1 | Page
ANTEPARTUM NCLEX QUESTIONS
AND ANSWERS
The nurse is caring for a prenatal client who is at risk for
placental abruption. Which risk factor documented in the client's
record supports this risk factor? - correct answer- Maternal
hypertension
The nurse working in a prenatal clinic reviews a client's chart
and notes that the primary health care provider documents that
the client has a gynecoid pelvis. The nurse plans care
understanding that which findings are characteristic of this type
of pelvis? Select all that apply. - correct answer- 1.Round
shape
4.Diagonal conjugate measures 12.5 cm to 13 cm
5.Blunt, somewhat widely separated ischial spines
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? - correct
answer- Connects the umbilical vein to the inferior vena cava
,2 | Page
The nurse is collecting data from a client who is pregnant with
triplets. The client also has a 3-year-old child who was born at
39 weeks' gestation. The nurse should document which gravida
and para status on this client? - correct answer- Gravida II,
para I
The nurse is reviewing the record of a client who has just been
told that her pregnancy test is positive. The nurse notes that the
health care provider has documented the presence of Goodell's
sign. The nurse determines that this sign is indicative of which
change that occurs with pregnancy? - correct answer- A
softening of the cervix
A primipara is being evaluated in the clinic during her second
trimester of pregnancy. Which occurrence indicates an
abnormal physical finding that necessitates further testing? -
correct answer- Fetal heart rate of 180 beats per minute
The nurse is collecting data from a pregnant client who is
currently at 28 weeks' gestation. At her prior prenatal visit, her
fundal height measured 22 cm. The nurse measures the fundal
height at this visit in centimeters and should expect which
finding? - correct answer- 26cm
The nurse is checking a client's record for probable signs of
pregnancy. Which are the probable signs of pregnancy that the
,3 | Page
nurse should note? Select all that apply. - correct answer-
1.Ballottement
2.Chadwick's sign
3.Uterine enlargement
4.Braxton Hicks contractions
The nursing instructor asks a nursing student to describe the
process of quickening. Which statement indicates an
understanding of this term? - correct answer- "It is the fetal
movement that is felt by the mother."
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? - correct
answer- "I will tell the nurse at the hospital that I had an Rh shot
during pregnancy."
While assisting with the measurement of fundal height, the
client at 36 weeks' gestation states that she is feeling
lightheaded. On the basis of the nurse's knowledge of
pregnancy, the nurse determines that this is most likely a result
of which reason? - correct answer- Compression of the vena
cava
, 4 | Page
The perinatal client is admitted to the obstetrical unit during an
exacerbation of a heart condition. When planning for the
nutritional requirements of the client, the nurse should consult
with the dietitian to ensure which dietary measure? - correct
answer- A diet that is high in fluids and fiber to decrease
constipation
The nurse caring for a client with abruptio placentae is
monitoring the client for signs of disseminated intravascular
coagulopathy (DIC). The nurse should suspect DIC if which is
observed? - correct answer- Petechiae, oozing from injection
sites, and hematuria
The client is in her second trimester of pregnancy. She
complains of frequent low back pain and ankle edema at the
end of the day. The nurse should recommend which measure to
help relieve both discomforts? - correct answer- Lie on the floor
with the legs elevated onto a couch or padded chair, with the
hips and knees at a right angle.
The nurse is reinforcing instructions to a pregnant client
regarding measures to prevent heartburn. The nurse should
instruct the client to take which best measure? - correct
answer- Drink decaffeinated coffee and tea.
ANTEPARTUM NCLEX QUESTIONS
AND ANSWERS
The nurse is caring for a prenatal client who is at risk for
placental abruption. Which risk factor documented in the client's
record supports this risk factor? - correct answer- Maternal
hypertension
The nurse working in a prenatal clinic reviews a client's chart
and notes that the primary health care provider documents that
the client has a gynecoid pelvis. The nurse plans care
understanding that which findings are characteristic of this type
of pelvis? Select all that apply. - correct answer- 1.Round
shape
4.Diagonal conjugate measures 12.5 cm to 13 cm
5.Blunt, somewhat widely separated ischial spines
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? - correct
answer- Connects the umbilical vein to the inferior vena cava
,2 | Page
The nurse is collecting data from a client who is pregnant with
triplets. The client also has a 3-year-old child who was born at
39 weeks' gestation. The nurse should document which gravida
and para status on this client? - correct answer- Gravida II,
para I
The nurse is reviewing the record of a client who has just been
told that her pregnancy test is positive. The nurse notes that the
health care provider has documented the presence of Goodell's
sign. The nurse determines that this sign is indicative of which
change that occurs with pregnancy? - correct answer- A
softening of the cervix
A primipara is being evaluated in the clinic during her second
trimester of pregnancy. Which occurrence indicates an
abnormal physical finding that necessitates further testing? -
correct answer- Fetal heart rate of 180 beats per minute
The nurse is collecting data from a pregnant client who is
currently at 28 weeks' gestation. At her prior prenatal visit, her
fundal height measured 22 cm. The nurse measures the fundal
height at this visit in centimeters and should expect which
finding? - correct answer- 26cm
The nurse is checking a client's record for probable signs of
pregnancy. Which are the probable signs of pregnancy that the
,3 | Page
nurse should note? Select all that apply. - correct answer-
1.Ballottement
2.Chadwick's sign
3.Uterine enlargement
4.Braxton Hicks contractions
The nursing instructor asks a nursing student to describe the
process of quickening. Which statement indicates an
understanding of this term? - correct answer- "It is the fetal
movement that is felt by the mother."
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? - correct
answer- "I will tell the nurse at the hospital that I had an Rh shot
during pregnancy."
While assisting with the measurement of fundal height, the
client at 36 weeks' gestation states that she is feeling
lightheaded. On the basis of the nurse's knowledge of
pregnancy, the nurse determines that this is most likely a result
of which reason? - correct answer- Compression of the vena
cava
, 4 | Page
The perinatal client is admitted to the obstetrical unit during an
exacerbation of a heart condition. When planning for the
nutritional requirements of the client, the nurse should consult
with the dietitian to ensure which dietary measure? - correct
answer- A diet that is high in fluids and fiber to decrease
constipation
The nurse caring for a client with abruptio placentae is
monitoring the client for signs of disseminated intravascular
coagulopathy (DIC). The nurse should suspect DIC if which is
observed? - correct answer- Petechiae, oozing from injection
sites, and hematuria
The client is in her second trimester of pregnancy. She
complains of frequent low back pain and ankle edema at the
end of the day. The nurse should recommend which measure to
help relieve both discomforts? - correct answer- Lie on the floor
with the legs elevated onto a couch or padded chair, with the
hips and knees at a right angle.
The nurse is reinforcing instructions to a pregnant client
regarding measures to prevent heartburn. The nurse should
instruct the client to take which best measure? - correct
answer- Drink decaffeinated coffee and tea.
