NCLEX PN maternal newborn EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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NCLEX PN Prenatal questions 2026 A+ GRADE ASSURED vc vc vc vc vc vc vc vc




COMPLETE SOLUTIONS AND VERIFIED ANSWERS (D42F vc vc vc vc vc




7)




QUESTION 1 vc




A 37 year old gravida 1 at 38 weeks' gestation is scheduled for an amniocentesis. After le
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arning the client was diagnosed with diabetes at age 17, the nurse concludes that the pro
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cedure is most likely being done to assess for what potential problem?
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A. Neural tube defects
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B. Down syndrome
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C. Effects of TORCH syndrome
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D. Lung Maturity
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ANSWER

D Rationale: Amniocentesis for genetic testing is usually done early in the second trimester. Amniocente
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sis for a client with diabetes mellitus at 38 weeks' gestation isprobably being done to assess lung maturi
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ty in anticiaption of delivery.
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QUESTION 2 vc




The nurse formulate which nursing diagnosis as highest priority for a client about to und
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ergo an amniocentesis? vc vc



A. Imbalanced Nutrition: Less than body requirements related to NPO status.
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B. Risk for Aspiration related to anesthesia
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C. Anxiety related to concern for fetal well-being.
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D. Risk foe Deficient Fluid Volume related to removal of amniotic fluid.
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ANSWER

C Rationale: Most women view invasive antenatal testing with anxiety because of the reason for the test,
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theimpending results, and concern about maternal and fetus complications. A client does not have to be
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NPO prior to amnicentesis. Amniocentesis does not require anesthesia, althoug a local anesthetic may b
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e used to numb the skin before needle insertion. Because only 15-
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20 mL of fluid removed, the client is not at risk for Deficient Fluid Volume.
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, QUESTION 3 vc




The nurse assesses that which maternal condition in the third trimester would be a cont
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raindication for conducting a contraction stress test? SATA vc vc vc vc vc vc vc



a. Intrauterine growth restriction
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b. Diabetes mellitus
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c. Pregnancy at 42 weeks' gestation
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d. Marginal abruptio placentae
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e. Third trimester bleeding
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ANSWER

D, E Rationale: Intrauterine growth restriciton, diabetes mellitus, and post-
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term (42 weeks) pregnancy are all indications for completing a contraction stress test. Contraindication
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s elicited during the test could cause increased bleeding if an abruption is present or if there is already
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bleeding in the third trimester. vc vc vc vc




QUESTION 4 vc




The nurse reviews the clients chart for results of which diagnostic test that will best indi
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cate a diagnosis of crythroblastosis fetalis?
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a. Amniocentesis
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b. Biophysical profile
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c. Indirect Coombs' test
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d. Percutaneous umbilical blood sampling
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ANSWER

D Rationale: Percutaneous umbilical blood sampling (PUBS) obtains an actual sample of fetal blood for a
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nalysis. Amniocentesis , biophysical profile, and indirect Coomb's test provide information about fetal w
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ell-being,but do not directly sample the fetal erythrocytes
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QUESTION 5 vc




The nurse is caring for a client with a concealed abruption placentae prepares to assess t
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he client for which complications a priority after delivery?
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a. Retained placental fragments
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b. Urinary tract infection
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c. Uterine atony
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d. Vaginal hematoma
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ANSWER

C Rationale: A concealed abruption could result in a Couvelaire uterus, which doesn't contract effectivel
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y after delivery, leading to uterine atony. Retained placental fragments, vaginal hematoma, or urinary tr
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act infection could occur in any client.
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QUESTION 6 vc