NCLEX-RN\\\NCLEX RN WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ALREADY GRADED A+]
A pregnant woman who is in her late 3rd trimester called her primary care provider complaining of
contractions. Which of the following indicates that the patient is experiencing true labor? Select all that
apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long
C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart - ---ANS---Answer B,C,D
Rational: True labor is regular, location is back to front, and the duration remains constant. Cervical
change is a true indicator of labor.
A pregnant women presents to her doctors office with nausea, vomiting, and sharp abdominal pain. The
doctor suspects an ectopic pregnancy. What would her HCG levels look like?
HCG level slowly declining over 48 hours
HCG level rising but not doubling appropriately in 48 hours
HCG level drastically drops within 24 hours
No HCG hormone detected - ---ANS---Answer B
Rational: HCG levels would still rise because the fertilized ovum is still secreting HCG even though it is in
the wrong place. The HCG level would decline over 48 hours if their was a spontaneous abortion/loss.
Janine is a 34-year-old female who is 36 weeks pregnant with fraternal twins, has two living children
that are also fraternal twins and now 4 years old, that she delivered at 36 weeks via c-section. She had a
therapeutic abortion at 23 years old and spontaneously aborted during her second pregnancy at 27
years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
,B.) G=4, T=1, P=0, A=2, L=2
C.) G=4, T=0, P=1, A=2, L=2
D.) G=4, T=0, P=1, A=1, L=2
E.) G=2, T=1, P=0, A=1, L=2 - ---ANS---Correct Answer: C
Rationale: Gravida simply refers to the number of pregnancies, regardless of whether or not they are
term or aborted, section delivery etc.; it is also important to note that multifetal gestations should only
be counted once as they are still just a single pregnancy. To count, she has her current pregnancy, the
pregnancy with her first twin children, and the two abortions (one spontaneous one therapeutic), for a
total of 4 pregnancies. The greatest number of term pregnancies she could have is one, but because
they were born prior to the 37 week cut off they would be considered preterm; so, she has had zero
term pregnancies and one preterm. As mentioned earlier, she has had two abortions and has two living
children in her 4-year old twins.
Which of the following maternal factors may decrease fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural - ---ANS---A. Asthma
C. Hypertension
D. Epidural
A 25 year old female is 25 weeks pregnant. she has had one previous pregnancy at 35 weeks and the
baby is now 2 years old. she has no history of abortion - ---ANS---G=2, T=0, P=1, A= 0, L=1
So I think the answer would be
G=2, T=0, P=1, A= 0, L=1
More complete description of pregnancy outcomesGTPALG-gravidaT-term>37 weeksP-preterm <37
weeksA-abortions (SAB or TAB)L- living children
2. A woman is 37 weeks pregnant and experiencing contractions lasting an average of 35 seconds with
varying frequency, her last ones being 12 minutes apart, 8 minutes apart and then 25 minutes. She is 2
cm dilated, her physician would explain that she is in the .... - ---ANS---1st Stage, latent phase of labor
Rationale:
, 1st stage: (latent) frequency 5-30 minutes, duration 30-40seconds, dilation 0-3cm
( active) frequency 3-5 minutes, duration 40-70 seconds, dilation 4-7cm
(transition) frequency 2-3 minutes, duration, 45-90 seconds, 10 cm dilated
Second stage: full dilation, progresses to contractions every 1-2 minutes
Third stage: delivery of the neonate
fourth stage: delivery of the placenta
Which of the following are maternal changes during pregnancy? (select all that apply)
A. Decreased cardiac output
B. Increased clotting factors
C. Decreased lung volume
D. Skin color changes that should return to normal after pregnancy
E. Supine hypertensive syndrome - ---ANS---Answers: B, C, D
A is incorrect because cardiac output increases with the 30% increased blood volume to compensate for
blood loss during birth and to provide fetus with nutrient. E is incorrect because pregnant women
develop supine hypotension syndrome (vena caval syndrome), from baby putting pressure on the
inferior vena cava.
Your patient's last menstrual cycle was February 6, 2020. Using Naegele's Rule, what is her expected
date of delivery?
A. November 13, 2021
B. November 9, 2020
C. October 13, 2020
D. November 13, 2020 - ---ANS---Correct answer: D
Rationale: Using Naegele's rule, subtract three months and add seven days and adjust the year
appropriately to get the expected date of delivery.
A 26 year old woman presents to her OB because she missed her last menstrual period. She reports
fatigue, nausea, and urinary frequency. The provider interprets these findings as which indication of
pregnancy?
