Antepartum NCLEX questions with verified detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answers
A nursing instructor is conducting lecture and is reviewing the functions of the female
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the luteinizing hormone (LH). Mark accurately responds by stating that:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| A.FSH and LH are released from the anterior pituitary gland.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| B.FSH and LH are secreted by the corpus luteum of the ovary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| C.FSH and LH are secreted by the adrenal glands ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.FSH and LH stimulate the formation of milk during pregnancy. - correct answer✔✔A. FSH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
and LH, when stimulated by gonadotropin-releasing hormone from the hypothalamus, are
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
released from the anterior pituitary gland to stimulate follicular growth and development,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
growth of the graafian follicle, and production of progesterone. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is describing the process of fetal circulation to a client during a prenatal visit. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse accurately tells the client that fetal circulation consists of:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.Two umbilical veins and one umbilical artery ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.Two umbilical arteries and one umbilical vein ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.Arteries carrying oxygenated blood to the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.Veins carrying deoxygenated blood to the fetus - correct answer✔✔2. Blood pumped by
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the embryo's heart leaves the embryo through two umbilical arteries. Once oxygenated, the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
blood then is returned by one umbilical vein. Arteries carry deoxygenated blood and waste
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
products from the fetus, and veins carry oxygenated blood and provide oxygen and nutrients||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
to the fetus. ||\\//|| ||\\//||
During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determines that the fetal heart rate is normal if which of the following is noted? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.80 BPM ||\\//||
,||\\//|| 2.100 BPM ||\\//||
||\\//|| 3.150 BPM ||\\//||
4.180 BPM - correct answer✔✔.3. The fetal heart rate depends in gestational age and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ranges from 160-170 BPM in the first trimester but slows with fetal growth to 120-160 BPM
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
near or at term. At or near term, if the fetal heart rate is less than 120 or more than 160
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BPM with the uterus at rest, the fetus may be in distress.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
that the first day of her last menstrual period was September 19th, 2005. Using Nagele's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
rule, the nurse determines the estimated date of confinement as:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.July 26, 2006 ||\\//|| ||\\//||
||\\//|| 2.June 12, 2007 ||\\//|| ||\\//||
||\\//|| 3.June 26, 2006 ||\\//|| ||\\//||
4.July 12, 2007 - correct answer✔✔3. Accurate use of Nagele's rule requires that the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
woman have a regular 28-day menstrual cycle. Add 7 days to the first day of the last
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
menstrual period, subtract three months, and then add one year to that date. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
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 that was delivered at 37 weeks and tells the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse that she doesn't have any history of abortion or fetal demise. The nurse would
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
document the GTPAL for this client as: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.G = 3, T = 2, P = 0, A = 0, L =1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.G = 2, T = 0, P = 1, A = 0, L =1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.G = 1, T = 1. P = 1, A = 0, L = 1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.G = 2, T = 0, P = 0, A = 0, L = 1 - correct answer✔✔2. Pregnancy outcomes can be
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
described with the acronym GTPAL. G is gravidity, the number of pregnancies. T is term ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
births, the number born at term (38-41 weeks). P is preterm births, the number born before
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
38 weeks gestation. A is abortions or miscarriages (included in gravida if before 20 weeks
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gestation; included in parity if past 20 weeks gestation). L is live births, the number of live ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
births or living children. Therefore, a woman who is pregnant with twins and has a child has
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
a gravida of 2. Because the child was delivered at 37 weeks, the number of preterm births is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, ||\\//|| 1, and the number of term births is 0. The number of abortions is 0, and the number of live
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| births is 1. ||\\//|| ||\\//||
A nurse is performing an assessment of a primapira who is being evaluated in a clinic during
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
her second trimester of pregnancy. Which of the following indicates an abnormal physical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
finding necessitating further testing? ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.Consistent increase in fundal height ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.Fetal heart rate of 180 BPM ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.Braxton hicks contractions ||\\//|| ||\\//||
4.Quickening - correct answer✔✔2. The normal range of the fetal heart rate depends on
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gestational age. The heart rate is usually 160-170 BPM in the first trimester and slows with ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
fetal growth, near and at term, the fetal heart rate ranges from 120-160 BPM. The other
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
options are expected. ||\\//|| ||\\//||
A nurse is reviewing the record of a client who has just been told that a pregnancy test is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
positive. The physician has documented the presence of a Goodell's sign. The nurse ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determines this sign indicates: ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.A softening of the cervix ||\\//|| ||\\//|| ||\\//|| ||\\//||
2.A soft blowing sound that corresponds to the maternal pulse during auscultation of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
uterus.
