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NCLEX-RN Exam Questions - Part 76
1. A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The clients glucose tolerance test shows elevated blood sugar levels.Because she only shows signs of diabetes when she is pregnant, she is classified as having:
A) Insulin-dependent diabetes
B) Type II diabetes mellitus
C) Type I diabetes mellitus
D) Gestational diabetes mellitus
2. Prior to an amniocentesis, a fetal ultrasound is done in order to:
A) Evaluate fetal lung maturity
B) Evaluate the amount of amniotic fluid
C) Locate the position of the placenta and fetus
D) Ensure that the fetus is mature enough to perform the amniocentesis
3. A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks gestation. Based on the nurses knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?
A) Complaints of dyspnea
B) Edema of face and hands
C) Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks
D) Hematocrit 39%
4. Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?
A) Heterozygotes are affected.
B) The disorder is always carried on the X chromosome.
C) Only females are affected.
D) Two affected parents always have affected children.
5. Chorioamnionitis is a maternal infection that is usually associated with:
A) Prolonged rupture of membranes
B) Postterm deliveries
C) Maternal pyelonephritis
D) Maternal dehydration
A) Insulin-dependent diabetes
B) Type II diabetes mellitus
C) Type I diabetes mellitus
D) Gestational diabetes mellitus
2. Prior to an amniocentesis, a fetal ultrasound is done in order to:
A) Evaluate fetal lung maturity
B) Evaluate the amount of amniotic fluid
C) Locate the position of the placenta and fetus
D) Ensure that the fetus is mature enough to perform the amniocentesis
3. A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks gestation. Based on the nurses knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?
A) Complaints of dyspnea
B) Edema of face and hands
C) Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks
D) Hematocrit 39%
4. Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?
A) Heterozygotes are affected.
B) The disorder is always carried on the X chromosome.
C) Only females are affected.
D) Two affected parents always have affected children.
5. Chorioamnionitis is a maternal infection that is usually associated with:
A) Prolonged rupture of membranes
B) Postterm deliveries
C) Maternal pyelonephritis
D) Maternal dehydration
1. Right Answer: D
Explanation: (A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of 30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulindependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.
2. Right Answer: C
Explanation: (A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C) Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th17th week of pregnancy.
3. Right Answer: B
Explanation: (A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B)Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of great concern to the healthcare provider.(C) An increase in heart rate of 1015 bpm is a normal physiological change in pregnancy due to the multiple hemodynamic changes. (D) A hematocrit value of39% is within the normal range. A value <35% would indicate anemia.
4. Right Answer: D
Explanation: (A) The term heterozygote refers to an individual with one normal and one mutant allele at a given locus on a pair of homologous chromosomes. An individual who is heterozygous for the abnormal gene does not manifest obvious symptoms. (B) Disorders carried on either the X or Y sex chromosome are referred to as sex- linked recessive. (C) Either sex may be affected by autosomal recessive genetic disorders because the responsible allele can be on any one of the 46 chromosomes. (D) If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.
5. Right Answer: A
Explanation: (A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.
Explanation: (A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of 30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulindependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.
2. Right Answer: C
Explanation: (A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C) Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th17th week of pregnancy.
3. Right Answer: B
Explanation: (A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B)Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of great concern to the healthcare provider.(C) An increase in heart rate of 1015 bpm is a normal physiological change in pregnancy due to the multiple hemodynamic changes. (D) A hematocrit value of39% is within the normal range. A value <35% would indicate anemia.
4. Right Answer: D
Explanation: (A) The term heterozygote refers to an individual with one normal and one mutant allele at a given locus on a pair of homologous chromosomes. An individual who is heterozygous for the abnormal gene does not manifest obvious symptoms. (B) Disorders carried on either the X or Y sex chromosome are referred to as sex- linked recessive. (C) Either sex may be affected by autosomal recessive genetic disorders because the responsible allele can be on any one of the 46 chromosomes. (D) If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.
5. Right Answer: A
Explanation: (A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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