MODULE 1 NCLEX REVIEW QUESTIONS
WITH COMPLETE DETAILED
ANSWERS.GRADE A+ ASSURED
e
assess the woman's radial pulse.
The expected fetal heart rate (FHR) is 120 to 160 beats/min. The nurse may have inadvertently counted
the uterine souffle, the beat-like sound of blood flowing through the uterine blood vessels, which
corresponds to the mother's heartbeat. The physician should be notified if the FHR is confirmed to be 82
beats/min. Allow the woman to hear the heartbeat as soon as a full assessment is made. - answer ✔✔-
When assessing the fetal heart rate (FHR) of a woman at 30 weeks gestation, the nurse counts a rate of
82 beats/min. Initially the nurse should:
Hegar sign.
At approximately 6 weeks of gestation, softening and compressibility of the lower uterine segment
occur; this is called the Hegar sign. The McDonald sign indicates a fast-food restaurant. The Chadwick
sign is a blue-violet cervix caused by increased vascularity; this occurs around the fourth week of
gestation. Softening of the cervical tip is called the Goodell sign, which may be observed around the
sixth week of pregnancy. - answer ✔✔-During a client's physical examination, the nurse notes that the
lower uterine segment is soft on palpation. The nurse would document this finding as:
A. Hegar sign
B. McDonald sign
C. Chadwick sign
D. Goodell sign
compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the
latter stage of term pregnancy.
,The tightness of a cuff that is too small produces a reading that is too high; similarly, the looseness of a
cuff that is too large results in a reading that is too low. Because maternal positioning affects readings,
blood pressure measurements should be obtained in the same arm and with the woman in the same
position. The systolic blood pressure generally remains constant but may decline slightly as pregnancy
advances. The diastolic blood pressure first drops and then gradually increases. This compression also
leads to varicose veins in the legs and vulva. - answer ✔✔-In order to reassure and educate pregnant
clients about changes in their blood pressure, maternity nurses should be aware that:
3-1-0-1-0.
Using the GPTAL system, this woman's gravidity and parity information is calculated as follows:G: Total
number of times the woman has been pregnant (she is pregnant for the third time) T: Number of
pregnancies carried to term (she has one stillborn) P: Number of pregnancies that resulted in a preterm
birth (she has none) A: Abortions or miscarriages before the period of viability (she has had one) L:
Number of children born who are currently living (she has no living children) - answer ✔✔-A woman is 6
weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy
that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL
system?
Goodell sign: Cervical polyps.
Amenorrhea sometimes can be caused by stress, vigorous exercise, early menopause, or endocrine
problems. Quickening can be gas or peristalsis. Goodell sign might be the result of pelvic congestion, not
polyps. Chadwick sign might be the result of pelvic congestion. - answer ✔✔-Which presumptive signs
(felt by the woman) or probable sign (observed by the examiner) of pregnancy is not matched with
another possible cause?
4-1-2-0-2.
Gravida (the first number) is 4 since this woman is now pregnant and was pregnant 3 times before. Para
(the next 4 numbers) represents the outcomes of the pregnancies and would be described as: 4T: 1 =
Term birth at 41 weeks of gestation (son) 4P: 2 = Preterm birth at 32 weeks of gestation (stillbirth) and
36 weeks of gestation (daughter) 4A: 0 = Abortion: none occurred 4L: 2 = Living children: her son and her
daughter. - answer ✔✔-A pregnant woman is the mother of two children. Her first pregnancy ended in a
still birth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks,
and her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system to describe this
woman's current obstetric history, the nurse would record _.
, fetal movement palpated by the nurse-midwife.
A positive pregnancy test is a probable sign of pregnancy. Positive signs of pregnancy are those that are
attributed to the presence of a fetus, such as hearing the fetal heartbeat or palpating fetal movement.
