Antepartum NCLEX questions and answers with correct solutions
2 views 0 purchase
Course
Antepartum NCLEX
Institution
Antepartum NCLEX
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 pitu...
antepartum nclex questions and answers with correct solutions
a nursing instructor is conducting lecture and is reviewing the functions of the female reproductive system she asks mark to describe the
Written for
Antepartum NCLEX
All documents for this subject (42)
Seller
Follow
EvaTee
Reviews received
Content preview
Antepartum NCLEX questions
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
C.FSH and LH are secreted by the adrenal glands
D.FSH and LH stimulate the formation of milk during pregnancy. - Answer A. 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 nurse is describing the process of fetal circulation to a client during a prenatal visit.
The nurse accurately tells the client that fetal circulation consists of:
1.Two umbilical veins and one umbilical artery
2.Two umbilical arteries and one umbilical vein
3.Arteries carrying oxygenated blood to the fetus
4.Veins carrying deoxygenated blood to the fetus - Answer 2. Blood pumped by the
embryo's heart leaves the embryo through two umbilical arteries. Once oxygenated, the
blood then is returned by one umbilical vein. Arteries carry deoxygenated blood and
waste products from the fetus, and veins carry oxygenated blood and provide oxygen
and nutrients to the fetus.
During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse
determines that the fetal heart rate is normal if which of the following is noted?
1.80 BPM
2.100 BPM
3.150 BPM
4.180 BPM - Answer .3. The fetal heart rate depends in gestational age and ranges
from 160-170 BPM in the first trimester but slows with fetal growth to 120-160 BPM near
or at term. At or near term, if the fetal heart rate is less than 120 or more than 160 BPM
with the uterus at rest, the fetus may be in distress.
A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a
nurse that the first day of her last menstrual period was September 19th, 2005. Using
Nagele's rule, the nurse determines the estimated date of confinement as:
1.July 26, 2006
2.June 12, 2007
3.June 26, 2006
4.July 12, 2007 - Answer 3. Accurate use of Nagele's rule requires that the woman
have a regular 28-day menstrual cycle. Add 7 days to the first day of the last menstrual
period, subtract three months, and then add one year to that date.
A nurse is collecting data during an admission assessment of a client who is pregnant
with twins. The client has a healthy 5-year old child that was delivered at 37 weeks and
tells the nurse that she doesn't have any history of abortion or fetal demise. The nurse
would document the GTPAL for this client as:
, Antepartum NCLEX questions
1.G = 3, T = 2, P = 0, A = 0, L =1
2.G = 2, T = 0, P = 1, A = 0, L =1
3.G = 1, T = 1. P = 1, A = 0, L = 1
4.G = 2, T = 0, P = 0, A = 0, L = 1 - Answer 2. Pregnancy outcomes can be described
with the acronym GTPAL. G is gravidity, the number of pregnancies. T is term births,
the number born at term (38-41 weeks). P is preterm births, the number born before 38
weeks gestation. A is abortions or miscarriages (included in gravida if before 20 weeks
gestation; included in parity if past 20 weeks gestation). L is live births, the number of
live births or living children. Therefore, a woman who is pregnant with twins and has a
child has a gravida of 2. Because the child was delivered at 37 weeks, the number of
preterm births is 1, and the number of term births is 0. The number of abortions is 0,
and the number of live births is 1.
A nurse is performing an assessment of a primapira who is being evaluated in a clinic
during her second trimester of pregnancy. Which of the following indicates an abnormal
physical finding necessitating further testing?
1.Consistent increase in fundal height
2.Fetal heart rate of 180 BPM
3.Braxton hicks contractions
4.Quickening - Answer 2. The normal range of the fetal heart rate depends on
gestational age. The heart rate is usually 160-170 BPM in the first trimester and slows
with fetal growth, near and at term, the fetal heart rate ranges from 120-160 BPM. The
other options are expected.
A nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. The physician has documented the presence of a Goodell's sign. The nurse
determines this sign indicates:
1.A softening of the cervix
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 - Answer 1. In the early weeks of pregnancy the
cervix becomes softer as a result of increased vascularity and hyperplasia, which
causes the Goodell's sign
A nursing instructor asks a nursing student who is preparing to assist with the
assessment of a pregnant client to describe the process of quickening. Which of the
following statements if made by the student indicates an understanding of this term?
1."It is the irregular, painless contractions that occur throughout pregnancy."
2."It is the soft blowing sound that can be heard when the uterus is auscultated."
3."It is the fetal movement that is felt by the mother."
4."It is the thinning of the lower uterine segment." - Answer 3. Quickening is fetal
movement and may occur as early as the 16th and 18th week of gestation, and the
mother first notices subtle fetal movements that gradually increase in intensity. Braxton
Hicks contractions are irregular, painless contractions that may occur throughout the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EvaTee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
