Antepartum: NCLEX Certification Review Exam Questions and Ascertained answer 2023/2024

Antepartum: NCLEX Certification Review Exam Questions and Ascertained answer 2023/2024 A client is at 8 weeks gestation. Which of the following findings would the nurse expect to see? 1. Multiple pillow orthopnea 2. Maternal ambivalence 3. Fundus at the umbilicus 4. Pedal and ankle edema - correct answer 2. Maternal ambivalence Ambivalence is a common finding of women during the first trimester During a vaginal examination, the nurse palpates the back of a fetus' head 2 cm below the mother's ischial spines and facing toward the right side of the mother's back. Which of the following is consistent with this assessment? 1. ROA, -2 station 2. RSP, -2 station 3. RMA, +2 station 4. ROP, +2 station - correct answer 4. ROP, +2 station ROP = Right occipital posterior (the back of the baby's head is facing toward the mother's right posterior), and +2 Station - the presenting part is 2 cm below the ischial spines Incorrect ROA = Right occipital anterior (the back of the babay's head is facing toward the mother's right anterior). -2 Station - the presenting part is 2 cm above the inschial spines Incorrect RSP = Risht sacral posterior (the buttocks of the baby are facing towards the mother's right posterior). -2 Station - the presenting part is 2 cm above the ischial spines Incorrect RMA = Right mentum anterior (the face of the baby is facing toward the mother's right anterior). +2 Station - presenting part is 2 cm below the ischial spines The result of a pregnant woman's glucose challenge test is 145 mg/dL. Which of the following information is appropriate for the nurse to give the client at this time? 1. "You will need to inject insulin at least once a day for the rest of the pregnancy" 2. "Daily oral medicines will be prescribed for you to take" 3. "You need to have a fasting glucose tolerance test as soon as possible" 4. "The results are within normal limits so no intervention is needed" - correct answer 3. "You need to have a fasting glucose tolerance test as soon as possible" While performing Leopold's maneuvers on a laboring woman, the nurse palpates a flat area in the fundal region, a hard round mass on the left side, a soft round mass on the right side, and small parts just above the symphysis. The nurse concludes which of the following? 1. The fetal position is right occiput posterior 2. The fetal attitude is flexed 3. The fetal presentation is scapular 4. The fetal lie is vertical - correct answer 3. The fetal presentation is scapular This is a shoulder presentation 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 - correct answer 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 - correct answer 2. Epistaxis