OB1 focus

The nurse is assessing a clients use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.) a. Practicing yoga daily b. Drinking green tea in the morning c. Taking omeprazole (Prilosec) once a day d. Using aromatherapy during a relaxing bath e. Wearing a lower back brace when lifting heavy objects

ABD

The nurse points out that some non-family-centered policies of hospital in the 1960s were: Select all that apply. a. Waiting room for fathers b. Sedation of mother during labor c. Delay of reunion of mother and baby d. Stringent visiting hours e. Restrictions of visitations by minor children

ABCDE

The nurse explains that the functions of the fallopian tubes are to provide: Select all that apply. a. Passage for sperm to meet ova b. Passage for ovum to uterus c. Safe environment for zygote d. Restriction for only one ovum to enter uterus e. Site for fertilization

ABCE

A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. A)Mons pubis B)Labia C)Vagina D)Clitoris E)Uterus

ABD

The nurse clarifies to a patient that diagnosis related groups (DRGs) are designed to contain medical care costs by: a. Determining payment based on diagnosis b. Requiring two medical opinions to confirm a diagnosis c. Organizing HMOs d. Defining a person who will require hospitalization

a. Determining payment based on diagnosis

A pregnant woman asks the nurse, Will I be able to have a vaginal delivery? The nurse would base a response on the understanding that the pelvic type most favorable for vaginal birth is: a. Gynecoid b. Android c. Anthropoid d. Platypelloid

a. Gynecoid

The nurse explains that the structure(s) responsible for production of sperm and secretion of hormones is (are) the: a. Testes b. Vas deferens c. Ejaculatory ducts d. Prostate gland

a. Testes

The nurse states to the newly pregnant patient, Tell me how you feel about being pregnant. Which communication technique is the nurse using with this patient? a. Clarifying b. Paraphrasing c. Reflection d. Structuring

a. Clarifying

The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood, such as: Select all that apply. a. Bar mitzvah b. Displays of bravery c. Hunting wild animals d. Ritual circumcision e. Displays of self-defense

ABCDE

A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply. A)Advocacy B)Coordination C)Communication D)Resource management E)Event managed care

ABCD

After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which of the following as a mechanical barrier method? (Select all that apply.) A)Condom B)Cervical cap C)Cervical sponge D)Diaphragm E)Vaginal ring

ABCD

A group of nursing students are reviewing information about factors affecting maternal, newborn, and womens health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A)Literacy B)Employment opportunities C)Mobility D)Political representation E)Skills

ABCDE

A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A)2448 hours or less B)7296 hours or less C)4872 hours or less D)96120 hours or less

A)2448 hours or less

A nurse is examining a female client and tests the clients vaginal pH. Which finding would the nurse interpret as normal? A)4.5 B)7 C)8.5 D)10

A)4.5

A woman comes to the clinic because she has been unable to conceive. When reviewing the womans history, which of the following would the nurse least likely identify as a possible risk factor? A)Age of 25 years B)History of smoking C)Diabetes since age 15 years D)Weight below standard for height and age

A)Age of 25 years

The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A)Arranging for a physical therapy session B)Teaching parents to administer albuterol C)Reminding parent to give a full course of antibiotics D)Giving a DTaP vaccination at the proper interval

A)Arranging for a physical therapy session

After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A)Childbirth affects the entire family, and relationships will change. B)Families are not capable of making health care decisions for themselves. C)Mothers are the family members affected by childbirth. D)Childbirth is a medical procedure.

A)Childbirth affects the entire family, and relationships will change.

A client states that she is to have a test to measure bone mass to help diagnose osteoporosis. The nurse would most likely plan to prepare the client for: A)DEXA scan B)Ultrasound C)MRI D)Pelvic x-ray

A)DEXA scan

The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A)Getting telephone consent with two people listening to the verbal consent B)Providing emergency care without parental consent C)Contacting the childs aunt or uncle to obtain their consent D)Advocating for termination of parental rights for this situat

A)Getting telephone consent with two people listening to the verbal consent

After the nurse teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching? A)I will make sure to take my estrogen supplements a week before my period. B)Ive signed up for an aerobic exercise class three times a week. C)Ill cut down on the amount of coffee and colas I drink. D) I quit smoking about a month ago, so that should help.

A)I will make sure to take my estrogen supplements a week before my period.

