Antepartum NCLEX Exam Test Questions with Answers Graded A+
The nurse is caring for a prenatal client who is at risk for
placental abruption. Which risk factor documented in the Maternal hypertension
client's record supports this risk factor?
The nurse working in a prenatal clinic reviews a client's
chart and notes that the primary health care provider 1. Round shape
documents that the client has a gynecoid pelvis. The nurse 4. Diagonal conjugate measures 12.5 cm to 13 cm
plans care understanding that which findings are charac- 5. Blunt, somewhat widely separated ischial spines
teristic of this type of pelvis? Select all that apply.
A nursing student is assigned to a client in labor. The
nursing instructor asks the student to describe fetal cir-
culation, specifically the ductus venosus. The instructor
Connects the umbilical vein to the inferior vena cava
determines that the student understands the structure of
the ductus venosus if the student states which about the
ductus venosus?
The nurse is collecting data from a client who is pregnant
with triplets. The client also has a 3-year-old child who was
Gravida II, para I
born at 39 weeks' gestation. The nurse should document
which gravida and para status on this client?
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
A softening of the cervix
presence of Goodell's sign. The nurse determines that
this sign is indicative of which change that occurs with
pregnancy?
A primipara is being evaluated in the clinic during her sec-
ond trimester of pregnancy. Which occurrence indicates
Fetal heart rate of 180 beats per minute
an abnormal physical finding that necessitates further
testing?
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 26cm
expect which finding?
1. Ballottement
The nurse is checking a client's record for probable signs
2. Chadwick's sign
of pregnancy. Which are the probable signs of pregnancy
3. Uterine enlargement
that the nurse should note? Select all that apply.
4. Braxton Hicks contractions
The nursing instructor asks a nursing student to describe
the process of quickening. Which statement indicates an "It is the fetal movement that is felt by the mother."
understanding of this term?
The client at 28 weeks' gestation is Rh negative and
Coombs antibody negative. The nurse determines that the "I will tell the nurse at the hospital that I had an Rh shot
client understands what the nurse has taught her about during pregnancy."
Rh sensitization when the client makes which statement?
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 Compression of the vena cava
pregnancy, the nurse determines that this is most likely a
result of which reason?
The perinatal client is admitted to the obstetrical unit dur-
ing an exacerbation of a heart condition. When planning
A diet that is high in fluids and fiber to decrease constipa-
for the nutritional requirements of the client, the nurse
tion
should consult with the dietitian to ensure which dietary
measure?
The nurse caring for a client with abruptio placentae is
monitoring the client for signs of disseminated intravas-
Petechiae, oozing from injection sites, and hematuria
cular coagulopathy (DIC). The nurse should suspect DIC if
which is observed?
, The client is in her second trimester of pregnancy. She
complains of frequent low back pain and ankle edema at Lie on the floor with the legs elevated onto a couch or
the end of the day. The nurse should recommend which padded chair, with the hips and knees at a right angle.
measure to help relieve both discomforts?
The nurse is reinforcing instructions to a pregnant client
regarding measures to prevent heartburn. The nurse Drink decatteinated cottee and tea.
should instruct the client to take which best measure?
The nurse is monitoring a pregnant client with gesta-
tional hypertension (GH) who is at risk for preeclamp- 1. Proteinuria
sia. The nurse should check the client for which signs of 2. Hypertension
preeclampsia? Select all that apply.
The nurse is assisting with caring for a client who has a
placenta previa. The nurse understands that a cervical ex-
Cause hemorrhage
amination should not be performed on the client primarily
because it could have which consequence?
The nurse is reviewing the health record of a pregnant
client at 16 weeks' gestation. The nurse should expect to
Midway between the symphysis pubis and the umbilicus
document that the fundus of the uterus is located at which
area?
A pregnant client in the second trimester of pregnancy is
admitted to the maternity unit with a suspected diagnosis
Abdominal pain
of abruptio placentae. Which finding should the nurse
expect to note if this condition is present?
A pregnant client in the third trimester of pregnancy with
a diagnosis of mild preeclampsia is being monitored at
home for progression of the disease process. The home
care nurse reinforces teaching the client about the signs Weight increases by more than 1 pound in a week.
that need to be reported to the primary health care
provider (PHCP) and tells the client to call the PHCP if
which occurs?
