Maternal Child Nursing Rasmussen Module 1 NCLEX PREP
A nurse is working with a woman who is using the calendar method to determine her safe days. The nurse would instruct the woman to subtract: a.14 from 28. b.18 from her shortest period and 11 from her longest. c.The length of her average period from the ideal of 28. d.18 from the longest period and 11 from her shortest.
b.18 from her shortest period and 11 from her longest.
A 40-year-old woman who smokes desires a reliable contraceptive method. Which should the nurse recommend to this patient? a.An ovulation suppressant b.A condom and spermicide c.A spermicidal suppository d.The rhythm (calendar) method
b.A condom and spermicide
What makes the area of maternal-child health nursing a more extensive area for consideration of legal issues than other areas of nursing? a.Age of the clients b.Caring for a fetus, an unseen client c.Risk of labor and birth d.Lack of evidence-based information
b.Caring for a fetus, an unseen client
When a nurse is unsure about how to perform a client care procedure, the best action would be to: a.Ask another nurse. b.Discuss the procedure with the client's physician. c.Look up the procedure in a nursing textbook. d.Consult the agency procedure manual and follow the guidelines for the procedure.
d.Consult the agency procedure manual and follow the guidelines for the procedure.
The nurse instructs a patient on the use of a vaginal estrogen/progestin rings for contraception. Which patient statement indicates that additional instruction is needed? a."I am to take the ring out overnight." b."I will leave the ring in place for 3 weeks." c."I leave the ring in place during intercourse." d."I am to use other birth control if I take the ring out for 4 hours."
a."I am to take the ring out overnight."
A newly married couple asks the nurse which "natural" way of family planning would be most effective in preventing pregnancy. What is the most appropriate response by the nurse? a."The basal body temperature is simple and has a low failure rate." b."Coitus interruptus is the easiest method and most reliable." c."By checking your cervical mucus you will know when to abstain." d."I believe that abstinence would work best for your life choices."
a."The basal body temperature is simple and has a low failure rate."
After reviewing the various types of contraception available and discussing the pros and cons about each with the nurse, a young woman decides to use a spermicidal cream. When teaching the woman about this type of contraception, the nurse would instruct the woman to insert the cream at which time frame before intercourse? a.1 hour b.1.5 hours c.2 hours d.3 hours
a.1 hour
The maternal child health nurse provides care to which client populations working within an appropriate scope of practice? Select all that apply. a.A 52-year-old posthysterectomy client b.A 26-year-old orchiectomy client c.A 2-week-old preterm infant d.A 14-year-old primigravida client e.A 73-year-old client post hip replacement
a.A 52-year-old posthysterectomy client c.A 2-week-old preterm infant d.A 14-year-old primigravida client
Which actions should the nurse perform when supporting the goals of maternal and child health care? Select all that apply. a.Advocates protecting the rights of the mother and fetus b.Teaches family members interventions to improve health c.Adheres to principles that focus on the needs of the mother d.Encourages maternal hospitalization to regain strength and stamina e.Assesses family members for strengths and specific needs or challenges
a.Advocates protecting the rights of the mother and fetus b.Teaches family members interventions to improve health e.Assesses family members for strengths and specific needs or challenges
Which trend is currently influencing maternal and child healthcare? a.An expansion of community based services b.Closure of regionalized healthcare centers c.The availability of additional family support d.A reduction in the number of latch key kids
a.An expansion of community based services
During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question? a.Analyze for herb-drug interactions b.Understand the patient's philosophy of alternative health care c.Determine the types of medications the patient will need to be prescribed d.Explain to the physician the patient's preference for nontraditional medicine approaches
a.Analyze for herb-drug interactions
An Rh-negative woman at 6 weeks' gestation is scheduled for a medically induced termination. Which outcomes should the nurse identify as appropriate for this patient? Select all that apply. a.Attended contraceptive counseling b.Received Rho (D) immune globulin c.Scheduled postprocedure sonogram d.Avoided strenuous activity for 3 weeks e.Experienced menstrual cycle in 2 months
a.Attended contraceptive counseling b.Received Rho (D) immune globulin c.Scheduled postprocedure sonogram
A nurse is caring for a woman who has just given birth to a child with Down Syndrome. The nurse is focusing on how to help this client adapt to the changes associated with becoming a mother of a child with special needs. Which nursing theory would be most helpful to the nurse? a.Calistra Roy's theory b.Patricia Benner's theory c.2020 National Health Goals d.Dorthea Orem's theory
a.Calistra Roy's theory
A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid? a.Cervical cap b.Condom c.Vaginal film d.Vaginal sheath
a.Cervical cap
Which of the following conditions has not contributed to an increase in maternity-related health care costs? a.Early postpartum discharges b.Maternal medical risk factors, such as diabetes c.The use of high-tech equipment d.The cost of care for low-birth-weight (LBW) infants
a.Early postpartum discharges
A client reports feeling increased levels of stress and anxiety before a routine ultrasound. What is an appropriate action by the nurse? a.Encourage the client to meditate for a few minutes. b.Cancel the ultrasound, the client is not conditionally stable. c.Contact the primary care provider to discuss the procedure with the client. d.Tell the client everything will be fine and continue with the ultrasound.
a.Encourage the client to meditate for a few minutes.
What is not a trend in the delivery of health care in the United States? a.Greater emphasis has been placed on curing disease and disability than on preventing them. b.Hospital stays for many conditions have been shortened. c.Acute care is increasingly provided through home-based services. d.Hospital-based nurses are increasingly involved in follow-up care after discharge.
a.Greater emphasis has been placed on curing disease and disability than on preventing them.
The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these goals? a.Health promotion and disease prevention b.Early diagnosis of chronic health problems c.Effective use of medication to treat disease d.Reduce the cost of health care and medications
a.Health promotion and disease prevention
The two most frequently reported maternal medical risk factors are: a.Hypertension associated with pregnancy and diabetes. b.Drug use and alcohol abuse. c.Homelessness and lack of insurance. d.Behaviors and lifestyles.
a.Hypertension associated with pregnancy and diabetes.
From the nurse's perspective, what measure should be the focus of the health care system in order to reduce the rate of infant mortality further? a.Implementing programs to ensure women's early participation in ongoing prenatal care b.Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days c.Expanding the number of neonatal intensive care units (NICUs) d.Mandating that all pregnant women receive care from an obstetrician
a.Implementing programs to ensure women's early participation in ongoing prenatal care
A postpartum patient asks the nurse when the subdermal hormone implant for contraception can be inserted. What should the nurse respond to this patient? a.In 6 weeks b.In 1 month c.1 week after your next menstrual cycle d.Before being discharged after this delivery
a.In 6 weeks
Which statement best describes the pattern of maternal mortality since World War II? a.It has steadily decreased. b.It has remained constant. c.It has steadily increased. d.After decreasing until the 1960s, it has increased steadily.
a.It has steadily decreased.
For which reasons would a nurse review infant mortality statistics in the United States? Select all that apply. a.Measures the quality of pregnancy care b.Reviews information on overall nutrition c.Compares health with those of other states d.Determines infant health and available care e.Provides an index of the country's general health
a.Measures the quality of pregnancy care b.Reviews information on overall nutrition d.Determines infant health and available care e.Provides an index of the country's general health
For which patient assessment finding would an intrauterine device (IUD) be contraindicated? a.Misshapen uterus b.Multiple sexual partners c.Diagnosis of hypertension d.History of thromboembolic disease
a.Misshapen uterus
A patient received a scheduled dose of depot medroxyprogesterone acetate (DMPA) 6 weeks ago. Today, the patient reports that a regular menstrual cycle is 2 weeks late. What is the first thing that should be done for this patient? a.Perform a pregnancy test. b.Provide prenatal counseling. c.Discuss pregnancy termination options. d.Explain side effects of the contraceptive.
a.Perform a pregnancy test.
A nurse is doing a literature search on maternal mortality and finds that direct causes comprise the majority of maternal deaths. Direct causes are noted to be unpredictable reasons. Which action would be most appropriate to implement that would have the greatest impact on reducing these numbers? a.Practicing high standards of infection control. b.Monitoring maternal glucose levels in mothers with type 1 diabetes. c.Referring to a cardiologist for any arrhythmias. d.Administering oxytocic medications for increased postpartum bleeding. e.Beginning antibiotics prior to birth for a febrile mother.
a.Practicing high standards of infection control.
