NCLEX-RN practice › Health Promotion and Maintenance
NCLEX maternity question: 28-week prenatal labs (SATA)
Health Promotion and Maintenance · Select all that apply · Clinical judgment step: Generate solutions
Client record
Prenatal laboratory results
| Test | Result |
|---|---|
| Blood type | O negative |
| Antibody screen | Negative |
| 1-hour glucose challenge | 152 mg/dL |
| Hemoglobin | 10.4 g/dL |
| Rubella | Immune |
| Urine | Negative for protein and glucose |
Vital signs
BP 118/72 mm Hg, fundal height 28 cm, FHR 146/min
A client at 28 weeks of gestation is seen for a routine visit. The nurse reviews the prenatal record. Which actions should the nurse anticipate? Select all that apply.
- A. Give the MMR vaccine
- B. Administer Rh(D) immune globulin
- C. Start insulin today
- D. Admit the client for preeclampsia evaluation
- E. Recommend iron supplementation and iron-rich foods
- F. Schedule a 3-hour oral glucose tolerance test
Show the answer and rationales
Answer: B, E, F
At 28 weeks: Rh immune globulin for Rh-negative unsensitised clients, a diagnostic glucose tolerance test after an abnormal screen, and iron for anemia.
- A. Incorrect. The client is rubella-immune, and live vaccines are contraindicated in pregnancy.
- B. Correct. An Rh-negative client with a negative antibody screen receives Rh immune globulin at about 28 weeks.
- C. Incorrect. Gestational diabetes has not been diagnosed; the screening test needs confirmation first.
- D. Incorrect. Blood pressure is normal and urine is negative for protein.
- E. Correct. A hemoglobin below 11 g/dL in pregnancy suggests anemia.
- F. Correct. A 1-hour challenge of 140 mg/dL or more (some programmes use 130–135) needs a diagnostic 3-hour test.
Scoring: select all that apply items on the Next Generation NCLEX use plus/minus scoring. You gain a point for each correct option you choose and lose a point for each incorrect one, with a minimum of zero. This item is worth 3 points.
Practise more NCLEX questions like this, free →
10 free questions a day, with rationales. Unlimited with a weekly or monthly pass.
More NCLEX practice questions
- NCLEX maternity question: Category III fetal heart tracing (SATA)
- NCLEX newborn question: calculate the Apgar score
- NCLEX postpartum question: bleeding with a firm uterus
- NCLEX dosage calculation: pediatric acetaminophen in mL
- NCLEX question: when to start basal insulin as DKA resolves
- NCLEX question: staging a deep tissue pressure injury
All Health Promotion and Maintenance questions → · NCLEX-RN practice hub →
NCLEX® and NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN). RecallMed is independent and is not affiliated with, or endorsed by, NCSBN or any board of nursing. All questions are original, written and reviewed for exam practice, and do not come from any NCLEX exam. They are not a substitute for your nursing education or clinical guidelines.