NCLEX Quiz and Corret Answer 9th Edition (Maternity Edition)
NCLEX Quiz and Corret Answer 9th Edition (Maternity Edition)
1. The nurse is assisting in performing an assessment on a pregnant client and is preparing to take the client’s blood pressure. The nurse positions the client:
A. Lying down
B. In a sitting position
C. On the right side
D. On the left side
Answer: B. In a sitting position
Rationale: Because position affects blood pressure in the pregnant woman, the method for obtaining a blood pressure reading should be standardized as much as possible. The blood pressure reading should be obtained in the sitting position with the arm supported in a horizontal position at heart level. Options 1, 3, and 4 are incorrect, and these positions may cause physiological stress that will affect the blood pressure reading.
Test-Taking Strategy: Use the process of elimination. Note that options 1, 3, and 4 are similar are should be eliminated. If you are unfamiliar with the procedure of performing a blood pressure reading on a pregnant client, review this content.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Maternity/Antepartum
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 254.
2. A nurse is assisting in performing an assessment on a pregnant client with a history of cardiac disease and is checking the client for venous congestion. The nurse inspects which body area knowing that venous congestion is most commonly noted in this area?
A. Vulva
B. Fingers
C. Around the eyes
D. Around the abdomen
Answer: A. Vulva
Rationale: Assessment of the cardiovascular system includes observation for venous congestion that can develop into varicosities. Venous congestion is most commonly noted in the legs, vulva, or rectum. It would be difficult to assess for edema in the abdominal area of a client that is pregnant. Although edema may be noted in the fingers and around the eyes, edema in these areas would not be directly associated with venous congestion.
Test-Taking Strategy: Use the process of elimination. Focus on the key word venous. From the options presented, the vulva is the area that would present the most venous pressure. Review data collection techniques of the cardiovascular system in a pregnant client if you had difficulty with this question.
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. 224.
3. A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions, and the nurse determines that the client is experiencing Braxton Hicks contractions. Which of the following nursing actions would be appropriate?
A. Instruct the client to maintain bed rest for the remainder of the pregnancy
B. Instruct the client that these contractions are common and may occur throughout the pregnancy
C. Contact the physician
D. Call the maternity unit and inform them that the client will be admitted in a prelabor condition
Answer: B. Instruct the client that these contractions are common and may occur throughout the pregnancy
Rationale: Braxton Hicks contractions are irregular, painless contractions that occur throughout pregnancy, although many expectant mothers do not notice them until the third trimester. Because Braxton Hicks contractions may occur and are normal in some pregnant women during pregnancy, options 1, 3, and 4 are unnecessary and inaccurate.
Test-Taking Strategy: Use the process of elimination. Options 3 and 4 are similar and can be eliminated first. From the remaining options, recalling that Braxton Hicks contractions can occur throughout pregnancy will assist in directing you to option B. If you had difficulty with this question, review the physiology associated with Braxton Hicks contractions.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 83.
4. A nursing instructor has given a lecture on the reproductive cycle of the female and asks a nursing student to identify the anatomical structure that supports and protects the internal reproductive organs. The student correctly responds by identifying which structure?
A. Ovaries
B. Pelvis
C. Vagina
D. Fallopian tube
Answer: B. Pelvis
Rationale: The pelvis is a bony structure that supports and protects the lower abdominal and internal reproductive organs. The functions of the ovaries include sex hormone production and maturation of an ovum during each reproductive cycle. The vagina allows discharge of the menstrual flow, is the female organ of coitus, and permits the passage of the fetus from the uterus to outside the mother’s body during childbirth. The fallopian tubes are lined with folded epithelium containing cilia that beat rhythmically toward the uterine cavity to propel the ovum through the tube.
Test-Taking Strategy: Use knowledge regarding the function of the anatomical structures of the female reproductive system. Focusing on the key words supports and protects the internal reproductive organs will direct you to option B. If you had difficulty with this question, review the function and structure of the pelvis.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Fundamental Skills
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, pp. 12-13.
5. A nurse is assisting in performing an assessment on a pregnant client during the first prenatal visit. The client is anxious to know the sex of the fetus and asks the nurse when this information will be available. The nurse responds by telling the client that the sex of the fetus can be determined by:
A. Weeks 6 to 8
B. Weeks 8 to 10
C. Weeks 12 to 16
D. Weeks 20 to 22
Answer: C. Weeks 12 to 16
Rationale: By the end of the twelfth week, the fetal sex can be determined by the appearance of the external genitalia on ultrasound.
Test-Taking Strategy: Knowledge regarding fetal development is needed to answer this question. If you had difficulty with this question, review this content.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 30.
Thank you for your attention with reading our article NCLEX Quiz and Corret Answer 9th Edition (Maternity Edition). Thanks for your participation, like and share if this is usefull.
0 Response to "NCLEX Quiz and Corret Answer 9th Edition (Maternity Edition)"
Post a Comment