OB NCLEX QUESTIONS WITH CORRECT
ANSWERS NEW MODIFIED GRADED A+
LATEST EXAM WITH DETAILED
EXPLANATIONS
The nurse caring for the pregnant patient must understand that the hormone
essential for maintaining pregnancy is:
a. estrogen.
b. human chorionic gonadotropin (hCG).
c. oxytocin.
d. progesterone. --ANSWER--d. progesterone.
Progesterone is essential for maintaining pregnancy; it does so by relaxing
smooth muscles. This reduces uterine activity and prevents miscarriage.
Estrogen plays a vital role in pregnancy, but it is not the primary hormone for
maintaining pregnancy. hCG levels increase at implantation but decline after 60
to 70 days. Oxytocin stimulates uterine contractions.
Which finding in the urine analysis of a pregnant woman is considered a
variation of normal?
1|Page
,a. Proteinuria
b. Glycosuria
c. Bacteria in the urine
d. Ketones in the urine --ANSWER--b. Glycosuria
Small amounts of glucose may indicate "physiologic spilling." The presence of
protein could indicate kidney disease or preeclampsia. Urinary tract infections
are associated with bacteria in the urine. An increase in ketones indicates that
the patient is exercising too strenuously or has an inadequate fluid and food
intake.
The diagnosis of pregnancy is based on which positive signs of pregnancy?
Select all that apply.
a. Identification of fetal heartbeat
b. Palpation of fetal outline
c. Visualization of the fetus
d. Verification of fetal movement
e. Positive hCG test --ANSWER--a. Identification of fetal heartbeat
c. Visualization of the fetus
d. Verification of fetal movement
2|Page
, Identification of fetal heartbeat, visualization of the fetus, and verification of
fetal movement are all positive, objective signs of pregnancy. Palpation of fetal
outline and a positive hCG test are probable signs of pregnancy. A tumor also
can be palpated. Medication and tumors may lead to false-positive results on
pregnancy tests.
During pregnancy, many changes occur as a direct result of the presence of the
fetus. Which of these adaptations meet this criterion? Select all that apply.
a. Leukorrhea
b. Development of the operculum
c. Quickening
d. Ballottement
e. Lightening --ANSWER--c. Quickening
d. Ballottement
e. Lightening
Leukorrhea is a white or slightly gray vaginal discharge that develops in
response to cervical
stimulation by estrogen and progesterone. Quickening is the first recognition of
fetal
movements or "feeling life." Quickening is often described as a flutter and is
felt earlier in multiparous women than in primiparas. Lightening occurs when
the fetus begins to descend into the pelvis. This occurs 2 weeks before labor in
3|Page
ANSWERS NEW MODIFIED GRADED A+
LATEST EXAM WITH DETAILED
EXPLANATIONS
The nurse caring for the pregnant patient must understand that the hormone
essential for maintaining pregnancy is:
a. estrogen.
b. human chorionic gonadotropin (hCG).
c. oxytocin.
d. progesterone. --ANSWER--d. progesterone.
Progesterone is essential for maintaining pregnancy; it does so by relaxing
smooth muscles. This reduces uterine activity and prevents miscarriage.
Estrogen plays a vital role in pregnancy, but it is not the primary hormone for
maintaining pregnancy. hCG levels increase at implantation but decline after 60
to 70 days. Oxytocin stimulates uterine contractions.
Which finding in the urine analysis of a pregnant woman is considered a
variation of normal?
1|Page
,a. Proteinuria
b. Glycosuria
c. Bacteria in the urine
d. Ketones in the urine --ANSWER--b. Glycosuria
Small amounts of glucose may indicate "physiologic spilling." The presence of
protein could indicate kidney disease or preeclampsia. Urinary tract infections
are associated with bacteria in the urine. An increase in ketones indicates that
the patient is exercising too strenuously or has an inadequate fluid and food
intake.
The diagnosis of pregnancy is based on which positive signs of pregnancy?
Select all that apply.
a. Identification of fetal heartbeat
b. Palpation of fetal outline
c. Visualization of the fetus
d. Verification of fetal movement
e. Positive hCG test --ANSWER--a. Identification of fetal heartbeat
c. Visualization of the fetus
d. Verification of fetal movement
2|Page
, Identification of fetal heartbeat, visualization of the fetus, and verification of
fetal movement are all positive, objective signs of pregnancy. Palpation of fetal
outline and a positive hCG test are probable signs of pregnancy. A tumor also
can be palpated. Medication and tumors may lead to false-positive results on
pregnancy tests.
During pregnancy, many changes occur as a direct result of the presence of the
fetus. Which of these adaptations meet this criterion? Select all that apply.
a. Leukorrhea
b. Development of the operculum
c. Quickening
d. Ballottement
e. Lightening --ANSWER--c. Quickening
d. Ballottement
e. Lightening
Leukorrhea is a white or slightly gray vaginal discharge that develops in
response to cervical
stimulation by estrogen and progesterone. Quickening is the first recognition of
fetal
movements or "feeling life." Quickening is often described as a flutter and is
felt earlier in multiparous women than in primiparas. Lightening occurs when
the fetus begins to descend into the pelvis. This occurs 2 weeks before labor in
3|Page
