Exam 1 OB NCLEX Questions/Answers_ Spring 2023.
A nursing student is preparing a prenatal class on the process of fetal circulation.
The nursing instructor asks the student specifically to describe the process through
the umbilical cord. Which of the following statements from the student is correct?
1. "The one artery carries freshly oxygenated blood and nutrient-rick blood back from
the placenta to the fetus."
2. "The two arteries carry freshly oxygenated blood back from the placenta to the
fetus."
3. "The two arteries in the umbilical cord carry deoxygenated blood and waste
products away from the fetus to the placenta."
4. "The two veins in the umbilical cord carry blood that is high in carbon dioxide and
other waste products away from the fetus to the placenta." - answers 3. "The two
arteries in the umbilical cord carry deoxygenated blood and waste products away
from the fetus to the placenta."
Rational: Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries. When oxygenated, the blood is returned by one umbilical vein.
A nurse is performing an assessment on a client who is at 38 weeks gestation and
notes that the FHR is 174/bpm. On the basis of this finding, the appropriate nursing
action is to:
1. Notify the physician
2. Document the findings.
3. Check the mother's heart rate
4. Tell the client that the FHR is normal. - answers 1. Notify the physican
Rational: The FHR depends on gestational age and ranges from 160-170/bpm in the
1st trimester, but slows with fetal growth to 120-160/bpm near or at term. Because
the FHR is increased from the reference range, the nurse should notify the physican.
A nurse explains some of the purposes of the placenta to a client during a prenatal
visit. The nurse determins that the client understands some of these purposes when
the client states that the placenta:
1. Cushions and protects the baby
2. Maintains the temperature of the baby
3. Is the way the baby gets food and oxygen
4. Prevents all antibodies and viruses from passing to the baby. - answers 3. Is the
way the baby gets food and oxygen.
A nursing instructor asks a nursing student to list the functions of the amniotic fluid.
The student responds correctly by stating that which of the following are functions of
the amniotic fluid? SELECT ALL THAT APPLY.
1. Allows for fetal movement
2. Is a measure of kidney function
3. Surrounds, cushions, and protects the fetus
4. Maintains the body temperature of the fetus
5. Prevents large particles such as bacteria from passing to the fetus
, Exam 1 OB NCLEX Questions/Answers_ Spring 2023.
6. Provides an exchange of nutrients and waste products between the mother and
fetus - answers 1. Allows for fetal movement
2. Is a measure of kidney function
3. Surrounds, cushions, and protects the fetus
4. Maintains the body temperature of the fetus
A nurse is performing an assessment of a pregnant client who is at 28 wks gestation.
The nurse measures the fundal height in centimeters and expects he finding to be
which of the following?
1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm - answers 2. 30 cm
Rational: During the 2nd/3rd trimesters (18 wks-30wks), fundal height in cm
approximately equals the fetus' age in weeks +/- 2cm. At 16 wks, the fundus can be
located halfway between the symphysis pubis and the umbilicus. At 20-22 wks, the
fundus is at the umbilicus. At 36 wks, the fundus is at the xiphoid process.
A nurse is collecting data during an admission assessment of a client who is
pregnant with twins. The client has a healthy 5-year-old child who was delivered at
38 wks and tells the nurse that she does not have a history of any type of abortion or
fetal demise. The nurse would document the GTPAL for this client as:
1. G3, T2, P0, A0, L1
2. G2, T1, P0, A0, L1
3. G1, T1, P1, A0, L1
4. G2, T0, P0, A0, L1 - answers 2. G2, T1, P0, A0, L1
A pregnant client is seen in a health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions, and the nurse
determines that she is experiencing Braxton Hicks contractions. Based on this
finding, which nursing action is appropriate?
1. Contact the physician
2. Instruct the client to maintain bedrest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout
the pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - answers 3. Inform the client that these contractions are common and
may occur throughout the pregnancy.
A nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. The nurse tells the client that:
1. Total abstinence from sexual intercourse is necessary during the entire
pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are
present.
