NCLEX-PN ANTEPARTUM
1. The nurse is reviewing the record of a pregnant client and notes that the health care
provider has documented the presence of Chadwick's sign. The nurse understands that which
hormone is responsible for the development ofthis sign?: Estrogen
2. A client is seen in the health care clinic for complaints of vaginal bleedingand mild
abdominal cramping. On further data collection, the nurse notes that the client's last menstrual
period was 10 weeks ago. The client reports that a home pregnancy test was performed and
the results were positive. On
physical examination, it is noted that the client has a dilated cervix. The nurse understands that
the client is at risk for which type of abortion?: Inevitable
3. A woman who is 8 weeks pregnant complains to the nurse about nausea. Which advice
should the nurse provide to this client about ways to assist with this problem? Select all that
apply.: 1.
Avoid greasy foods.
2.
Eat 5 to 6 small meals each day.
3.
Do not drink fluids with meals.
4. The nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. Which probable signs of pregnancy refer to thesoftening of the uterus and related
structures? Select all that apply.: 1. Hegar's sign
3.
Goodell's sign
5.
McDonald's sign
5. The nurse is collecting data from a client with placenta previa during an office visit. The
nurse should check which item as first priority?: Signs of fetaldistress
6. The nurse is providing health care information to a pregnant client who ishuman
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is important to
avoid alcohol and cigarettes during pregnancy and to get adequate rest primarily to
accomplish which goal?: Avoid further stress onthe maternal immune system.
, 7. A client who has just been told that she is pregnant asks a clinic nurse when the fetus's
heart will be developed and beating.The nurse tells the clientthat the fetal heart is beating at
what gestational week? Fill in the blank.: 5
8. A couple comes to the family planning clinic and asks about steriliza- tion procedures.
Which question by the nurse would determine whether thismethod of family planning would
be appropriate?: "Do you plan to have any other children?"
9. The nurse is assisting in planning care to meet the emotional needs of a pregnant woman.
Which nursing intervention would be least likely to assist in
meeting her emotional needs?: Providing the mother with pamphlets and bookletsto read about
the pregnancy
10. A maternity nurse is caring for a client who is admitted to the hospital witha diagnosis of
gestational diabetes. This is the client's first pregnancy. Whichstatement by the client indicates
a knowledge deficit regarding gestational diabetes?: "I shouldn't have eaten so many sweets
before I became pregnant."
11. The nurse is assisting in conducting a prepared childbirth class and is in-structing pregnant
women about the method of effleurage.The nurse instructsthe women to perform the procedure
by taking which action?: Massaging theabdomen during contractions using both hands in a
circular motion
12. The nurse is teaching a pregnant client about the physiological effects and hormone
changes that occur in pregnancy. The client asks the nurse about the purpose of estrogen.
Which description characterizes the purposeof estrogen?: Estrogen stimulates uterine
development to provide an environmentfor the fetus and stimulates the breasts to prepare for
lactation.
13. The nurse is performing an assessment on a pregnant client who has had a severe asthma
attack. The nurse asks the client about prescription andherbal medications she is taking and
the client tells the nurse that she has been taking the herb chamomile. The nurse refers to an
herbal reference bookand discovers which fact about chamomile?: Chamomile should not be
used bypregnant women and persons with asthma.
14. A 26-year-old woman comes to the clinic and asks for a pregnancy testbecause she thinks
she might be pregnant. The nurse assesses for which presumptive signs of pregnancy? Select
all that apply.: Breast tenderness Early morning nausea
No menstruation for the last 8 weeks
15. A pregnant client is seen in the health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions,and the nurse determines that the
client is experiencing Braxton Hicks con- tractions. Which nursing action should the nurse
take?: Instruct the client thatthese are common and may occur throughout the pregnancy.
