OB: LABOR AND BIRTH
COMPLICATIONS NCLEX EXAM WITH
VERIFIED ANSWERS
In Iplanning Ifor Ihome Icare Iof Ia Iwoman Iwith Ipreterm Ilabor, Iwhich Iconcern Imust Ithe
Inurse Iaddress?
a. INursing Iassessments Iwill Ibe Idifferent Ifrom Ithose Idone Iin Ithe Ihospital Isetting.
b. IRestricted Iactivity Iand Imedications Iwill Ibe Inecessary Ito Iprevent Irecurrence Iof
Ipreterm Ilabor.
c. IProlonged Ibed Irest Imay Icause Inegative Iphysiologic Ieffects.
d. IHome Ihealth Icare Iproviders Iwill Ibe Inecessary. I- Icorrect Ianswers I-C
Prolonged Ibed Irest Imay Icause Iadverse Ieffects Isuch Ias Iweight Iloss, Iloss Iof Iappetite,
Imuscle Iwasting, Iweakness, Ibone Idemineralization, Idecreased Icardiac Ioutput, Irisk Ifor
Ithrombophlebitis, Ialteration Iin Ibowel Ifunctions, Isleep Idisturbance, Iand Iprolonged
Ipostpartum Irecovery. INursing Iassessments Iwill Idiffer Isomewhat Ifrom Ithose
Iperformed Iin Ithe Iacute Icare Isetting, Ibut Ithis Iis Inot Ithe Iconcern Ithat Ineeds Ito Ibe
Iaddressed. IRestricted Iactivity Iand Imedication Imay Iprevent Ipreterm Ilabor, Ibut Inot Iin
, Iall Iwomen. IIn Iaddition, Ithe Iplan Iof Icare Iis Iindividualized Ito Imeet Ithe Ineeds Iof Ieach
Iwoman. IMany Iwomen Iwill Ireceive Ihome Ihealth Inurse Ivisits, Ibut Icare Iis
Iindividualized Ifor Ieach Iwoman.
In Ievaluating Ithe Ieffectiveness Iof Imagnesium Isulfate Ifor Ithe Itreatment Iof Ipreterm
Ilabor, Iwhat Ifinding Iwould Ialert Ithe Inurse Ito Ipossible Iside Ieffects?
a. IUrine Ioutput Iof I160 ImL Iin I4 Ihours
b. IDeep Itendon Ireflexes I2+ Iand Ino Iclonus
c. IRespiratory Irate Iof I16 Ibreaths/min
d. ISerum Imagnesium Ilevel Iof I10 Img/dL I- Icorrect Ianswers I-D
The Itherapeutic Irange Ifor Imagnesium Isulfate Imanagement Iis I5 Ito I8 Img/dL. IA Iserum
Imagnesium Ilevel Iof I10 Img/dL Icould Ilead Ito Isigns Iand Isymptoms Iof Imagnesium
Itoxicity, Iincluding Ioliguria Iand Irespiratory Idistress. IUrine Ioutput Iof I160 ImL Iin I4
Ihours, Ideep Itendon Ireflexes I2+ Iwith Ino Iclonus, Iand Irespiratory Irate Iof I16
Ibreaths/min Iare Inormal Ifindings.
A Iwoman Iin Ipreterm Ilabor Iat I30 Iweeks Iof Igestation Ireceives Itwo I12-mg Idoses Iof
Ibetamethasone Iintramuscularly. IThe Ipurpose Iof Ithis Ipharmacologic Itreatment Iis Ito:
a. IStimulate Ifetal Isurfactant Iproduction.
b. IReduce Imaternal Iand Ifetal Itachycardia Iassociated Iwith Iritodrine Iadministration.
c. ISuppress Iuterine Icontractions.
d. IMaintain Iadequate Imaternal Irespiratory Ieffort Iand Iventilation Iduring Imagnesium
Isulfate Itherapy. I- Icorrect Ianswers I-A
Antenatal Iglucocorticoids Igiven Ias Iintramuscular Iinjections Ito Ithe Imother Iaccelerate
Ifetal Ilung Imaturity. IInderal Iwould Ibe Igiven Ito Ireduce Ithe Ieffects Iof Iritodrine
Iadministration. IBetamethasone Ihas Ino Ieffect Ion Iuterine Icontractions. ICalcium
Igluconate Iwould Ibe Igiven Ito Ireverse Ithe Irespiratory Idepressive Ieffects Iof
Imagnesium Isulfate Itherapy.
