RAY A.

GAPUZ REVIEW SYSTEM

SAMPLE NLE-Type QUESTIONS
OB – POST TEST
By Ray A. Gapuz
Author, ‘NCLEX RN in a Flash’ published by Jones and Bartlett, USA
Author, ‘The ABC of Passing the NCLEX RN’ published by Mosby-Elsevier

YOUTUBE CHANNEL: GAPUZ MENTORS

NAME: ___________________________________ DATE:_______________

PROFESSOR: _____________________________

1. While discussing the uterus and its different layers, the nurse understands that the myometrium has
unique muscle fibers that make it ideally suited for the birth process. The nurse would describe this layer
as:
a. The inner layer of muscle that is in the uterus
b. The middle layer of thick muscle in the uterus
c. The outer layer of muscle that covers most of the uterus
d. The functional layer that lies above the basal layer of the uterus
2. When formulating a teaching plan on menstrual cycle, the nurse teaches the client that during the
second half of a typical menstrual cycle, the endometrium
a. sheds off due to progesterone stimulation.
b. Thickens due to follicle-stimulating hormone.
c. Has increased vascularity due to progesterone
d. Has corkscrew glands due to estrogen
3. Which of the following is a function the hormone Progesterone?
a. elevates body temperature during ovulation
b. promotes female secondary sex characteristics
c. promotes graafian follicle production
d. promotes maturation of the ovum
4. A mother tells the nurse that she menstruates every 32 days for 2 days. The nurse should teach that
based on this cycle, ovulation probably occurs:
a. On the 14th day of the cycle
b. 10 days after the 1st day of bleeding
c. 14 days before the start of the next menses
d. 2 to 3 days after the last day of menstruation
5. Which of the following hormones stimulates the ovary to produce estrogen during the menstrual cycle?
a. Follicle stimulating hormone (FSH)
b. Gonadotropin releasing hormone (GNRH)
c. Luteinizing hormone (LH)
d. Human chorionic gonadotropin (HCG)
6. Maturation of sperm cells occurs in the:
a. Semeneferous Tubules
b. epididymis
c. vas deferens
d. seminal vesicles

7. Which principal factor causes vaginal pH to be acidic?

a. Cervical mucus changes
b. Secretion of the Skene’s gland
c. The action of the doderlein bacillus
d. Secretion of the bartholins gland

Situation:Krisel, a 23-year-old married client visited the clinic because of amenorrhea for one month.
She suspects that she is pregnant.
8. The primary function of human chorionic gonadotropin is to:
a. Nourish the fetus
b. Confirm the diagnosis of pregnancy
c. Stabilize the uterus during pregnancy
d. Maintain the corpus luteum during the first trimester
Situation: A 25 year-old primigravida is on her 2nd trimester. She visits the clinic for prenatal check up.
9. A nurse explains some of the purposes of the placenta to client. The nurse determines that the client
understands some of these purposes when she states that the placenta:
a. Cushions and protects the baby
b. Maintains the temperature of the baby
c. Is the way the baby gets food and oxygen
d. Prevents all antibodies and viruses from passing to the baby
10. The client asks the nurse to specifically describe the process through the umbilical cord. The best
response from the nurse is which of the following:
a. “The one artery carries freshly oxygenated blood and nutrient- rich blood back from the placenta to
the fetus.”
b. “The two arteries carry freshly oxygenated blood and nutrient- rich blood back from the placenta to
the fetus.”
c. “The two arteries in the umbilical cord carry blood that is high in carbon dioxide and other waste
products away from the fetus to the placenta.”
d. “The two veins in the umbilical cord carry blood that is high in carbon dioxide and other waste
products away from the fetus to the placenta
11. The nurse explains weight gain during pregnancy. She explains that the amniotic fluid at term is
approximately:
a. 2 kilograms b. 1.5 kilogram c. 1 kilogram d. 0.5 kilogram
12. The nurse should explain to the client that fetal heartbeat will first be heard with:
a. A fetoscope around 8 weeks
b. A fetoscope at 12 to 14 weeks
c. An electronic Doppler after 20 weeks
d. An electronic Doppler at 12 weeks
Situation: Nurse Celina is assigned at the OPD of a hospital and deals with a number of pregnant clients
13. The nurse informs a client on the normal physiologic changes during pregnancy. This will include
which of the following?
a. “A decrease in cardiac output occurs.”
b. “An increase in pulse occurs.
c. “The systolic and diastolic blood pressure increase by 20 mmHg.”
d. “ A decrease in blood volume occurs.”
14. When developing a teaching plan for a client who is 8 weeks pregnant, which of the following foods
would the nurse suggest to meet the client’s need for increased folic acid?
a. spinach c. seafood
b. bananas d. yogurt
15. A nurse is developing a plan of care for a pregnant who is complaining of intermittent constipation. To
help alleviate the problem, the nurse instructs the client to
a. consume a low-roughage diet
b. drink 6 glasses of water per day
c. use fleet enema when the episodes occur
d. take a mild stool softener daily in the evening
16. The client reports that she frequently experiences leg cramps, which usually occurs at night. To
provide relief, the nurse tells her to:
a. Dorsiflex the foot while extending the knee when the cramp occur
b. Dorsiflex the foot while flexing the knee when the cramps occur
c. Plantar flex the foot while flexing the knee when the cramps occur
d. Plantar flex the foot while extending the knee when the cramps occur
17. The client asks the nurse. “What should I do about this brown discoloration across my nose and
cheeks? The nurse should instruct the client that discoloration
a. is a potential indicator of melanoma
b. is related is dilated capillaries
c. will fade if specially prescribed cosmetics are used
d. usually fades after delivery
18. The client’s uterine fundus is palpated at the level of the umbilicus. The nurse would expect the
woman to be how many weeks pregnant?
a. 12 b. 16 c. 20 d. 24
19. A 20-year-old primigravida sometimes feels ambivalent about being pregnant. What is the
psychological task that you’d like to see her complete during the first trimester of pregnancy?
a. View morning sickness as tolerable
b. Accept the fact that she’s pregnant
c. Accept the fact that a baby is growing inside her
d. choose a name for the baby
20. While the patient, 32 weeks’ gestation is lying supine on the examination table, she tells the nurse
that she is feeling dizzy. After observing that the client is pale and perspiring freely, the nurse
a. obtain the client’s pulse
b. turn the client onto her left side
c. assess the client for vaginal bleeding
d. lower the client’s head between her knees
21. Which of the following would the nurse implement to test for the presence of ballottement?
a. Auscultating for fetal heart sound
b. Palpating for the abdomen for fetal movement
c. Assessing the cervix for thinning
d. Initiating a gentle upward tap on the cervix
22. Which of the following would the nurse expect to assess as presumptive signs of pregnancy?
a. amenorrhea and quickening
b. uterine enlargement and chadwick’s sign
c. a positive test and a fetal outline
d. Braxton hick’s contraction and hegar’s sign
23. A client is caring for a client in the first four weeks of pregnancy. The nurse should expect to collect
which assessment findings?
a. uterine enlargement c. fetal heart tones
b. breast sensitivity d. presence of menses
24. The client tells a nurse that the first day of her last menstrual period was October 19, 2022. Using
Nägele’s rule, the nurse determines the estimated date of confinement as:
a. July 12, 2023 c. August 12, 2023
b. July 26, 2023 [Link] 26, 2023
25. A pregnant client’s history reveals having a 4-year-old child who was born at 38 weeks gestation, a
set of 2-year-old twins who were born at 35 weeks gestation. She had a pregnancy that was
terminated at 16 weeks gestation. The nurse should document the client’s OB score as
a. gravida 4, para 1 1113 c. gravida 4, para 4 1014
b. gravida 3, para 3 2213 d. gravida 4, para 2 1213
26. Which of the following prenatal laboratory test values would the nurse consider as significant?
a. Hematocrit 33.5%
b. Rubella titer less than 1:5
c. White blood cells 8,000/mmз³
d. One hour glucose challenge test 110mg/dL
27. A primigravida client at 15 weeks’ gestation is to undergo AFP screening. The nurse should include
which of the following in her teaching plan for this client?
a. Ultrasound usually accompanies AFP testing
b. Results are usually very accurate until 20 weeks
c. A clean-catch midstream urine specimen is needed
d. increased levels of AFP are associated with neural tube defects
28. A nurse is proving instructions to a pregnant client who is scheduled for amniocentesis. The nurse
tells the client that:
a. Strict bed rest is required following the procedure.
b. An informed consent will need to be signed before the procedure
c. Hospitalization is necessary for 24 hours after the procedure
d. A fever is expected following the procedure because of the trauma to the abdomen
29. A procedure performed for locating the position of the fetus and the placenta prior to chorionic villus
sampling is:
a. X-ray examination c. Fetoscopy
b. Leopold’s maneuver d. ultrasound
30. The nurse instructs a patient and her spouse on important aspects of care following chorionic villi
sampling. The nurse would know that teaching has been effective if the patient states she should:
a. Report any spotting during the first 24 hours after the procedure
b. Refrain from sexual intercourse for 48 hours afterward
c. Remain in bed for 24 hours afterward
d. Report any unusual fetal movements
31. Which is NOT assessed in Biophysical profile?
a. Fetal breathing movement
b. Amniotic fluid volume
c. Fetal heart rate acceleration
d. Uterine contraction
32. Which of the following responses would you expect to find in a reactive nonstress test?
a. Acceleration of the fetal heart rate with fetal movement
b. Deceleration of the fetal heart rate with fetal movement
c. No change in fetal heart rate with fetal movement
d. No change in fetal heart rate without fetal movement
33. During contraction stress test, the nurse notes the presence of late deceleration. The nurse is aware
that the test results is
a. negative and it indicates placental insufficiency
b. positive and it indicates cord compression
c. negative and it indicates normal findings
d. positive and it indicates placental insufficiency
34. At 7 months AOG, the client asks the nurse “Approximately, what is the length of the baby?” The
nurse’s best response would be
 a. “Your baby is approximately 49 cm”
b. “It is impossible to estimate the length of your
c. “Let’s wait for the doctor. She will tell you about it”
d. “Although several factors may after the baby’s length, a fetus is typically 35 cm.”
35. When performing Leopold’s maneuvers on a primigravida client at 28 weeks’ gestation, the nurse
performs the first maneuver to do which of the following?
a. Locate the fetal back and spine
b. Determine what is in the fundus
c. Determine whether the fetal head is at the pelvic inlet
d. Identify the degree of fetal flexion