OB NCLEX Style Practice Exam
Questions with Verified Answers
The doctor suspects that the client has an ectopic pregnancy.
Which symptom is consistent with a diagnosis of ectopic
pregnancy?
a. Painless vaginal bleeding
b. Abdominal cramping
c. Throbbing pain in the upper quadrant
d. Sudden, stabbing pain in the lower quadrant -
correct answer ✅Answer D is correct. The signs of an ectopic
pregnancy are vague until the fallopian tube ruptures. The client
will complain of sudden, stabbing pain in the lower quadrant that
radiates down the leg or up into the chest. Painless vaginal bleeding
is a sign of placenta previa, abdominal cramping is a sign of labor,
and throbbing pain in the upper quadrant is not a sign of an ectopic
pregnancy, making answers A, B, and C incorrect.
A client telephones the emergency room stating that she thinks
that she is in labor. The nurse should tell the client that labor has
probably begun when:
a. Her contractions are 2 minutes apart.
b. She has back pain and a bloody discharge.
,OB NCLEX Style Practice Exam
Questions with Verified Answers
c. She experiences abdominal pain and frequent urination.
d. Her contractions are 5 minutes apart. -
correct answer ✅Answer D is correct.
The client should be advised to come to the labor and delivery unit
when the contractions are every 5 minutes and consistent. She
should also be told to report to the hospital if she experiences
rupture of membranes or extreme bleeding. She should not wait
until the contractions are every 2 minutes or until she has bloody
discharge, so answers A and B are incorrect. Answer C is a vague
answer and can be related to a urinary tract infection
Which of the following instructions should be included in the
nurse's teaching regarding oral contraceptives?
a. Weight gain should be reported to the physician.
b. An alternate method of birth control is needed when taking
antibiotics.
c. If the client misses one or more pills, two pills should be taken
per day for 1 week.
,OB NCLEX Style Practice Exam
Questions with Verified Answers
d. Changes in the menstrual flow should be reported to the
physician. -
correct answer ✅Answer B is correct.
When the client is taking oral contraceptives and begins antibiotics,
another method of birth control should be used. Antibiotics
decrease the effectiveness of oral contraceptives. Approximately 5-
10 pounds of weight gain is not unusual, so answer A is incorrect. If
the client misses a birth control pill, she should be instructed to
take the pill as soon as she remembers the pill. Answer C is
incorrect. If she misses two, she should take two; if she misses
more than two, she should take the missed pills but use another
method of birth control for the remainder of the cycle. Answer D is
incorrect because changes in menstrual flow are expected in clients
using oral contraceptives. Often these clients have lighter menses.
A nursing instructor is conducting lecture and is reviewing the
functions of the female reproductive system. She asks Mark to
describe the follicle-stimulating hormone (FSH) and the luteinizing
hormone (LH). Mark accurately responds by stating that:
a. FSH and LH are released from the anterior pituitary gland.
b. FSH and LH are secreted by the corpus luteum of the ovary
, OB NCLEX Style Practice Exam
Questions with Verified Answers
c. FSH and LH are secreted by the adrenal glands
d. FSH and LH stimulate the formation of milk during pregnancy. -
correct answer ✅a. FSH and LH are released from the anterior
pituitary gland.
FSH and LH, when stimulated by gonadotropin-releasing hormone
from the hypothalamus, are released from the anterior pituitary
gland to stimulate follicular growth and development, growth of
the graafian follicle, and production of progesterone.
A woman who's 36 weeks pregnant comes into the labor & delivery
unit with mild contracts. Which of the following complications
should the nurse watch out for when the client informs her that she
has placenta prevue?
a. sudden rupture of membranes
b. vaginal bleeding
c. emesis
d. fever -
correct answer ✅b. vaginal bleeding
Questions with Verified Answers
The doctor suspects that the client has an ectopic pregnancy.
Which symptom is consistent with a diagnosis of ectopic
pregnancy?
a. Painless vaginal bleeding
b. Abdominal cramping
c. Throbbing pain in the upper quadrant
d. Sudden, stabbing pain in the lower quadrant -
correct answer ✅Answer D is correct. The signs of an ectopic
pregnancy are vague until the fallopian tube ruptures. The client
will complain of sudden, stabbing pain in the lower quadrant that
radiates down the leg or up into the chest. Painless vaginal bleeding
is a sign of placenta previa, abdominal cramping is a sign of labor,
and throbbing pain in the upper quadrant is not a sign of an ectopic
pregnancy, making answers A, B, and C incorrect.
A client telephones the emergency room stating that she thinks
that she is in labor. The nurse should tell the client that labor has
probably begun when:
a. Her contractions are 2 minutes apart.
b. She has back pain and a bloody discharge.
,OB NCLEX Style Practice Exam
Questions with Verified Answers
c. She experiences abdominal pain and frequent urination.
d. Her contractions are 5 minutes apart. -
correct answer ✅Answer D is correct.
The client should be advised to come to the labor and delivery unit
when the contractions are every 5 minutes and consistent. She
should also be told to report to the hospital if she experiences
rupture of membranes or extreme bleeding. She should not wait
until the contractions are every 2 minutes or until she has bloody
discharge, so answers A and B are incorrect. Answer C is a vague
answer and can be related to a urinary tract infection
Which of the following instructions should be included in the
nurse's teaching regarding oral contraceptives?
a. Weight gain should be reported to the physician.
b. An alternate method of birth control is needed when taking
antibiotics.
c. If the client misses one or more pills, two pills should be taken
per day for 1 week.
,OB NCLEX Style Practice Exam
Questions with Verified Answers
d. Changes in the menstrual flow should be reported to the
physician. -
correct answer ✅Answer B is correct.
When the client is taking oral contraceptives and begins antibiotics,
another method of birth control should be used. Antibiotics
decrease the effectiveness of oral contraceptives. Approximately 5-
10 pounds of weight gain is not unusual, so answer A is incorrect. If
the client misses a birth control pill, she should be instructed to
take the pill as soon as she remembers the pill. Answer C is
incorrect. If she misses two, she should take two; if she misses
more than two, she should take the missed pills but use another
method of birth control for the remainder of the cycle. Answer D is
incorrect because changes in menstrual flow are expected in clients
using oral contraceptives. Often these clients have lighter menses.
A nursing instructor is conducting lecture and is reviewing the
functions of the female reproductive system. She asks Mark to
describe the follicle-stimulating hormone (FSH) and the luteinizing
hormone (LH). Mark accurately responds by stating that:
a. FSH and LH are released from the anterior pituitary gland.
b. FSH and LH are secreted by the corpus luteum of the ovary
, OB NCLEX Style Practice Exam
Questions with Verified Answers
c. FSH and LH are secreted by the adrenal glands
d. FSH and LH stimulate the formation of milk during pregnancy. -
correct answer ✅a. FSH and LH are released from the anterior
pituitary gland.
FSH and LH, when stimulated by gonadotropin-releasing hormone
from the hypothalamus, are released from the anterior pituitary
gland to stimulate follicular growth and development, growth of
the graafian follicle, and production of progesterone.
A woman who's 36 weeks pregnant comes into the labor & delivery
unit with mild contracts. Which of the following complications
should the nurse watch out for when the client informs her that she
has placenta prevue?
a. sudden rupture of membranes
b. vaginal bleeding
c. emesis
d. fever -
correct answer ✅b. vaginal bleeding
