Maternity NCLEX- Questions with Verified Solutions
First Trimester (Week 1 through Week 13)
Fetal heart beat seen by Doppler by when Correct Ans-10 - 12 weeks
Fetoscope hears heart beat by when Correct Ans-17 - 18 weeks
fetal movement seen through Correct Ans-ultra soun
Gravidity Correct Ans-the # of times someone has been pregnant
Parity Correct Ans-the # of pregnancies in which the fetus has reached viability;
viability is 20 weeks, meaning the have the capacity to live outside the uterus; may or may
not be a live birth
TPAL—acronym that gives you further information on parity Correct Ans-T = term
P = preterm
A = abortion; this includes spontaneous and elective
, Maternity NCLEX- Questions with Verified Solutions
L = living children
Nagel's Rule Correct Ans-Find the first day of the LMP (last menstrual period);
add 7 days;
subtract 3 months;
and add one year
accurate +/- 2 weeks
Nutrition -
First Trimester (Week 1 through Week 13) Correct Ans-• Start teaching ASAP while still
eager to learn
• 4 food groups
• Increase calories by 300 per day after 1st trimester
, Maternity NCLEX- Questions with Verified Solutions
o Adolescents should increase calories by 500 after the 1st trimester
o Increase protein to 60 grams per day b/c a lot of new tissue is growing
First Trimester (Week 1 through Week 13)
Weight gain Correct Ans-—expect to gain about 4 pounds in the 1st trimester
First Trimester (Week 1 through Week 13)
Prenatal vitamin supplements Correct Ans-• Should start taking them BEFORE pregnancy
• Women don't like to take iron supplements b/c it causes
constipation and GI upset;
iron should be taken with vitamin C to enhance absorption
• Folic acid helps to prevent neural tube defects aka spina bifida;
daily dose = 400 mcg/day
, Maternity NCLEX- Questions with Verified Solutions
Dailt recomm dose of folic acid Correct Ans-400 mcg/day
Exercise Rules - First Trimester (Week 1 through Week 13) Correct Ans-• No high impact;
walking and swimming are best
• No heave or unaccustomed exercise program
• No overheating—no hot tubs or electric blankets either b/c increased body temp will cause
birth defects
***don't let your hear rate go above 140 b/c cardiac output and uterine perfusion will
decrease***
Exercise Rules - First Trimester (Week 1 through Week 13)
Danger signs Correct Ans-seen later on in pregnancy but want to teach early on while they
want to learn
First Trimester (Week 1 through Week 13)
Fetal heart beat seen by Doppler by when Correct Ans-10 - 12 weeks
Fetoscope hears heart beat by when Correct Ans-17 - 18 weeks
fetal movement seen through Correct Ans-ultra soun
Gravidity Correct Ans-the # of times someone has been pregnant
Parity Correct Ans-the # of pregnancies in which the fetus has reached viability;
viability is 20 weeks, meaning the have the capacity to live outside the uterus; may or may
not be a live birth
TPAL—acronym that gives you further information on parity Correct Ans-T = term
P = preterm
A = abortion; this includes spontaneous and elective
, Maternity NCLEX- Questions with Verified Solutions
L = living children
Nagel's Rule Correct Ans-Find the first day of the LMP (last menstrual period);
add 7 days;
subtract 3 months;
and add one year
accurate +/- 2 weeks
Nutrition -
First Trimester (Week 1 through Week 13) Correct Ans-• Start teaching ASAP while still
eager to learn
• 4 food groups
• Increase calories by 300 per day after 1st trimester
, Maternity NCLEX- Questions with Verified Solutions
o Adolescents should increase calories by 500 after the 1st trimester
o Increase protein to 60 grams per day b/c a lot of new tissue is growing
First Trimester (Week 1 through Week 13)
Weight gain Correct Ans-—expect to gain about 4 pounds in the 1st trimester
First Trimester (Week 1 through Week 13)
Prenatal vitamin supplements Correct Ans-• Should start taking them BEFORE pregnancy
• Women don't like to take iron supplements b/c it causes
constipation and GI upset;
iron should be taken with vitamin C to enhance absorption
• Folic acid helps to prevent neural tube defects aka spina bifida;
daily dose = 400 mcg/day
, Maternity NCLEX- Questions with Verified Solutions
Dailt recomm dose of folic acid Correct Ans-400 mcg/day
Exercise Rules - First Trimester (Week 1 through Week 13) Correct Ans-• No high impact;
walking and swimming are best
• No heave or unaccustomed exercise program
• No overheating—no hot tubs or electric blankets either b/c increased body temp will cause
birth defects
***don't let your hear rate go above 140 b/c cardiac output and uterine perfusion will
decrease***
Exercise Rules - First Trimester (Week 1 through Week 13)
Danger signs Correct Ans-seen later on in pregnancy but want to teach early on while they
want to learn
