Saunders Maternity NCLEX RN Review
questions
A pregnant client at 10 weeks' gestation calls the prenatal clinic to report a recent exposure to a
child with rubella. The nurse reviews the client's chart. What is the nurse's best response to the
client? Refer to chart.
Client's Chart
History and Physical
Gravida, Term Births, Preterm Births, Abortions, Living Children (GTPAL) 1,0,0,0,0
Laboratory and Diagnostic Results
Venereal Disease Research Laboratory (VDRL) nonreactive
Weight 135 lb (61 kg)
Rubella immune
Positive Goodell and Chadwick
Rh positive,
type O
Medications
Prenatal vitamins
1. "You need to avoid all school-age children during pregnancy."
2"There is no need to be concerned if you don't have a fever or rash within the next 2 days."
3"You were wise to call. Your rubella titer indicates that you are immune and your baby is not at
risk."
4"Be sure to tell the primary health care provider in 2 weeks, as additional screening will be
prescribed during - verified answer "You were wise to call. Your rubella titer indicates that you are
immune and your baby is not at risk."
Rubella virus is spread by aerosol droplet transmission through the upper respiratory tract and has
an incubation period of 14 to 21 days. The risks of maternal and subsequent fetal infection during
the first trimester include hearing loss and congenital anomalies; these risks decrease after the first
, 12 weeks of pregnancy. Rubella titer determination is a standard prenatal test for pregnant women
during their initial screening and entry into the health care delivery system. As noted in this client's
chart, she is immune to rubella. The correct option is the only option that helps clarify maternal
concerns with accurate information.
During a routine prenatal visit, a client complains of gums that bleed easily with brushing. The nurse
performs an assessment and teaches the client about proper nutrition to minimize this problem.
Which client statement indicates an understanding of the proper nutrition to minimize this problem?
1"I will drink 8 oz of water with each meal."
2"I will eat three servings of cracked wheat bread each day."
3"I will eat two saltine crackers before I get up each morning."
4"I will eat fresh fruits and vegetables for snacks and for dessert each day." - verified answer "I will
eat fresh fruits and vegetables for snacks and for dessert each day."
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums. Drinking water
with meals has no direct effect on gums. Cracked wheat bread may abrade the tender gums. Eating
saltine crackers can also abrade the tender gums.
The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus.
Which statement by the student indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2"It is an opening between the right and left atria."
3"It connects the umbilical vein to the inferior vena cava."
4"It connects the umbilical artery to the inferior vena cava." - verified answer "It connects the
umbilical vein to the inferior vena cava."
questions
A pregnant client at 10 weeks' gestation calls the prenatal clinic to report a recent exposure to a
child with rubella. The nurse reviews the client's chart. What is the nurse's best response to the
client? Refer to chart.
Client's Chart
History and Physical
Gravida, Term Births, Preterm Births, Abortions, Living Children (GTPAL) 1,0,0,0,0
Laboratory and Diagnostic Results
Venereal Disease Research Laboratory (VDRL) nonreactive
Weight 135 lb (61 kg)
Rubella immune
Positive Goodell and Chadwick
Rh positive,
type O
Medications
Prenatal vitamins
1. "You need to avoid all school-age children during pregnancy."
2"There is no need to be concerned if you don't have a fever or rash within the next 2 days."
3"You were wise to call. Your rubella titer indicates that you are immune and your baby is not at
risk."
4"Be sure to tell the primary health care provider in 2 weeks, as additional screening will be
prescribed during - verified answer "You were wise to call. Your rubella titer indicates that you are
immune and your baby is not at risk."
Rubella virus is spread by aerosol droplet transmission through the upper respiratory tract and has
an incubation period of 14 to 21 days. The risks of maternal and subsequent fetal infection during
the first trimester include hearing loss and congenital anomalies; these risks decrease after the first
, 12 weeks of pregnancy. Rubella titer determination is a standard prenatal test for pregnant women
during their initial screening and entry into the health care delivery system. As noted in this client's
chart, she is immune to rubella. The correct option is the only option that helps clarify maternal
concerns with accurate information.
During a routine prenatal visit, a client complains of gums that bleed easily with brushing. The nurse
performs an assessment and teaches the client about proper nutrition to minimize this problem.
Which client statement indicates an understanding of the proper nutrition to minimize this problem?
1"I will drink 8 oz of water with each meal."
2"I will eat three servings of cracked wheat bread each day."
3"I will eat two saltine crackers before I get up each morning."
4"I will eat fresh fruits and vegetables for snacks and for dessert each day." - verified answer "I will
eat fresh fruits and vegetables for snacks and for dessert each day."
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums. Drinking water
with meals has no direct effect on gums. Cracked wheat bread may abrade the tender gums. Eating
saltine crackers can also abrade the tender gums.
The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus.
Which statement by the student indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2"It is an opening between the right and left atria."
3"It connects the umbilical vein to the inferior vena cava."
4"It connects the umbilical artery to the inferior vena cava." - verified answer "It connects the
umbilical vein to the inferior vena cava."
