Antepartum NCLEX Study Questions With 100%
Complete Solutions.
A client is at 8 weeks gestation. Which of the following findings would the nurse
expect to see?
1. Multiple pillow orthopnea
2. Maternal ambivalence
3. Fundus at the umbilicus
4. Pedal and ankle edema
2. Maternal ambivalence
Ambivalence is a common finding of women during the first trimester
During a vaginal examination, the nurse palpates the back of a fetus' head 2 cm
below the mother's ischial spines and facing toward the right side of the mother's
back. Which of the following is consistent with this assessment?
1. ROA, -2 station
2. RSP, -2 station
3. RMA, +2 station
4. ROP, +2 station
4. ROP, +2 station
ROP = Right occipital posterior (the back of the baby's head is facing toward the
mother's right posterior), and +2 Station - the presenting part is 2 cm below the ischial
spines
Incorrect
ROA = Right occipital anterior (the back of the babay's head is facing toward the
mother's right anterior). -2 Station - the presenting part is 2 cm above the inschial spines
Incorrect
RSP = Risht sacral posterior (the buttocks of the baby are facing towards the mother's
right posterior). -2 Station - the presenting part is 2 cm above the ischial spines
Incorrect
RMA = Right mentum anterior (the face of the baby is facing toward the mother's right
anterior). +2 Station - presenting part is 2 cm below the ischial spines
The result of a pregnant woman's glucose challenge test is 145 mg/dL. Which of
the following information is appropriate for the nurse to give the client at this
time?
1. "You will need to inject insulin at least once a day for the rest of the
pregnancy"
2. "Daily oral medicines will be prescribed for you to take"
, 3. "You need to have a fasting glucose tolerance test as soon as possible"
4. "The results are within normal limits so no intervention is needed"
3. "You need to have a fasting glucose tolerance test as soon as possible"
While performing Leopold's maneuvers on a laboring woman, the nurse palpates
a flat area in the fundal region, a hard round mass on the left side, a soft round
mass on the right side, and small parts just above the symphysis. The nurse
concludes which of the following?
1. The fetal position is right occiput posterior
2. The fetal attitude is flexed
3. The fetal presentation is scapular
4. The fetal lie is vertical
3. The fetal presentation is scapular
This is a shoulder presentation
A gravid woman and her husband inform the nurse that they have purchased a
three-story home that was built in the 1930's. It is critical that the nurse counsel
the couple that before moving into the home they do which of the following?
1. Remove all old carpeting
2. Check the water for heavy metals
3. Replace ll copper pipes
4. Monitor the bathrooms for signs of mildew
2. Check the water for heavy metals
The water should be checked for lead. Lead consumption by the woman during
pregnancy and/or by the baby can result in permanent central nervous system damage
in the child
A nurse is working in the prenatal clinic. Which of the following findings would
the nurse consider to be within normal limits for a client in the third trimester of
pregnancy?
1. Diplopia
2. Epistaxis
3. Bradycardia
4. Oliguria
2. Epistaxis
Epistaxis is commonly seen in pregnant clients. The bleeding is related to the increased
vascularity of the mucous membranes. Unless the blood loss is significant, it is a normal
finding.
A gravida G4 P1203, fetal heart rate 142, is 13 weeks pregnant, fundal height 1 cm
above the symphysis. She denies experiencing quickening. Which of the
following nursing conclusions made by the nurse is correct?
1. The woman is experiencing a normal pregnancy
Complete Solutions.
A client is at 8 weeks gestation. Which of the following findings would the nurse
expect to see?
1. Multiple pillow orthopnea
2. Maternal ambivalence
3. Fundus at the umbilicus
4. Pedal and ankle edema
2. Maternal ambivalence
Ambivalence is a common finding of women during the first trimester
During a vaginal examination, the nurse palpates the back of a fetus' head 2 cm
below the mother's ischial spines and facing toward the right side of the mother's
back. Which of the following is consistent with this assessment?
1. ROA, -2 station
2. RSP, -2 station
3. RMA, +2 station
4. ROP, +2 station
4. ROP, +2 station
ROP = Right occipital posterior (the back of the baby's head is facing toward the
mother's right posterior), and +2 Station - the presenting part is 2 cm below the ischial
spines
Incorrect
ROA = Right occipital anterior (the back of the babay's head is facing toward the
mother's right anterior). -2 Station - the presenting part is 2 cm above the inschial spines
Incorrect
RSP = Risht sacral posterior (the buttocks of the baby are facing towards the mother's
right posterior). -2 Station - the presenting part is 2 cm above the ischial spines
Incorrect
RMA = Right mentum anterior (the face of the baby is facing toward the mother's right
anterior). +2 Station - presenting part is 2 cm below the ischial spines
The result of a pregnant woman's glucose challenge test is 145 mg/dL. Which of
the following information is appropriate for the nurse to give the client at this
time?
1. "You will need to inject insulin at least once a day for the rest of the
pregnancy"
2. "Daily oral medicines will be prescribed for you to take"
, 3. "You need to have a fasting glucose tolerance test as soon as possible"
4. "The results are within normal limits so no intervention is needed"
3. "You need to have a fasting glucose tolerance test as soon as possible"
While performing Leopold's maneuvers on a laboring woman, the nurse palpates
a flat area in the fundal region, a hard round mass on the left side, a soft round
mass on the right side, and small parts just above the symphysis. The nurse
concludes which of the following?
1. The fetal position is right occiput posterior
2. The fetal attitude is flexed
3. The fetal presentation is scapular
4. The fetal lie is vertical
3. The fetal presentation is scapular
This is a shoulder presentation
A gravid woman and her husband inform the nurse that they have purchased a
three-story home that was built in the 1930's. It is critical that the nurse counsel
the couple that before moving into the home they do which of the following?
1. Remove all old carpeting
2. Check the water for heavy metals
3. Replace ll copper pipes
4. Monitor the bathrooms for signs of mildew
2. Check the water for heavy metals
The water should be checked for lead. Lead consumption by the woman during
pregnancy and/or by the baby can result in permanent central nervous system damage
in the child
A nurse is working in the prenatal clinic. Which of the following findings would
the nurse consider to be within normal limits for a client in the third trimester of
pregnancy?
1. Diplopia
2. Epistaxis
3. Bradycardia
4. Oliguria
2. Epistaxis
Epistaxis is commonly seen in pregnant clients. The bleeding is related to the increased
vascularity of the mucous membranes. Unless the blood loss is significant, it is a normal
finding.
A gravida G4 P1203, fetal heart rate 142, is 13 weeks pregnant, fundal height 1 cm
above the symphysis. She denies experiencing quickening. Which of the
following nursing conclusions made by the nurse is correct?
1. The woman is experiencing a normal pregnancy
