NCLEX-PN PRENATAL PRACTICE QUESTIONS
WITH CORRECT DETAILED ANSWERS
LATEST UPDATE
The nurse assesses that which maternal condition in the third trimester would be
a contraindication for conducting a contraction stress test? SATA
a. Intrauterine growth restriction
b. Diabetes mellitus
c. Pregnancy at 42 weeks' gestation
d. Marginal abruptio placentae
e. Third trimester bleeding --CORRECT ANSWER--D, E
Rationale: Intrauterine growth restriciton, diabetes mellitus, and post-term (42
weeks) pregnancy are all indications for completing a contraction stress test.
Contraindications elicited during the test could cause increased bleeding if an
abruption is present or if there is already bleeding in the third trimester.
A primigravida is hospitalized at 32 weeks' gestation after a second hemorrhage
from a complete placenta previa. The client appears subdued and sad after
learning she will remain hospitalized until delivery. She says she is worried
about her husband, who will be at home alone much of the time. The nurse
interprets the client's response as indicating which psychological state?
A. Anxiety
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,B. Denial
C. Immaturity
D. Ineffective coping --CORRECT ANSWER--A
Rationale: The client has stated that she is worried, which creates anxiety. The
information presented does not represent denial or immaturity. There is not
enough data to to determine whether the client's coping is effective at this time
The nurse reviews the clients chart for results of which diagnostic test that will
best indicate a diagnosis of crythroblastosis fetalis?
a. Amniocentesis
b. Biophysical profile
c. Indirect Coombs' test
d. Percutaneous umbilical blood sampling --CORRECT ANSWER--D
Rationale: Percutaneous umbilical blood sampling (PUBS) obtains an actual
sample of fetal blood for analysis. Amniocentesis , biophysical profile, and
indirect Coomb's test provide information about fetal well-being,but do not
directly sample the fetal erythrocytes
The nurse is caring for a client with a concealed abruption placentae prepares to
assess the client for which complications a priority after delivery?
a. Retained placental fragments
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, b. Urinary tract infection
c. Uterine atony
d. Vaginal hematoma --CORRECT ANSWER--C
Rationale: A concealed abruption could result in a Couvelaire uterus, which
doesn't contract effectively after delivery, leading to uterine atony. Retained
placental fragments, vaginal hematoma, or urinary tract infection could occur in
any client.
A pregnant client with class II heart disease progressed through pregnancy
without complications and is admitted to the hospital in active labor. Soon after
admission, the client reports shortness of breath and the nurse auscultates lung
crackles. The nurse anticipates administering which medication based on client's
history? SATA
a. Penicililn (generic)
b. Metoprolol (Lopressor)
c. Furosemide (Lasix)
d. Digoxin (Lanosin)
e. Procainamide (Proestyl) --CORRECT ANSWER--A, C, D
Rationale: Prophylatctic antibiotics such as peicillin are given during labor to
prevent bacterial endocarditis. A cardiac glycoside such as digoxin and diuretic
such as furosemide may help counteract the new signs of decreased cardiac
output (crackles and shortness of breath). An antihypertensive such as
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WITH CORRECT DETAILED ANSWERS
LATEST UPDATE
The nurse assesses that which maternal condition in the third trimester would be
a contraindication for conducting a contraction stress test? SATA
a. Intrauterine growth restriction
b. Diabetes mellitus
c. Pregnancy at 42 weeks' gestation
d. Marginal abruptio placentae
e. Third trimester bleeding --CORRECT ANSWER--D, E
Rationale: Intrauterine growth restriciton, diabetes mellitus, and post-term (42
weeks) pregnancy are all indications for completing a contraction stress test.
Contraindications elicited during the test could cause increased bleeding if an
abruption is present or if there is already bleeding in the third trimester.
A primigravida is hospitalized at 32 weeks' gestation after a second hemorrhage
from a complete placenta previa. The client appears subdued and sad after
learning she will remain hospitalized until delivery. She says she is worried
about her husband, who will be at home alone much of the time. The nurse
interprets the client's response as indicating which psychological state?
A. Anxiety
Page 1 of 16
,B. Denial
C. Immaturity
D. Ineffective coping --CORRECT ANSWER--A
Rationale: The client has stated that she is worried, which creates anxiety. The
information presented does not represent denial or immaturity. There is not
enough data to to determine whether the client's coping is effective at this time
The nurse reviews the clients chart for results of which diagnostic test that will
best indicate a diagnosis of crythroblastosis fetalis?
a. Amniocentesis
b. Biophysical profile
c. Indirect Coombs' test
d. Percutaneous umbilical blood sampling --CORRECT ANSWER--D
Rationale: Percutaneous umbilical blood sampling (PUBS) obtains an actual
sample of fetal blood for analysis. Amniocentesis , biophysical profile, and
indirect Coomb's test provide information about fetal well-being,but do not
directly sample the fetal erythrocytes
The nurse is caring for a client with a concealed abruption placentae prepares to
assess the client for which complications a priority after delivery?
a. Retained placental fragments
Page 2 of 16
, b. Urinary tract infection
c. Uterine atony
d. Vaginal hematoma --CORRECT ANSWER--C
Rationale: A concealed abruption could result in a Couvelaire uterus, which
doesn't contract effectively after delivery, leading to uterine atony. Retained
placental fragments, vaginal hematoma, or urinary tract infection could occur in
any client.
A pregnant client with class II heart disease progressed through pregnancy
without complications and is admitted to the hospital in active labor. Soon after
admission, the client reports shortness of breath and the nurse auscultates lung
crackles. The nurse anticipates administering which medication based on client's
history? SATA
a. Penicililn (generic)
b. Metoprolol (Lopressor)
c. Furosemide (Lasix)
d. Digoxin (Lanosin)
e. Procainamide (Proestyl) --CORRECT ANSWER--A, C, D
Rationale: Prophylatctic antibiotics such as peicillin are given during labor to
prevent bacterial endocarditis. A cardiac glycoside such as digoxin and diuretic
such as furosemide may help counteract the new signs of decreased cardiac
output (crackles and shortness of breath). An antihypertensive such as
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