After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A)Increase in community settings for care B)Decrease in family poverty level C)Increase in hospitalization of children D)Decrease in managed care

A)Increase in community settings for care

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the nurses suspicions? A)Ive been having bleeding off and on thats irregular and sometimes heavy. B)I get sharp pain in my lower abdomen usually starting soon after my period comes. C)I get really irritable and moody about a week before my period. D)My periods have been unusually long and heavy lately.

A)Ive been having bleeding off and on thats irregular and sometimes heavy.

When describing the ovarian cycle to a group of students, which phase would the instructor include? A)Luteal phase B)Proliferative phase C)Menstrual phase D)Secretory phase

A)Luteal phase

A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the clients next menses to begin on: A)May 24 B)May 26 C)May 30 D)June 1

A)May 24

After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A)Performing a procedure on a 15-year-old without consent B)Serving as a witness to the signature process C)Asking whether the client understands what she is signing D)Getting verbal consent over the phone for emergency procedures

A)Performing a procedure on a 15-year-old without consent

The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A)Softening unpleasant information or prognoses B)Evaluating and changing the nursing plan of care C)Collaborating with the child and family as equals D)Showing respect for the familys beliefs and wishes

A)Softening unpleasant information or prognoses

A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The nurse interprets this as which of the following? A)Spinnbarkeit mucus B)Purulent mucus C)Postovulatory mucus D)Normal preovulation mucus

A)Spinnbarkeit mucus

A client is to receive an implantable contraceptive. The nurse describes this contraceptive as containing: A)Synthetic progestin B)Combined estrogen and progestin C)Concentrated spermicide D)Concentrated estrogen

A)Synthetic progestin

After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care? A)Teaching women to take folic acid supplements to prevent neural tube defects B)Working with women who are victims of domestic violence C)Working with clients at an HIV clinic to provide nutritional and CAM therapies D)Teaching hypertensive clients to monitor blood pressure

A)Teaching women to take folic acid supplements to prevent neural tube defects

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? A)Testes B)Seminal vesicles C)Scrotum D)Prostate gland

A)Testes

After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following? A)The rate includes accidental causes for deaths. B)It addresses pregnancy-related causes. C)The duration of the pregnancy is not a concern. D)The time frame is typically for a specified year.

A)The rate includes accidental causes for deaths.

While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following? A)Use of essential oils to stimulate the sense of smell to balance the mind and body B)Application of pressure to specific points to allow self-healing C)Use of deep massage of areas on the foot or hand to rebalance body parts D)Participation in chanting and praying to promote healing.

A)Use of essential oils to stimulate the sense of smell to balance the mind and body

The nurse clarifies that family-centered care focuses on: Select all that apply. a. Family integrity b. Family as caregivers c. Family as decision makers d. Empowerment of the family e. Cultural values of the family

ABCDE

Medical diagnoses are classified based on the type of complexity of services generally required. A. Capitated care b. Diagnosis-related groups c. Managed care

A. Capitated care

The nurse has a responsibility to give care to the client. A. Damage B. Proximate cause C. Duty

A. Damage

Using nonverbal responses or succinct comments to encourage the person to continue A. Directing B. Pinpointing C. Paraphrasing

A. Directing

The period in which an ovum matures begins with the first day of menstruation and ends about 14 days later. A. Follicular phase of the female reproductive cycle B. Luteal phase of the female reproductive cycle C. Proliferative phase of the female reproductive cycle

A. Follicular phase of the female reproductive cycle

A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply. A)White women have higher rates of breast cancer than African American women. B)African American women are more likely to die from breast cancer at any age. C)Survival at any stage is worse among white women. D)Women living in South America have the highest rates of breast cancer. E)Breast cancer is the leading cause of cancer mortality in women.

