“ANTEPARTUM NCLEX Q's NURSING EXAM
”LATEST EXAM SOLVED QUESTIONS &
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1. A client enters the prenatal clinic. She states that she missed her period
yesterday and used a home pregnancy test this morning. She states that the
results were negative, but "I still think I am pregnant." Which of the following
statements would be appropriate for the nurse to make at this time?
A) "Your period is probably just irregular."
B) "We could do a blood test to check."
C) "Home pregnancy test results are very accurate."
D) "My recommendation would be to repeat the test in one week."
B) This response is correct. Serum pregnancy tests are more sensitive than urine
tests are.
2. A gravida, G1 P0000, is having her first prenatal physical examination.
Which of the following assessments should the nurse inform the client that
she will have that day?
A) Pap smear.
B) Mammogram.
C) Glucose challenge test.
D) Biophysical profile.
A) The client will have a Pap smear done.
3. A 10-week gravid client is being seen in the prenatal clinic. For the nurse
caring for this patient, providing anticipatory guidance for which of the
following should be a priority?
A) Pain management during labor.
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B) Methods to relieve backaches.
C) Breastfeeding positions.
D) Characteristics of the newborn.
B) It is appropriate for the nurse to provide anticipatory guidance regarding methods
to relieve back pain.
4. A client asks the nurse what was meant when the physician told her she had
a positive Chadwick's sign. Which of the following information about the
finding would be appropriate for the nurse to convey at this time?
A) "It is a purplish stretch mark on your abdomen."
B) "It means that you are having heart palpitations."
C) "It is a bluish coloration of your cervix and vagina."
D) "It means the doctor heard abnormal sounds when you breathed in."
C) A positive Chadwick's sign means that the client's cervix and vagina are a bluish
color. It is a probable sign of pregnancy.
5. A client enters the prenatal clinic. She states that she believes she is
pregnant. Which of the following hormone elevations will indicate a high
probability that the client is pregnant?
A) Chorionic gonadotropin.
B) Oxytocin.
C) Prolactin.
D) Luteinizing hormone.
A) High levels of the hormone chorionic gonadotropin in the bloodstream and urine
of the woman is a probable sign of pregnancy.
6. A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She
tells the nurse that she felt the baby move that morning. Which of the following
responses by the nurse is appropriate?
A) "That is very exciting. The baby must be very healthy."
B) "Would you please describe what you felt for me?"
C) "That is impossible. The baby is not big enough yet."
D) "Would you please let me see if I can feel the baby?"
B) The nurse should query the young woman about what she felt.
7. An antenatal client is informing the nurse of her prenatal signs and
symptoms. Which of the following findings would the nurse determine are
presumptive signs of pregnancy? Select all that apply.
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A) Amenorrhea.
B) Breast tenderness.
C) Quickening.
D) Frequent urination.
E) Uterine growth.
A, B, C, D
Amenorrhea is a presumptive sign of pregnancy. Breast tenderness is a presumptive
sign of pregnancy. Quickening is a presumptive sign of pregnancy. Frequent
urination is a presumptive sign of pregnancy.
8. The nurse is assessing the laboratory report of a 40-week gestation client.
Which of the following values would the nurse expect to find elevated above
pre-pregnancy levels? Select all that apply.
A) Glucose.
B) Fibrinogen.
C) Hematocrit.
D) Bilirubin.
E) White blood cells.
B) Fibrinogen levels will be elevated slightly in a 40-week pregnant woman because
coagulation factors like fibrinogen increase to help prevent excessive blood loss
during delivery.
9. When analyzing the need for health teaching of a prenatal multigravida, the
nurse should ask which of the following questions?
A) "What are the ages of your children?"
B) "What is your marital status?"
C) "Do you ever drink alcohol?"
D) "Do you have any allergies?"
C) This question is important to ask in order to determine a prenatal client's health
teaching needs.
10. A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week
visit. Which of the following comments by the nurse is appropriate at this
time?
A) "We expect you to gain about 1 lb per week, so your weight is a little low at
this time."
B) "Most women gain no weight during the first trimester, so I would suggest