NCLEX Question and Answers with Rationale 8th Edition (Maternity/Antepartum)

NCLEX Question and Answers with Rationale 8th Edition (Maternity/Antepartum)

1. A pregnant client asks a nurse about the types of exercises that are allowable during the pregnancy. The nurse would instruct the client that the safest exercise to engage in is which of the following?

A. Bicycling with the legs in the air
B. Swimming
C. Scuba diving
D. Low-weight gymnastics

Answer: B. Swimming

Rationale: Non–weight-bearing exercises are preferable to weight-bearing exercises. Exercises to avoid are shoulder standing and bicycling with the legs in the air because the use of the knee-chest position should be avoided. Competitive or high-risk sports such as scuba diving, water skiing, downhill skiing, horseback riding, basketball, volleyball, and gymnastics should be avoided. Non–weight-bearing exercises such as swimming are allowable.
Test-Taking Strategy: Use the process of elimination. Identify those activities or exercises that could cause or produce an injury to the fetus. This should direct you to option 2. If you had difficulty with this question, review teaching points related to exercises that are safe for a client who is pregnant.

Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 55.

2. A nurse is teaching a pregnant client about the warning signs in pregnancy that require the need to notify the physician. The nurse determines that further teaching is needed if the client states that it is necessary to call the physician if which of the following occurs?

A. Visual disturbances
B. Rapid weight gain
C. Facial edema
D. Irregular painless contractions

Answer: D. Irregular painless contractions

Rationale: Visual disturbances, rapid weight gain, and generalized or facial edema are warning signs in pregnancy. Braxton Hicks contractions are the normal, irregular, painless contractions of the uterus that may occur throughout the pregnancy. Additional warning signs in pregnancy include vaginal bleeding, premature rupture of the membranes, preterm uterine contractions that are normal and regular, change in or absence of fetal activity, severe headache, epigastric pain, persistent vomiting, abdominal pain, and signs of infection.
Test-Taking Strategy: Note the key words further teaching is needed and use the process of elimination. These words indicate a false response question and that you need to select the incorrect client statement. Recalling the manifestations associated with Braxton Hicks contractions will assist in directing you to option 4. If you had difficulty with this question, review the warning signs in pregnancy and the characteristics associated with Braxton Hicks contractions.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, pp. 58, 83.

3. A pregnant woman who visits a health care clinic for the first prenatal visit hears the physician discuss the preembryonic period of development with the nurse. The woman asks the nurse what this means. The nurse tells the woman that the preembryonic period is the:

A. Period of time before conception
B. First 2 weeks of fetal development following conception
C. Fetal development period from the beginning of the third week through the eighth week after conception
D. Longest period of fetal development

Answer: B. First 2 weeks of fetal development following conception
Rationale: The preembryonic period is the first 2 weeks after conception. Around the fourth day after conception, the fertilized ovum, now called a zygote, enters the uterus. The embryonic period of development extends from the beginning of the third week through the eighth week after conception. Basic structures of all major body organs are completed during the embryonic period. The fetal period is the longest part of prenatal development. It begins 9 weeks after conception and ends with birth. All major systems are present in their basic form.
Test-Taking Strategy: Use the process of elimination and knowledge regarding the process of fetal development. Focusing on the key words preembryonic period of development will assist in directing you to option 2. If you are unfamiliar with fetal development, review this content.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, pp. 234-235.

4. A nurse is teaching a pregnant woman about the physiological effects and hormonal changes that occur in pregnancy, and the woman asks the nurse about the purpose of progesterone. The nurse tells the woman that the purpose of progesterone is to:

A. Maintain the uterine lining for implantation
B. Stimulate metabolism of glucose and convert the glucose to fat
C. Prevent the involution of the corpus luteum and maintain the production of progesterone until the placenta is formed
D. Stimulate uterine development to provide an environment for the fetus, and stimulate the breasts to prepare for lactation

Answer: A. Maintain the uterine lining for implantation

Rationale: Progesterone maintains the uterine lining for implantation and relaxes all smooth muscle. Human placental lactogen stimulates the metabolism of glucose and converts the glucose to fat and is antagonistic to insulin. Human chorionic gonadotropin prevents involution of the corpus luteum and maintains the production of progesterone until the placenta is formed. Estrogen stimulates uterine development to provide an environment for the fetus, and stimulates the breasts to prepare for lactation.
Test-Taking Strategy: Use the process of elimination. Focusing on the issue of the question—the purpose of progesterone—and recalling the physiology related to the reproductive system will direct you to option 1. Review the function and purpose of progesterone if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 12.

5. A nurse is reviewing the record of a pregnant client and notes that the physician has documented the presence of Chadwick’s sign. The nurse understands that the hormone responsible for the development of this sign is which of the following?

A. Human chorionic gonadotropin (hCG)
B. Estrogen
C. Progesterone
D. Prolactin

Answer: B. Estrogen

Rationale: The cervix undergoes significant changes following conception. The most obvious changes occur in color and consistency. In response to the increasing levels of estrogen, the cervix becomes congested with blood, resulting in the characteristic bluish color that extends to include the vagina and labia. This discoloration, referred to as Chadwick’s sign, is one of the earliest signs of pregnancy.
Test-Taking Strategy: Knowledge regarding Chadwick’s sign and the physiological changes and hormones responsible for this sign is needed to answer this question. If you are unfamiliar with Chadwick’s sign, review this content.

Level of Cognitive Ability: Comprehension
Client Needs: Physiological integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 83.

Source : NCLEX example quiz and answer

Read also :

• NCLEX Question and Answer With Rationale 5th Edition (Child Health)
• Example NCLEX RN Questions 6th Edition
• Nursing NCLEX Questions Quiz with Answer and Rationale 7th Edition (Maternity)

Thank you for your attention with reading our article NCLEX Question and Answers with Rationale 8th Edition (Maternity/Antepartum). Thanks for your participation, like and share if this is usefull.

Share this post