AB

A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. You know that which findings are considered normal? Choose all that apply. a. Dipstick assessment of trace to +1 b. <300 mg/24 hours c. Dipstick assessment of +2 d. >300 mg/24 hours

AB

A young female client comes to the health unit at school to discuss her irregular periods. In providing education regarding the female reproductive cycle, the nurse describes the regular and recurrent changes related to theovaries and the uterine endometrium. Although this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? (Select all that apply.) a. Follicular b. Ovulatory c. Luteal d. Proliferative e. Secretory

ABC

The nurse explains that the developments in the early 20th century that focused on hospitalization for childbirth were: Select all that apply. a. Use of specialized obstetrical instruments b. Use of anesthesia c. Physicians closer relationships with hospitals d. Focus on family-centered care e. Insurance coverage

ABC

A nurse is preparing a class for a group of women at a family planning clinic about contraceptives. When describing the health benefits of oral contraceptives, which of the following would the nurse most likely include? (Select all that apply.) A)Protection against pelvic inflammatory disease B)Reduced risk for endometrial cancer C)Decreased risk for depression D)Reduced risk for migraine headaches E)Improvement in acne

ABE

A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) A)Teach survival skills first B)Use simple, nonmedical language C)Refrain from using a hands-on approach D)Avoid repeating information E)Use visual materials such as photos and videos

ABE

The nurse uses a diagram to show the bones of the pelvis. They include: Select all that apply. a. Two innominates b. Obstetrical conjugate c. Sacrum d. Perimetrium e. Coccyx

ABE

The nurse, by reading a pregnant patients history and physical, recognizes information that might indicate the need for a cesarean delivery, which is/are: Select all that apply: a. History of childhood rickets b. Immobile coccyx c. Prepregnant weight of 100 pounds d. Patient is avid horseman e. Pelvic fracture 3 years ago

ABE

A pregnant woman asks the nurse about giving birth in a birthing center. She says, Im thinking about using one but Im not sure. Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.) A) An alternative for women who are uncomfortable with a home birth. B)The longer length of stay needed when compared to hospital births C)Focus on supporting women through labor instead of managing labor D)View of labor and birth as a normal process requiring no intervention E)Care provided primarily by obstetricians with midwives as backup care

ACD

The diagnosis of pregnancy is based on which positive signs of pregnancy? Choose all that apply. a. Identification of fetal heartbeat b. Palpation of fetal outline c. Visualization of the fetus d. Verification of fetal movement e. Positive hCG test

ACD

A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse give to the couple? (Select all that apply.) a. Donated embryos can be implanted into the surrogate mother. b. The surrogate mother needs to have carried one previous birth to term. c. You both need to be infertile to be eligible for surrogate parenting. d. Conception can take place outside the surrogate mothers body and then implanted. e. The surrogate mother can be inseminated artificially with sperm from the intended father.

ADE

A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. A)Urgent care center B)Hospice care C)Immunization clinic D)Physicians office E)Day surgery center F)Nursing home

ADE

A nurse is describing the structure and function of the reproductive system to an adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? A)Mucus-like B)Alkaline C)Acidic D)Semen

B)Alkaline

A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle-stimulating hormone as being secreted by which of the following? A)Hypothalamus B)Anterior pituitary gland C)Ovaries D)Corpus luteum

B)Anterior pituitary gland

The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A)Resolving all language and cultural differences B)Assuring early and adequate prenatal care C)Providing more extensive womens shelters D)Encouraging all women to eat a balanced diet

B)Assuring early and adequate prenatal care

A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role? A)Greater emphasis on direct physical care B)Broader assessment to include the environment C)Increased dependency on physician D)Limited decision making and support

B)Broader assessment to include the environment

The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A)Evidence of pubic hair B)Development of breast buds C)Onset of menses D)Growth spurt

B)Development of breast buds

Which finding would the nurse expect to find in a client with endometriosis? A)Hot flashes B)Dysuria C)Fluid retention D)Fever

B)Dysuria

After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A)Hemorrhage B)Embolism C)Obstructed labor D) infection

B)Embolism

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which of the following as the primary cause? A)Poor dietary intake B)Estrogen deficiency C)Active lifestyle D)Changes in vaginal pH

B)Estrogen deficiency

he nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A)Calcium B)Folic acid C)Vitamin C D)Iron

B)Folic acid

The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A)Smoking B)Heart disease C)Diabetes D)Cancer

B)Heart disease

The nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern? A)Negative pregnancy test B)Hemoglobin level of 10.1 g/dL C)Prothrombin time of 60 seconds D)Serum cholesterol of 140 mg/dL

B)Hemoglobin level of 10.1 g/dL

A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A)I like having the privacy, but it might be too expensive for me to set up in my home. B)I want to have more control, but I am concerned if an emergency would arise. C)It is safer because I will have a midwife. D)The midwife is trained to resolve any emergency, and she can bring any pain meds.

B)I want to have more control, but I am concerned if an emergency would arise.