A nursing student is preparing a prenatal class on the process of fetal circulation.
The nursing instructor asks the student specifically to describe the process through
the umbilical cord. Which of the following statements from the student is correct?
1. "The one artery carries freshly oxygenated blood and nutrient-rick blood back from
the placenta to the fetus."
2. "The two arteries carry freshly oxygenated blood back from the placenta to the
fetus."
3. "The two arteries in the umbilical cord carry deoxygenated blood and waste
products away from the fetus to the placenta."
4. "The two veins in the umbilical cord carry blood that is high in carbon dioxide and
other waste products away from the fetus to the placenta." - answers 3. "The two
arteries in the umbilical cord carry deoxygenated blood and waste products away
from the fetus to the placenta."
Rational: Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries. When oxygenated, the blood is returned by one umbilical vein.
A nurse is performing an assessment on a client who is at 38 weeks gestation and
notes that the FHR is 174/bpm. On the basis of this finding, the appropriate nursing
action is to:
1. Notify the physician
2. Document the findings.
3. Check the mother's heart rate
4. Tell the client that the FHR is normal. - answers 1. Notify the physican
Rational: The FHR depends on gestational age and ranges from 160-170/bpm in the
1st trimester, but slows with fetal growth to 120-160/bpm near or at term. Because
the FHR is increased from the reference range, the nurse should notify the physican.
A nurse explains some of the purposes of the placenta to a client during a prenatal
visit. The nurse determins that the client understands some of these purposes when
the client states that the placenta:
1. Cushions and protects the baby
2. Maintains the temperature of the baby
3. Is the way the baby gets food and oxygen
4. Prevents all antibodies and viruses from passing to the baby. - answers 3. Is the
way the baby gets food and oxygen.
A nursing instructor asks a nursing student to list the functions of the amniotic fluid.
The student responds correctly by stating that which of the following are functions of
the amniotic fluid? SELECT ALL THAT APPLY.
1. Allows for fetal movement
2. Is a measure of kidney function
3. Surrounds, cushions, and protects the fetus
4. Maintains the body temperature of the fetus
5. Prevents large particles such as bacteria from passing to the fetus
, Exam 1 OB NCLEX Questions/Answers_ Spring 2023.
6. Provides an exchange of nutrients and waste products between the mother and
fetus - answers 1. Allows for fetal movement
2. Is a measure of kidney function
3. Surrounds, cushions, and protects the fetus
4. Maintains the body temperature of the fetus
A nurse is performing an assessment of a pregnant client who is at 28 wks gestation.
The nurse measures the fundal height in centimeters and expects he finding to be
which of the following?
1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm - answers 2. 30 cm
Rational: During the 2nd/3rd trimesters (18 wks-30wks), fundal height in cm
approximately equals the fetus' age in weeks +/- 2cm. At 16 wks, the fundus can be
located halfway between the symphysis pubis and the umbilicus. At 20-22 wks, the
fundus is at the umbilicus. At 36 wks, the fundus is at the xiphoid process.
A nurse is collecting data during an admission assessment of a client who is
pregnant with twins. The client has a healthy 5-year-old child who was delivered at
38 wks and tells the nurse that she does not have a history of any type of abortion or
fetal demise. The nurse would document the GTPAL for this client as:
1. G3, T2, P0, A0, L1
2. G2, T1, P0, A0, L1
3. G1, T1, P1, A0, L1
4. G2, T0, P0, A0, L1 - answers 2. G2, T1, P0, A0, L1
A pregnant client is seen in a health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions, and the nurse
determines that she is experiencing Braxton Hicks contractions. Based on this
finding, which nursing action is appropriate?
1. Contact the physician
2. Instruct the client to maintain bedrest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout
the pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - answers 3. Inform the client that these contractions are common and
may occur throughout the pregnancy.
A nurse is providing instructions to a pregnant client with genital herpes about the
measures that are needed to protect the fetus. The nurse tells the client that:
1. Total abstinence from sexual intercourse is necessary during the entire
pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are
present.
