Page 1 of 101
“ANTEPARTUM NCLEX QUESTIONS EXAM
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
Antepartum NCLEX
The clinic nurse has provided home care instructions to a client with a history
of cardiac disease who has just been told that she is pregnant. Which
statement, if made by the client, indicates a need for further instructions?
1. "It is best that I rest lying on my side to promote blood return to the heart."
2. "I need to avoid excessive weight gain to prevent increased demands on my
heart."
3. "I need to try to avoid stressful situations because stress increases the
workload on the heart."
4. "During the pregnancy, I need to avoid contact with other individuals as
much as possible to prevent infection."
4. "During the pregnancy, I need to avoid contact with other individuals as much as
possible to prevent infection."
To avoid infections, visitors with active infections should not be allowed to visit the
client; otherwise, restrictions are not required. Resting should be done by lying on
the side to promote blood return. Too much weight gain can place further demands
on the heart. Stress causes increased heart workload, and the client should be
instructed to avoid stress.
During a prenatal visit, a nurse is explaining dietary management to a client
with pre-existing diabetes mellitus. The nurse determines that teaching has
been effective if the client makes which statement?
, Page 2 of 101
1. "Diet and insulin needs change during pregnancy."
2. "I will plan my diet based on the results of urine glucose testing."
3. "I will need to eat 600 more calories every day because I am pregnant."
4. "I can continue with the same diet as before pregnancy, as long as it is well
balanced."
1. "Diet and insulin needs change during pregnancy."
The diet for a pregnant client with diabetes mellitus is individualized to allow for
increased fetal and metabolic requirements, with consideration of such factors as
prepregnancy weight and dietary habits, overall health, ethnic background, lifestyle,
stage of pregnancy, knowledge of nutrition, and insulin therapy. Dietary management
during diabetic pregnancy must be based on blood, not urine, glucose changes. An
increase of 600 additional calories a day is not required. Diet and insulin needs
change during the pregnancy in direct correlation to hormonal changes and energy
needs. In the second and third trimesters, insulin needs increase.
The prenatal client asks the nurse about substances that can cross the
placental barrier and potentially affect the fetus. The nurse most appropriately
explains that which substances can cross this barrier? Select all that apply.
1. Viruses
2. Bacteria
3. Nutrients
4. Medications
5. Antibodies
1. Viruses
3. Nutrients
4. Medications
5. Antibodies
Large particles such as bacteria cannot pass through the placenta, but viruses,
nutrients, medications, antibodies, and recreational drugs can pass through the
placenta and potentially affect the fetus.
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The 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
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3. A high risk for fetal demise
4. The need for a cesarean delivery
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 three contractions
of at least 40 seconds' duration in a 10-minute period. Options 2, 3, and 4 are
incorrect interpretations.
The nursing instructor asks the nursing student about the physiology related
to the cessation of ovulation that occurs during pregnancy. Which response, if
made by the student, indicates an understanding of this physiological
process?
1. "Ovulation ceases during pregnancy because the circulating levels of
estrogen and progesterone are high."
2. "Ovulation ceases during pregnancy because the circulating levels of
estrogen and progesterone are low."
3. "The low levels of estrogen and progesterone increase the release of the
follicle-stimulating hormone and luteinizing hormone."
4. "The high levels of estrogen and progesterone promote the release of the
follicle-stimulating hormone and luteinizing hormone."
1. "Ovulation ceases during pregnancy because the circulating levels of estrogen
and progesterone are high."
Ovulation ceases during pregnancy because the circulating levels of estrogen and
progesterone are high, inhibiting the release of follicle-stimulating and luteinizing
hormones, which are necessary for ovulation. All other options are incorrect.
The nurse is reviewing the record of a pregnant client seen in the health care
clinic for the first prenatal visit. Which data, if noted on the client's record,
would alert the nurse that the client is at risk for a spontaneous abortion?
