NCLEX Practice Quiz On Obstetrical Nursing
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Are you into obstetrical nursing? Play this NCLEX practice quiz on obstetrical nursing to check your understanding of maternal and child health nursing. Obstetrical nursing, also called perinatal nursing, is a specialization that deals with patients who are trying to become pregnant (are pregnant) or have given birth to the young one recently. If you are practicing hard to become a professional obstetric nurse, the quiz below is helpful. Take it up and improve your practice level with us.
- 1.
The nurse is aware than an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa. which is known as:
- A.
Ladin’s sign
- B.
Hegar’s sign
- C.
Goodell’s sign
- D.
Chadwick’s sign
Correct Answer
D. Chadwick’s signExplanation
A purplish color results from the increased vascularity and blood vessel engorgement of the vagina.Rate this question:
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- 2.
A pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks. a 5 year old daughter born at 38 weeks. and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format. the nurse should identify that the client is:
- A.
G4 T3 P2 A1 L4
- B.
G5 T2 P1 A1 L4
- C.
G4 T3 P1 A1 L4
- D.
G5 T2 P2 A1 L4
Correct Answer
C. G4 T3 P1 A1 L4Explanation
In the GTPAL format:G (Gravida) represents the total number of pregnancies, including the current one.T (Term) represents the number of pregnancies carried to term (delivered at 37 weeks gestation or later).P (Preterm) represents the number of pregnancies delivered before 37 weeks gestation.A (Abortions) represents the number of pregnancies that ended before 20 weeks gestation (excluding the current pregnancy, if applicable).L (Living) represents the number of living children.When counting pregnancies for the GTPAL format, each pregnancy, including twins or multiple gestations, counts as one under the "G" category. Therefore, the client's history includes:4 total pregnancies (Gravida)3 pregnancies carried to term (Term)1 preterm pregnancy (Preterm)1 spontaneous abortion (Abortions)4 living children (Living)Rate this question:
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- 3.
An expected cardiopulmonary adaptation experienced by most pregnant women is:
- A.
Tachycardia
- B.
Dyspnea at rest
- C.
Progression of dependent edema
- D.
Shortness of breath on exertion
Correct Answer
D. Shortness of breath on exertionExplanation
This is an expected cardiopulmonary adaptation during pregnancyRate this question:
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- 4.
Nutritional planning for a newly pregnant woman of average height and weighing 145 pounds should include:
- A.
A decrease of 200 calories a day
- B.
An increase of 300 calories a day
- C.
An increase of 500 calories a day
- D.
A maintenance of her present caloric intake per day
Correct Answer
B. An increase of 300 calories a dayExplanation
This is the recommended caloric increase for adult women to meet the increased metabolic demands of pregnancy.Rate this question:
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- 5.
During a prenatal examination. the nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk for:
- A.
Acute hemolytic disease
- B.
Respiratory distress syndrome
- C.
Protein metabolic deficiency
- D.
Physiologic hyperbilirubinemia
Correct Answer
A. Acute hemolytic diseaseExplanation
When an Rh negative mother carries an Rh positive fetus there is a risk for maternal antibodies against Rh-positive bloodRate this question:
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- 6.
When involved in prenatal teaching. the nurse should advise the clients that an increase in vaginal secretions during pregnancy is called leukorrhea and is caused by increased:
- A.
Metabolic rates
- B.
Production of estrogen
- C.
Functioning of the Bartholin glands
- D.
Supply of sodium chloride to the cells of the vagina
Correct Answer
B. Production of estrogenExplanation
The increase of estrogen during pregnancy causes hyperplasia of the vaginal mucosa. which leads to increased production of mucus by the endocervical glands. The mucus contains exfoliated epithelial cells.Rate this question:
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- 7.
A 26-year old multigravida is 14 weeks’ pregnant and is scheduled for an alpha-fetoprotein test. She asks the nurse. “What does the alpha-fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect:
- A.
Kidney defects
- B.
Cardiac defects
- C.
Neural tube defects
- D.
Urinary tract defects
Correct Answer
C. Neural tube defectsExplanation
The alpha-fetoprotein test detects neural tube defects and Down syndrome.Rate this question:
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- 8.
At a prenatal visit at 36 weeks’ gestation. a client complains of discomfort with irregularly occurring contractions. The nurse instructs the client to:
- A.
Lie down until they stop
- B.
Walk around until they subside
- C.
Time contraction for 30 minutes
- D.
Take 10 grains of aspirin for the discomfort
Correct Answer
B. Walk around until they subsideExplanation
Ambulation relieves Braxton Hicks.Rate this question:
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- 9.
The nurse teaches a pregnant woman to avoid lying on her back. The nurse has based this statement on the knowledge that the supine position can:
- A.
Unduly prolong labor
- B.
Cause decreased placental perfusion
- C.
Lead to transient episodes of hypotension
- D.
Interfere with free movement of the coccyx
Correct Answer
B. Cause decreased placental perfusionExplanation
This is because the impedance of venous return by the gravid uterus. which causes hypotension and decreased systemic perfusion.Rate this question:
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- 10.
The pituitary hormone that stimulates the secretion of milk from the mammary glands is:
- A.
Prolactin
- B.
Oxytocin
- C.
Estrogen
- D.
Progesterone
Correct Answer
A. ProlactinExplanation
Prolactin is the hormone from the anterior pituitary gland that stimulates mammary gland secretion. Oxytocin. a posterior pituitary hormone. stimulates the uterine musculature to contract and causes the “let down” reflex.Rate this question:
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- 11.
You are assessing a female patient. She says that she gave birth to twin girls at 39 weeks. You would chart the following regarding parity?
- A.
Multipara
- B.
Gravida
- C.
Primipara
- D.
Nullipara
Correct Answer
C. PrimiparaExplanation
Primipara is the correct answer.Rate this question:
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- 12.
What would the nurse be alert for if a postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours?
- A.
Endometriosis
- B.
Endometritis
- C.
Pelvic thrombophlebitis
- D.
Salpingitis
Correct Answer
B. EndometritisExplanation
Endometritis would be the main concerned thing for the patient.Rate this question:
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Current Version
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Jan 22, 2024Quiz Edited by
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Sep 08, 2017Quiz Created by
Santepro
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