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NCLEX-RN Exam Questions - Part 51
1. A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be:
A) November 7
B) November 10
C) May 7
D) May 10
2. An elective saline abortion has been performed on a 3- week primigravida. Following the procedure, the nurse should be alert for which early side effect?
A) Water satiety
B) Thirst
C) Edema
D) Diabetes insipidus
3. Assessment of a newborn for Apgar scoring includes observation for:
A) Pupil response
B) Respiratory rate
C) Heart rate
D) Babinski - s reflex
4. Painless vaginal bleeding in the last trimester may be caused by:
A) Menstruation
B) Abruptio placentae
C) Placenta previa
D) Polyhydramnios
5. The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?
A) Mother is concerned about her recovery.
B) Mother calls infant by name.
C) Mother lightly touches infant.
D) Mother is concerned about her weight gain.
A) November 7
B) November 10
C) May 7
D) May 10
2. An elective saline abortion has been performed on a 3- week primigravida. Following the procedure, the nurse should be alert for which early side effect?
A) Water satiety
B) Thirst
C) Edema
D) Diabetes insipidus
3. Assessment of a newborn for Apgar scoring includes observation for:
A) Pupil response
B) Respiratory rate
C) Heart rate
D) Babinski - s reflex
4. Painless vaginal bleeding in the last trimester may be caused by:
A) Menstruation
B) Abruptio placentae
C) Placenta previa
D) Polyhydramnios
5. The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?
A) Mother is concerned about her recovery.
B) Mother calls infant by name.
C) Mother lightly touches infant.
D) Mother is concerned about her weight gain.
1. Right Answer: D
Explanation: (A) Wrong calculation (B) Wrong calculation (C) Wrong calculation(D) Ngeles rule is: Expected Date of Confinement = LastMenstrual Period - 3 months + 7 days + 1 year
2. Right Answer: B
Explanation: (A) If the client is experiencing water satiety, there is no more desire for water. (B) Absorption of saline into circulation rather than into amniotic sac increases serum sodium and desire for water. (C) Edema can be a late side effect caused by water intoxication. (D) Diabetes insipidus occurs as a result of deficient antidiuretic hormone.
3. Right Answer: C
Explanation: (A) Pupil response should be assessed but is not part of Apgar scoring. (B) Respiratory effort is an essential part of Apgar scoring, not respiratory rate. (C) Heart rate is the most critical component of Apgar scoring. (D) Assessment of Babinskis reflex is not a component of Apgar scoring.
4. Right Answer: C
Explanation: (A) Menstruation should not occur during pregnancy. (B) Abruptio placentae is marked by painful vaginal bleeding following a premature placental detachment after 20th week of gestation. (C) A low-lying placenta separates from the uterine wall as the uterus contracts and cervix dilates. This separation causes painless bleeding in the 7th-8th month. (D) Polyhydramnios is excessive amniotic fluid.
5. Right Answer: B
Explanation: (A) This observation can be made during the taking-in phase when the mothers needs are more important. (B) This observation can be made during the taking- hold phase when the mother is actively involved with herself and the infant. (C, D) This observation can be made during the taking-in phase.
Explanation: (A) Wrong calculation (B) Wrong calculation (C) Wrong calculation(D) Ngeles rule is: Expected Date of Confinement = LastMenstrual Period - 3 months + 7 days + 1 year
2. Right Answer: B
Explanation: (A) If the client is experiencing water satiety, there is no more desire for water. (B) Absorption of saline into circulation rather than into amniotic sac increases serum sodium and desire for water. (C) Edema can be a late side effect caused by water intoxication. (D) Diabetes insipidus occurs as a result of deficient antidiuretic hormone.
3. Right Answer: C
Explanation: (A) Pupil response should be assessed but is not part of Apgar scoring. (B) Respiratory effort is an essential part of Apgar scoring, not respiratory rate. (C) Heart rate is the most critical component of Apgar scoring. (D) Assessment of Babinskis reflex is not a component of Apgar scoring.
4. Right Answer: C
Explanation: (A) Menstruation should not occur during pregnancy. (B) Abruptio placentae is marked by painful vaginal bleeding following a premature placental detachment after 20th week of gestation. (C) A low-lying placenta separates from the uterine wall as the uterus contracts and cervix dilates. This separation causes painless bleeding in the 7th-8th month. (D) Polyhydramnios is excessive amniotic fluid.
5. Right Answer: B
Explanation: (A) This observation can be made during the taking-in phase when the mothers needs are more important. (B) This observation can be made during the taking- hold phase when the mother is actively involved with herself and the infant. (C, D) This observation can be made during the taking-in phase.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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