ANTEPARTUM NCLEX SAUNDERS.
The nurse is collecting data from a pregnant client when the client asks the nurse about the
purpose of the fallopian tubes. Which is the accurate response the nurse should make?
1.The organ of copulation
2.Where the fetus develops
3.Where fertilization occurs
4.The organ that secretes estrogen and progesterone
3. Where fertilization occurs.
Rationale: Each fallopian tube is a hollow muscular tube that transports a mature oocyte for
final maturation and fertilization. Fertilization typically occurs near the boundary between the
ampulla and the isthmus of the tube. The vagina is the organ of copulation, and the fetus
develops in the uterus. Estrogen is a hormone that is produced by the ovarian follicles, the corpus
luteum, the adrenal cortex, and the placenta during pregnancy. Progesterone is a hormone that is
secreted by the corpus luteum of the ovary, the adrenal glands, and the placenta during
pregnancy.
The client asks the nurse about the purpose of the placenta. The nurse plans to respond to the
client knowing which about the placenta?
1.Cushions and protects the fetus
2.Maintains the body temperature of the fetus
3.Surrounds the fetus and allows for fetal movement
4.Provides an exchange of nutrients and waste products between the mother and the fetus
4. Provides an exchange of nutrients and waste products between the mother and the fetus
Rationale: The placenta provides an exchange of nutrients and waste products between the
mother and the fetus. The amniotic fluid surrounds, cushions, and protects the fetus and allows
for fetal movement. The amniotic fluid also maintains the body temperature of the fetus.
The nurse is describing the process of fetal circulation to a client during a prenatal visit. The
nurse should tell the client that fetal circulation consists of which components?
1.Two umbilical veins and one umbilical artery
2.Two umbilical arteries and one umbilical vein
3.Arteries that carry oxygenated blood to the fetus
4.Veins that carry deoxygenated blood to the fetus
2. Two umbilical arteries and one umbilical vein
Rationale: Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries.
After the blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries
carry deoxygenated blood and waste products from the fetus, and the umbilical vein carries
oxygenated blood and provides oxygen and nutrients to the fetus.
A nursing student is assigned to a client in labor. The nursing instructor asks the student to
describe fetal circulation, specifically the ductus venosus. The instructor determines that the
student understands the structure of the ductus venosus if the student states which about the
ductus venosus?
1.Connects the pulmonary artery to the aorta
2.Is an opening between the right and left atria
3.Connects the umbilical vein to the inferior vena cava
,4.Connects the umbilical artery to the inferior vena cava
3.Connects the umbilical vein to the inferior vena cava
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava. The
foramen ovale is a temporary opening between the right and left atria. The ductus arteriosus joins
the aorta and the pulmonary artery.
The nurse is reinforcing teaching to a pregnant woman about the physiological effects and
hormonal changes that occur during pregnancy. The woman asks the nurse about the purpose
of estrogen. The nurse bases the response on which purpose of estrogen?
1.It maintains the uterine lining for implantation.
2.It stimulates the metabolism of glucose and converts glucose to fat.
3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
4.It prevents the involution of the corpus luteum and maintains the production of progesterone
until the placenta is formed.
3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
Rationale: Estrogen stimulates uterine development to provide an environment for the fetus and
it stimulates the breasts to prepare for lactation. Progesterone maintains the uterine lining for
implantation and relaxes all smooth muscle. Human placental lactogen stimulates the metabolism
of glucose and converts the glucose to fat. Human chorionic gonadotropin prevents the
involution of the corpus luteum and maintains the production of progesterone until the placenta
is formed.
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse
determines that the client understands what the nurse has taught her about Rh sensitization when
the client makes which statement?
"I will tell the nurse at the hospital that I had RhoGAM during pregnancy."
The nurse is collecting data from a pregnant client who is at 28 weeks' gestation. The nurse
measures the fundal height in centimeters and should expect which finding?
28 cm
A blood glucose measurement is performed on a pregnant client. The results indicate that her
blood glucose level is elevated. Which prescription should the nurse anticipate for the mother?
A 3-hour glucose tolerance test
A nonstress test is performed on a client, and the results are documented in the chart. The results
are documented as a reactive nonstress test. Which interpretation should the nurse make of these
results?
