NCLEX Practice Quiz On Obstetrical Nursing

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  • 1/12 Questions

    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:

    • Ladin’s sign
    • Hegar’s sign
    • Goodell’s sign
    • Chadwick’s sign
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About This Quiz

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.

NCLEX Practice Quiz On Obstetrical Nursing - Quiz

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  • 2. 

    The pituitary hormone that stimulates the secretion of milk from the mammary glands is:

    • Prolactin

    • Oxytocin

    • Estrogen

    • Progesterone

    Correct Answer
    A. Prolactin
    Explanation
    Prolactin is a hormone produced by the pituitary gland that stimulates milk production in the mammary glands. It plays a crucial role in lactation, enabling mothers to breastfeed their infants. Oxytocin, also produced by the pituitary gland, stimulates the release of milk from the mammary glands during breastfeeding.

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  • 3. 

    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:

    • Metabolic rates

    • Production of estrogen

    • Functioning of the Bartholin glands

    • Supply of sodium chloride to the cells of the vagina

    Correct Answer
    A. Production of estrogen
    Explanation
    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.

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  • 4. 

    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:

    • Acute hemolytic disease

    • Respiratory distress syndrome

    • Protein metabolic deficiency

    • Physiologic hyperbilirubinemia

    Correct Answer
    A. Acute hemolytic disease
    Explanation
    When an Rh negative mother carries an Rh positive fetus there is a risk for maternal antibodies against Rh-positive blood

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  • 5. 

    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:

    • Kidney defects

    • Cardiac defects

    • Neural tube defects

    • Urinary tract defects

    Correct Answer
    A. Neural tube defects
    Explanation
    The alpha-fetoprotein test detects neural tube defects and Down syndrome.

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  • 6. 

    An expected cardiopulmonary adaptation experienced by most pregnant women is:

    • Tachycardia

    • Dyspnea at rest

    • Progression of dependent edema

    • Shortness of breath on exertion

    Correct Answer
    A. Shortness of breath on exertion
    Explanation
    This is an expected cardiopulmonary adaptation during pregnancy

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  • 7. 

    Nutritional planning for a newly pregnant woman of average height and weighing 145 pounds should include:

    • A decrease of 200 calories a day

    • An increase of 300 calories a day

    • An increase of 500 calories a day

    • A maintenance of her present caloric intake per day

    Correct Answer
    A. An increase of 300 calories a day
    Explanation
    This is the recommended caloric increase for adult women to meet the increased metabolic demands of pregnancy.

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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:

    • Lie down until they stop

    • Walk around until they subside

    • Time contraction for 30 minutes

    • Take 10 grains of aspirin for the discomfort

    Correct Answer
    A. Walk around until they subside
    Explanation
    Ambulation relieves Braxton Hicks.

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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:

    • Unduly prolong labor

    • Cause decreased placental perfusion

    • Lead to transient episodes of hypotension

    • Interfere with free movement of the coccyx

    Correct Answer
    A. Cause decreased placental perfusion
    Explanation
    This is because the impedance of venous return by the gravid uterus. which causes hypotension and decreased systemic perfusion.

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  • 10. 

    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:

    • G4 T3 P2 A1 L4

    • G5 T2 P1 A1 L4

    • G4 T3 P1 A1 L4

    • G5 T2 P2 A1 L4 

    Correct Answer
    A. G4 T3 P1 A1 L4
    Explanation
    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)

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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?

    • Multipara

    • Gravida

    • Primipara

    • Nullipara

    Correct Answer
    A. Primipara
    Explanation
    Primipara is the correct answer.

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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?

    • Endometriosis

    • Endometritis

    • ​​​​Pelvic thrombophlebitis

    • Salpingitis

    Correct Answer
    A. Endometritis
    Explanation
    Endometritis would be the main concerned thing for the patient.

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  • Current Version
  • Jan 15, 2025
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 08, 2017
    Quiz Created by
    Santepro
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