A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse be least likely to identify as placing the client at risk for an infection? A)Recent antibiotic therapy for an upper respiratory infection B)Last menstrual period about 5 days ago. C)Weekly douching D)Frequent use of feminine hygiene sprays.

B)Last menstrual period about 5 days ago.

When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A)Estrogen B)Luteinizing hormone C)Progesterone D)Prolactin

B)Luteinizing hormone

When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following? A)Semen forced through the urethra to the outside B)Movement of sperm from the testes and fluid into the urethras C)Dilation of the penile arteries with increased blood flow to the tissues. D)Bodys return to the physiologic nonstimulated state

B)Movement of sperm from the testes and fluid into the urethras

A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which of the following? A)Onset of menses B)Ovulation C)Pregnancy D)Safe period for intercourse

B)Ovulation

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A)Sperm emission B)Penile vasodilation C)Psychological release D)Ejaculation

B)Penile vasodilation

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. Ive also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? A)Menopause B)Perimenopause C)Climacteric D)Menarche

B)Perimenopause

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A)Menstrual B)Proliferative C)Secretory D)Ischemic

B)Proliferative

Which of the following statements is accurate regarding womens health care in todays system? A)Women spend 95 cents of every dollar spent on health care. B)Women make almost 90% of all health care decisions. C)Women are still the minority in the United States. D)Men use more health services than women.

B)Women make almost 90% of all health care decisions.

Ovulation marks the beginning of this stage and occurs about 14 days before the next menstrual period. A. Follicular phase of the female reproductive cycle B. Luteal phase of the female reproductive cycle C. Proliferative phase of the female reproductive cycle

B. Luteal phase of the female reproductive cycle

Calling attention to differences or inconsistencies in statements A. Directing B. Pinpointing C. Paraphrasing

B. Pinpointing

An actual injury or harm to the client occurred because of the nurses breach of duty. A. Damage B. Proximate cause C. Duty

B. Proximate cause

A group of nursing students are reviewing information about the male reproductive structures. The students demonstrate understanding of the information when they identify which of the following as accessory organs? (Select all that apply.) A)Testes B)Vas deferens C)Bulbourethral glands D)Prostate gland E)Penis

BCD

In consideration of the historic evolution of maternity care, which treatment options were used? (Select all that apply.) a. During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. b. Granny midwives received their training through a period of apprenticeship. c. The recognition of improved obstetric outcomes was related to increased usage of hygienic practices. d. A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth. e. The use of chloroform by midwives led to decreased pain during birth.

BCD

The school nurse is conducting health education classes for a group of adolescent girls. Which are the actions of the estrogen hormone on the female body? (Select all that apply.) a. Stimulates contractions during birth b. Relaxes pelvic ligaments during pregnancy c. Stimulates the endometrium before ovulation d. Stimulates growth of uterus during pregnancy e. Stimulates the let-down reflex during breastfeeding

BCD

When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply. A)Chromosomal abnormalities B)Malnutrition C)Preterm cervical dilation D)Underlying disease condition E)Poor placental attachment

BCD

The prenatal clinic nurse is assessing a newly pregnant Hispanic client. Her husband is present. Which communication techniques should the nurse use with regard to the clients culture? (Select all that apply.) a. Establish full eye contact. b. Begin the assessment with some small talk. c. Ask the client if the family uses a curandero. d. Ask the husband to wait in the waiting area until the assessment is completed. e. Determine the clients understanding of English and explain that a Spanish interpreter can be available, if needed.

BCE

The nurse is formulating a nursing care plan for a postpartum client. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan? (Select all that apply). a. Using a standardized postpartum care plan b. Determining priorities for each diagnosis written c. Writing interventions from a nursing diagnosis book d. Reflecting and suspending judgment when writing the care plan e. Clustering data during the assessment process according to normal versus abnormal

BDE

Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.) a. The nurse posts an update about a client on Facebook. b. The nurse gives the report to the oncoming nurse in a private area. c. The nurse gives information about the clients status over the phone to the clients friend. d. The nurse logs off any computer screen showing client data before leaving the computer unattended. e. The nurse puts any documentation with the clients information in the shred bin at the hospital before leaving for the day.

