All NCLEX Resources
Example Questions
Example Question #245 : Conditions And Treatments
Which of the following symptoms is not a danger sign of pregnancy?
Increased urination
Fever or chills
Swelling in face or fingers
Persistent vomiting
Vaginal bleeding
Increased urination
It is important for the obstetric registered nurse to recognize the following danger signs of pregnancy: profuse vaginal bleeding, severe headaches/visual disturbances/abdominal pain, persistent vomiting, fever, chills, or swelling in the face or fingers. These may be signs of placental abnormalities, hypertensive disorders or pregnancy, maternal infection, or hyperemesis. Increased urination may be concerning to some women, but during pregnancy, the increased mass of the uterus induces pressure upon the bladder.
Example Question #1051 : Nclex
Which of the following tests may be used to assess the risk for neural tube defects in the fetus during pregnancy?
Amniocentesis
Ultrasound
Non-stress test (NST)
Alpha-fetal protein (AFP) test
Chorionic villus sampling (CVS)
Alpha-fetal protein (AFP) test
The alpha-fetal protein (AFP) test is the only test that can predict neural tube defects in a fetus during pregnancy. CVS can detect fetal karyotype, sickle-cell anemia, phenylketonuria (PKU), Down syndrome, and Duchenne muscular dystrophy. Amniocentesis can detect genetic disorders and lung maturity. Ultrasounds provide images of the fetal position, measurements of the fetus and placenta, and can confirm pregnancy and gestational age. Non-stress tests (NST) are used to record fetal heart rate to assess fetal well being after 28 weeks gestation.
Example Question #1 : Symptoms And Tests For Ob/Gyn Conditions
What is the proper management of atypical squamous cells of undetermined significance (ASC-US) or low grade intraepithelial lesion (LSIL) in women age 21-24?
LEEP (loop electrosurgical excision procedure)
Repeat cytology in 1 year
Cervical conization
Repeat cytology in 6 months
Repeat cytology in 1 year
ASC-US or LSIL in women age 21-24 should be managed by repeat cytology in one year. Neither cervical conization nor LEEP (loop electrosurgical excision procedure) would be appropriate in a patient of this age or presentation.
Example Question #249 : Conditions And Treatments
What follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels would be present in a patient with premature ovarian failure?
and
and
and
and
and
Premature ovarian failure is the loss of ovarian function in an individual under the age of 40. A and would be indicative of this condition.
Example Question #1052 : Nclex
What are the signs and symptoms of ectopic pregnancy?
Nausea and diplopia
Cramping and abdominal mass
Abdominal pain and vaginal bleeding
Fundal tenderness and vertigo
Abdominal pain and vaginal bleeding
The most common symptoms of ectopic pregnancy are moderate to severe abdominal pain and vaginal bleeding. Pain may be cramping or sharp. Bleeding can be heavy and the individual can even begin to bleed into their abdominal cavity. Ectopic pregnancy is not consistent with fetal survival and requires treatment with methotrexate or, in the case of bleeding, surgery may be indicated.
Example Question #251 : Conditions And Treatments
A patient tells her nurse that since week twenty six of her current pregnancy, she has been experiencing a raised, itchy red rash on her abdomen and chest. This is her first pregnancy. She has never had this before and she has made no other changes in diet, detergents, or lifestyle. Which of the following might describe her condition?
Dermatitis herpetiformis
Pruritic urticarial papules and plaques of pregnancy (PUPPP)
Heat rash
Urticaria from food allergy
Pruritic urticarial papules and plaques of pregnancy (PUPPP)
The most likely cause of her rash is pruritic urticarial papules and plaques of pregnancy (PUPPP), a condition affecting about 1 in every 200 pregnancies. While she could be having an allergic reaction (dermatitis herpetiformis or urticaria) or an inflammatory eruption such as heat rash, these are less likely due to their absence before pregnancy and the absence of any significant changes in her diet or lifestyle.
Example Question #5 : Symptoms And Tests For Ob/Gyn Conditions
How is glomerular filtration rate (GFR) affected during a normal pregnancy?
Increases by 50%
No change
Decreases by 15%
Increases by 15%
Increases by 50%
In the average normal pregnancy, the GFR increases by upwards of 50%. This correlates with an overall 50% increase in blood plasma volume.
Example Question #1051 : Nclex
The term placenta previa describes which of the following conditions?
The fetus is inferior to the placental position
The placenta develops before the uterine lining is mature
All or part of the placenta is positioned between the fetus and the cervix
The placenta separates from the uterine wall
All or part of the placenta is positioned between the fetus and the cervix
In placenta previa, the placenta develops in such a way that all or part of it is positioned in the lower one-third of the uterus, placing it between the fetus and the cervix. This can cause the placenta to tear and bleed. The most common sign is painless vaginal bleeding in the third trimester (generally after week 32).
Example Question #1052 : Nclex
A 25 year old female primigravida presents to the clinic for a prenatal visit and is concerned with new onset skin changes she has noticed lately. The nurse caring for this client is aware that there are several skin changes associated with pregnancy.
All of the following are skin changes associated with pregnancy except __________.
Hegar's sign
Chloasma gravidarium
Palmar erythema
Subclinical jaundice
Linea nigra
Hegar's sign
Hegar's sign is indicated by a softening of the portion of the uterus between the uterus and a portion of the cervix. The remaining choices are all examples of various skin discolorations commonly associated with pregnancy.
Example Question #1051 : Nclex
The nurse advises a woman with mild pre-eclampsia to do all of the following except __________.
keep track of fetal movement
limit water intake
weigh herself daily
measure the protein in her urine
check blood pressure often
limit water intake
It is not necessary to limit water intake in women with pre-eclampsia. It is important that women with pre-eclampsia drink at least 8 glasses of water per day. The ingestion of water may even help reduce swelling. Checking blood pressure and body weight frequently are important in tracking fluid levels. It is also important to keep track of fetal movement and notify a provider immediately if decrease in movement is noted. Women who are preeclamptic may spill protein into their urine as a result of malfunctioning kidneys.