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ANTEPARTUM NCLEX
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?
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.
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?
Connects the umbilical vein to the inferior vena cava
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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?
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?
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?
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?
26cm
The nurse is checking a client's record for probable signs of pregnancy. Which are the probable
signs of pregnancy that the nurse should note? Select all that apply.
1.Ballottement
2.Chadwick's sign
3.Uterine enlargement
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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?
"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?
"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?
Compression of the vena cava
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?
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?
Petechiae, oozing from injection sites, and hematuria
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ANTEPARTUM NCLEX
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?
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.
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?
Connects the umbilical vein to the inferior vena cava
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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?
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?
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?
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?
26cm
The nurse is checking a client's record for probable signs of pregnancy. Which are the probable
signs of pregnancy that the nurse should note? Select all that apply.
1.Ballottement
2.Chadwick's sign
3.Uterine enlargement
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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?
"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?
"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?
Compression of the vena cava
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?
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?
Petechiae, oozing from injection sites, and hematuria
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