A male patient is considering a vasectomy. Which information should the nurse instruct the patient about this procedure? Select all that apply. a.Sexual intercourse can resume in a week. b.The procedure can be done as an outpatient. c.An opioid analgesic will be prescribed for pain control. d.Use a birth control method until a negative sperm reports occur. e.Spermatozoa present in the vas deferens will be viable for 2 weeks.
a.Sexual intercourse can resume in a week. b.The procedure can be done as an outpatient. d.Use a birth control method until a negative sperm reports occur.
The nurse is planning instruction for a patient desiring to have a tubal ligation. Which information should the nurse emphasize when teaching the patient? a.She must think of the procedure as irreversible. b.The procedure will reduce her menstrual flow in amount. c.She should schedule it to be done just before a menstrual flow. d.She will have lessened dysmenorrhea following the procedure.
a.She must think of the procedure as irreversible.
The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? Select all that apply. a.Smaller families b.Less domestic violence c.More employed mothers d.Stable home environments e.More single-parent families
a.Smaller families c.More employed mothers e.More single-parent families
A patient recovering from a surgical pregnancy termination returns for a postprocedure examination. The patient tells the nurse that she is relieved that the procedure is over but that she is feeling sad. What should the nurse do to assist the patient at this time? a.Suggest the patient talk with a counselor. b.Ask the patient to identify the source of the sadness. c.Recommend the patient attend contraceptive counseling sessions. d.Discuss the need for an antidepressant with the health care provider.
a.Suggest the patient talk with a counselor.
The nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group? a.The importance of crossing streets safely b.The importance of immunizations c.Prevention of infection and communicable disease d.Exercise and good nutrition
a.The importance of crossing streets safely
Which action taken made by the nurse would indicate that he or she is practicing appropriate family-centered care techniques? a.The nurse encourages the mother and father to make choices whenever possible. b.The nurse updates the family about what is going to happen but instructs the client's sister that she cannot be present in the room during the birth. c.The nurse believes that he or she is acting in the best interest of the client and commands her what to do throughout labor. d.The father is discouraged from accompanying his wife during a cesarean birth.
a.The nurse encourages the mother and father to make choices whenever possible.
With regard to emergency contraception pills, nurses should be aware that: a.The pills should be readily available during the initial learning phase when a woman is using a new method of contraception. b.The pills must be taken no later than 48 hours after unprotected intercourse or birth control mishap. c.The pills protect the woman against pregnancy even if she engages in unprotected intercourse in the days after treatment. d.Emergency contraception has no medical contraindications.
a.The pills should be readily available during the initial learning phase when a woman is using a new method of contraception.
True or False. Dilation and curettage is the method of abortion used when the gestational age of a pregnancy is still less than 13 weeks. a.True b.False
a.True
True or False. Men who want their sperm to be available for the future can have it sperm banked before vasectomy. a.True b.False
a.True
When educating a class of high school students on safer sex choices, the nurse would highlight which method as the most effective in preventing pregnancy and sexually transmitted infections? a.condom b.diaphragm c.spermicide d.cervical cap
a.condom
A nurse is speaking with a client who has just learned that she is pregnant with their first child. The nurse reads in the client's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the client about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as? a.health promotion b.health maintenance c.health rehabilitation d.health restoration
a.health promotion
An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement? a.increasing use of alternative treatment modalities b.meeting the work needs of pregnant and breastfeeding women c.reduction of health care costs through utilization of nonlicensed care providers d.initating more holistic care
a.increasing use of alternative treatment modalities
A nurse has just assisted in the birth of a premature neonate. The nurse recognizes that which factor, when associated with prematurity, is a leading cause of death in neonates? a.low birth weight b.gestational diabetes c.season of the year d.maternal hemorrhage
a.low birth weight
Which of the 2020 National Health Goal should a maternal child health nurse working in a developed nation focus on for betterment of clients? Select all that apply. a.reduction of child mortality b.gender equality c.improvement of primary education d.increase in foreign aid dependency e.environmental sustainability
a.reduction of child mortality b.gender equality c.improvement of primary education e.environmental sustainability
A nurse is counseling a 17-year-old girl on the importance of contraception. The girl states that she is not really concerned about getting pregnant, she says she will deal with it if and when it happens. Which point should the nurse emphasize with the client regarding the risks of unintended pregnancies? Select all that apply. a.the woman is less likely to complete high school or college. b.the woman is less likely to breastfeed c.the woman is more likely to require public assistance d.the woman is more likely to have a baby with birth defects e.the woman is less likely to protect her fetus from harmful substances f.the woman is less likely to seek prenatal care
a.the woman is less likely to complete high school or college. b.the woman is less likely to breastfeed c.the woman is more likely to require public assistance e.the woman is less likely to protect her fetus from harmful substances f.the woman is less likely to seek prenatal care
A woman calls the clinic to report that she has had some cramping and spotting since the insertion of her IUD three days ago. Which instruction would be most appropriate? a."Come to the clinic as soon as possible." b."Consider this normal, because your IUD is newly inserted." c."Take your blood pressure daily for the rest of the month." d."You'll have to change your method of birth control."