A negative test
The nurse is teaching a prenatal class on the anatomy and physiology of the female reproductive
system including hormones. Estrogen produces which effects, either directly or indirectly, during
pregnancy? Select all that apply.
, Increases blood flow to the uterine vessels
Stimulates development of the breast ducts
Causes vascular changes in the mucous membranes of the nose and mouth
The nurse is preparing to monitor a fetal heart rate. The nurse knows that the fetal heart rate can
first be heard with a fetoscope at which gestational week?
week 20
The nurse is assisting in planning care for a client with a diagnosis of placenta previa. The nurse
identifies which as the priority goal for the client?
The client exhibits no signs of fetal distress.
A pregnant client is a gravida III, para 0, abortus II. She is placed on bed rest at home because of
preterm labor. The nurse provides information to the husband, knowing that which instruction
will assist in promoting family adaptation?
Teaching the husband to perform passive range of motion and provide back rubs for his wife
The nurse is assisting in performing a prenatal examination on a client in the third trimester of
pregnancy. The health care provider performs Leopold's maneuvers on the client. Which
maneuver indicates the position of the fetus?
Second
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted to the
maternity department. The client is alone and appears very anxious. Which statement by the
nurse is therapeutic?
"Tell me about your concerns."
The nurse caring for a client with abruptio placentae is monitoring the client for signs of
disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if which is
observed?
Petechiae, oozing from injection sites, and hematuria
The nurse is monitoring a pregnant client with gestational hypertension who is at risk for
preeclampsia. The nurse should check the client for which signs of preeclampsia? Select all that
apply.
Proteinuria
Hypertension
A client who is 6 months pregnant is attending her first prenatal visit. On the first prenatal visit,
the nurse notes that the client is gravida 4, para 0, abortion 3. The client is 5 feet, 6 inches tall,
weighs 130 pounds, and is 25 years old. She states, "I get really tired after working all day and
can't keep up with my housework." Which factor in the above data would lead the nurse to
suspect gestational diabetes?
Fetal demise
The nurse is gathering data from a prenatal client with heart disease. The nurse carefully
evaluates vital signs, monitors for weight gain, and checks the fluid and nutritional status. For
which complication is the nurse collecting data?
Increase in circulating volume
The nurse is collecting data from a pregnant client when the client asks the nurse about the
purpose of the fallopian tubes. Which is the accurate response the nurse should make?
1.The organ of copulation
2.Where the fetus develops
3.Where fertilization occurs
4.The organ that secretes estrogen and progesterone
3. Where fertilization occurs.
Rationale: Each fallopian tube is a hollow muscular tube that transports a mature oocyte for
final maturation and fertilization. Fertilization typically occurs near the boundary between the
ampulla and the isthmus of the tube. The vagina is the organ of copulation, and the fetus
develops in the uterus. Estrogen is a hormone that is produced by the ovarian follicles, the corpus
luteum, the adrenal cortex, and the placenta during pregnancy. Progesterone is a hormone that is
secreted by the corpus luteum of the ovary, the adrenal glands, and the placenta during
pregnancy.
The client asks the nurse about the purpose of the placenta. The nurse plans to respond to the
client knowing which about the placenta?
1.Cushions and protects the fetus
2.Maintains the body temperature of the fetus
3.Surrounds the fetus and allows for fetal movement
4.Provides an exchange of nutrients and waste products between the mother and the fetus
4. Provides an exchange of nutrients and waste products between the mother and the fetus
Rationale: The placenta provides an exchange of nutrients and waste products between the
mother and the fetus. The amniotic fluid surrounds, cushions, and protects the fetus and allows
for fetal movement. The amniotic fluid also maintains the body temperature of the fetus.
The nurse is describing the process of fetal circulation to a client during a prenatal visit. The
nurse should tell the client that fetal circulation consists of which components?
1.Two umbilical veins and one umbilical artery
2.Two umbilical arteries and one umbilical vein
3.Arteries that carry oxygenated blood to the fetus
4.Veins that carry deoxygenated blood to the fetus
2. Two umbilical arteries and one umbilical vein
Rationale: Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries.
After the blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries
carry deoxygenated blood and waste products from the fetus, and the umbilical vein carries
oxygenated blood and provides oxygen and nutrients to the fetus.
