Answers NCLEX Exam 2022
1.) A patient tells you her last menstrual period was September 10th, 2014. According
to the Nagele's rule when is her expected due date?
June 17, 2015
June 10, 2015
May 17, 2015
June 10, 2014
Using the Nagele's rule to calculate an expected due date you would add 7 days to the
first day of the last menstrual period which would be September 17, 2014. Then subtract
3 months which would be June 17, 2014 and then add 1 year and this would make the
expected due date June 17, 2015.
2.) You are doing an assessment on a female patient. She tells you she gave birth to
twin girls at 39 weeks. You would chart the following regarding parity?
Primipara
Nullipara
Multipara
Gravida
This describes a primipara woman because she had one birth that occurred after 20
weeks gestation. Note parity is the number of births NOT the number of fetuses as with
twins in this situation. Multipara is a woman who has had two or more pregnancies
, resulting in a successful delivery, and nullipara is a woman who has not had a birth at
more than 20 weeks gestation.
3.) During an assessment of a pregnant patient (who is 20 weeks pregnant) she tells you
the following information regarding her pregnancy outcomes: She currently has 3
children (ages: 3, 8, 19), all of them were born at 39 and 40 weeks gestation, she has
been pregnant 5 times (including this pregnancy). How would you document her
GTPAL?
G: 5, T: 3, P: 0, A: 1, L: 3
G: 4, T: 3, P: 0, A: 0, L: 4
G: 4, T: 4, P: 0, A: 0, L: 3
G: 5, T: 3, P: 0, A: 1, L: 4
The answer is G: 5, T: 3, P: 0, A: 1, L: 3. G is the number of pregnancies including the
present one. T is the number of babies born after 37 weeks gestation. P is the number of
babies born before 37 weeks gestation. A is the number of abortions or miscarriages and
L is the number of current living children.
4.) Your patient who is 17 weeks pregnant describes to you she has been feeling the
baby move. Which terms describes this movement?
Quickening
Ballottement
Braxton Hick's contractions
None of the above because fetal movement isn't felt until 20 weeks
gestation