16. A pregnant client asks the nurse about the hormone that stimulates post- partum
contractions. The nurse tells the client that the primary hormone that stimulates postpartum
1. The nurse is reviewing the record of a pregnant client and notes that the health care
provider has documented the presence of Chadwick's sign. The nurse understands that which
hormone is responsible for the development ofthis sign?: Estrogen
2. A client is seen in the health care clinic for complaints of vaginal bleedingand mild
abdominal cramping. On further data collection, the nurse notes that the client's last menstrual
period was 10 weeks ago. The client reports that a home pregnancy test was performed and
the results were positive. On
physical examination, it is noted that the client has a dilated cervix. The nurse understands that
the client is at risk for which type of abortion?: Inevitable
3. A woman who is 8 weeks pregnant complains to the nurse about nausea. Which advice
should the nurse provide to this client about ways to assist with this problem? Select all that
apply.: 1.
Avoid greasy foods.
2.
Eat 5 to 6 small meals each day.
3.
Do not drink fluids with meals.
4. The nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. Which probable signs of pregnancy refer to thesoftening of the uterus and related
structures? Select all that apply.: 1. Hegar's sign
3.
Goodell's sign
5.
McDonald's sign
5. The nurse is collecting data from a client with placenta previa during an office visit. The
nurse should check which item as first priority?: Signs of fetaldistress
6. The nurse is providing health care information to a pregnant client who ishuman
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is important to
avoid alcohol and cigarettes during pregnancy and to get adequate rest primarily to
accomplish which goal?: Avoid further stress onthe maternal immune system.
, 7. A client who has just been told that she is pregnant asks a clinic nurse when the fetus's
heart will be developed and beating.The nurse tells the clientthat the fetal heart is beating at
what gestational week? Fill in the blank.: 5
8. A couple comes to the family planning clinic and asks about steriliza- tion procedures.
Which question by the nurse would determine whether thismethod of family planning would
be appropriate?: "Do you plan to have any other children?"
9. The nurse is assisting in planning care to meet the emotional needs of a pregnant woman.
Which nursing intervention would be least likely to assist in
meeting her emotional needs?: Providing the mother with pamphlets and bookletsto read about
the pregnancy
10. A maternity nurse is caring for a client who is admitted to the hospital witha diagnosis of
gestational diabetes. This is the client's first pregnancy. Whichstatement by the client indicates
a knowledge deficit regarding gestational diabetes?: "I shouldn't have eaten so many sweets
before I became pregnant."
11. The nurse is assisting in conducting a prepared childbirth class and is in-structing pregnant
women about the method of effleurage.The nurse instructsthe women to perform the procedure
by taking which action?: Massaging theabdomen during contractions using both hands in a
circular motion
12. The nurse is teaching a pregnant client about the physiological effects and hormone
changes that occur in pregnancy. The client asks the nurse about the purpose of estrogen.
Which description characterizes the purposeof estrogen?: Estrogen stimulates uterine
development to provide an environmentfor the fetus and stimulates the breasts to prepare for
lactation.
13. The nurse is performing an assessment on a pregnant client who has had a severe asthma
attack. The nurse asks the client about prescription andherbal medications she is taking and
the client tells the nurse that she has been taking the herb chamomile. The nurse refers to an
herbal reference bookand discovers which fact about chamomile?: Chamomile should not be
used bypregnant women and persons with asthma.
14. A 26-year-old woman comes to the clinic and asks for a pregnancy testbecause she thinks
she might be pregnant. The nurse assesses for which presumptive signs of pregnancy? Select
all that apply.: Breast tenderness Early morning nausea
No menstruation for the last 8 weeks
15. A pregnant client is seen in the health care clinic for a regular prenatal visit. The client
tells the nurse that she is experiencing irregular contractions,and the nurse determines that the
client is experiencing Braxton Hicks con- tractions. Which nursing action should the nurse
take?: Instruct the client thatthese are common and may occur throughout the pregnancy.
16. A pregnant client asks the nurse about the hormone that stimulates post- partum
contractions. The nurse tells the client that the primary hormone that stimulates postpartum