b."Consider this normal, because your IUD is newly inserted."
A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). The nurse's most appropriate response is: a."The lubricant prevents vaginal irritation." b."Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought, also, it has been linked to an increase in the transmission of human immunodeficiency virus (HIV) and can cause genital lesions." c."The additional lubrication improves sex." d."Nonoxynol-9 improves penile sensitivity."
b."Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought, also, it has been linked to an increase in the transmission of human immunodeficiency virus (HIV) and can cause genital lesions."
A nursing student asks an experienced nurse to explain the role of evidence-based practice on the maternal child unit. Which statement by the experienced nurse is most appropriate? a."We were trained to take a manual blood pressure, so I never use an automatic one." b."Women have been able to be successful at having a natural birth after a cesarean birth." c."Women should lay flat with their legs in the lithotomy position to give birth to a baby." d."Only women need to experience bonding with the infant for the first 3 months of life."
b."Women have been able to be successful at having a natural birth after a cesarean birth."
Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception? a.Obtain data about the frequency of coitus. b.Determine the woman's level of knowledge about contraception and commitment to any particular method. c.Assess the woman's willingness to touch her genitals and cervical mucus. d.Evaluate the woman's contraceptive life plan.
b.Determine the woman's level of knowledge about contraception and commitment to any particular method.
While providing care to a child, the nurse informs the parents about the treatment plans and helps the parents make decisions about the child's care needs. What do this nurse's actions support? a.Autonomy b.Empowerment c.Accountability d.Informed consent
b.Empowerment
The nurse is providing care to a new mother and infant according to the Quality & Safety Education for Nurses competency approach. Which action should the nurse perform to demonstrate the skill for the competency of safety? a.Assess the mother for preferences based on personal values. b.Ensure the mother and newborn have intact identification bands. c.Introduce all members of the care team to the mother and family. d.Document patient care using computerized spreadsheets and forms.
b.Ensure the mother and newborn have intact identification bands.
True or False. The majority of pregnancy terminations are done in cases in which the pregnancy threatens the mother's life. a.True b.False
b.False
What makes the area of family nursing a difficult arena to provide care at times? a.The presence of family in the hospital rooms b.Family members who might not agree on treatments and a plan of care c.Family-centered care plans and use of community areas in acute care settings d.Nurses having different values from families
b.Family members who might not agree on treatments and a plan of care
The nurse notes that statistics on maternal mortality had improved but are again becoming elevated. What does the nurse realize as a reason for this change in maternal mortality rates? a.Earlier prenatal care b.Gestational hypertension c.Increased vaginal deliveries d.Treatment for chronic diseases
b.Gestational hypertension
What is a current trend in child health care? a.Children are hospitalized for observation more than previously. b.Health promotion rather than health restoration is stressed. c.Child health care is moving out of regional centers. d.Nursing roles are decreasing because of the increasing role of families.
b.Health promotion rather than health restoration is stressed.
