NCLEX Practice Quiz On Obstetrical Nursing

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NCLEX Practice Quiz On Obstetrical Nursing - 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.

Questions and Answers

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 sign

Explanation
A purplish color results from the increased vascularity and blood vessel engorgement of the vagina.

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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 P2 A1 L4
- C.
  
  G5 T2 P1 A1 L4
- D.
  
  G4 T3 P1 A1 L4
Correct Answer
C. G5 T2 P1 A1 L4

Explanation
5 pregnancies; one abortion; 4 living children.

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2
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 exertion

Explanation
This is an expected cardiopulmonary adaptation during pregnancy

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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 day

Explanation
This is the recommended caloric increase for adult women to meet the increased metabolic demands of pregnancy.

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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 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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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 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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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 defects

Explanation
The alpha-fetoprotein test detects neural tube defects and Down syndrome.

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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 subside

Explanation
Ambulation relieves Braxton Hicks.

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1
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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 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.

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. Prolactin

Explanation
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.

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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. 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?
- A.
  
  Endometriosis
- B.
  
  Endometritis
- C.
  
  Pelvic thrombophlebitis
- D.
  
  Salpingitis
Correct Answer
B. Endometritis

Explanation
Endometritis would be the main concerned thing for the patient.

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NCLEX Practice Quiz On Obstetrical Nursing

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:

An expected cardiopulmonary adaptation experienced by most pregnant women is:

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

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:

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 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:

At a prenatal visit at 36 weeks’ gestation. a client complains of discomfort with irregularly occurring contractions. The nurse instructs the client to:

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:

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

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?

What would the nurse be alert for if a postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours?