“ANTEPARTUM NCLEX NURSING EXAM ”LATEST
EXAM SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
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A gravid woman and her husband inform the nurse that they have purchased a
three-story home that was built in the 1930's. It is critical that the nurse
counsel the couple that before moving into the home they do which of the
following?
1. Remove all old carpeting
2. Check the water for heavy metals
3. Replace ll copper pipes
4. Monitor the bathrooms for signs of mildew
2. Check the water for heavy metals
The water should be checked for lead. Lead consumption by the woman during
pregnancy and/or by the baby can result in permanent central nervous system
damage in the child
A nurse is working in the prenatal clinic. Which of the following findings would
the nurse consider to be within normal limits for a client in the third trimester
of pregnancy?
1. Diplopia
2. Epistaxis
3. Bradycardia
4. Oliguria
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2. Epistaxis
Epistaxis is commonly seen in pregnant clients. The bleeding is related to the
increased vascularity of the mucous membranes. Unless the blood loss is significant,
it is a normal finding.
A gravida G4 P1203, fetal heart rate 142, is 13 weeks pregnant, fundal height 1
cm above the symphysis. She denies experiencing quickening. Which of the
following nursing conclusions made by the nurse is correct?
1. The woman is experiencing a normal pregnancy
2. The woman may be having difficulty accepting this pregnancy
3. The woman must see a nutritionist as soon as possible
4. The woman will likely miscarry the conceptus
1. The woman is experiencing a normal pregnancy
A primigravid client is 39 weeks pregnant. Which of the following symptoms
would the nurse expect the client to exhibit?
1. Nausea
2. Dysuria
3. Urinary frequency
4. Intermittent diarrhea
3. Urinary frequency
Urinary frequency recurs at the end of the third trimester. As the uterus enlarges, it
again compresses the bladder, causing urinary frequency
A 36-week gestation client is being seen in the prenatal clinic. Where would
the nurse expect the fundal height to be felt?
1. At the xiphoid process
2. At a point between the umbilicus and the xiphoid
3. At the umbilicus
4. At a level directly above the symphysis pubis
1. At the xiphoid process
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At 36 weeks' gestation, the fundus should be felt at the xiphoid process
At 20 weeks' gestation, the fundus should be felt at the umbilicus
At 12 weeks' gestation, the fundus should be felt directly above the symphysis pubis
A woman who has had no prenatal care was found to have hydramnios
(excessive amniotic fluid) on admission to the labor unit and has since
delivered a baby weighing 4500 grams. Which of the following complications
of pregnancy likely contributed to these findings?
1. Pyelonephritis
2. Pregnancy-induced hypertention
3. Gestational diabetes
4. Abruptio placentae
3. Gestational diabetes
Untreated gestational diabetics often have hydramnios and often deliver macrosomic
(big body) babies
A pregnant woman informs the nurse that her last normal menstrual period
was on July 6, 2012. Using Naegele's rule, which of the following would the
nurse determine to be the client's estimated date of delivery (EDC)?
1. January 9, 2013
2. April 13, 2013
3. April 20, 2013
4. September 6, 2013
2. April 13, 2013
The EDC is calculated as April 13, 2013. Naegeles rule: First, identify the first day of
the last normal menstrual period. Then, subtract 3 months and add 7 days, adjust
the year if needed
A pregnant woman has Marfan syndrome, n autosomal dominant disease. It
has previously been determined that the woman is heterozygous for the
condition. Her husband has no known genetic diseases. The nurse advises the
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couple that their unborn child has which of the following probabilities of
having Marfan's?
1. 25% probability
2. 50% probability
3. 75% probability
4. 100% probability
2. 50% probability
This couple has a 50% probability of having a child who has Marfan's
A 32-week gestation client was last seen in the prenatal clinic at 28 weeks'
gestation. Which of the following changes should the nurse bring to the
attention of the Certified Nurse's Midwife?
1. Weight change from 128 pounds to 132 pounds
2. Pulse changes from 88 bpm to 92 bpm
3. Blood pressure changes from 110/70 to 140/90
4. Respiratory change from 16 rpm to 20 rpm
3. Blood pressure changes from 110/70 to 140/90
A blood pressure elevation to 140/90 is a sign of mild pre-eclampsia
An ultrasound of a fetus' heart shows that "normal fetal circulation is
occurring." Which of the following statements is consistent with the finding?
1. A right to left shunt is seen between the atria
2. Blood is returning to the placenta via the umbilical vein
3. Blood is returning to the right atrium from the pulmonary system
4. A right to left shunt is seen between the umbilical arteries
1. A right to left shunt is seen between the atria
The foramen ovale is a duct between the atria. In fetal circulation, there is a right to
left shunt through the duct
A nurse is caring for a pregnant woman who has been diagnosed with
listeriosis. The nurse monitors the woman carefully for which of the following