NCLEX : Symptoms and Tests for OB/GYN Conditions

Study concepts, example questions & explanations for NCLEX

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Example Questions

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Example Question #78 : Obstetrics And Gynecological Conditions

Basal body temperature is determined by __________.

Possible Answers:

taking the temperature in the evening

taking the temperature in the afternoon

taking the temperature before rising

taking the temperature mid-morning

taking the temperature before bed

Correct answer:

taking the temperature before rising

Explanation:

The basal body temperature is a method many women use to determine when ovulation occurs. To take a basal body temperature, one must use a basal thermometer (which is more sensitive) and take their body temperature before getting out of bed (or even sitting up) each morning. This method is utilized the best if a woman wakes up and takes her temperature at the same time daily.

Example Question #79 : Obstetrics And Gynecological Conditions

A nursing student is participating in clinical practice on a labor and delivery unit. He is learning how to measure contractions. He knows that contractions are measured by frequency, duration, and intensity. Which timeframe correctly describes how the student should measure the frequency of contractions? 

Possible Answers:

The increment of the first contraction to the decrement of the second

The acme of the first contraction to the acme of the second

The increment of the first contraction to the increment of the second

The increment of the first contraction to the decrement of the first

The increment of the first contraction to the acme of the second

Correct answer:

The increment of the first contraction to the increment of the second

Explanation:

Increment is the beginning or rise of the contraction. Acme is the peak of the contraction. Decrement is the fall of the contraction. Frequency is measured from the beginning of one contraction to the beginning of another, so it should be measured from the increment of the first contraction to the increment of the second contraction.

Example Question #1 : Symptoms And Tests For Ob/Gyn Conditions

While caring for a laboring patient, the nurse is called into the room because her patient felt a "gush" of fluid. Which of the following should be the nurse's next action?

Possible Answers:

Assess fetal heart rate

Alert the physician

Change the sheets

Turn the mother to her right side

Inform the mother of what she should expect next

Correct answer:

Assess fetal heart rate

Explanation:

The nurse must suspect rupture of the membranes (amniotic sac). Assess fetal heart rate if rupture of the membranes may have occurred. With rupture comes the potential for cord prolapse. Assess fetal heart rate for baseline variability. Marked variability may be cause for concern and the nurse should monitor the patient for signs of infection.

Example Question #4 : Symptoms And Tests For Ob/Gyn Conditions

Which of the following symptoms is not a danger sign of pregnancy?

Possible Answers:

Fever or chills

Increased urination

Swelling in face or fingers

Vaginal bleeding

Persistent vomiting

Correct answer:

Increased urination

Explanation:

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 #5 : Symptoms And Tests For Ob/Gyn Conditions

Which of the following tests may be used to assess the risk for neural tube defects in the fetus during pregnancy?

Possible Answers:

Alpha-fetal protein (AFP) test

Non-stress test (NST)

Amniocentesis

Ultrasound

Chorionic villus sampling (CVS)

Correct answer:

Alpha-fetal protein (AFP) test

Explanation:

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 #2 : 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?

Possible Answers:

Repeat cytology in 6 months

Cervical conization

LEEP (loop electrosurgical excision procedure) 

Repeat cytology in 1 year

Correct answer:

Repeat cytology in 1 year

Explanation:

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 #3 : Symptoms And Tests For Ob/Gyn Conditions

What follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels would be present in a patient with premature ovarian failure?

Possible Answers:

 and 

 and 

 and 

 and 

Correct answer:

 and 

Explanation:

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 #4 : Symptoms And Tests For Ob/Gyn Conditions

What are the signs and symptoms of ectopic pregnancy?

Possible Answers:

Fundal tenderness and vertigo

Cramping and abdominal mass

Abdominal pain and vaginal bleeding

Nausea and diplopia

Correct answer:

Abdominal pain and vaginal bleeding

Explanation:

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 #5 : Symptoms And Tests For Ob/Gyn Conditions

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?

Possible Answers:

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Heat rash

Dermatitis herpetiformis 

Urticaria from food allergy

Correct answer:

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Explanation:

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 #6 : Symptoms And Tests For Ob/Gyn Conditions

How is glomerular filtration rate (GFR) affected during a normal pregnancy?

Possible Answers:

Increases by 50%

No change

Increases by 15%

Decreases by 15%

Correct answer:

Increases by 50%

Explanation:

In the average normal pregnancy, the GFR increases by upwards of 50%. This correlates with an overall 50% increase in blood plasma volume. 

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