||\\//|| 3.The presence of hCG in the urine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.The presence of fetal movement - correct answer✔✔1. In the early weeks of pregnancy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the cervix becomes softer as a result of increased vascularity and hyperplasia, which causes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the Goodell's sign ||\\//|| ||\\//||
A nursing instructor asks a nursing student who is preparing to assist with the assessment of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
a pregnant client to describe the process of quickening. Which of the following statements if
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
made by the student indicates an understanding of this term? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1."It is the irregular, painless contractions that occur throughout pregnancy."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2."It is the soft blowing sound that can be heard when the uterus is auscultated."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answers
A nursing instructor is conducting lecture and is reviewing the functions of the female
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the luteinizing hormone (LH). Mark accurately responds by stating that:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| A.FSH and LH are released from the anterior pituitary gland.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| B.FSH and LH are secreted by the corpus luteum of the ovary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| C.FSH and LH are secreted by the adrenal glands ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.FSH and LH stimulate the formation of milk during pregnancy. - correct answer✔✔A. FSH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
and LH, when stimulated by gonadotropin-releasing hormone from the hypothalamus, are
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
released from the anterior pituitary gland to stimulate follicular growth and development,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
growth of the graafian follicle, and production of progesterone. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is describing the process of fetal circulation to a client during a prenatal visit. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse accurately tells the client that fetal circulation consists of:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.Two umbilical veins and one umbilical artery ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.Two umbilical arteries and one umbilical vein ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.Arteries carrying oxygenated blood to the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.Veins carrying deoxygenated blood to the fetus - correct answer✔✔2. Blood pumped by
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the embryo's heart leaves the embryo through two umbilical arteries. Once oxygenated, the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
blood then is returned by one umbilical vein. Arteries carry deoxygenated blood and waste
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
products from the fetus, and veins carry oxygenated blood and provide oxygen and nutrients||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
to the fetus. ||\\//|| ||\\//||
During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determines that the fetal heart rate is normal if which of the following is noted? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.80 BPM ||\\//||
,||\\//|| 2.100 BPM ||\\//||
||\\//|| 3.150 BPM ||\\//||
4.180 BPM - correct answer✔✔.3. The fetal heart rate depends in gestational age and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ranges from 160-170 BPM in the first trimester but slows with fetal growth to 120-160 BPM
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
near or at term. At or near term, if the fetal heart rate is less than 120 or more than 160
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BPM with the uterus at rest, the fetus may be in distress.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
that the first day of her last menstrual period was September 19th, 2005. Using Nagele's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
rule, the nurse determines the estimated date of confinement as:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.July 26, 2006 ||\\//|| ||\\//||
||\\//|| 2.June 12, 2007 ||\\//|| ||\\//||
||\\//|| 3.June 26, 2006 ||\\//|| ||\\//||
4.July 12, 2007 - correct answer✔✔3. Accurate use of Nagele's rule requires that the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
woman have a regular 28-day menstrual cycle. Add 7 days to the first day of the last
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
menstrual period, subtract three months, and then add one year to that date. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
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 that was delivered at 37 weeks and tells the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse that she doesn't have any history of abortion or fetal demise. The nurse would
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
document the GTPAL for this client as: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.G = 3, T = 2, P = 0, A = 0, L =1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.G = 2, T = 0, P = 1, A = 0, L =1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.G = 1, T = 1. P = 1, A = 0, L = 1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.G = 2, T = 0, P = 0, A = 0, L = 1 - correct answer✔✔2. Pregnancy outcomes can be
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described with the acronym GTPAL. G is gravidity, the number of pregnancies. T is term ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
births, the number born at term (38-41 weeks). P is preterm births, the number born before
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38 weeks gestation. A is abortions or miscarriages (included in gravida if before 20 weeks
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gestation; included in parity if past 20 weeks gestation). L is live births, the number of live ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
births or living children. Therefore, a woman who is pregnant with twins and has a child has
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a gravida of 2. Because the child was delivered at 37 weeks, the number of preterm births is
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, ||\\//|| 1, and the number of term births is 0. The number of abortions is 0, and the number of live
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||\\//|| births is 1. ||\\//|| ||\\//||
A nurse is performing an assessment of a primapira who is being evaluated in a clinic during
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her second trimester of pregnancy. Which of the following indicates an abnormal physical
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finding necessitating further testing? ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.Consistent increase in fundal height ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 2.Fetal heart rate of 180 BPM ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 3.Braxton hicks contractions ||\\//|| ||\\//||
4.Quickening - correct answer✔✔2. The normal range of the fetal heart rate depends on
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gestational age. The heart rate is usually 160-170 BPM in the first trimester and slows with ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
fetal growth, near and at term, the fetal heart rate ranges from 120-160 BPM. The other
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options are expected. ||\\//|| ||\\//||
A nurse is reviewing the record of a client who has just been told that a pregnancy test is
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positive. The physician has documented the presence of a Goodell's sign. The nurse ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determines this sign indicates: ||\\//|| ||\\//|| ||\\//||
||\\//|| 1.A softening of the cervix ||\\//|| ||\\//|| ||\\//|| ||\\//||
2.A soft blowing sound that corresponds to the maternal pulse during auscultation of the
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uterus.
||\\//|| 3.The presence of hCG in the urine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4.The presence of fetal movement - correct answer✔✔1. In the early weeks of pregnancy
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the cervix becomes softer as a result of increased vascularity and hyperplasia, which causes
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the Goodell's sign ||\\//|| ||\\//||
A nursing instructor asks a nursing student who is preparing to assist with the assessment of
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a pregnant client to describe the process of quickening. Which of the following statements if
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made by the student indicates an understanding of this term? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
||\\//|| 1."It is the irregular, painless contractions that occur throughout pregnancy."
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||\\//|| 2."It is the soft blowing sound that can be heard when the uterus is auscultated."
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