Page 1 of 29
“N404 OB NCLEX PRACTICE QUESTIONS ANTEPARTUM
“ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
N404 OB Nclex practice questions Antepartum
The nurse should make which statement to a pregnant client found to have a
gynecoid pelvis?
1."Your type of pelvis has a narrow pubic arch."
2."Your type of pelvis is the most favorable for labor and birth."
3."Your type of pelvis is a wide pelvis, but it has a short diameter."
4."You will need a cesarean section because this type of pelvis is not favorable
for a vaginal delivery."
2."Your type of pelvis is the most favorable for labor and birth."
A gynecoid pelvis is a normal female pelvis and is the most favorable for successful
labor and birth. An android pelvis (resembling a male pelvis) would be unfavorable
for labor because of the narrow pelvic planes. An anthropoid pelvis has an outlet that
is adequate, with a normal or moderately narrow pubic arch. A platypelloid pelvis (flat
pelvis) has a wide transverse diameter, but the anteroposterior diameter is short,
making the outlet inadequate.
Which purposes of placental functioning should the nurse include in a
prenatal class? Select all that apply.
1.It cushions and protects the baby.
2.It maintains the temperature of the baby.
, Page 2 of 29
3.It is the way the baby gets food and oxygen.
4.It prevents all antibodies and viruses from passing to the baby.
5.It provides an exchange of nutrients and waste products between the mother
and developing fetus.
3.It is the way the baby gets food and oxygen.
5.It provides an exchange of nutrients and waste products between the mother and
developing fetus.
The placenta provides an exchange of oxygen, nutrients, and waste products
between the mother and the fetus. The amniotic fluid surrounds, cushions, and
protects the fetus and maintains the body temperature of the fetus. Nutrients,
medications, antibodies, and viruses can pass through the placenta.
The nurse is providing instructions to a pregnant client who is scheduled for
an amniocentesis. What instruction should the nurse provide?
1.Strict bed rest is required after the procedure.
2.Hospitalization is necessary for 24 hours after the procedure.
3.An informed consent needs to be signed before the procedure.
4.A fever is expected after the procedure because of the trauma to the
abdomen.
3.An informed consent needs to be signed before the procedure.
Because amniocentesis is an invasive procedure, informed consent needs to be
obtained before the procedure. After the procedure, the client is instructed to rest,
but may resume light activity after the cramping subsides. The client is instructed to
keep the puncture site clean and to report any complications, such as chills, fever,
bleeding, leakage of fluid at the needle insertion site, decreased fetal movement,
uterine contractions, or cramping. Amniocentesis is an outpatient procedure and may
be done in the obstetrician's office or in a special prenatal testing unit.
Hospitalization is not necessary after the procedure.
A pregnant client in the first trimester calls the nurse at a health care clinic and
reports that she has noticed a thin, colorless vaginal drainage. The nurse
should make which statement to the client?
1."Come to the clinic immediately."
2."The vaginal discharge may be bothersome, but is a normal occurrence."
3."Report to the emergency department at the maternity center immediately."
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4."Use tampons if the discharge is bothersome, but be sure to change the
tampons every 2 hours."
2."The vaginal discharge may be bothersome, but is a normal occurrence."
Leukorrhea begins during the first trimester. Many clients notice a thin, colorless, or
yellow vaginal discharge throughout pregnancy. Some clients become distressed
about this condition, but it does not require that the client report to the health care
clinic or emergency department immediately. If vaginal discharge is profuse, the
client may use panty liners, but she should not wear tampons because of the risk of
infection. If the client uses panty liners, she should change them frequently.
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The primary health care provider
prescribes a contraction stress test, and the results are documented as
negative. How should the nurse document this finding?
1.A normal test result
2.An abnormal test result
3.A high risk for fetal demise
4.The need for a cesarean section
1.A normal test result
Contraction stress test results may be interpreted as negative (normal), positive
(abnormal), or equivocal. A negative test result indicates that no late decelerations
occurred in the fetal heart rate, although the fetus was stressed by 3 contractions of
at least 40 seconds' duration in a 10-minute period. Options 2, 3, and 4 are incorrect
interpretations.
The nurse in a health care clinic is instructing a pregnant client how to perform
"kick counts." Which statement by the client indicates a need for further
instruction?
1."I will record the number of movements or kicks."
2."I need to lie flat on my back to perform the procedure."
3."If I count fewer than 10 kicks in a 2-hour period, I should count the kicks
again over the next 2 hours."
4."I should place my hands on the largest part of my abdomen and concentrate
on the fetal movements to count the kicks."