BDE

A group of students are reviewing an article describing information related to indicators for womens health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A)Smoking cessation B)Colorectal cancer screening C)Violence against women D)Health insurance coverage E)Mammograms

BE

A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame? A)1700s B)1800s C)1900s D)2000s

C)1900s

The nurse is reviewing the medical records of several clients. Which client would the nurse expect to have an increased risk for developing osteoporosis? A)A woman of African American descent B)A woman who plays tennis twice a week C)A thin woman with small bones D)A woman who drinks one cup of coffee a day

C)A thin woman with small bones

When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A)Adapt to the practices of the familys culture B)Determine similarities between both cultures C)Assess personal feelings about that culture D)Learn as much as possible about that culture

C)Assess personal feelings about that culture

When integrating the principles of family-centered care, the nurse would include which of the following? A)Childbirth is viewed as a procedural event B)Families are unable to make informed choices C)Childbirth results in changes in relationships D)Families require little information to make appropriate decisions

C)Childbirth results in changes in relationships

After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? A)Oral contraceptives B)Tubal ligation C)Condoms D)Intrauterine system

C)Condoms

A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A)Cultural knowledge B)Cultural skills C)Cultural encounter D)Cultural awareness

C)Cultural encounter

When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A)Increased time available for education B)Improved access to resources C)Decision making in isolation D)Greater environmental structure

C)Decision making in isolation

When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A)Confer with the clients mother B)Teach new self-care skills to the client C)Determine if there is a need for back-up power D)Discuss coverage with the insurance company

C)Determine if there is a need for back-up power

The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only with a prescription? A)Condom B)Spermicide C)Diaphragm D)Basal body temperature

C)Diaphragm

Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A)Provide treatment for clients who test positive for HIV B)Monitor viral load counts periodically C)Educate clients in how to practice safe sex D)Offer testing for clients who practice unsafe sex

C)Educate clients in how to practice safe sex

A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A)Adhering to strict, specific routines B)Involving a pediatric physician C)Educating the client about the importance of a support person D)Assigning several nurses as a support team

C)Educating the client about the importance of a support person

A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care? A)Focusing on the birth as a normal healthy event for the family BCreating opportunities for the family to make informed decisions C)Encouraging the woman to keep her other children at home D)Fostering a sense of respect for the mother and the family

C)Encouraging the woman to keep her other children at home

After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization? A)Vagina B)Uterus C)Fallopian tubes D)Vestibule

C)Fallopian tubes

A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis. After teaching the partner about this test, which client statement indicates that the client has understood the instructions? A)I need to bring the specimen to the lab the day after collecting it. B)I will place the specimen in a special plastic bag to transport it. C)I have to abstain from sexual activity for about 12 days before the sample. D)I will withdraw before I ejaculate during sex to collect the specimen.

C)I have to abstain from sexual activity for about 12 days before the sample.

A nurse is preparing a presentation for a local community group about health status and childrens health. Which of the following would the nurse include as one of the most significant measures? A)Fetal mortality rate B)Neonatal mortality rate C)Infant mortality rate D)Maternal mortality rate

C)Infant mortality rate

During class, a nursing student asks, I read an article that was talking about integrative medicine. What is that? Which response by the instructor would be most appropriate? A)It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition. B)It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort. C)It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. D)It refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one.

C)It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective.

A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which of the following to confirm this suspicion? A)Pelvic examination B)Transvaginal ultrasound C)Laparoscopy D)Hysterosalpingogram

C)Laparoscopy

A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the clients learning ability? A)Did you graduate from high school; how many years of schooling did you have? B)Do you have someone in your family who would understand this information? C)Many people have trouble remembering information; is this a problem for you? D)Would you prefer that the doctor give you more detailed medical information?

C)Many people have trouble remembering information; is this a problem for you?

When reviewing the medical record of a client diagnosed with endometriosis, which of the following would the nurse identify as a risk factor for this woman? A)Low fat in the diet B)Age of 14 years for menarche C)Menstrual cycles of 24 days D)Short menstrual flow

C)Menstrual cycles of 24 days

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a womans first: A)Sexual experience B)Full hormonal cycle C)Menstrual period D)Sign of breast development

C)Menstrual period

A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A)Serves as a communication tool for the interdisciplinary team. B)Demonstrates education the family has received if legal matters arise. C)Permits others access to allow refusal of medical insurance coverage. D)Verifies meeting client education standards set by the Joint Commission.

C)Permits others access to allow refusal of medical insurance coverage.

