NCLEX QUESTIONS & ACTUAL
CORRECT ANSWERS PASSED 100%
UPDATED VERSION
Number of times a female has been pregnant, regardless of the outcome - Correct
Answer ✔✔ Gravida
Number of deliveries (not children), occurred after 20 weeks gestation - Correct Answer
✔✔ Para
-Multiple births count as one
-Pregnancy loss before 20 weeks counted as abortion but add 1 to gravidity
-Fetal demise after 20 weeks added to parity - Correct Answer ✔✔ Pregnancy
GTPAL? - Correct Answer ✔✔ Gravida
, Term(after 37 weeks)
, Preterm (before 37 weeks)
, Abortions (loss before 20 weeks)
, Living
Naegele's Rule - Correct Answer ✔✔ add 7 days to first day of LMP, subtract 3 months,
and add 1 year
______ weeks= fundus rises out of symphysis - Correct Answer ✔✔ 12-13 weeks
_____ weeks= fundus at umbilicus - Correct Answer ✔✔ 20 weeks
___________= fundal height (in centimeters) from the symphysis is equal to number of
weeks of gestation if this is a single pregnancy - Correct Answer ✔✔ 24-36 weeks
First trimester average total weight gain is to ____ kg
-Approximately ____ kg per week for a woman of normal weight during 2nd and 3rd
trimester. - Correct Answer ✔✔ 1-2 kg
0.5 kg
Occurs early in pregnancy, even with a planned pregnancy - Correct Answer ✔✔
Ambivalence
, Occurs with the woman's readiness for the experience. Prolonged nonacceptance is a
warning sign not directly related to nonacceptance of the child. - Correct Answer ✔✔
Acceptance
Rapid, unpredictable changes in mood - Correct Answer ✔✔ Emotional lability
Warning signs of Physical Maternal Changes? - Correct Answer ✔✔ 1. Abdominal
pain/cramping or pelvic pain
2. Decreased or absent fetal movement
3. Fever or chills
4. Urinary symptoms
5. Signs or symptoms of preterm labor
6. Signs of HTN disorders
Rh negative mother requires ____ post procedure for diagnostic tests - Correct Answer
✔✔ RhoGam
Client must have a full bladder - Correct Answer ✔✔ Ultrasound
Increased in heart rate (reactivity) expected in a healthy fetus with these? - Correct
Answer ✔✔ Nonstress test
_____ performed at 16 weeks to determine disorders; at 30 weeks to determine lung
maturity; bladder emptied if performed after 20 weeks gestation - Correct Answer ✔✔
Amniocentesis
A client who is at 36 weeks gestation is placed in the lithotomy position when she
suddenly complains of feeling breathless and light headed and shows marked pallor.
Which action should the nurse take first?
A. Turn to client to a lateral position
B. Place the client in Trendeleburg postion
C. Obtain VS and pulse ox reading
D. Initiate distraction techniques - Correct Answer ✔✔ A
Supine hypotension when uterus compresses the vena cava
-Pain in lower back radiating to the abdomen
-regular, rhythmic contractions
-Increased intensity with ambulation
-Progressive cervical dilation and effacement - Correct Answer ✔✔ True labor
-Discomfort localized to the abdomen
-No lower back pain
-Contractions often stop with ambulation or position change - Correct Answer ✔✔ False
labor