OB NCLEX Style Practice Questions With
Correct Answers
The doctor suspects that the client has an ectopic pregnancy. Which
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symptom is consistent with a diagnosis of ectopic pregnancy?
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a. Painless vaginal bleeding
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b. Abdominal cramping
| |
c. Throbbing pain in the upper quadrant
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d. Sudden, stabbing pain in the lower quadrant - CORRECT
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ANSWER✔✔-Answer D is correct. The signs of an ectopic pregnancy are | | | | | | | | | | |
vague until the fallopian tube ruptures. The client will complain of
| | | | | | | | | | |
sudden, stabbing pain in the lower quadrant that radiates down the leg
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or up into the chest. Painless vaginal bleeding is a sign of placenta
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previa, abdominal cramping is a sign of labor, and throbbing pain in the
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upper quadrant is not a sign of an ectopic pregnancy, making answers A,
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B, and C incorrect.
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A client telephones the emergency room stating that she thinks that she
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is in labor. The nurse should tell the client that labor has probably
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begun when: | |
,a. Her contractions are 2 minutes apart.
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b. She has back pain and a bloody discharge.
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c. She experiences abdominal pain and frequent urination.
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d. Her contractions are 5 minutes apart. - CORRECT ANSWER✔✔-
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Answer D is correct. | | | |
The client should be advised to come to the labor and delivery unit
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when the contractions are every 5 minutes and consistent. She should
| | | | | | | | | | |
also be told to report to the hospital if she experiences rupture of
| | | | | | | | | | | | |
membranes or extreme bleeding. She should not wait until the | | | | | | | | | |
contractions are every 2 minutes or until she has bloody discharge, so | | | | | | | | | | | |
answers A and B are incorrect. Answer C is a vague answer and can be
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related to a urinary tract infection
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Which of the following instructions should be included in the nurse's
| | | | | | | | | | |
teaching regarding oral contraceptives? | | | |
a. Weight gain should be reported to the physician.
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b. An alternate method of birth control is needed when taking
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antibiotics. |
c. If the client misses one or more pills, two pills should be taken per day
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for 1 week.
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d. Changes in the menstrual flow should be reported to the physician. -
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CORRECT ANSWER✔✔-Answer B is correct. | | | | |
,When the client is taking oral contraceptives and begins antibiotics,
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another method of birth control should be used. Antibiotics decrease
| | | | | | | | | |
the effectiveness of oral contraceptives. Approximately 5-10 pounds of
| | | | | | | | |
weight gain is not unusual, so answer A is incorrect. If the client misses a
| | | | | | | | | | | | | |
|birth control pill, she should be instructed to take the pill as soon as she
| | | | | | | | | | | | | |
|remembers the pill. Answer C is incorrect. If she misses two, she should
| | | | | | | | | | | | |
take two; if she misses more than two, she should take the missed pills
| | | | | | | | | | | | | |
but use another method of birth control for the remainder of the cycle.
| | | | | | | | | | | | |
Answer D is incorrect because changes in menstrual flow are expected
| | | | | | | | | | |
in clients using oral contraceptives. Often these clients have lighter
| | | | | | | | | |
menses.
A nursing instructor is conducting lecture and is reviewing the functions
| | | | | | | | | | |
of the female reproductive system. She asks Mark to describe the
| | | | | | | | | | |
follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). | | | | | | | |
Mark accurately responds by stating that:
| | | | |
a. FSH and LH are released from the anterior pituitary gland.
| | | | | | | | | |
b. FSH and LH are secreted by the corpus luteum of the ovary
| | | | | | | | | | | |
c. FSH and LH are secreted by the adrenal glands
| | | | | | | | |
d. FSH and LH stimulate the formation of milk during pregnancy. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-a. FSH and LH are released from the anterior
| | | | | | | | | |
pituitary gland. |
, FSH and LH, when stimulated by gonadotropin-releasing hormone from
| | | | | | | | |
the hypothalamus, are released from the anterior pituitary gland to
| | | | | | | | | |
stimulate follicular growth and development, growth of the graafian
| | | | | | | | |
follicle, and production of progesterone.
| | | |
A woman who's 36 weeks pregnant comes into the labor & delivery unit
| | | | | | | | | | | |
with mild contracts. Which of the following complications should the
| | | | | | | | | | |
nurse watch out for when the client informs her that she has placenta
| | | | | | | | | | | | |
prevue?
a. sudden rupture of membranes
| | | |
b. vaginal bleeding
| |
c. emesis
| |
d. fever - CORRECT ANSWER✔✔-b. vaginal bleeding
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contractions may disrupt the microvascular network in the placenta of a
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client with placenta prevue and result in bleeding. If the separation of
| | | | | | | | | | | | |
the placenta occurs at the margin of the placenta, the blood will escape
| | | | | | | | | | | | |
vaginally.