Braxton Hicks contractions are a probable sign of pregnancy. Quickening is a presumptive sign of
pregnancy. - answer ✔✔-A nurse teaches a pregnant woman about the presumptive, probable, and
positive signs of pregnancy. The woman demonstrates an understanding of the nurse's instructions if
she states that a positive sign of pregnancy is:
Increased pulse rate.
Splitting of S1 and S2 is more audible. Between 14 and 20 weeks of gestation, the pulse increases about
10 to 15 beats/min, which persists to term. In the first-trimester blood pressure usually remains the
same as the prepregnancy level, but it gradually decreases up to about 20 weeks of gestation. During
the second trimester both the systolic and diastolic pressures decrease by about 5 to 10 mm Hg.
Production of RBCs accelerates during pregnancy. - answer ✔✔-Cardiovascular system changes occur
during pregnancy. Which finding would be considered normal for a woman in her second trimester?
Fetal heartbeat auscultated with Doppler/fetoscope.
Morning sickness and quickening, along with amenorrhea and breast tenderness, are presumptive signs
of pregnancy; subjective findings are suggestive but not diagnostic of pregnancy. Other probable signs
include changes in integument, enlargement of the uterus, and Chadwick sign. A positive pregnancy test
is still considered to be a probable sign of pregnancy (objective findings are more suggestive but not yet
diagnostic of pregnancy) since error can occur in performing the test or in rare cases human chorionic
gonadotropin (hCG) may be detected in the urine of nonpregnant women. Chances of error are less
likely to occur today since pregnancy tests used are easy to perform and are very sensitive to the
presence of the hCG associated with pregnancy. Detection of a fetal heartbeat, palpation of fetal
movements and parts by an examiner, and detection of an embryo/fetu - answer ✔✔-If exhibited by a
pregnant woman, what represents a positive sign of pregnancy?
The patient states that there is no need for concern as home pregnancy test results are 100% correct.
Home pregnancy testing while reliable does not provide 100% correct results. There are other variables
such as medication history as well as timing of specimen, collection and interpretation that may lead to
WITH COMPLETE DETAILED
ANSWERS.GRADE A+ ASSURED
e
assess the woman's radial pulse.
The expected fetal heart rate (FHR) is 120 to 160 beats/min. The nurse may have inadvertently counted
the uterine souffle, the beat-like sound of blood flowing through the uterine blood vessels, which
corresponds to the mother's heartbeat. The physician should be notified if the FHR is confirmed to be 82
beats/min. Allow the woman to hear the heartbeat as soon as a full assessment is made. - answer ✔✔-
When assessing the fetal heart rate (FHR) of a woman at 30 weeks gestation, the nurse counts a rate of
82 beats/min. Initially the nurse should:
Hegar sign.
At approximately 6 weeks of gestation, softening and compressibility of the lower uterine segment
occur; this is called the Hegar sign. The McDonald sign indicates a fast-food restaurant. The Chadwick
sign is a blue-violet cervix caused by increased vascularity; this occurs around the fourth week of
gestation. Softening of the cervical tip is called the Goodell sign, which may be observed around the
sixth week of pregnancy. - answer ✔✔-During a client's physical examination, the nurse notes that the
lower uterine segment is soft on palpation. The nurse would document this finding as:
A. Hegar sign
B. McDonald sign
C. Chadwick sign
D. Goodell sign
compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the
latter stage of term pregnancy.
,The tightness of a cuff that is too small produces a reading that is too high; similarly, the looseness of a
cuff that is too large results in a reading that is too low. Because maternal positioning affects readings,
blood pressure measurements should be obtained in the same arm and with the woman in the same
position. The systolic blood pressure generally remains constant but may decline slightly as pregnancy
advances. The diastolic blood pressure first drops and then gradually increases. This compression also
leads to varicose veins in the legs and vulva. - answer ✔✔-In order to reassure and educate pregnant
clients about changes in their blood pressure, maternity nurses should be aware that:
3-1-0-1-0.