VERIFIED ANSWERS [ALREADY GRADED A+]
A pregnant woman who is in her late 3rd trimester called her primary care provider complaining of
contractions. Which of the following indicates that the patient is experiencing true labor? Select all that
apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long
C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart - ---ANS---Answer B,C,D
Rational: True labor is regular, location is back to front, and the duration remains constant. Cervical
change is a true indicator of labor.
A pregnant women presents to her doctors office with nausea, vomiting, and sharp abdominal pain. The
doctor suspects an ectopic pregnancy. What would her HCG levels look like?
HCG level slowly declining over 48 hours
HCG level rising but not doubling appropriately in 48 hours
HCG level drastically drops within 24 hours
No HCG hormone detected - ---ANS---Answer B
Rational: HCG levels would still rise because the fertilized ovum is still secreting HCG even though it is in
the wrong place. The HCG level would decline over 48 hours if their was a spontaneous abortion/loss.
Janine is a 34-year-old female who is 36 weeks pregnant with fraternal twins, has two living children
that are also fraternal twins and now 4 years old, that she delivered at 36 weeks via c-section. She had a
therapeutic abortion at 23 years old and spontaneously aborted during her second pregnancy at 27
years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
,B.) G=4, T=1, P=0, A=2, L=2
C.) G=4, T=0, P=1, A=2, L=2
D.) G=4, T=0, P=1, A=1, L=2
E.) G=2, T=1, P=0, A=1, L=2 - ---ANS---Correct Answer: C
Rationale: Gravida simply refers to the number of pregnancies, regardless of whether or not they are
term or aborted, section delivery etc.; it is also important to note that multifetal gestations should only
be counted once as they are still just a single pregnancy. To count, she has her current pregnancy, the
pregnancy with her first twin children, and the two abortions (one spontaneous one therapeutic), for a
total of 4 pregnancies. The greatest number of term pregnancies she could have is one, but because
they were born prior to the 37 week cut off they would be considered preterm; so, she has had zero
term pregnancies and one preterm. As mentioned earlier, she has had two abortions and has two living
children in her 4-year old twins.
Which of the following maternal factors may decrease fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural - ---ANS---A. Asthma
C. Hypertension
D. Epidural
A 25 year old female is 25 weeks pregnant. she has had one previous pregnancy at 35 weeks and the
baby is now 2 years old. she has no history of abortion - ---ANS---G=2, T=0, P=1, A= 0, L=1
So I think the answer would be
G=2, T=0, P=1, A= 0, L=1
More complete description of pregnancy outcomesGTPALG-gravidaT-term>37 weeksP-preterm <37
weeksA-abortions (SAB or TAB)L- living children
2. A woman is 37 weeks pregnant and experiencing contractions lasting an average of 35 seconds with
varying frequency, her last ones being 12 minutes apart, 8 minutes apart and then 25 minutes. She is 2
cm dilated, her physician would explain that she is in the .... - ---ANS---1st Stage, latent phase of labor
Rationale:
, 1st stage: (latent) frequency 5-30 minutes, duration 30-40seconds, dilation 0-3cm
( active) frequency 3-5 minutes, duration 40-70 seconds, dilation 4-7cm
(transition) frequency 2-3 minutes, duration, 45-90 seconds, 10 cm dilated
Second stage: full dilation, progresses to contractions every 1-2 minutes
Third stage: delivery of the neonate
fourth stage: delivery of the placenta
Which of the following are maternal changes during pregnancy? (select all that apply)
A. Decreased cardiac output
B. Increased clotting factors
C. Decreased lung volume
D. Skin color changes that should return to normal after pregnancy
E. Supine hypertensive syndrome - ---ANS---Answers: B, C, D
A is incorrect because cardiac output increases with the 30% increased blood volume to compensate for
blood loss during birth and to provide fetus with nutrient. E is incorrect because pregnant women
develop supine hypotension syndrome (vena caval syndrome), from baby putting pressure on the
inferior vena cava.
Your patient's last menstrual cycle was February 6, 2020. Using Naegele's Rule, what is her expected
date of delivery?
A. November 13, 2021
B. November 9, 2020
C. October 13, 2020
D. November 13, 2020 - ---ANS---Correct answer: D
Rationale: Using Naegele's rule, subtract three months and add seven days and adjust the year
appropriately to get the expected date of delivery.
A 26 year old woman presents to her OB because she missed her last menstrual period. She reports
fatigue, nausea, and urinary frequency. The provider interprets these findings as which indication of
pregnancy?