1. Age of 35 years
2. History of syphilis
3. History of genital herpes
4. History of diabetes mellitus
2. History of syphilis
Maternal infections such as syphilis, toxoplasmosis, and rubella are causes of
spontaneous abortion. There is no evidence that genital herpes is a causative agent
in abortion, although the presence of active lesions at the time of birth presents
concerns. Maternal age greater than 40 and diabetes mellitus are considered high-
, Page 4 of 101
risk factors in a pregnancy but are related to an increased risk of congenital
malformations, not abortions.
During a woman's prenatal visit, the nurse is measuring fundal height. The
nurse knows that the woman is at 20 weeks' gestation. Based on this
information, the nurse expects the fundus to be found at what area of the
abdomen?
1. At the umbilicus
2. At the xiphoid process
3. Midway between the umbilicus and the xiphoid process
4. Midway between the symphysis pubis and the umbilicus
1. At the umbilicus
The fundus can be palpated above the symphysis pubis between 12 and 14 weeks'
gestation. At 20 weeks' gestation, the fundus can be palpated at the umbilicus. At
approximately 28 weeks' gestation, the fundus can be palpated midway between the
umbilicus and the xiphoid process. At 36 weeks, the fundus can be palpated at the
level of the xiphoid process.
The nurse is preparing to care for a client who is being admitted to the hospital
with a possible diagnosis of ectopic pregnancy. The nurse develops a plan of
care for the client and determines that which nursing action is the priority?
1. Checking for edema
2. Monitoring daily weight
3. Monitoring the apical pulse
4. Monitoring the temperature
3. Monitoring the apical pulse
Nursing care for the client with a possible ectopic pregnancy is focused on
preventing or identifying hypovolemic shock and controlling pain. An elevated pulse
rate is an indicator of shock. Weight and edema are priority interventions for the
client with preeclampsia, and an elevated temperature is an indicator of infection.
In the prenatal clinic, the nurse is interviewing a new client and obtaining
health history information. Which action should the nurse plan to do to elicit
the most accurate responses to the questions that refer to sexually
transmitted infections?
1. Establish a therapeutic relationship.
2. Use specific closed-ended questions.
3. Omit these types of questions because they are highly personal.
4. Apologize for the embarrassment that these questions will cause the client.
“ANTEPARTUM NCLEX QUESTIONS EXAM
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
Antepartum NCLEX
The clinic nurse has provided home care instructions to a client with a history
of cardiac disease who has just been told that she is pregnant. Which
statement, if made by the client, indicates a need for further instructions?
1. "It is best that I rest lying on my side to promote blood return to the heart."
2. "I need to avoid excessive weight gain to prevent increased demands on my
heart."
3. "I need to try to avoid stressful situations because stress increases the
workload on the heart."
4. "During the pregnancy, I need to avoid contact with other individuals as
much as possible to prevent infection."
4. "During the pregnancy, I need to avoid contact with other individuals as much as
possible to prevent infection."
To avoid infections, visitors with active infections should not be allowed to visit the
client; otherwise, restrictions are not required. Resting should be done by lying on
the side to promote blood return. Too much weight gain can place further demands
on the heart. Stress causes increased heart workload, and the client should be
instructed to avoid stress.
During a prenatal visit, a nurse is explaining dietary management to a client
with pre-existing diabetes mellitus. The nurse determines that teaching has
been effective if the client makes which statement?
, Page 2 of 101
1. "Diet and insulin needs change during pregnancy."
2. "I will plan my diet based on the results of urine glucose testing."
3. "I will need to eat 600 more calories every day because I am pregnant."
4. "I can continue with the same diet as before pregnancy, as long as it is well
balanced."
1. "Diet and insulin needs change during pregnancy."
The diet for a pregnant client with diabetes mellitus is individualized to allow for
increased fetal and metabolic requirements, with consideration of such factors as
prepregnancy weight and dietary habits, overall health, ethnic background, lifestyle,
stage of pregnancy, knowledge of nutrition, and insulin therapy. Dietary management
during diabetic pregnancy must be based on blood, not urine, glucose changes. An
increase of 600 additional calories a day is not required. Diet and insulin needs
change during the pregnancy in direct correlation to hormonal changes and energy
needs. In the second and third trimesters, insulin needs increase.
