NCLX:

1.The nurse is caring for a woman with a fetus with a brow presentation. Which intervention is
appropriate For this client?

A .put the mother in Trendelenburg’s position to b. have the mother to stand to push.
lessen pressure on the fetal head
c. Give a tocolytic to stop contractions. d. schedule a Cesarean section.
2.Which client is at risk for RH sensitization and therefore should receive RhoGAM as soon as possible?

a. an Rh+ve woman who has a tubal pregnancy. b. an Rh+ve woman who delivers an Rh-ve
neonate.
c. an Rh-ve woman who delivers an Rh-ve neonate. d. an Rh-ve woman who has a spontaneous
abortion at 15 weeks.

3. A client’s fetus is in the frank breech position. How is this fetus arranged?

a. the buttocks present, with the legs extended b. the buttocks and knee present.
up
c.one or both feet presenting d. the occiput is directed diagonally and posterior.

4. Which statement about an incompetent cervix is correct?

a. a client with incompetent cervix has usually a
history of several first trimester spontaneous
abortion.
c. a cerclage always allow a client to give birth
vaginally.
b. Trendelenburg’s position and tocolysis may
help a client with an incompetent cervix.
d. a cerclage is a cervical suture that’s cut before
labor.

5. A client in 8th month of pregnancy comes to the emergency department with vaginal bleeding and
severe pain. These signs and symptoms may indicate:

a.Braxton Hicks contractions b.Abruptio placenta

c.Disseminated intravascular coagulation d.Placenta previa
6.The history of a 45-year old primigravida client shows that she was exposed to diethylstilbestrol (DES)
as a fetus. This client is at risk for which complications during her pregnancy?

a.postterm pregnancy b.multiple gestation

c.placenta previa d.incomplete cervix.

7.The nurse is assessing the primigravida at 34 weeks for signs of pregnancy induced hypertension (PIH)
In addition to her blood pressure of 140/92 mmhg, what other assessment findings would make the
nurse suspect PIH?

a.Proteinuria b.fatigue
c.Hematuria d.Palpitations

8.A client positive for Human immunodeficiency virus (HIV) is about to begin labor.The care plan
includes:

a.using internal electronic fetal monitoring during
labor for a better picture of the fetal status.
c.Administering zidovudine (AZT) if a client has a T-
cell count less than 400/mm.
b.Wiping away all body fluids after delivery and
bathing the neonate as soon as he’s stable.
d.encouraging the mother to consider breast
feeding because of its benefits for mother and
baby.

9.A 22-year old client has been admitted to the hospital with severe pre-eclampsia. An infusion of
magnesium sulfate is started to decrease the incidence of seizure activity. The nurse assesses the client
frequently for signs of magnesium toxicity. Which finding is sign of possible Mg toxicity?

a.uterine contractions every 3-5 min b.respiratory rate of 10breaths/ min

c.B.P of 140/80 mmHg d.urine output of 30-40 ml/hour.

10.A 23 year old client is at 28 weeks gestation .physical assessment shows bruises on her abdomen and
thighs and swollen labia. The nurse suspects physical abuse and understands that:

a.Battering occurs in a small % of population b.the woman will leave relationship if battering
continues
c.25%-45% of all battering cases occur during d.battering usually occurs in lower class families.
pregnancy
11.A multigravida visits the clinic at 14 weeks gestation. She has been experiencing dark brown vaginal
bleeding,her fundal height is 18cm and her hands and face are somewhat edematous. You suspect that
client is experiencing a:

a.multifetal pregnancy b.hydatidiform mole

c.threatened abortion d.missed abortion

12. A diabetic client who currently takes oral antidiabetic agents to control her Blood Glucose Level is
planning to become pregnant. The nurse should advise her to:

a.increase her morning dose of antidiabetic agents b.quit taking oral anti diabeting agent
to ensure decrease Blood Glucose Level
c.make no changes in her daily diabetes d.talk to her physician about beginning insulin
management