A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A)Appetite changes B)Sleep difficulties C)Persistent anger D)Chronic fatigue

C)Persistent anger

Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A)Cervix B)Fallopian tube C)Vagina D)Vulva

C)Vagina

A nurse is preparing a presentation for a local womens group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A)Women have similar symptoms as men for a heart attack. B)Heart disease is no longer viewed as a mans disease. C)Women experiencing a heart attack are at greater risk for dying. D)Heart attacks in women are more easily diagnosed.

C)Women experiencing a heart attack are at greater risk for dying.

Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant client regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.) a. Staffing by lay midwives b. Equipped for obstetric emergencies c. Less expensive than acute care hospitals d. Safe, homelike births in a familiar setting e. Access to follow-up care for 6 weeks postpartum

CDE

The nurses breach of duty caused harm. A. Damage B. Proximate cause C. Duty

C. Duty

Restating in words other than those used by the woman what she seems to express; a form of clarification A. Directing B. Pinpointing C. Paraphrasing

C. Paraphrasing

This occurs as the ovum matures and is released during the first half of the ovarian cycle. A. Follicular phase of the female reproductive cycle B. Luteal phase of the female reproductive cycle C. Proliferative phase of the female reproductive cycle

C. Proliferative phase of the female reproductive cycle

A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply. A)Examining personal sociocultural heritage B)Reviewing personal biases and prejudices C)Seeking resources to further understanding of other cultures D)Becoming familiar with other culturally diverse lifestyles E)Performing a competent cultural assessment F)Advocating for social justice to eliminate disparities.

CD

A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). Which of the following would the nurse need to stress to the group. Select all that apply. A)ECs induce an abortion like reaction. B)ECs provide some protection against STIs C)ECs are birth control pills in higher, more frequent doses D)ECs are not to be used in place of regular birth control E)ECs provide little protection for future pregnancies.

CDE

The clinic nurse often cares for clients who are considering an abortion. Which responsibilities does this nurse have in regard to this issue? (Select all that apply.) a. Informing the client about pro-life options b. Informing the client about pro-choice support groups c. Being informed about abortion from a legal standpoint d. Being informed about abortion from an ethical standpoint e. Recognizing that this issue may result in confusion for the client

CDE

Which of the following complications are associated with late preterm infants? (Select all that apply.) a. Hyperglycemia b. Tachycardia c. Jaundice d. Thermoregulation problems e. Require mechanical ventilation f. Feeding problems

CDEF

The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, Im pretty tired. And with this pain, I havent been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby. Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A)Impaired skin integrity related to cesarean birth incision B)Fatigue related to effects of surgery and caretaking activities C)Imbalanced nutrition, less than body requirements related to poor fluid and food intake D)Acute pain related to incision and cesarean birth

D)Acute pain related to incision and cesarean birth

A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A)Disease prevention B)Health promotion C)Wellness D)Analysis of morbidity and mortality

D)Analysis of morbidity and mortality

When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A)Epidemics of puerperal fever B)Performance of the first cesarean birth C)Development of the x-ray to assess pelvic size D)Creation of free-standing birth centers

D)Creation of free-standing birth centers

When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A)Language B)Health care workers attitudes C)Transportation D)Finances

D)Finances

A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this clients cultural background, the client most likely views illness as which of the following? A)Caused by supernatural forces. B)A punishment for sins. C)Due to spirits or demons. D)From an imbalance of yin and yang

D)From an imbalance of yin and yang

A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity? A)Explaining to the woman and family what to expect during the birth process. B)Assisting the woman in breathing techniques to cope with labor contractions. C)Reinforcing the womans role as a mother after birth D)Helping the family obtain extra financial help for prescribed phototherapy

D)Helping the family obtain extra financial help for prescribed phototherapy

When discussing contraceptive options, which method would the nurse recommend as being the most reliable? A)Coitus interruptus B)Lactational amenorrheal method (LAM) C)Natural family planning D)Intrauterine system

D)Intrauterine system

The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A)Estrogen B)Progesterone C)Follicle-stimulating hormone D)Luteinizing hormone

D)Luteinizing hormone

A client who has come to the clinic is diagnosed with endometriosis. Which of the following would the nurse expect the physician to prescribe as a first-line treatment? A)Progestins B)Antiestrogens C)Gonadotropin-releasing hormone analogues D)NSAIDs

