the top portion of the uterus.
A nursing instructor is reviewing the menstrual cycle with a nursing student who will be
conducting a prenatal teaching session. The instructor asks the student to describe the follicle-
stimulating hormone (FSH) & the luteinizing hormone (LH). The student accurately responds by
stating that: - correct answer FSH & LH are released from the anterior pituitary gland.
A couple comes to the family planning clinic & asks about sterilization procedures. Which
question by the nurse would determine if this method of family planning would be
appropriate? - correct answer "Do you plan to have any other children?"
A nurse should explain which of the following to a pregnant client found to have a gynecoid
pelvis? - correct answer That her type of pelvis is the most favorable for labor & birth.
A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The
nurse determines that the client understands some of these purposes when the client states
that the placenta: - correct answer Is the way the baby gets food & oxygen.
A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The
student responds correctly by stating that which of the following are functions of amniotic fluid:
- correct answer * Allows for fetal movement
* Is a measure of kidney function
, Saunders NCLEX-RN Exam (5th Ed.) - Maternity Nursing
* Surrounds, cushions, & protects the fetus.
* Maintains the body temperature of the fetus.
A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters & expects the finding to be which of the
following? - correct answer 30 cm
A nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks & tells the nurse
that she does not have a Hx of any type of abortion or fetal demise. The nurse would document
the GTPAL for this client as - correct answer G=2, T=1, P=0, A=0, L=1
A pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the
nurse that she is experiencing irregular contractions, & the nurse determines that she is
experiencing Braxton Hicks contractions. Based on this finding, which nursing action is
appropriate? - correct answer Inform the client that these contractions are common & may
occur throughout the pregnancy.
A nurse is providing instructions to a pregnant client with genital herpes about the measures
that are needed to protect the fetus. The nurse tells the client that: - correct answer A
cesarean section will be necessary if vaginal lesions are present at the time of labor.
A nurse is reviewing the record of a client who has just been told that a pregnancy test is
positive. The physician has documented the presence of Goodell's sign. The nurse determines
that this sign indicates: - correct answer A softening of the cervix.
A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that the
first day of her last menstrual period was Oct. 19, 2012. Using Nagele's rule, the nurse
determines the estimated date of confinement is: - correct answer July 26, 2013
A nurse-midwife is assessing a pregnant client for the presence of ballottement. To make this
determination, the nurse-midwife does which of the following? - correct answer Initiates a
gentle upward tap on the cervix.
A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus move.
The nurse responds by telling the mother that fetal movements will be noted between which of
the following weeks of gestation? - correct answer 16 & 20
A nurse is performing as assessment of a primigravida who is being evaluated in a clinic during
her second trimester of pregnancy. Which of the following indicates an abnormal physical
finding that necessitates further testing? - correct answer Fetal heart rate of 180 beats / min
A nurse is assisting in performing an assessment on a client who suspects that she is pregnant &
is checking the client for probable signs of pregnancy. Which of the following are probable signs
of pregnancy. - correct answer * Ballotement
