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Exam (elaborations)

OB Antepartum NCLEX Questions and Answers Rated A

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A client who has just been told that she is pregnant wants to know when the baby's heart will be completely developed and beating. The nurse reads in the client's chart that the health care provider has determined the client to be at 6 weeks' gestation. What is the nurse's best response? - ANSWER -"Your baby's heart right now has double heart chambers and has begun to beat, so we should be able to see it beat using an ultrasound machine." A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is appropriate? - ANSWER -Inform the client that these contractions are common and may occur throughout the pregnancy. The nursing instructor asks the nursing student about the physiology related to the cessation of ovulation that occurs during pregnancy. Which response, if made by the student, indicates an understanding of this physiological process? Select all that apply. - ANSWER - "Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high." "The release of the follicle-stimulating hormone and lute

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OB Antepartum NCLEX Questions and Answers Rated A
A client who has just been told that she is variability, and no decelerations.
pregnant wants to know when the baby's heart
will be completely developed and beating. The
nurse reads in the client's chart that the health The nurse is performing an assessment on a
care provider has determined the client to be at 6 client seen in the health care clinic for a first
weeks' gestation. What is the nurse's best prenatal visit. The client reports February 9 as
response? - ANSWER -"Your baby's heart the first day of the last menstrual period (LMP).
right now has double heart chambers and has Using Nägele's rule, what date later that same
begun to beat, so we should be able to see it year will the nurse relay as the client's due date?
beat using an ultrasound machine." Fill in the blank. Record your answer using 4
digits (mmdd). - ANSWER -1116

A pregnant client is seen for a regular prenatal
visit and tells the nurse that she is experiencing The nurse implements a teaching plan for a
irregular contractions. The nurse determines that pregnant client who is newly diagnosed with
she is experiencing Braxton Hicks contractions. gestational diabetes mellitus. Which statement
On the basis of this finding, which nursing action made by the client indicates a need for further
is appropriate? - ANSWER -Inform the teaching? - ANSWER -"I should avoid
client that these contractions are common and exercise because of the negative effects on
may occur throughout the pregnancy. insulin production."


The nursing instructor asks the nursing student The nurse is providing instructions to a pregnant
about the physiology related to the cessation of client with a history of cardiac disease regarding
ovulation that occurs during pregnancy. Which appropriate dietary measures. Which statement,
response, if made by the student, indicates an if made by the client, indicates an understanding
understanding of this physiological process? of the information provided by the nurse? -
Select all that apply. - ANSWER - ANSWER -"I should drink adequate fluids
"Ovulation ceases during pregnancy because the and increase my intake of high-fiber foods."
circulating levels of estrogen and progesterone
are high."
The nurse is providing instructions about
"The release of the follicle-stimulating hormone treatment for hemorrhoids to a client in the
and luteinizing hormone is inhibited by second trimester of pregnancy. Which statement
adaptations related to pregnancy." made by the client indicates a need for further
teaching? - ANSWER -"I should apply heat
packs to the hemorrhoids to help them shrink."
A client in week 35 of her pregnancy is placed on
the fetal heart monitor for a nonstress test (NST)
as a result of her complaints of decreased fetal The nurse is reviewing the medical record of a
movement. Twenty minutes after placing the woman scheduled for her weekly prenatal
client on the monitor, the nurse sees the appointment. The nurse notes that the woman
following monitor strip and makes which has been diagnosed with mild preeclampsia.
conclusion regarding the NST? - Which interventions should the nurse include in
ANSWER -The FHR is reactive, with a planning nursing care for this client? Select all
baseline of 130 beats/minute, moderate


, OB Antepartum NCLEX Questions and Answers Rated A

that apply. - ANSWER -Assess blood interpret this result? - ANSWER -Normal
pressure. findings

Check the urine for protein.
The nurse reviews the plan of care for a woman
Assess deep tendon reflexes. at 37 weeks' gestation who has sickle cell
anemia. The nurse determines that which
Teach the importance of keeping track of a daily problem listed on the nursing care plan will
weight. receive the highest priority? - ANSWER -
Insufficient fluid volume

A pregnant client at 16 weeks' gestation reports
to the health care clinic for a triple screen test. A 35-week-gestation pregnant woman is
The nurse determines that the client understands transferred to the maternity unit from the
the purpose of this test when the client makes emergency department, where she was treated
which statements? Select all that apply. - for minor injuries sustained in a motor vehicle
ANSWER -"This test can be used as a crash. The maternity nurse's priority will be to
screening for spina bifida." assess for which complication? -
ANSWER -Abruptio placentae
"This test is a screening test, and I will need
other testing if I have abnormal results."
The nurse is caring for a client with a diagnosis of
"This test can indicate if I may be at an increased placenta previa. The nurse collects data knowing
risk for having a child with Down syndrome." that which are characteristic of placenta previa?
Select all that apply. - ANSWER -Painless,
bright red vaginal bleeding
A 25-year-old woman arrives on the maternity
unit on February 2. She states that her estimated Location in the lower uterine segment
date of delivery (EDD) is March 22. She is
verbalizing complaints of dull lower back pain,
pelvic heaviness, and diarrhea for the past few The nurse is performing a prenatal assessment
days. On admission for observation, the client's on a pregnant client. The nurse should plan to
blood pressure is 128/80 mm Hg, pulse is 100 implement teaching related to risk for abruptio
beats/minute, respirations are 16 breaths/minute, placentae if which information is obtained on
and temperature is 99°F. The nurse plans care
assessment? - ANSWER -The client has a
based on which interpretation? -
history of hypertension.
ANSWER -The woman requires further
evaluation for preterm labor.
The nurse is teaching a pregnant client about the
physiological effects and hormonal changes that
The nurse has assisted in performing a occur during pregnancy. The client asks the
nonstress test on a pregnant client and is nurse about the role of estrogen in pregnancy.
reviewing the documentation related to the Which responses should the nurse give the client
results of the test. The nurse notes that the about the role of estrogen? Select all that apply. -
health care provider has documented the test
ANSWER -It increases the blood flow to
results as reactive. How should the nurse

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