D)NSAIDs

Which of the following measures would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause? A)Taking vitamin supplements B)Eating high-fiber, high-calorie foods C)Restricting fluid to 1,000 mL daily D)Participating in regular daily exercise

D)Participating in regular daily exercise

A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following? A)Conducting childbirth education classes B)Counseling a pregnant teen with anemia C)Consulting with a parent of a child who is vomiting D)Performing epidemiologic investigations

D)Performing epidemiologic investigations

Which of the following would the nurse emphasize when teaching postmenopausal women about ways to reduce the risk of osteoporosis? A)Swimming daily B)Taking vitamin A C)Following a low-fat diet D)Taking calcium supplements

D)Taking calcium supplements

A woman comes to the clinic complaining that she has little sexual desire. As part of the clients evaluation, the nurse would anticipate the need to evaluate which hormone level? A)Progesterone B)Estrogen C)Gonadotropin-releasing hormone D)Testosterone

D)Testosterone

When developing a teaching plan for a couple considering contraception options, which of the following statements would the nurse include? A)You should select one that is considered to be 100% effective. B)The best one is the one that is the least expensive and most convenient. C)A good contraceptive doesnt require a physicians prescription. D)The best contraceptive is one that you will use correctly and consistently.

D)The best contraceptive is one that you will use correctly and consistently.

The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? A)Seminal vesicles B)Prostate gland C)Cowpers glands D)Vas deferens

D)Vas deferens

After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A)Bloating B)Tension C)Dysphoria D)Weight loss

D)Weight loss

The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate? (Select all that apply.) a. Teaching the client about breast care b. Assessment of a clients lochia and perineal area c. Assisting a client to the bathroom for the first time after birth d. Vital signs on a postpartum client who delivered the night before e. Assisting a postpartum client to take a shower on the second postpartum day

DE

The nurse explains that guidelines that define multidisciplinary patient care in terms of expected outcome and timeframe are known as: a. Clinical pathways b. Nursing outcome criteria c. Standards of care d. Nursing care plan

a. Clinical pathways

The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants? a. Providing more womens shelters The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants? a. Providing more womens shelters b. Ensuring early and adequate prenatal care c. Resolving all language and cultural differences d. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy c. Resolving all language and cultural differences d. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy

The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants? a. Providing more womens shelters b. Ensuring early and adequate prenatal care c. Resolving all language and cultural differences d. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy

When the patient asks the nurse to explain what is meant by gene therapy, the nurses best response would be that gene therapy: a. Can replace missing genes b. Evaluates parents genes c. Can change the sex of the fetus d. Supports the regeneration of defective genes

a. Can replace missing genes

The nurse who is aware that the diagonal conjugate is 12 cm knows that the obstetrical conjugate is: a. 10 to 10.5 cm b. 11 to 11.5 cm c. 12.5 to 13 cm d. 14 to14.5 cm

a. 10 to 10.5 cm

1. The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family? a. Adults agree on the majority of basic parenting principles. b. The parents and children have rigid assignments for all the family tasks. c. Young families assume total responsibility for the parenting tasks, refusing any assistance. d. The family is overwhelmed by the significant changes that occur as a result of childbirth.

a. Adults agree on the majority of basic parenting principles.

The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family? a. Adults agree on the majority of basic parenting principles. b. The parents and children have rigid assignments for all the family tasks. c. Young families assume total responsibility for the parenting tasks, refusing any assistance. d. The family is overwhelmed by the significant changes that occur as a result of childbirth.

a. Adults agree on the majority of basic parenting principles.

Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists? a. Analysis b. Planning c. Evaluation d. Assessment

a. Analysis

A nurse who works in the emergency department (ED) is assigned to a client who is experiencing heavy vaginal bleeding at 12 weeks gestation. An ultrasound has confirmed the absence of a fetal heart rate, and the client is scheduled for a dilation and evacuation of the pregnancy. The nurse refuses to provide any further care for this client based on moral principles. What is the nurse managers initial response to the nurse? a. I recall you sharing that information in your interview. I will arrange for another nurse to take report on this client. b. Because we are shorthanded today, you have to continue to provide care. There is no one else available to provide care for this client. c. I understand your point of view. You were hired to work here in the ED so you had to know this situation was possible. d. Abandonment is a serious issue. I have to advise you to continue to provide care for this client.

a. I recall you sharing that information in your interview. I will arrange for another nurse to take report on this client.