A Iwoman Iat I26 Iweeks Iof Igestation Iis Ibeing Iassessed Ito Idetermine Iwhether Ishe Iis
Iexperiencing Ipreterm Ilabor. IWhat Ifinding Iindicates Ithat Ipreterm Ilabor Iis Ioccurring?
a. IEstriol Iis Inot Ifound Iin Imaternal Isaliva.
b. IIrregular, Imild Iuterine Icontractions Iare Ioccurring Ievery I12 Ito I15 Iminutes.
c. IFetal Ifibronectin Iis Ipresent Iin Ivaginal Isecretions.
d. IThe Icervix Iis Ieffacing Iand Idilated Ito I2 Icm. I- Icorrect Ianswers I-D
Cervical Ichanges Isuch Ias Ishortened Iendocervical Ilength, Ieffacement, Iand Idilation
Iare Ipredictors Iof Iimminent Ipreterm Ilabor. IChanges Iin Ithe Icervix Iaccompanied Iby
Iregular Icontractions Iindicate Ilabor Iat Iany Igestation. IEstriol Iis Ia Iform Iof Iestrogen
Iproduced Iby Ithe Ifetus Ithat Iis Ipresent Iin Iplasma Iat I9 Iweeks Iof Igestation. ILevels Iof
Isalivary Iestriol Ihave Ibeen Ishown Ito Iincrease Ibefore Ipreterm Ibirth. IIrregular, Imild
Icontractions Ithat Ido Inot Icause Icervical Ichange Iare Inot Iconsidered Ia Ithreat. IThe
Ipresence Iof Ifetal Ifibronectin Iin Ivaginal Isecretions Ibetween I24 Iand I36 Iweeks Iof
Igestation Icould Ipredict Ipreterm Ilabor, Ibut Iit Ihas Ionly Ia I20% Ito I40% Ipositive
Ipredictive Ivalue. IOf Imore Iimportance Iare Iother Iphysiologic Iclues Iof Ipreterm Ilabor
Isuch Ias Icervical Ichanges.
COMPLICATIONS NCLEX EXAM WITH
VERIFIED ANSWERS
In Iplanning Ifor Ihome Icare Iof Ia Iwoman Iwith Ipreterm Ilabor, Iwhich Iconcern Imust Ithe
Inurse Iaddress?
a. INursing Iassessments Iwill Ibe Idifferent Ifrom Ithose Idone Iin Ithe Ihospital Isetting.
b. IRestricted Iactivity Iand Imedications Iwill Ibe Inecessary Ito Iprevent Irecurrence Iof
Ipreterm Ilabor.
c. IProlonged Ibed Irest Imay Icause Inegative Iphysiologic Ieffects.
d. IHome Ihealth Icare Iproviders Iwill Ibe Inecessary. I- Icorrect Ianswers I-C
Prolonged Ibed Irest Imay Icause Iadverse Ieffects Isuch Ias Iweight Iloss, Iloss Iof Iappetite,
Imuscle Iwasting, Iweakness, Ibone Idemineralization, Idecreased Icardiac Ioutput, Irisk Ifor
Ithrombophlebitis, Ialteration Iin Ibowel Ifunctions, Isleep Idisturbance, Iand Iprolonged
Ipostpartum Irecovery. INursing Iassessments Iwill Idiffer Isomewhat Ifrom Ithose
Iperformed Iin Ithe Iacute Icare Isetting, Ibut Ithis Iis Inot Ithe Iconcern Ithat Ineeds Ito Ibe
Iaddressed. IRestricted Iactivity Iand Imedication Imay Iprevent Ipreterm Ilabor, Ibut Inot Iin
, Iall Iwomen. IIn Iaddition, Ithe Iplan Iof Icare Iis Iindividualized Ito Imeet Ithe Ineeds Iof Ieach
Iwoman. IMany Iwomen Iwill Ireceive Ihome Ihealth Inurse Ivisits, Ibut Icare Iis
Iindividualized Ifor Ieach Iwoman.
