Obstetrical Nursing – Antepartum – NCLEX Quiz 5

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Quizzes Created: 468 | Total Attempts: 2,476,467

Questions: 10 | Attempts: 3,407 | Updated: Aug 22, 2023

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Obstetrical Nursing Antepartum NCLEX Quiz 5 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

Which of the following symptoms occurs with a hydatidiform mole?
- A.
  
  Heavy. bright red bleeding every 21 days
- B.
  
  Fetal cardiac motion after 6 weeks gestation
- C.
  
  Benign tumors found in the smooth muscle of the uterus
- D.
  
  “Snowstorm” pattern on ultrasound with no fetus or gestational sac
Correct Answer
D. “Snowstorm” pattern on ultrasound with no fetus or gestational sac

Explanation
The chorionic villi of a molar pregnancy resemble a snowstorm pattern on ultrasound. Bleeding with a hydatidiform mole is often dark brown and may occur erratically for weeks or months.

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2.

Which of the following terms applies to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?
- A.
  
  Epulis
- B.
  
  Linea nigra
- C.
  
  Striae gravidarum
- D.
  
  Telangiectasias
Correct Answer
D. Telangiectasias

Explanation
The dilated arterioles that occur during pregnancy are due to the elevated level of circulating estrogen. The linea nigra is a pigmented line extending from the symphysis pubis to the top of the fundus during pregnancy.

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3.

Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?
- A.
  
  Mastitis
- B.
  
  Metabolic alkalosis
- C.
  
  Physiologic anemia
- D.
  
  Respiratory acidosis
Correct Answer
C. Physiologic anemia

Explanation
Hemoglobin and hematocrit levels decrease during pregnancy as the increase in plasma volume exceeds the increase in red blood cell production.

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4.

A 21-year old client. 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?
- A.
  
  Bowel perforation
- B.
  
  Electrolyte imbalance
- C.
  
  Miscarriage
- D.
  
  Pregnancy induced hypertension (PIH)
Correct Answer
B. Electrolyte imbalance

Explanation
Excessive vomiting in clients with hyperemesis gravidarum often causes weight loss and fluid. electrolyte. and acid-base imbalances.

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5.

Clients with gestational diabetes are usually managed by which of the following therapies?
- A.
  
  Diet
- B.
  
  NPH insulin (long-acting)
- C.
  
  Oral hypoglycemic drugs
- D.
  
  Oral hypoglycemic drugs and insulin
Correct Answer
A. Diet

Explanation
Clients with gestational diabetes are usually managed by diet alone to control their glucose intolerance. Oral hypoglycemic agents are contraindicated in pregnancy. NPH isn’t usually needed for blood glucose control for GDM.

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6.

The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity?
- A.
  
  Calcium gluconate
- B.
  
  Hydralazine (Apresoline)
- C.
  
  Narcan
- D.
  
  RhoGAM
Correct Answer
A. Calcium gluconate

Explanation
Calcium gluconate is the antidote for magnesium toxicity. Ten ml of 10% calcium gluconate is given IV push over 3-5 minutes. Hydralazine is given for sustained elevated blood pressures in preeclamptic clients.

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7.

Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?
- A.
  
  Conception
- B.
  
  9 weeks’ gestation. when the fetal heart is well developed
- C.
  
  32-34 weeks gestation
- D.
  
  Maternal and fetal blood are never exchanged
Correct Answer
D. Maternal and fetal blood are never exchanged

Explanation
Only nutrients and waste products are transferred across the placenta. Blood exchange only occurs in complications and some medical procedures accidentally.

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8.

Gravida refers to which of the following descriptions?
- A.
  
  A serious pregnancy
- B.
  
  Number of times a female has been pregnant
- C.
  
  Number of children a female has delivered
- D.
  
  Number of term pregnancies a female has had.
Correct Answer
B. Number of times a female has been pregnant

Explanation
Gravida refers to the number of times a female has been pregnant. regardless of pregnancy outcome or the number of neonates delivered.

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9.

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:
- A.
  
  Assess the woman’s blood pressure and pulse
- B.
  
  Have the woman breathe into a paper bag
- C.
  
  Raise the woman’s legs
- D.
  
  Turn the woman on her left side.
Correct Answer
D. Turn the woman on her left side.

Explanation
During a fundal height measurement. the woman is placed in a supine position. This woman is experiencing supine hypotension as a result of uterine compression of the vena cava and abdominal aorta. Turning her on her side will remove the compression and restore cardiac output and blood pressure.Option A: After turning the client on the side. then vital signs can be assessed.Option B: Breathing into a paper bag is the solution for dizziness related to respiratory alkalosis associated with hyperventilation.Option C: Raising her legs will not solve the problem since pressure will remain on the major abdominal blood vessels. thereby continuing to impede cardiac output.

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10.

A pregnant woman’s last menstrual period began on April 8. 2005. and ended on April 13. Using Naegele’s rule her estimated date of birth would be:
- A.
  
  1/15/2006
- B.
  
  1/20/2006
- C.
  
  07/01/2006
- D.
  
  11/05/2005
Correct Answer
A. 1/15/2006

Explanation
Naegele’s rule requires subtracting 3 months and adding 7 days and 1 year if appropriate to the first day of a pregnant woman’s last menstrual period. When this rule is used with April 8. 2005. the estimated date of birth is January 15. 2006.

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Current Version
Aug 22, 2023

Quiz Edited by
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Sep 08, 2017

Quiz Created by
Santepro

Obstetrical Nursing – Antepartum – NCLEX Quiz 5

Which of the following symptoms occurs with a hydatidiform mole?

Which of the following terms applies to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?

Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?

A 21-year old client. 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?

Clients with gestational diabetes are usually managed by which of the following therapies?

The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity?

Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?

Gravida refers to which of the following descriptions?

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:

A pregnant woman’s last menstrual period began on April 8. 2005. and ended on April 13. Using Naegele’s rule her estimated date of birth would be: