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NCLEX quiz: obstetrics

Marijke DurningBy
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When you were studying nursing, did you look forward to your obstetrics rotation or was it the last thing you wanted to be doing? Has it been a long time since you last thought about primiparas or LBW babies?

Let’s see how much you know, according to the NCLEX, that is.

1. The client is seen in the prenatal clinic. She tells the nurse that she has been trying to get pregnant for the past six months. Which vitamin will help to decrease the chances of neural tube defects in the baby?





2. The client who is at 20 weeks gestation asks the nurse how much weight she should gain during her pregnancy. The nurse should tell the client that:





3. The doctor is performing an amniocentesis on the client at 17 weeks gestation to detect genetic anomalies. Which statement indicates the nurse understands the proper instructions for the client having an amniocentesis at 17 weeks gestation?





4. The client is admitted at 39 weeks gestation for induction of labor. If the doctor uses prostaglandin gel, the nurse should:





5. Vaginal examination in the laboring client reveals the anterior fontanel is toward the rectum. The nurse should chart that the baby is in which position?





6. The nurse who is caring for the laboring client notes a decline of fetal heart tones from 136 to 90 beats per minute after the acme of the contractions. Which action is most appropriate at this time?





7. The client is admitted with preeclampsia. Which finding requires that the nurse contact the physician immediately?





8. The client is admitted with fetal demise. A diagnosis of missed abortion requires that the fetus be evacuated by induction of labor. If the physician uses prostaglandin, the nurse should anticipate that the client will:





9. The client is experiencing a drop in the fetal heart rate. The decelerations are V-shaped and do not correlate to the contractions. The nurse is aware that this type of deceleration is which of the following?







Marijke Durning
Marijke is a professional writer who began her working career as a registered nurse over 25 years ago. After working in clinical areas ranging from rehab to intensive care, as a floor nurse to a supervisor, she found she could combine her extensive health knowledge with her love of writing. Although she has been published in a wide variety of publications for professionals and the general public, her passion is writing for the every day person to promote health literacy.

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