NCLEX

1. You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. What is your patient’s APGAR score? A. APGAR 9 B. APGAR 10 C. APGAR 8 D. APGAR 5 2. You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about...

1. Stage 1 of labor includes which phases in the correct order? A. Transition, Latent, Active B. Active, Latent, Transition C. Active, Transition, Latent D. Latent, Active, Transition 2. True or False: Stage 2 of labor begins with the delivery of the baby and ends with the delivery of the placenta. 3. You’re performing a routine assessment on a mother post-delivery. The uterus is soft and displaced to the left of the umbilicus. What is your next nursing action? A. Perform fundal massage...

1. Which category of pregnancy signs are subjective and can only be reported by the patient? A. Positive Signs B. Probable Signs C. Presumptive Signs D. Proven Signs The answer is C. Presumptive signs are subjective and are only reported by the patient. 2. Which of the following are NOT considered presumptive signs of pregnancy? Select all that apply: A. Positive pregnancy test B. Amenorrhea C. Fatigue D. Ballottement E. Increased urination F. Quickening The answers are A and D. Pos...

1. A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL? 2. A 27 year old female is currently 16 weeks pregnant. She has 2 year-old twins that were born at 39 weeks gestation and a 5 year-old who was born at 40 weeks gestation. She had no history of miscarriage or abortion. What is her GTPAL?...

1. Gravidity is defined as _______________________________. A. the number of completed pregnancies at 20 weeks or greater. B. the number of pregnancies greater than 20 weeks. C. the number of times a woman has been pregnant regardless of the outcome. D. the number of births regardless of the outcome. The answer is C. Gravidity is defined as the number of pregnancies or how many times a woman has been pregnant, regardless of the outcome. Parity is the number of BIRTHS (o...

1. A 34-year-old female is currently 16 weeks pregnant. You’re collecting the patient’s health history. She has the following health history: gravida 5, para 4, BMI 28, hypertension, depression, and family history of Type 2 diabetes. Select below all the risk factors in this scenario that increases this patient’s risk for developing gestational diabetes? A. 34-years-old B. 16 weeks pregnant C. Gravida 5, para 4 D. BMI 28 E. Hypertension F. Depression G. Family history of Type 2 diab...

1. Your patient is 48 hours post-delivery. While assessing fundal height, you would expect the fundal height to be? A. 1 cm above the umbilicus B. 2 cm above the umbilicus C. 1 cm below the umbilicus D. 2 cm below the umbilicus The answer is D. The fundal height will decrease by 1 cm per day below the umbilicus. Therefore, if the woman is 48 hours postpartum (2 days) the fundal height will be 2 cm BELOW the umbilicus. 2. You’re providing discharge teaching to a new mother who is going ho...

1. What landmark is used to assess fetal station? A. Iliac spine B. Pubic symphysis C. Ischium D. Ischial spine The answer is D. The ischial spines are used as a landmark to assess fetal station. 2. A 35-year-old female is in labor. The baby is engaged in the pelvis. As the nurse you know that this means that the fetal station is approximately? A. +1 B. 0 C. +2 D. -1 The answer is B. When a baby is engaged it means the presenting part of the baby (usually the head) has entered down in...

1. What structures in fetal circulation play a role in shunting blood away from the LUNGS? Select all that apply: A. Ductus arteriosus B. Ductus venosus C. Umbilical artery D. Foramen ovale E. Umbilical vein The answers are A and D. The ductus arteriosus and foramen ovale are the structures that help blood flow bypass (or shunt) away from the lungs. These structures seal off and become nonfunctional after birth. The ductus venosus plays a role with shunting blood ...