GRADED A+
1. A nursing instructor is conducting lecture and A. FSH and LH,
is reviewing the functions of the female re- when stimulated by go-
productive system. She asks Mark to describe nadotropin-releasing hor-
the follicle-stimulating hormone (FSH) and the mone from the hypo-
luteinizing hormone (LH). Mark accurately re- thalamus, are released
sponds by stating that: from the anterior pituitary
A.FSH and LH are released from the anterior gland to stimulate follic-
pituitary gland. ular growth and develop-
B.FSH and LH are secreted by the corpus lu- ment, growth of the graafi-
teum of the ovary an follicle, and production
C.FSH and LH are secreted by the adrenal of progesterone.
glands
D.FSH and LH stimulate the formation of milk
during pregnancy.
2. A nurse is describing the process of fetal cir- 2. Blood pumped by the
culation to a client during a prenatal visit. The embryo's heart leaves the
nurse accurately tells the client that fetal circu- embryo through two um-
lation consists of: bilical arteries. Once oxy-
1. Two umbilical veins and one umbilical artery genated, the blood then
2. Two umbilical arteries and one umbilical vein is returned by one um-
3. Arteries carrying oxygenated blood to the bilical vein. Arteries carry
fetus deoxygenated blood and
4. Veins carrying deoxygenated blood to the waste products from the
fetus fetus, and veins carry oxy-
genated blood and pro-
vide oxygen and nutrients
to the fetus.
3. During a prenatal visit at 38 weeks, a nurse .3. The fetal heart rate de-
assesses the fetal heart rate. The nurse deter- pends in gestational age
mines that the fetal heart rate is normal if which and ranges from 160-170
of the following is noted? BPM in the first trimester
1.80 BPM but slows with fetal growth
2.100 BPM to 120-160 BPM near or
3.150 BPM at term. At or near term, if
4.180 BPM the fetal heart rate is less
than 120 or more than
160 BPM with the uterus
,ANTEPARTUM NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
at rest, the fetus may be
in distress.
4. A client arrives at a prenatal clinic for the first 3. Accurate use of
prenatal assessment. The client tells a nurse Nagele's rule requires
that the first day of her last menstrual period that the woman have a
was September 19th, 2005. Using Nagele's rule, regular 28-day menstru-
the nurse determines the estimated date of con- al cycle. Add 7 days to
finement as: the first day of the last
1. July 26, 2006 menstrual period, sub-
2. June 12, 2007 tract three months, and
3. June 26, 2006 then add one year to that
4. July 12, 2007 date.
5. A nurse is collecting data during an admission 2. Pregnancy outcomes
assessment of a client who is pregnant with can be described with
twins. The client has a healthy 5-year old child the acronym GTPAL. G
that was delivered at 37 weeks and tells the is gravidity, the number
nurse that she doesn't have any history of abor- of pregnancies. T is term
tion or fetal demise. The nurse would document births, the number born at
the GTPAL for this client as: term (38-41 weeks). P is
1.G = 3, T = 2, P = 0, A = 0, L =1 preterm births, the num-
2.G = 2, T = 0, P = 1, A = 0, L =1 ber born before 38 weeks
3.G = 1, T = 1. P = 1, A = 0, L = 1 gestation. A is abortions
4.G = 2, T = 0, P = 0, A = 0, L = 1 or miscarriages (includ-
ed in gravida if before
20 weeks gestation; in-
cluded in parity if past
20 weeks gestation). L
is live births, the num-
ber of live births or liv-
ing children. Therefore, a
woman who is pregnant
with twins and has a child
has a gravida of 2. Be-
cause the child was de-
livered at 37 weeks, the
number of preterm births
is 1, and the number of
, ANTEPARTUM NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
term births is 0. The num-
ber of abortions is 0, and
the number of live births is
1.
6. A nurse is performing an assessment of a 2. The normal range of
primapira who is being evaluated in a clinic dur- the fetal heart rate de-
ing her second trimester of pregnancy. Which pends on gestational age.
of the following indicates an abnormal physical The heart rate is usually
finding necessitating further testing? 160-170 BPM in the first
1.Consistent increase in fundal height trimester and slows with
2. Fetal heart rate of 180 BPM fetal growth, near and
3. Braxton hicks contractions at term, the fetal heart
4.Quickening rate ranges from 120-160
BPM. The other options
are expected.
7. A nurse is reviewing the record of a client who 1. In the early weeks of
has just been told that a pregnancy test is pos- pregnancy the cervix be-
itive. The physician has documented the pres- comes softer as a result
ence of a Goodell's sign. The nurse determines of increased vascularity
this sign indicates: and hyperplasia, which
1.A softening of the cervix causes the Goodell's sign
2.A soft blowing sound that corresponds to
the maternal pulse during auscultation of the
uterus.
3. The presence of hCG in the urine
4. The presence of fetal movement
8. A nursing instructor asks a nursing student 3. Quickening is fetal
who is preparing to assist with the assessment movement and may oc-
of a pregnant client to describe the process of cur as early as the 16th
quickening. Which of the following statements and 18th week of gesta-
if made by the student indicates an understand- tion, and the mother first
ing of this term? notices subtle fetal move-
1. "It is the irregular, painless contractions that ments that gradually in-
occur throughout pregnancy." crease in intensity. Brax-
2. "It is the soft blowing sound that can be heard ton Hicks contractions are
when the uterus is auscultated." irregular, painless con-