A nurse working in a pediatrician's office has requested that a generic brand of cotton swabs be ordered in place of a more expensive brand name. Which trend in today's health care environment is most related to this nurse's action? a.Increasing use of technology b.Initiating cost containment c.increasing reliance on home care d.increasing health insurance coverage cost
b.Initiating cost containment
A patient asks the nurse if a cervical cap is better than a diaphragm for contraception. What should the nurse explain is the advantage of a cervical cap? a.No initial fitting is required. b.It can be left in place longer. c.It needs no spermicidal jelly. d.It does not need to be refitted after pregnancy.
b.It can be left in place longer.
The nurse is caring for a mother who has just given birth to twins of 28 weeks' gestation, each weighing 2 kg. What is the health risk for the mother and the twins? a.Child mortality b.Neonatal death c. Infant mortality d.Maternal mortality
b.Neonatal death
The nurse works in a maternal and child care area that supports health promotion. Which activities will the nurse perform to support this philosophy of health care? Select all that apply. a.Planning care b.Patient teaching c.Family counseling d.New mother advocacy e.Identifying nursing diagnoses
b.Patient teaching c.Family counseling d.New mother advocacy
Which information is important for a woman to understand before undergoing a scheduled tubal ligation? a.She will have lessened dysmenorrhea following the procedure. b.She must think of the procedure as irreversible. c.The procedure will reduce her menstrual flow in amount. d.She should schedule it to be done just before a menstrual flow.
b.She must think of the procedure as irreversible.
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic to have her diaphragm fit checked after which occurrence? a.cervical infection b.a weight gain of 10 lb (4.5 kg) c.a vaginal infection d.six months of nonuse
b.a weight gain of 10 lb (4.5 kg)
A nurse is assessing a 26-year-old married female client for use of oral contraception. Which findings in her health history would suggest that natural family planning may be a better option? Select all that apply. a.menses at age 11 b.blood pressure 138/88 mmHg c.migraine headahces d.smokes 1 pack per day e.abortion at age 18
b.blood pressure 138/88 mmHg c.migraine headahces d.smokes 1 pack per day
A nurse is spending the summer volunteering as a maternal and child health care professional in a clinic in a developing nation stricken by famine. The nurse notes that the low percentage of men in the population due to war as well as poor nutrition make conception more rare among the women encountered for care. Which measure of maternal and child health would best confirm the nurse's observations? a.fetal death rate b.fertility rate c.birth rate d.maternal mortality rate
b.fertility rate
A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and notes that the numbers have changed over the last several decades. The best explanation would be: a.expectant mothers are seeking prenatal care later, resulting in decreases in the number. b.improved prenatal care has reduced the numbers of fetal deaths. c.increases are noted because of the growing number of pregnancies to teen mothers. d.increases are noted due the increasing number of older mothers becoming pregnant.
b.improved prenatal care has reduced the numbers of fetal deaths.
The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend? a.transdermal patch b.intrauterine device c.tubal ligation d.subdermal progestin implant
b.intrauterine device
A 33-week gestation infant dies after 1 week of life in the neonatal intensive care unit. This infant's death rate would be classified under which statistical category? a.infant death under one month b.neonatal death c.preterm gestational death d.postneonatal death
b.neonatal death
A new single mother is sharing her concerns about the cost of daycare with her nurse. She is new to the area. The nurse recognizes that which trend is contributing to this client's concern? Select all that apply. a.the increase in child and intimate partner violence b.the increased tendency for families to move from one part of the country to another c.the increase in the number of single parent families d.ninety percent of women working outside the home e.the increasing use of the internet to monitor health and ask health questions f.fewer extended family members to help care for a child
b.the increased tendency for families to move from one part of the country to another c.the increase in the number of single parent families d.ninety percent of women working outside the home f.fewer extended family members to help care for a child
A nurse is helping a couple choose a contraception method that is right for them. Which is the least likely factor the nurse should consider? a.financial factors b.the popularity of the method among the couple's friends c.whether the method will affect sexual enjoyment d.ability to use a method correctly
b.the popularity of the method among the couple's friends
A nurse has just learned that the hospital where the nurse is employed has been named a magnet hospital by the American Nurses' Credentialing Center. Which characteristic would the nurse most likely identify as meeting the criteria for this status? Select all that apply. a.the client mortality rate is nearly zero b.there is low staff nurse turnover rate c.nurses are involved in data collection and decision making about client care d.all nurse managers and leaders have either a BSN or MSN e.the hospital is the most profitable in its region f.there is a high level of nursing job satisfaction
b.there is low staff nurse turnover rate c.nurses are involved in data collection and decision making about client care d.all nurse managers and leaders have either a BSN or MSN f.there is a high level of nursing job satisfaction
A nurse is teaching a woman how to use the basal body temperature method of contraception. The nurse determines that the teaching was successful when the woman identifies that she should refrain from having sexual intercourse at which time? a.4 days after she notices her temperature rise. b.7 days after noting a slight increase followed by a dip in her temperature. c.3 days after she records a slight drop in her temperature followed by an increase. d.14 days after the last day of her menstrual period.