The nurse is caring for a prenatal client who is at risk for
placental abruption. Which risk factor documented in the Maternal hypertension
client's record supports this risk factor?
The nurse working in a prenatal clinic reviews a client's
chart and notes that the primary health care provider 1. Round shape
documents that the client has a gynecoid pelvis. The nurse 4. Diagonal conjugate measures 12.5 cm to 13 cm
plans care understanding that which findings are charac- 5. Blunt, somewhat widely separated ischial spines
teristic of this type of pelvis? Select all that apply.
A nursing student is assigned to a client in labor. The
nursing instructor asks the student to describe fetal cir-
culation, specifically the ductus venosus. The instructor
Connects the umbilical vein to the inferior vena cava
determines that the student understands the structure of
the ductus venosus if the student states which about the
ductus venosus?
The nurse is collecting data from a client who is pregnant
with triplets. The client also has a 3-year-old child who was
Gravida II, para I
born at 39 weeks' gestation. The nurse should document
which gravida and para status on this client?
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
A softening of the cervix
presence of Goodell's sign. The nurse determines that
this sign is indicative of which change that occurs with
pregnancy?
A primipara is being evaluated in the clinic during her sec-
ond trimester of pregnancy. Which occurrence indicates
Fetal heart rate of 180 beats per minute
an abnormal physical finding that necessitates further
testing?
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 26cm
expect which finding?
1. Ballottement
The nurse is checking a client's record for probable signs
2. Chadwick's sign
of pregnancy. Which are the probable signs of pregnancy
3. Uterine enlargement
that the nurse should note? Select all that apply.
4. Braxton Hicks contractions
The nursing instructor asks a nursing student to describe
the process of quickening. Which statement indicates an "It is the fetal movement that is felt by the mother."
understanding of this term?
The client at 28 weeks' gestation is Rh negative and
Coombs antibody negative. The nurse determines that the "I will tell the nurse at the hospital that I had an Rh shot
client understands what the nurse has taught her about during pregnancy."
Rh sensitization when the client makes which statement?
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 Compression of the vena cava
pregnancy, the nurse determines that this is most likely a
result of which reason?
The perinatal client is admitted to the obstetrical unit dur-
ing an exacerbation of a heart condition. When planning
A diet that is high in fluids and fiber to decrease constipa-
for the nutritional requirements of the client, the nurse
tion
should consult with the dietitian to ensure which dietary
measure?
The nurse caring for a client with abruptio placentae is
monitoring the client for signs of disseminated intravas-
Petechiae, oozing from injection sites, and hematuria
cular coagulopathy (DIC). The nurse should suspect DIC if
which is observed?
, The client is in her second trimester of pregnancy. She
complains of frequent low back pain and ankle edema at Lie on the floor with the legs elevated onto a couch or
the end of the day. The nurse should recommend which padded chair, with the hips and knees at a right angle.
measure to help relieve both discomforts?
The nurse is reinforcing instructions to a pregnant client
regarding measures to prevent heartburn. The nurse Drink decatteinated cottee and tea.
should instruct the client to take which best measure?
The nurse is monitoring a pregnant client with gesta-
tional hypertension (GH) who is at risk for preeclamp- 1. Proteinuria
sia. The nurse should check the client for which signs of 2. Hypertension
preeclampsia? Select all that apply.
The nurse is assisting with caring for a client who has a
placenta previa. The nurse understands that a cervical ex-
Cause hemorrhage
amination should not be performed on the client primarily
because it could have which consequence?
The nurse is reviewing the health record of a pregnant
client at 16 weeks' gestation. The nurse should expect to
Midway between the symphysis pubis and the umbilicus
document that the fundus of the uterus is located at which
area?
A pregnant client in the second trimester of pregnancy is
admitted to the maternity unit with a suspected diagnosis
Abdominal pain
of abruptio placentae. Which finding should the nurse
expect to note if this condition is present?
A pregnant client in the third trimester of pregnancy with
a diagnosis of mild preeclampsia is being monitored at
home for progression of the disease process. The home
care nurse reinforces teaching the client about the signs Weight increases by more than 1 pound in a week.
that need to be reported to the primary health care
provider (PHCP) and tells the client to call the PHCP if
which occurs?