In Ievaluating Ithe Ieffectiveness Iof Imagnesium Isulfate Ifor Ithe Itreatment Iof Ipreterm
Ilabor, Iwhat Ifinding Iwould Ialert Ithe Inurse Ito Ipossible Iside Ieffects?
a. IUrine Ioutput Iof I160 ImL Iin I4 Ihours
b. IDeep Itendon Ireflexes I2+ Iand Ino Iclonus
c. IRespiratory Irate Iof I16 Ibreaths/min
d. ISerum Imagnesium Ilevel Iof I10 Img/dL I- Icorrect Ianswers I-D
The Itherapeutic Irange Ifor Imagnesium Isulfate Imanagement Iis I5 Ito I8 Img/dL. IA Iserum
Imagnesium Ilevel Iof I10 Img/dL Icould Ilead Ito Isigns Iand Isymptoms Iof Imagnesium
Itoxicity, Iincluding Ioliguria Iand Irespiratory Idistress. IUrine Ioutput Iof I160 ImL Iin I4
Ihours, Ideep Itendon Ireflexes I2+ Iwith Ino Iclonus, Iand Irespiratory Irate Iof I16
Ibreaths/min Iare Inormal Ifindings.
A Iwoman Iin Ipreterm Ilabor Iat I30 Iweeks Iof Igestation Ireceives Itwo I12-mg Idoses Iof
Ibetamethasone Iintramuscularly. IThe Ipurpose Iof Ithis Ipharmacologic Itreatment Iis Ito:
a. IStimulate Ifetal Isurfactant Iproduction.
b. IReduce Imaternal Iand Ifetal Itachycardia Iassociated Iwith Iritodrine Iadministration.
c. ISuppress Iuterine Icontractions.
d. IMaintain Iadequate Imaternal Irespiratory Ieffort Iand Iventilation Iduring Imagnesium
Isulfate Itherapy. I- Icorrect Ianswers I-A
Antenatal Iglucocorticoids Igiven Ias Iintramuscular Iinjections Ito Ithe Imother Iaccelerate
Ifetal Ilung Imaturity. IInderal Iwould Ibe Igiven Ito Ireduce Ithe Ieffects Iof Iritodrine
Iadministration. IBetamethasone Ihas Ino Ieffect Ion Iuterine Icontractions. ICalcium
Igluconate Iwould Ibe Igiven Ito Ireverse Ithe Irespiratory Idepressive Ieffects Iof
Imagnesium Isulfate Itherapy.
A Iwoman Iat I26 Iweeks Iof Igestation Iis Ibeing Iassessed Ito Idetermine Iwhether Ishe Iis
Iexperiencing Ipreterm Ilabor. IWhat Ifinding Iindicates Ithat Ipreterm Ilabor Iis Ioccurring?
a. IEstriol Iis Inot Ifound Iin Imaternal Isaliva.
b. IIrregular, Imild Iuterine Icontractions Iare Ioccurring Ievery I12 Ito I15 Iminutes.
c. IFetal Ifibronectin Iis Ipresent Iin Ivaginal Isecretions.
d. IThe Icervix Iis Ieffacing Iand Idilated Ito I2 Icm. I- Icorrect Ianswers I-D
Cervical Ichanges Isuch Ias Ishortened Iendocervical Ilength, Ieffacement, Iand Idilation
Iare Ipredictors Iof Iimminent Ipreterm Ilabor. IChanges Iin Ithe Icervix Iaccompanied Iby
Iregular Icontractions Iindicate Ilabor Iat Iany Igestation. IEstriol Iis Ia Iform Iof Iestrogen
Iproduced Iby Ithe Ifetus Ithat Iis Ipresent Iin Iplasma Iat I9 Iweeks Iof Igestation. ILevels Iof
Isalivary Iestriol Ihave Ibeen Ishown Ito Iincrease Ibefore Ipreterm Ibirth. IIrregular, Imild
Icontractions Ithat Ido Inot Icause Icervical Ichange Iare Inot Iconsidered Ia Ithreat. IThe
Ipresence Iof Ifetal Ifibronectin Iin Ivaginal Isecretions Ibetween I24 Iand I36 Iweeks Iof
Igestation Icould Ipredict Ipreterm Ilabor, Ibut Iit Ihas Ionly Ia I20% Ito I40% Ipositive
Ipredictive Ivalue. IOf Imore Iimportance Iare Iother Iphysiologic Iclues Iof Ipreterm Ilabor
Isuch Ias Icervical Ichanges.
