Saunders NCLEX Review OB Questions

Saunders NCLEX Review OB Questions ScienceMedicineObstetrics trishxnichole Save OB NCLEX Style Practice Questions...74 terms Gathiri28Preview OB NCLEX Questions 60 terms smashpeas123 Preview OB Exam 1 Questions 82 terms corynna_coget Preview Labor & 80 terms Previe The nurse is collecting data from a pregnant client when the client asks the nurse about the purpose of the fallopian tubes. Which is the accurate response the nurse should make?

• The organ of copulation
• Where the fetus develops
• Where fertilization occurs
• The organ that secretes estrogen and progesterone

C (Each fallopian tube is a hollow muscular tube that transports a mature oocyte for final maturation and fertilization) The nursing instructor asks a nursing student to list the functions of amniotic fluid. The student needs further teaching if which responses are made? (Select all that apply)

• Allows for fetal movement
• Is a measure of kidney function
• Surrounds, cushions, and protects the fetus
• Maintains the body temperature of the fetus
• Prevents large particles such as bacteria from passing to the fetus
• Provides an exchange of nutrients and waste products between the mother and the fetus

EF (The amniotic fluid surrounds, cushions, and protects the fetus. The placenta, not the amniotic fluid, prevents large particles such as bacteria from passing to the fetus, and the placenta provides an exchange of nutrients and waste products between the mother and the fetus. Amniotic fluid allows the fetus to move freely, it maintains the body temperature of the fetus, and it helps to measure kidney function because the amount of fluid is based on the amount of urination from the fetus.)

The nurse working in a prenatal clinic reviews a client's chart ands notes that the primary health care provider documents that the client has a gynecoid pelvis. The nurse plans care understanding that which findings are characteristic of this type of pelvis? (Select all that apply)

• Round shape
• Shallow depth
• Narrow pubic arch
• Diagonal conjugate measures 12.5cm to 13cm
• Blunt, somewhat widely separated ischial spines

ADE (A gynecoid pelvis is a normal female pelvis, and it is the most favorable for successful labor and birth. Characteristics of a gynecoid pelvis include round shape, blunted ischial spines that are widely separated, a diagonal conjugate of at least 12.5 cm to 13 cm, a wide pelvic arch, and an adequate depth.) The client asks the nurse about the purpose of the placenta. The nurse plans to respond to the client knowing which about the placenta?

• Cushions and protects the fetus
• Maintains the body temperature of the fetus
• Surrounds the fetus and allows for fetal movement
• Provides an exchange of nutrients and waste products between the mother and the fetus

D (The placenta provides an exchange of nutrients and waste products between the mother and the fetus.) The nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation consists of which components?

• Two umbilical veins and one umbilical artery
• Two umbilical arteries and one umbilical vein
• Arteries that carry oxygenated blood to the fetus
• Veins that carry deoxygenated blood to the fetus

B (Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries. After the blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries carry deoxygenated blood and waste products from the fetus and the umbilical vein carries oxygenated blood and provides oxygen and nutrients to the fetus.) A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. The instructor determines that the student understands the structure of the ductus venosus if the student states which about the ductus venosus?

• Connects the pulmonary artery to the aorta
• Is an opening between the right and left atria
• Connects the umbilical vein to the inferior vena cava
• Connects the umbilical artery to the inferior vena cava

C (The ductus venosus connects the umbilical vein to the inferior vena cava.)

During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted?

• 80 bpm
• 100 bpm
• 150 bpm
• 180 bpm

C (Fetal heart rate depends on gestational age. It is normally 160-170 bpm during the first trimester, but it slows with fetal growth to 110-160 bpm near or at term.) The nurse is reinforcing teaching to a pregnant woman about the physiological effects and hormonal changes that occur during pregnancy. The woman asks the nurse about the purpose of estrogen. The nurse bases the response on which purpose of estrogen?

• It maintains the uterine lining for implantation
• It stimulates the metabolism of glucose and converts glucose to fat
• It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation
• It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed

C (Estrogen stimulates uterine development to provide an environment for the fetus and it stimulates the breasts to prepare for lactation.) The nursing student is asked to describe the size of the uterus in a non pregnant client. Which response indicates an understanding of the anatomy of this structure?

• "The uterus weighs about 2 ounces."
• "The uterus weighs about 2.2 pounds."
• "The uterus has a capacity of about 50 milliliters."
• " The uterus is round in shape and weighs approximately 1000 grams."

A (Before conception, the uterus is a small, pear-shaped organ that is contained entirely in the pelvic cavity. Before pregnancy, the uterus weighs approximately 60g and it has a capacity of about 10mL. At the end of pregnancy, the uterus weighs approximately 1000g and it has a capacity that is sufficient for the fetus, the placenta, and the amniotic fluid.) A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse helps determine whether this method of family planning is appropriate?

• "Have either of you ever had surgery?"
• "Do you plan to have any other children?"
• "Do either of you have any other children?"
• "Do either of you have problems with high blood pressure?"

B (Sterilization is a method of contraception for couples who have completed their families. It should be considered a permanent end to fertility.)

The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the first day of her last menstrual period was October 20th, 2019. Using Nagele's Rule, the nurse determines the estimated date of birth is which date?

• July 12th, 2020
• July 27th, 2020
• August 12th, 2020
• August 27th, 2020

B (The accurate use of Nagele's rule requires that the woman have a regular 28 day cycle. Subtract 3 months from the first day of the last menstrual period, add 7 days, and then adjust the year as appropriate.) A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of gestation?

• 6 and 8 weeks' gestation
• 8 to 10 weeks' gestation
• 10 to 12 weeks' gestation
• 16 to 20 weeks' gestation

D (Quickening is fetal movement that usually first occurs between 16 and 20 weeks' gestation. The expectant mother first notices subtle fetal movements during this time, and these gradually increase in intensity.) The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse should document which as the GTPAL for this client?

A. G=3, T=2, P=0, A=0, L=1

B. G=2, T=1, P=0, A=0, L=1

C. G=1, T=1, P=1, A=0, L=1

D. G=2, T=0, P=0, A=0, L=1

B (A woman who is pregnant with twins and who has already had a child's a gravid of 2. Because the child was delivered at 38 weeks, the number of preterm births is 0, and the number of term births is 1. The number of abortions is 0 and the number of live births is 1.) The nurse is collecting data from a client who is pregnant with triplets. The client also has a 3-year-old child who was born at 39 weeks' gestation. The nurse should document which gravid and para status on this client?

• Gravida 1, Para I
• Gravida 2, Para 1
• Gravida 2, Para 2
• Gravida 3, Para 2

B (Gravida is a term that refers to a woman who is or who has been pregnant, regardless of the duration of the pregnancy. Parity is a term that means the number of births after 20 weeks' gestation; it does not reflect the number of fetuses or infants.)