Using the GPTAL system, this woman's gravidity and parity information is calculated as follows:G: Total
number of times the woman has been pregnant (she is pregnant for the third time) T: Number of
pregnancies carried to term (she has one stillborn) P: Number of pregnancies that resulted in a preterm
birth (she has none) A: Abortions or miscarriages before the period of viability (she has had one) L:
Number of children born who are currently living (she has no living children) - answer ✔✔-A woman is 6
weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy
that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL
system?
Goodell sign: Cervical polyps.
Amenorrhea sometimes can be caused by stress, vigorous exercise, early menopause, or endocrine
problems. Quickening can be gas or peristalsis. Goodell sign might be the result of pelvic congestion, not
polyps. Chadwick sign might be the result of pelvic congestion. - answer ✔✔-Which presumptive signs
(felt by the woman) or probable sign (observed by the examiner) of pregnancy is not matched with
another possible cause?
4-1-2-0-2.
Gravida (the first number) is 4 since this woman is now pregnant and was pregnant 3 times before. Para
(the next 4 numbers) represents the outcomes of the pregnancies and would be described as: 4T: 1 =
Term birth at 41 weeks of gestation (son) 4P: 2 = Preterm birth at 32 weeks of gestation (stillbirth) and
36 weeks of gestation (daughter) 4A: 0 = Abortion: none occurred 4L: 2 = Living children: her son and her
daughter. - answer ✔✔-A pregnant woman is the mother of two children. Her first pregnancy ended in a
still birth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks,
and her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system to describe this
woman's current obstetric history, the nurse would record _.
, fetal movement palpated by the nurse-midwife.
A positive pregnancy test is a probable sign of pregnancy. Positive signs of pregnancy are those that are
attributed to the presence of a fetus, such as hearing the fetal heartbeat or palpating fetal movement.
Braxton Hicks contractions are a probable sign of pregnancy. Quickening is a presumptive sign of
pregnancy. - answer ✔✔-A nurse teaches a pregnant woman about the presumptive, probable, and
positive signs of pregnancy. The woman demonstrates an understanding of the nurse's instructions if
she states that a positive sign of pregnancy is:
Increased pulse rate.
Splitting of S1 and S2 is more audible. Between 14 and 20 weeks of gestation, the pulse increases about
10 to 15 beats/min, which persists to term. In the first-trimester blood pressure usually remains the
same as the prepregnancy level, but it gradually decreases up to about 20 weeks of gestation. During
the second trimester both the systolic and diastolic pressures decrease by about 5 to 10 mm Hg.
Production of RBCs accelerates during pregnancy. - answer ✔✔-Cardiovascular system changes occur
during pregnancy. Which finding would be considered normal for a woman in her second trimester?
Fetal heartbeat auscultated with Doppler/fetoscope.
Morning sickness and quickening, along with amenorrhea and breast tenderness, are presumptive signs
of pregnancy; subjective findings are suggestive but not diagnostic of pregnancy. Other probable signs
include changes in integument, enlargement of the uterus, and Chadwick sign. A positive pregnancy test
is still considered to be a probable sign of pregnancy (objective findings are more suggestive but not yet
diagnostic of pregnancy) since error can occur in performing the test or in rare cases human chorionic
gonadotropin (hCG) may be detected in the urine of nonpregnant women. Chances of error are less
likely to occur today since pregnancy tests used are easy to perform and are very sensitive to the
presence of the hCG associated with pregnancy. Detection of a fetal heartbeat, palpation of fetal
movements and parts by an examiner, and detection of an embryo/fetu - answer ✔✔-If exhibited by a
pregnant woman, what represents a positive sign of pregnancy?
The patient states that there is no need for concern as home pregnancy test results are 100% correct.
Home pregnancy testing while reliable does not provide 100% correct results. There are other variables
such as medication history as well as timing of specimen, collection and interpretation that may lead to
