{"id":4716,"date":"2024-11-06T00:01:00","date_gmt":"2024-11-06T00:01:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4716"},"modified":"2026-03-20T13:50:46","modified_gmt":"2026-03-20T21:50:46","slug":"nclex-question-of-the-day-36-week-gestation","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-gestation","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: 36-week gestation"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-gestation\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-gestation\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-gestation\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Ready for today\u2019s NCLEX-RN\u00ae question? Test your knowledge by what reproductive changes the nurse should anticipate with a patient who&#8217;s 36 weeks pregnant.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the obstetrical clinic is preparing to assess a patient who is at 36 weeks of gestation. Which reproductive change should the nurse anticipate?&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Asymmetrical breast tenderness<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. A fundal height measured at the umbilicus<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Loss of the mucus plug<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Increased production of thick white vaginal discharge<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Increased production of thick white vaginal discharge<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> During pregnancy, the vagina increases the production of white, thick, and acidic secretions; therefore, this is an anticipated finding for this client.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">During pregnancy, estrogen and progesterone promote breast development and milk production. Blood flow also increases to support the growth of breast tissue. Together, these changes can cause symptoms like tingling, fullness, and tenderness of both breasts. Other critical changes include leakage of colostrum and hypertrophy of Montgomery\u2019s tubercles, which are sebaceous glands that lubricate the nipples. Uterine enlargement results from hyperplasia and hypertrophy of the uterine smooth muscle cells. By 20 weeks of gestation, the uterus, or top of the uterus, referred to as fundal height, reaches the level of the umbilicus. By 36 weeks, it rises to the xiphoid process, which, if measured from the symphysis pubis to the fundal height, should be 36 centimeters. At the same time, the number and size of blood vessels increase to provide nutritional support to the enlarging uterus. During the first two trimesters, the uterus is usually calm, with irregular, brief contractions, called Braxton-Hick&#8217;s contractions or false labor pains. Once the third trimester starts, the uterus becomes active. These frequent uterine contractions can cause discomfort. The cervix increases in diameter and becomes hyperemic and more elastic. Endocervical glands start secreting a thick mucus that forms a plug and blocks the cervical canal. This plug prevents bacteria from entering the uterus, keeping the fetal membranes and fetus safe. Similarly, the vagina increases the production of white, thick, and acidic secretions.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"521\" height=\"227\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image.png\" alt=\"REPRODUCTIVE CHANGES\n* Cervix increases in diameter\n- Hyperemic\n- Increased elasticity\n* Mucus plug blocks cervical canal\n- Prevents bacteria from entering uterus\n* Vaginal increased production of white, thick, acidic secretions\" class=\"wp-image-4717\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image.png 521w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image.png?resize=300,131 300w\" sizes=\"auto, (max-width: 521px) 100vw, 521px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Asymmetrical breast tenderness<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: During pregnancy, the client\u2019s breasts can become tender due to increased blood flow and milk production. However, this anticipated tenderness is typically bilateral; therefore, this is not an anticipated finding and should be reported to the healthcare provider.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. A fundal height measured at the umbilicus<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: By 20 weeks of gestation, the uterus reaches the level of the umbilicus, and by 36 weeks, it rises to the xiphoid process. Therefore, this is not an anticipated finding for a client at 36 weeks gestation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Loss of the mucus plug<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: During pregnancy, the cervix increases in diameter and becomes hyperemic and more elastic. Endocervical glands start secreting a thick mucus that forms a plug and blocks the cervical canal; however, the mucus plug should be intact at 36 weeks gestation. Therefore, the loss of a mucus plug indicates the cervix is thinning and\/or dilating and is not an anticipated finding for this client.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/nursing-ad.png\" alt=\"\" class=\"wp-image-4718\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/nursing-ad.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/nursing-ad.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and discover why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ready for today\u2019s NCLEX-RN\u00ae question? Test your knowledge by what reproductive changes the nurse should anticipate with a patient who&#8217;s 36 weeks pregnant. The nurse in the obstetrical clinic is preparing to assess a patient who is at 36 weeks of gestation. Which reproductive change should the nurse anticipate?&nbsp;&nbsp;&nbsp; A. Asymmetrical breast tenderness B. A [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":4719,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[29,1367,32],"tags":[],"class_list":["post-4716","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: 36-week gestation - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-gestation\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: 36-week gestation - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Ready for today\u2019s NCLEX-RN\u00ae question? Test your knowledge by what reproductive changes the nurse should anticipate with a patient who&#8217;s 36 weeks pregnant. The nurse in the obstetrical clinic is preparing to assess a patient who is at 36 weeks of gestation. Which reproductive change should the nurse anticipate?&nbsp;&nbsp;&nbsp; A. Asymmetrical breast tenderness B. 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Test your knowledge by what reproductive changes the nurse should anticipate with a patient who&#8217;s 36 weeks pregnant. The nurse in the obstetrical clinic is preparing to assess a patient who is at 36 weeks of gestation. Which reproductive change should the nurse anticipate?&nbsp;&nbsp;&nbsp; A. Asymmetrical breast tenderness B. 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