The prenatal client asks the nurse about substances that can cross the
placental barrier and potentially affect the fetus. The nurse most appropriately
explains that which substances can cross this barrier? Select all that apply.
1. Viruses
2. Bacteria
3. Nutrients
4. Medications
5. Antibodies
1. Viruses
3. Nutrients
4. Medications
5. Antibodies
Large particles such as bacteria cannot pass through the placenta, but viruses,
nutrients, medications, antibodies, and recreational drugs can pass through the
placenta and potentially affect the fetus.
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The 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
, Page 3 of 101
3. A high risk for fetal demise
4. The need for a cesarean delivery
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 three contractions
of at least 40 seconds' duration in a 10-minute period. Options 2, 3, and 4 are
incorrect interpretations.
The nursing instructor asks the nursing student about the physiology related
to the cessation of ovulation that occurs during pregnancy. Which response, if
made by the student, indicates an understanding of this physiological
process?
1. "Ovulation ceases during pregnancy because the circulating levels of
estrogen and progesterone are high."
2. "Ovulation ceases during pregnancy because the circulating levels of
estrogen and progesterone are low."
3. "The low levels of estrogen and progesterone increase the release of the
follicle-stimulating hormone and luteinizing hormone."
4. "The high levels of estrogen and progesterone promote the release of the
follicle-stimulating hormone and luteinizing hormone."
1. "Ovulation ceases during pregnancy because the circulating levels of estrogen
and progesterone are high."
Ovulation ceases during pregnancy because the circulating levels of estrogen and
progesterone are high, inhibiting the release of follicle-stimulating and luteinizing
hormones, which are necessary for ovulation. All other options are incorrect.
The nurse is reviewing the record of a pregnant client seen in the health care
clinic for the first prenatal visit. Which data, if noted on the client's record,
would alert the nurse that the client is at risk for a spontaneous abortion?
1. Age of 35 years
2. History of syphilis
3. History of genital herpes
4. History of diabetes mellitus
2. History of syphilis
Maternal infections such as syphilis, toxoplasmosis, and rubella are causes of
spontaneous abortion. There is no evidence that genital herpes is a causative agent
in abortion, although the presence of active lesions at the time of birth presents
concerns. Maternal age greater than 40 and diabetes mellitus are considered high-
, Page 4 of 101
risk factors in a pregnancy but are related to an increased risk of congenital
malformations, not abortions.
During a woman's prenatal visit, the nurse is measuring fundal height. The
nurse knows that the woman is at 20 weeks' gestation. Based on this
information, the nurse expects the fundus to be found at what area of the
abdomen?
1. At the umbilicus
2. At the xiphoid process
3. Midway between the umbilicus and the xiphoid process
4. Midway between the symphysis pubis and the umbilicus
1. At the umbilicus
The fundus can be palpated above the symphysis pubis between 12 and 14 weeks'
gestation. At 20 weeks' gestation, the fundus can be palpated at the umbilicus. At
approximately 28 weeks' gestation, the fundus can be palpated midway between the
umbilicus and the xiphoid process. At 36 weeks, the fundus can be palpated at the
level of the xiphoid process.
The nurse is preparing to care for a client who is being admitted to the hospital
with a possible diagnosis of ectopic pregnancy. The nurse develops a plan of
care for the client and determines that which nursing action is the priority?
1. Checking for edema
2. Monitoring daily weight
3. Monitoring the apical pulse
4. Monitoring the temperature
3. Monitoring the apical pulse
Nursing care for the client with a possible ectopic pregnancy is focused on
preventing or identifying hypovolemic shock and controlling pain. An elevated pulse
rate is an indicator of shock. Weight and edema are priority interventions for the
client with preeclampsia, and an elevated temperature is an indicator of infection.
In the prenatal clinic, the nurse is interviewing a new client and obtaining
health history information. Which action should the nurse plan to do to elicit
the most accurate responses to the questions that refer to sexually
transmitted infections?
1. Establish a therapeutic relationship.
2. Use specific closed-ended questions.
3. Omit these types of questions because they are highly personal.
4. Apologize for the embarrassment that these questions will cause the client.