c.3 days after she records a slight drop in her temperature followed by an increase.
Which of the following actions, if demonstrated by a nursing student, could lead to dismissal from the health program? Select all that apply. a.A student nurse offers her phone number to a patient so that they can remain in touch. b.Nursing students go out for lunch following a clinical rotation to a local restaurant while still in uniform. c.A nursing student posts pictures of clinical site experiences on her Facebook page. d.Student nurses share their thoughts about their clinical site experiences on Twitter.
c.A nursing student posts pictures of clinical site experiences on her Facebook page. d.Student nurses share their thoughts about their clinical site experiences on Twitter.
After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding? a.Smoking b.Hypertension c.Abnormal uterine shape d.Thromboembolic disease
c.Abnormal uterine shape
A nurse who specializes in maternal and child health care performs many varied functions in diverse settings over the course of a year. Which action would be outside of the nurse's scope of practice? a.Provide preconceptual healthcare to a client. b.Discuss methods of alleviating morning sickness with a client in her first trimester. c.Assist in the treatment and recovery of a woman with ovarian cancer. d.Read a recent journal article on breastfeeding and its benefits for new mothers.
c.Assist in the treatment and recovery of a woman with ovarian cancer.
A patient who has unprotected intercourse has obtained the morning after pill but has not yet taken the prescribed dosage. What nursing diagnosis should the nurse identify as appropriate for the patient at this time? a.Powerlessness b.Spiritual distress c.Decisional conflict d.Readiness for enhanced knowledge
c.Decisional conflict
When providing family-centered care for a new mother and infant, which is the appropriate action by the nurse? a.Oversee care provided by the mother. b.Have the infant stay in the nursery. c.Encourage rooming-in to develop bonding. d.Limit interactions by other family members.
c.Encourage rooming-in to develop bonding.
During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breast-feeding for first-time mothers. Which Quality & Safety Education for Nurses competency does this nurse's action support? a.Quality improvement b.Patient-centered care c.Evidence-based practice d.Teamwork and collaboration
c.Evidence-based practice
What is an advantage of a cervical cap over a diaphragm? a.No initial fitting is required. b.It can be left in place longer. c.It needs no spermicidal jelly. d.It does not need to be refitted after pregnancy.
c.It needs no spermicidal jelly.
If used consistently and correctly, which of the barrier methods of contraception has the lowest failure rate? a.Spermicides b.Female condoms c.Male condoms d.Diaphragms
c.Male condoms
When caring for pregnant women, the nurse should keep in mind that violence during pregnancy: a.Affects more than 25% of pregnant women in the United States. b.Increases a pregnant woman's risk for gestational hypertension. c.May be associated with substance abuse by both the pregnant woman and her partner. d.Has decreased in incidence as a result of better assessment techniques and record-keeping.
c.May be associated with substance abuse by both the pregnant woman and her partner.
A new mother asks the nurse if all of the new baby's injections can be given in one visit because the mother is losing income from missing work because of the office visits. What does this new mother's issue indicate to the nurse? a.The mother needs to find an alternative employer. b.The mother's income is more important that the baby's health. c.Missing work does not support the baby's health maintenance visits. d.The federal government needs to do more to support well-baby visits.
c.Missing work does not support the baby's health maintenance visits.