“N404 OB NCLEX PRACTICE QUESTIONS ANTEPARTUM
“ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
N404 OB Nclex practice questions Antepartum
The nurse should make which statement to a pregnant client found to have a
gynecoid pelvis?
1."Your type of pelvis has a narrow pubic arch."
2."Your type of pelvis is the most favorable for labor and birth."
3."Your type of pelvis is a wide pelvis, but it has a short diameter."
4."You will need a cesarean section because this type of pelvis is not favorable
for a vaginal delivery."
2."Your type of pelvis is the most favorable for labor and birth."
A gynecoid pelvis is a normal female pelvis and is the most favorable for successful
labor and birth. An android pelvis (resembling a male pelvis) would be unfavorable
for labor because of the narrow pelvic planes. An anthropoid pelvis has an outlet that
is adequate, with a normal or moderately narrow pubic arch. A platypelloid pelvis (flat
pelvis) has a wide transverse diameter, but the anteroposterior diameter is short,
making the outlet inadequate.
Which purposes of placental functioning should the nurse include in a
prenatal class? Select all that apply.
1.It cushions and protects the baby.
2.It maintains the temperature of the baby.
, Page 2 of 29
3.It is the way the baby gets food and oxygen.
4.It prevents all antibodies and viruses from passing to the baby.
5.It provides an exchange of nutrients and waste products between the mother
and developing fetus.
3.It is the way the baby gets food and oxygen.
5.It provides an exchange of nutrients and waste products between the mother and
developing fetus.
The placenta provides an exchange of oxygen, nutrients, and waste products
between the mother and the fetus. The amniotic fluid surrounds, cushions, and
protects the fetus and maintains the body temperature of the fetus. Nutrients,
medications, antibodies, and viruses can pass through the placenta.
The nurse is providing instructions to a pregnant client who is scheduled for
an amniocentesis. What instruction should the nurse provide?
1.Strict bed rest is required after the procedure.
2.Hospitalization is necessary for 24 hours after the procedure.
3.An informed consent needs to be signed before the procedure.
4.A fever is expected after the procedure because of the trauma to the
abdomen.
3.An informed consent needs to be signed before the procedure.
Because amniocentesis is an invasive procedure, informed consent needs to be
obtained before the procedure. After the procedure, the client is instructed to rest,
but may resume light activity after the cramping subsides. The client is instructed to
keep the puncture site clean and to report any complications, such as chills, fever,
bleeding, leakage of fluid at the needle insertion site, decreased fetal movement,
uterine contractions, or cramping. Amniocentesis is an outpatient procedure and may
be done in the obstetrician's office or in a special prenatal testing unit.
Hospitalization is not necessary after the procedure.
A pregnant client in the first trimester calls the nurse at a health care clinic and
reports that she has noticed a thin, colorless vaginal drainage. The nurse
should make which statement to the client?
1."Come to the clinic immediately."
2."The vaginal discharge may be bothersome, but is a normal occurrence."
3."Report to the emergency department at the maternity center immediately."
, Page 3 of 29
4."Use tampons if the discharge is bothersome, but be sure to change the
tampons every 2 hours."
2."The vaginal discharge may be bothersome, but is a normal occurrence."
Leukorrhea begins during the first trimester. Many clients notice a thin, colorless, or
yellow vaginal discharge throughout pregnancy. Some clients become distressed
about this condition, but it does not require that the client report to the health care
clinic or emergency department immediately. If vaginal discharge is profuse, the
client may use panty liners, but she should not wear tampons because of the risk of
infection. If the client uses panty liners, she should change them frequently.
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The primary health care provider
prescribes a contraction stress test, and the results are documented as
negative. How should the nurse document this finding?
1.A normal test result
2.An abnormal test result
3.A high risk for fetal demise
4.The need for a cesarean section
1.A normal test result
Contraction stress test results may be interpreted as negative (normal), positive
(abnormal), or equivocal. A negative test result indicates that no late decelerations
occurred in the fetal heart rate, although the fetus was stressed by 3 contractions of
at least 40 seconds' duration in a 10-minute period. Options 2, 3, and 4 are incorrect
interpretations.
The nurse in a health care clinic is instructing a pregnant client how to perform
"kick counts." Which statement by the client indicates a need for further
instruction?
1."I will record the number of movements or kicks."
2."I need to lie flat on my back to perform the procedure."
3."If I count fewer than 10 kicks in a 2-hour period, I should count the kicks
again over the next 2 hours."
4."I should place my hands on the largest part of my abdomen and concentrate
on the fetal movements to count the kicks."
