Maternity NCLEX Exam Questions with 100% Correct Answers

What is the Kleihauer-Betke ("KB") test and when is it used? Correct Answer 1. Used to measure the amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream. 2. Used to detect transplacental hemorrhage (TPH) A client has an extremely high quantitative HCG level. What could the reason be? Select all that apply. a. impending misscarriage b. multi gestation preg c. hydatiform mold d. Rh sensitivity e. hyperemesis gravidarum Correct Answer a. c. e. High levels of HCG can be seen in a muli gestation preg, hydatiform mole, or hyperemesis gravidarum. A maternal serum alpha-fetoprotein level is drawn and is high. What should be looked for? Select all that apply. a. down syndrome b. multiple gestation c. neural tube defects d. trisomy 18 e. cystic fibrosis Correct Answer b. multigestation c. neural tube defects A 24-hour urine collection is done for what reason in a pregnant woman? Correct Answer To check protein levels in pregnancy-induced hypertension What is tested for in TORCH titer? Correct Answer In TORCH titer, toxoplasmosis, other (syphilis, parvovirus B19, and Varicella virus), rubella, cytomegalovirus, and herpes simplex are tested for. A positive contraction stress test involves what? a. FHR acc-cells during contractions b. FHR d-cells without contractions in 20 minutes c. FHR acc-cells with contractions d. FHR acc-cells without contractions in 20 minutes Correct Answer A positive CST is having fetal heart rate decelerations without contractions. This is also called a "non-reassuring contraction stress test". A client is being evaluated and treated for preterm labor. What are the various interventions to be used in this situation? Select all that apply.