Sudden rupture of the membranes isn't related to placenta prevue.
| | | | | | | | | |
Fever would indicate an infectious process, and emesis isn't related to
| | | | | | | | | | |
placenta previa |
Correct Answers
The doctor suspects that the client has an ectopic pregnancy. Which
| | | | | | | | | | |
symptom is consistent with a diagnosis of ectopic pregnancy?
| | | | | | | |
a. Painless vaginal bleeding
| | |
b. Abdominal cramping
| |
c. Throbbing pain in the upper quadrant
| | | | | |
d. Sudden, stabbing pain in the lower quadrant - CORRECT
| | | | | | | | | |
ANSWER✔✔-Answer D is correct. The signs of an ectopic pregnancy are | | | | | | | | | | |
vague until the fallopian tube ruptures. The client will complain of
| | | | | | | | | | |
sudden, stabbing pain in the lower quadrant that radiates down the leg
| | | | | | | | | | | |
or up into the chest. Painless vaginal bleeding is a sign of placenta
| | | | | | | | | | | | |
previa, abdominal cramping is a sign of labor, and throbbing pain in the
| | | | | | | | | | | | |
upper quadrant is not a sign of an ectopic pregnancy, making answers A,
| | | | | | | | | | | |
B, and C incorrect.
| | | |
A client telephones the emergency room stating that she thinks that she
| | | | | | | | | | |
is in labor. The nurse should tell the client that labor has probably
| | | | | | | | | | | | | |
begun when: | |
,a. Her contractions are 2 minutes apart.
| | | | | | |
b. She has back pain and a bloody discharge.
| | | | | | | | |
c. She experiences abdominal pain and frequent urination.
| | | | | | | |
d. Her contractions are 5 minutes apart. - CORRECT ANSWER✔✔-
| | | | | | | | |
Answer D is correct. | | | |
The client should be advised to come to the labor and delivery unit
| | | | | | | | | | | | |
when the contractions are every 5 minutes and consistent. She should
| | | | | | | | | | |
also be told to report to the hospital if she experiences rupture of
| | | | | | | | | | | | |
membranes or extreme bleeding. She should not wait until the | | | | | | | | | |
contractions are every 2 minutes or until she has bloody discharge, so | | | | | | | | | | | |
answers A and B are incorrect. Answer C is a vague answer and can be
| | | | | | | | | | | | | | |
related to a urinary tract infection
| | | | |
Which of the following instructions should be included in the nurse's
| | | | | | | | | | |
teaching regarding oral contraceptives? | | | |
a. Weight gain should be reported to the physician.
| | | | | | | | |
b. An alternate method of birth control is needed when taking
| | | | | | | | | | |
antibiotics. |
c. If the client misses one or more pills, two pills should be taken per day
| | | | | | | | | | | | | | |
for 1 week.
| | | |
d. Changes in the menstrual flow should be reported to the physician. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer B is correct. | | | | |
,When the client is taking oral contraceptives and begins antibiotics,
| | | | | | | | | |
another method of birth control should be used. Antibiotics decrease
| | | | | | | | | |
the effectiveness of oral contraceptives. Approximately 5-10 pounds of
| | | | | | | | |
weight gain is not unusual, so answer A is incorrect. If the client misses a
| | | | | | | | | | | | | |
|birth control pill, she should be instructed to take the pill as soon as she
| | | | | | | | | | | | | |
|remembers the pill. Answer C is incorrect. If she misses two, she should
| | | | | | | | | | | | |
take two; if she misses more than two, she should take the missed pills
| | | | | | | | | | | | | |
but use another method of birth control for the remainder of the cycle.
| | | | | | | | | | | | |
Answer D is incorrect because changes in menstrual flow are expected
| | | | | | | | | | |
in clients using oral contraceptives. Often these clients have lighter
| | | | | | | | | |
menses.
A nursing instructor is conducting lecture and is reviewing the functions
| | | | | | | | | | |
of the female reproductive system. She asks Mark to describe the
| | | | | | | | | | |
follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). | | | | | | | |
Mark accurately responds by stating that:
| | | | |
a. FSH and LH are released from the anterior pituitary gland.
| | | | | | | | | |
b. FSH and LH are secreted by the corpus luteum of the ovary
| | | | | | | | | | | |
c. FSH and LH are secreted by the adrenal glands
| | | | | | | | |
d. FSH and LH stimulate the formation of milk during pregnancy. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-a. FSH and LH are released from the anterior
| | | | | | | | | |
pituitary gland. |
, FSH and LH, when stimulated by gonadotropin-releasing hormone from
| | | | | | | | |
the hypothalamus, are released from the anterior pituitary gland to
| | | | | | | | | |
stimulate follicular growth and development, growth of the graafian
| | | | | | | | |
follicle, and production of progesterone.
| | | |
A woman who's 36 weeks pregnant comes into the labor & delivery unit
| | | | | | | | | | | |
with mild contracts. Which of the following complications should the
| | | | | | | | | | |
nurse watch out for when the client informs her that she has placenta
| | | | | | | | | | | | |
prevue?
a. sudden rupture of membranes
| | | |
b. vaginal bleeding
| |
c. emesis
| |
d. fever - CORRECT ANSWER✔✔-b. vaginal bleeding
| | | | | |
contractions may disrupt the microvascular network in the placenta of a
| | | | | | | | | |
client with placenta prevue and result in bleeding. If the separation of
| | | | | | | | | | | | |
the placenta occurs at the margin of the placenta, the blood will escape
| | | | | | | | | | | | |
vaginally.
Sudden rupture of the membranes isn't related to placenta prevue.
| | | | | | | | | |
Fever would indicate an infectious process, and emesis isn't related to
| | | | | | | | | | |
placenta previa |