13.A pregnant client who tests +ve HIV asks if anything can be done to prevent transmitting the virus to
the child . the nurse tells that prophylactic uses of which of the following drugs has significantly lowered
the transmission of HIV from mother to fetus?

a.Acyclovir (Zovirax) b.Zidovudine (AZT)

c.trimetrexate (Neutrexin) d.Ganciclovir (Cytovene)

14.A pregnant client at 32 weeks gestation has mild pre-eclampsia. She is discharge home with an
instruction to remain on bed rest. She would also be instructed to call her doctor if she experiences
which of the following symptoms?

a.increase urine output b.severe nausea and vomiting

c.difficulty sleeping d.epigastric pain

15.A client is admitted to emergency at 37 weeks gestation after a motor vehicle accident and is
diagnosed with a fractured femur that will need surgical repair. What effects on the part of the
operating room team will best avoid risk of the fetus during the procedure?

a.Hydrate with 5% dextrose in lactated Ringer’s b.use general anesthesia to avoid vasodilation
solution
c.position to the client left side and prop her with d.monitor the fetus with a scalp lead during the
a wedge procedure
16.A pregnant client’s blood tests show HELLP syndrome. Which abnormal blood component is found
with these results?

a.low white blood cell(WBC) count b.high Hemoglobin level

c.low fibrin split product level d.low platelet count

17.The nurse is caring for a 15-year old pregnant client. The client weighs 100lb (45.5kg) and has a
history of pyelonephritis, which puts her at high risk for:

a.chromosomal abnormalities b.polyhydramnios

c.preterm labor d.postterm labor

18.Which pregnant client is at risk for delivering a neonate with ABO incompatibility?

a.type AB client with type A fetus b.type O client with type A fetus
c.type O client with type O fetus d.type AB client with type O fetus

19.severe Pregnancy Induced Hypertension (PIH) causes which condition?

a.Uteroplacental insufficiency b.increase circulatory blood volume

c.development of heart disease d.toxins in the blood stream

20.A 38-year old client in her 2nd month of pregnancy comes to prenatal clinic reporting a rash, mild
symptoms and swollen suboccipital lymph nodes. The physician makesa diagnosis of Rubella.Rubella
exposure during 1st 2 months of pregnancy results in:

a.malformations of heart, eyes, ears or brain and
abnormal dermatologlyphics
c.Hemolytic anemia, Jaundice, hydrocephaly,
pneumonitis, hepatospleenomegaly and deafness
b.fetal or neonatal Hepatitis and preterm birth
d.systemic infection,
hepatospleenomegaly,intrauterine growth
retardation and rash

21.A pregnant diabetic client hasn’t been able to control her glucose in early pregnancy. Which fetal
anomaly is most likely to occur?

a.cleft lip and palate b.long bone damage

c.skull deformity d.neural tube defect
22.A 22-year old woman arrives at emergency department with abdominal pain. Which signs and
symptoms would lead the nurse to suspect ectopic pregnancy?

a.mild to severe uterine cramping, amenorrhea
followed by spotting, slightly enlarged uterus
c.unilateral cramps and tenderness, nausea and
vomiting and a missed menses
b.pain in both lower quadrants, bilateral
tenderness on movement of cervix and infrequent
nausea and vomiting
d.epigastricor periumblical pain, tendernessat
McBurney’s point and nausea and vomiting

23.A pregnant woman admits to using cocaine several times since becoming pregnant. What
complication of pregnancy may occur with the use of cocaine?

a.placenta previa b.post term labor

c.ruptured uterus d.abruptio placenta

24.A client with severe pre eclampsia is receiving I.V magnesium sulfate. Which antidote should be kept
at bedside to treat magnesium toxicity?

a.ephedrine b.sodium bicarbonate

c.calcium gluconate d.naloxone

25.a client is diagnosed with an early, unruptured ectopic pregnancy. which medication may be used to
treat this condition?

a.Broad spectrum antibiotics b.Human chorionic gonadotrophin (hCG)

c.Follicle stimulating hormone FSH d.methotrexate