1. A client is at 8 weeks ges- 2. Maternal ambivalence
tation. Which of the following
findings would the nurse ex- Ambivalence is a common finding of women
pect to see? during the first trimester
1. Multiple pillow orthopnea
2. Maternal ambivalence
3. Fundus at the umbilicus
4. Pedal and ankle edema
2. During a vaginal examination, 4. ROP, +2 station
the nurse palpates the back of
a fetus' head 2 cm below the ROP = Right occipital posterior (the back of
mother's ischial spines and the baby's head is facing toward the moth-
facing toward the right side er's right posterior), and +2 Station - the
of the mother's back. Which presenting part is 2 cm below the ischial
of the following is consistent spines
with this assessment?
Incorrect
1. ROA, -2 station ROA = Right occipital anterior (the back of
2. RSP, -2 station the babay's head is facing toward the moth-
3. RMA, +2 station er's right anterior). -2 Station - the present-
4. ROP, +2 station ing 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
3. The result of a pregnant 3. "You need to have a fasting glucose toler-
woman's glucose challenge ance test as soon as possible"
test is 145 mg/dL. Which of the
,Antepartum NCLEX study questions and Answers 100% Correct!!
following information is appro-
priate for the nurse to give the
client at this time?
1. "You will need to inject in-
sulin 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 nor-
mal limits so no intervention is
needed"
4. While performing Leopold's 3. The fetal presentation is scapular
maneuvers on a laboring
woman, the nurse palpates a This is a shoulder presentation
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 oc-
ciput posterior
2. The fetal attitude is flexed
3. The fetal presentation is
scapular
4. The fetal lie is vertical
5. A gravid woman and her 2. Check the water for heavy metals
husband inform the nurse
that they have purchased a The water should be checked for lead. Lead
three-story home that was consumption by the woman during pregnan-
built in the 1930's. It is criti- cy and/or by the baby can result in perma-
, Antepartum NCLEX study questions and Answers 100% Correct!!
cal that the nurse counsel the nent central nervous system damage in the
couple that before moving into child
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
6. A nurse is working in the 2. Epistaxis
prenatal clinic. Which of the
following findings would the Epistaxis is commonly seen in pregnant
nurse consider to be within clients. The bleeding is related to the in-
normal limits for a client in the creased vascularity of the mucous mem-
third trimester of pregnancy? branes. Unless the blood loss is significant,
it is a normal finding.
1. Diplopia
2. Epistaxis
3. Bradycardia
4. Oliguria
7. A gravida G4 P1203, fetal heart 1. The woman is experiencing a normal
rate 142, is 13 weeks pregnant, pregnancy
fundal height 1 cm above the
symphysis. She denies expe-
riencing quickening. Which of
the following nursing conclu-
sions made by the nurse is
correct?
1. The woman is experiencing
a normal pregnancy
2. The woman may be having
difficulty accepting this preg-
nancy
3. The woman must see a nutri-