A nursing student is assigned to a client in labor. The nursing instructor asks the student to
describe fetal circulation, specifically the ductus venosus. The instructor determines that the
student understands the structure of the ductus venosus if the student states which about the
ductus venosus?
1.Connects the pulmonary artery to the aorta
2.Is an opening between the right and left atria
3.Connects the umbilical vein to the inferior vena cava
,4.Connects the umbilical artery to the inferior vena cava
3.Connects the umbilical vein to the inferior vena cava
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava. The
foramen ovale is a temporary opening between the right and left atria. The ductus arteriosus joins
the aorta and the pulmonary artery.
The nurse is reinforcing teaching to a pregnant woman about the physiological effects and
hormonal changes that occur during pregnancy. The woman asks the nurse about the purpose
of estrogen. The nurse bases the response on which purpose of estrogen?
1.It maintains the uterine lining for implantation.
2.It stimulates the metabolism of glucose and converts glucose to fat.
3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
4.It prevents the involution of the corpus luteum and maintains the production of progesterone
until the placenta is formed.
3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
Rationale: Estrogen stimulates uterine development to provide an environment for the fetus and
it stimulates the breasts to prepare for lactation. Progesterone maintains the uterine lining for
implantation and relaxes all smooth muscle. Human placental lactogen stimulates the metabolism
of glucose and converts the glucose to fat. Human chorionic gonadotropin prevents the
involution of the corpus luteum and maintains the production of progesterone until the placenta
is formed.
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse
determines that the client understands what the nurse has taught her about Rh sensitization when
the client makes which statement?
"I will tell the nurse at the hospital that I had RhoGAM during pregnancy."
The nurse is collecting data from a pregnant client who is at 28 weeks' gestation. The nurse
measures the fundal height in centimeters and should expect which finding?
28 cm
A blood glucose measurement is performed on a pregnant client. The results indicate that her
blood glucose level is elevated. Which prescription should the nurse anticipate for the mother?
A 3-hour glucose tolerance test
A nonstress test is performed on a client, and the results are documented in the chart. The results
are documented as a reactive nonstress test. Which interpretation should the nurse make of these
results?
A negative test
The nurse is teaching a prenatal class on the anatomy and physiology of the female reproductive
system including hormones. Estrogen produces which effects, either directly or indirectly, during
pregnancy? Select all that apply.
, Increases blood flow to the uterine vessels
Stimulates development of the breast ducts
Causes vascular changes in the mucous membranes of the nose and mouth
The nurse is preparing to monitor a fetal heart rate. The nurse knows that the fetal heart rate can
first be heard with a fetoscope at which gestational week?
week 20
The nurse is assisting in planning care for a client with a diagnosis of placenta previa. The nurse
identifies which as the priority goal for the client?
The client exhibits no signs of fetal distress.
A pregnant client is a gravida III, para 0, abortus II. She is placed on bed rest at home because of
preterm labor. The nurse provides information to the husband, knowing that which instruction
will assist in promoting family adaptation?
Teaching the husband to perform passive range of motion and provide back rubs for his wife
The nurse is assisting in performing a prenatal examination on a client in the third trimester of
pregnancy. The health care provider performs Leopold's maneuvers on the client. Which
maneuver indicates the position of the fetus?
Second
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted to the
maternity department. The client is alone and appears very anxious. Which statement by the
nurse is therapeutic?
"Tell me about your concerns."
The nurse caring for a client with abruptio placentae is monitoring the client for signs of
disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if which is
observed?
Petechiae, oozing from injection sites, and hematuria
The nurse is monitoring a pregnant client with gestational hypertension who is at risk for
preeclampsia. The nurse should check the client for which signs of preeclampsia? Select all that
apply.
Proteinuria
Hypertension
A client who is 6 months pregnant is attending her first prenatal visit. On the first prenatal visit,
the nurse notes that the client is gravida 4, para 0, abortion 3. The client is 5 feet, 6 inches tall,
weighs 130 pounds, and is 25 years old. She states, "I get really tired after working all day and
can't keep up with my housework." Which factor in the above data would lead the nurse to
suspect gestational diabetes?
Fetal demise
The nurse is gathering data from a prenatal client with heart disease. The nurse carefully
evaluates vital signs, monitors for weight gain, and checks the fluid and nutritional status. For
which complication is the nurse collecting data?
Increase in circulating volume
