Saunders Nclex-Rn Exam (5Th Ed.) - Maternity Nursing Questions And Answers

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.

Pagev c 1

, 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


Pagev c 2