Antepartum NCLEX Study Questions
Learn how to assess and treat OB/GYN antepartum patients by reviewing the NCLEX study questions below. Find more NCLEX study questions and flashcards by downloading our mobile application. For a limited time we are currently offering the mobile app FREE to users that have subscribed to our blogs. The mobile app is a great way to practice nclex study questions.
Definition of ANTEPARTUM
OB/GYN – Antepartum NCLEX Study Questions
Below are nclex study questions that will increase your changes of passing NCLEX RN exam.
- A nursing instructor is conducting lecture and is reviewing the functions of the female reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). Mark accurately responds by stating that:
- FSH and LH are released from the anterior pituitary gland.
- FSH and LH are secreted by the corpus luteum of the ovary
- FSH and LH are secreted by the adrenal glands
- FSH and LH stimulate the formation of milk during pregnancy.
2. A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:
- Two umbilical veins and one umbilical artery
- Two umbilical arteries and one umbilical vein
- Arteries carrying oxygenated blood to the fetus
- Veins carrying deoxygenated blood to the fetus
3. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?
- 80 BPM
- 100 BPM
- 150 BPM
- 180 BPM
4. A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th, 2005. Using Nagele’s rule, the nurse determines the estimated date of confinement as:
- July 26, 2006
- June 12, 2007
- June 26, 2006
- July 12, 2007
5. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year old child that was delivered at 37 weeks and tells the nurse that she doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as:
- G = 3, T = 2, P = 0, A = 0, L =1
- G = 2, T = 0, P = 1, A = 0, L =1
- G = 1, T = 1. P = 1, A = 0, L = 1
- G = 2, T = 0, P = 0, A = 0, L = 1
The questions above are a sample of the antepartum NCLEX study questions you will find in our mobile app.
- FSH and LH, when stimulated by gonadotropin-releasing hormone from the hypothalamus, are released from the anterior pituitary gland to stimulate follicular growth and development, growth of the graafian follicle, and production of progesterone.
- Blood pumped by the embryo’s heart leaves the embryo through two umbilical arteries. Once oxygenated, the blood then is returned by one umbilical vein. Arteries carry deoxygenated blood and waste products from the fetus, and veins carry oxygenated blood and provide oxygen and nutrients to the fetus.
- The fetal heart rate depends in gestational age and ranges from 160-170 BPM in the first trimester but slows with fetal growth to 120-160 BPM near or at term. At or near term, if the fetal heart rate is less than 120 or more than 160 BPM with the uterus at rest, the fetus may be in distress.
- Accurate use of Nagele’s rule requires that the woman have a regular 28-day menstrual cycle. Add 7 days to the first day of the last menstrual period, subtract three months, and then add one year to that date.
- Pregnancy outcomes can be described with the acronym GTPAL. G is gravidity, the number of pregnancies. T is term births, the number born at term (38-41 weeks). P is preterm births, the number born before 38 weeks gestation. A is abortions or miscarriages (included in gravida if before 20 weeks gestation; included in parity if past 20 weeks gestation). L is live births, the number of live births or living children. Therefore, a woman who is pregnant with twins and has a child has a gravida of 2. Because the child was delivered at 37 weeks, the number of preterm births is 1, and the number of term births is 0. The number of abortions is 0, and the number of live births is 1.
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