OB practice questions NCLEX correctly answered 2023 updated

OB practice questions NCLEX correctly answered 2023 updatedA 27 year-old pregnant women had a pre conceptual body mass index (BMI) of 18.0. The nurse knows that this woman's total recommended weight gain during pregnant should be at least? A) 27.5 lbs B) 35 lbs C) 44 lbs B) 35 lbs As relates to the structure and function of the placenta, the maternity nurse should be aware that: A) Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing. B) As one of its early functions, the placenta acts as an endocrine gland. C) As the placenta widens, it gradually thins to allow easier passage of air and nutrients. D) The placenta is able to keep out most potentially toxic substances such as cigarette some to which the mother is exposed. B) As one of its early functions, the placenta acts as an endocrine gland. Physiologic anemia often occurs during pregnancy as a result of: A) Dilution of hemoglobin concentration B) Decreased production of erythrocytes C) Inadequate intake of iron D) The fetus establishing iron stores A) Dilution of hemoglobin concentration Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? A) Increased blood pressure B) Less audible heart sounds (S1, S2) C) Increased pulse rate D) Decreased red blood cell (RBC) production C) Increased pulse rate When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that: A) While working or traveling in a car or a plane, women should arrange to walk around at least every hour or so. B) Women should avoid seat belts and shoulder restraints in car because they press on the fetus C) Metal detectors at airport security can harm the fetus if woman passes through them a number of times. D) Women should sit for long as possible and cross legs that the knees from time to time for exercise. A) While working or traveling in a car or a plane, women should arrange to walk around at least every hour or so. A woman's cousin gave birth to an infant with congenital heart abnormality. The woman ask the nurse when such abnormalities occur during development. Which response by the nurse is the most accurate? A) "They occur between the third and fifth week of development." B) "We don't really know when such defects occur." C) "It depends on what caused the defect" D) "They usually occur in the first 2 weeks of development" A) "They occur between the third and fifth week of development." A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnant could be: A) Edema in the ankles and feet at the end of the day B) Heart palpitations C) Alternation in the pattern of fetal movement D) Constipation C) Alternation in the pattern of fetal movement A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that: A) The woman has bee using cocaine intra-nasally B) This is a normal respiratory change in pregnancy caused by elevated levels of estrogen C) The woman is a victim of domestic violence and is being hit in the face by her partner. D) This is abnormal cardiovascular change and the nosebleeds are an ominous sign. B) This is a normal respiratory change in pregnancy caused by elevated levels of estrogen A maternity nurse should be aware of which fact about the amniotic fluid? A) Volume of more than 2 L is associated with fetal renal abnormalities. B) The volume remains about the same throughout the term of a healthy pregnancy. C) Volume of less than 350 mL is associated with gastrointestinal malformations. D) It serves as a source of oral fluid and repository for waste from the fetus. D) It serves as a source of oral fluid and repository for waste from the fetus. The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? A) Painless vaginal bleeding B) Abdominal cramping C) Throbbing pain in the upper quadrant D) Sudden, stabbing pain in the lower quadrant D) Sudden, stabbing pain in the lower quadrant A couple/person may be consider for infertility testing after what point? A) Lack of pregnancy after two years of attempting to achieve pregnancy. B) Lack of pregnancy after 6 months of attempting to achieve pregnancy. C) Lack of pregnancy after 2 months of attempting to achieve pregnancy. D) Lack of pregnancy after 12 months of unprotected sex (desired or undesired pregnancy) D) Lack of pregnancy after 12 months of unprotected sex (desired or undesired pregnancy) Non-contraceptive benefits of COC use include a decrease in all of the following except: A) Cervicitis B) Iron-deficiency anemia C) Ovarian cancer D) Pelvic inflammatory disease (PID) A) Cervicitis A woman has contract Herpes Simplex 2 for the first time. Which of the following signs/symptoms is the client likely to complain of? A) Abdominal cramping B) Amenorrhea C) Flu-like s symptoms D) Metrorrhagia C) Flu-like s symptoms In explaining to a client during her initial prenatal exam the importance of testing pregnant women for gonorrhea, the nurse should tell the client that gonorrhea can cause which problem in the neonate? A) Liver damage B) Perineal discharge C) Congenital anomalies D) Eye infections D) Eye infections Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination? A) 5 to 7 days after menses ceases. B) Mid-menstrual cycle. C) Day 1 of the endometrial cycle. D) Any time during a shower or bath. A) 5 to 7 days after menses ceases. You (the nurse) are reviewing the educational packet provided to a client about tubal ligation. What is an important fact you should point out (Select all that apply)? A) "Sterilization offers no protection against STIs." B) "It is highly unlikely that you will become pregnant after the procedure." C) "This is an effective form of 100% permanent sterilization. You won't be able to get pregnant." D)"Sterilization offers some form of protection against sexually transmitted infections (STIs)." E) "Your menstrual cycle will greatly increase after your sterilization." A) "Sterilization offers no protection against STIs." B) "It is highly unlikely that you will become pregnant after the procedure." As relates to the structure and function of the placenta, the maternity nurse should be aware that: A) Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing. B) As one of its early functions, the placenta acts as an endocrine gland. C) As the placenta widens, it gradually thins to allow easier passage of air and nutrients. D) The placenta is able to keep out most potentially toxic substances such as cigarette smoke to which the mother is exposed. B) As one of its early functions, the placenta acts as an endocrine gland.