The nurse has been hired to provide care to patients on a maternal and child unit. What will the nurse use as a guide to legally provide care to this patient population? a.Code of ethics b.Nursing research c.Standards of practice d.Evidence-based guidelines
c.Standards of practice
A woman taking an oral contraceptive pill (OCP) as her birth control method of choice should notify her health care provider immediately if she notes: a.Breast tenderness and swelling b.Weight gain c.Swelling and pain in one of her legs d.Mood swings
c.Swelling and pain in one of her legs
A woman telephones the nurse after taking an ovulation suppressant for 3 months to state that she has forgotten to take her pill two mornings in a row. What would be the best advice to give her regarding this? a.Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days. b.Take three pills immediately and avoid coitus for the remainder of the month. c.Take two pills now and use a second method of contraception for the remainder of the month. d.Take two pills a day for the rest of the month.
c.Take two pills now and use a second method of contraception for the remainder of the month.
A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual function. Which information should the nurse mention to the man? a.The man will no longer ejaculate seminal fluid b.The man will continue to ejaculate sperm c.The man will still have full erection capacity d.The man will no longer produce testosterone
c.The man will still have full erection capacity
After hearing of a lawsuit being filed by a client against another nurse, a nurse becomes concerned about the potential liability in working with premature infants at a high risk for morbidity and mortality. Which action is most essential for the nurse to take to limit liability in the event of litigation? a.having an attending health care provider confirm each intervention the nurse makes b.staying up to date on the research in the field c.carefully documenting every intervention with a client d.having the parents of each infant the nurse works with sign a liability waiver form
c.carefully documenting every intervention with a client
A client in her third trimester has just learned that she has developed gestational diabetes. The nurse gives her an injection of insulin to help return her blood glucose levels to normal. The nurse is participating in which phase of health care? a.health maintenance b.health promotion c.health restoration d.health rehabilitation
c.health restoration
A nurse is providing teaching to a parenting class on childhood mortality prevention. Which topic would be the priority for the nurse to include? a.immunizations b.sex education c.seat belt safety d.obesity
c.seat belt safety
A client decides to use the cervical mucus method as her contraceptive method. When describing this method, the nurse explains that the client can determine ovulation based on which characteristic of the mucus? a.thick consistency with clumping b.acidic odor and slightly yellow color c.thin and slippery d.transparent with the odor of eggs
c.thin and slippery
The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient statement indicates that instruction has been effective? a."I need to use my finger to remove the diaphragm." b."I should remove the diaphragm 6 hours after intercourse." c."I should stop using a diaphragm if I get an infection of my cervix." d."I need to have the diaphragm checked if my weight changes by 30 lb."
d."I need to have the diaphragm checked if my weight changes by 30 lb."
A married couple is discussing male and female sterilization with the nurse. Which statement is most appropriate for the nurse to make? a."Male and female sterilization methods are 100% effective." b."A vasectomy may have a slight effect on sexual performance." c."Tubal ligation can be easily reversed if you change your mind in the future." d."Major complications after sterilization are rare."
d."Major complications after sterilization are rare."
The nurse instructs a patient on cervical mucus changes that occur during ovulation. Which statement indicates that teaching has been effective? a."During ovulation, the mucus is thick." b."Ovulation makes the mucus more acidic." c."The mucus is white because of more white blood cells." d."When the mucus is thin and watery, then ovulation is occurring."
d."When the mucus is thin and watery, then ovulation is occurring."
A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, "My period is due in a few days, and my temperature has not gone up." The nurse's most appropriate response is: a."This probably means you're pregnant." b."Don't worry. it's probably nothing." c."Have you been sick this month?" d."You probably didn't ovulate during this cycle."
d."You probably didn't ovulate during this cycle."
The nurse is planning an educational session for community members to address the issue of school-age child mortality. Which topic should the nurse identify as the highest priority for this population? a.Cancer b.Assault c.Suicide d.Accidents
d.Accidents
A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement? a.Perform a nutrition assessment. b.Refer the woman to a social worker. c.Advise the woman to see an obstetrician, not a midwife. d.Explain to the woman the importance of keeping her prenatal care appointments.
d.Explain to the woman the importance of keeping her prenatal care appointments.
The nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach? a.Primary care b.Team nursing c.Case management d.Family-centered care
d.Family-centered care
A patient comes into the family planning clinic and requests a prescription for birth control pills. Which assessment finding indicates that an ovulation suppressant would not be the best contraceptive method for the patient? a.Age 30 years b.Allergy to foreign protein c.Irregular menstrual cycles d.History of thromboembolism
d.History of thromboembolism
Which statement is true about the term contraceptive failure rate? a.It refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. b.It refers to the minimum level that must be achieved to receive a government license. c.It increases over time as couples become more careless. d.It varies from couple to couple, depending on the method and the users.
d.It varies from couple to couple, depending on the method and the users.
Which statement correctly defines the term "perinatal death rate"? a.Number of deaths in utero of a fetus 500 g or more per 1000 live births b.Number of deaths per 1000 live births occurring in the first 28 days of life c.Number of deaths per 1000 live births occurring at birth or in the first 12 months of life d.Number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending 28 days after birth
d.Number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending 28 days after birth
More nurses are stepping into the role of the advanced practice nurse. Which nurse's role would be to provide care for children under the age of 18? a.Women's health nurse practitioner b.Case manager c.Clinical nurse specialist d.Pediatric nurse practitioner
d.Pediatric nurse practitioner
A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her? a.She is 30 years old. b.She has irregular menstrual cycles. c.She has a history of allergy to foreign protein. d.She has a family history of thromboembolism.
d.She has a family history of thromboembolism.
A female patient has forgotten to take an ovulation suppressant for two mornings in a row. What should the nurse advise the patient to do? a.Take two pills a day for the rest of the month. b.Take three pills immediately and avoid coitus for the remainder of the month. c.Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days. d.Take two pills now and use a second method of contraception for the remainder of the month.
d.Take two pills now and use a second method of contraception for the remainder of the month.
The nurse is planning an educational session on contraceptives for a group of adolescent high school students. What does the nurse need to do when planning this session? a.Argue that encouraging abstinence is unrealistic during the teenage years. b.Discuss that the application of a condom should occur after penile-vulvar contact. c.Explain that the combination oral contraceptive approach is the best for adolescents. d.Teaching about contraceptive options while avoiding indirect encouragement of sexual activity.
d.Teaching about contraceptive options while avoiding indirect encouragement of sexual activity.
What important aspects do all the fertility awareness-based (FAB) methods have in common? a.They all require a woman to be able to touch her genitals to assess cervical mucus. b.They all involve abstinence at some point. c.They all rely on measurement of body temperature. d.They all require the cooperation of the woman's partner.
d.They all require the cooperation of the woman's partner.
An adolescent female who has recently started menstruating asks for a highly reliable birth control method. Which method should the nurse discuss with the patient? a.Postcoital douching b.An intrauterine device c.An ovulation suppressant d.Vaginal foam for her and a condom for her partner
d.Vaginal foam for her and a condom for her partner
A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation? a.an ovulation suppressant b.a spermicidal suppository c.the rhythm (calendar) method d.a diaphragm and spermicide
d.a diaphragm and spermicide
A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care? a.offering increased WICC availability b.reducing the number of home births c.increasing the education level of parents d.increasing the number of women receiving prenatal care
d.increasing the number of women receiving prenatal care
A young woman is newly married and is seeking advice on contraception. She is in a monogamous relationship and would like a temporary contraceptive, as she plans to have children in the future. Her husband dislikes the feel of condoms. Also, she mentions that she typically experiences dysmenorrhea and has a history of recurrent urinary tract infections. Which method should the nurse recommend? a.vasectomy b.diaphragm c.postcoital douching d.oral contraceptive
d.oral contraceptive
When using the contraceptive patch, a client should understand that it: a.should be applied to the breasts, hips, or back. b.should be covered when swimming in a pool because of chlorine's effect on the adhesive. c.is immediately effective after application. d.should be applied to the abdomen, buttocks, or back.
d.should be applied to the abdomen, buttocks, or back.
The estrogen content in the contraceptive pill performs which action? a.decreases the permeability of cervical mucus b.increases the level of luteinizing hormone (LH) c.interferes with endometrial proliferation d.suppresses follicle-stimulating hormone (FSH)
d.suppresses follicle-stimulating hormone (FSH)
A young woman says that she needs a temporary contraceptive but has a latex allergy. She mentions that she has a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? a.diaphragm b.female condom c.cervical cap d.transdermal contraception
d.transdermal contraception