The nurse is reviewing normal female development with a mother of a 10-year-old daughter. The mother states, I noticed that my daughter developed breast buds about a year ago. When do you think she will start her menstrual cycle? What is the nurses best response? a. In about a year. b. Likely any time now. c. Does your daughter know what to expect? d. It is impossible to predict when she will start her cycle.

a. In about a year.

A charge nurse is working on a postpartum unit and discovers that one of the clients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought that the client should just do it by herself because she will have to do this at home. On further questioning of the nurse, it is determined that the rest of her assigned clients were provided AM care. The assigned nurse has violated which ethical principle? a. Justice b. Truth c. Confidentiality d. Autonomy

a. Justice

Which hormonal effect is noted during the menstrual cycle? a. LH and FSH secretion rise during the ovulatory phase. b. A negative feedback mechanism is exhibited by the anterior pituitary gland and ovaries. c. The posterior pituitary gland secretes LH. d. Estrogen secretion enhances FSH secretion.

a. LH and FSH secretion rise during the ovulatory phase.

The nurse explains that the individual who advocated the establishment of the Childrens Bureau was: a. Lillian Wald b. Florence Nightingale c. Florence Kelly d. Clara Barton

a. Lillian Wald

The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse that she has not received any prenatal care because I cannot afford to go to the doctor. And, this is my third baby, so I know what to expect. What is the nurses primary concern when developing the patients plan of care? a. Low birth weight b. Oligohydramnios c. Gestational diabetes d. Gestational hypertension

a. Low birth weight

A group of nursing students plan to teach a class of 6th-grade girls about menstruation. They would teach them that: a. Menarche usually occurs around 12 years of age. b. Ovulation occurs regularly from the very first cycle. c. A regular cycle is established by the third period. d. Typically, menstrual flow is heavy and lasts up to 10 days.

a. Menarche usually occurs around 12 years of age.

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. An important point to teach her is that: a. Milk is produced in ducts and lobules regardless of breast size. b. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition. c. Breast size can be increased with exercise. d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.

a. Milk is produced in ducts and lobules regardless of breast size.

Which principle of teaching should the nurse use to ensure learning in a family situation? a. Motivate the family with praise and positive feedback. b. Learning is best accomplished with the lecture format. c. Present complex subject material first while the family is alert and ready to learn. d. Families should be taught using medical jargon so they will be able to understand the technical language used by physicians.

a. Motivate the family with praise and positive feedback.

A nurse is admitting a client to the labor and birth unit in early labor who was sent to the facility following her checkup with her health care provider in the office. The client is a gravida 1, para 0, and is at term. No health issues are discerned from the initial assessment, and the nurse prepares to initiate physician orders based on standard procedures. Which action is warranted by the nurse manager in response to this situation? a. No action is indicated because the nurse is acting within the scope of practice. b. The nurse manager should intervene and ask the nurse to clarify admission orders directly with the physician. c. The nurse manager should review standard procedures with the nurse to validate that orders are being carried out accurately. d. The nurse manger should review the admission procedure with the nurse.

a. No action is indicated because the nurse is acting within the scope of practice.

Which is the step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis? a. Planning b. Evaluation c. Assessment d. Intervention

a. Planning

A client who had a vaginal birth 12 hours ago without complications wants to go home. Typical discharge orders at this facility call for discharge to occur at 48 hours postbirth. The newborn and mother are considered to be stable and an order is written for discharge, with follow-up by home health. What type of variance would this discharge indicate? a. Positive b. Negative c. Equivocal d. Without incidence

a. Positive

The clinic nurse is reviewing breastfeeding with a pregnant client. Which hormone will the nurse include in the patients teaching plan as the one primarily responsible for lactation after birth? a. Prolactin b. Estrogen c. Luteinizing d. Progesterone

a. Prolactin

Which of the following indicates a nurses role as a researcher? a. Reading peer-reviewed journal articles b. Working as a member of the interdisciplinary team to provide client care c. Helping client to obtain home care post-discharge from the hospital d. Delegating tasks to unlicensed personnel to allow for more teaching time with client

a. Reading peer-reviewed journal articles

A postpartum client who had a vaginal birth asks the nurse, Will my cervix return to its previous shape before I had my baby? Which is the best response by the nurse? a. The cervix will now have a slitlike shape. b. The cervix will be round and smooth after healing occurs. c. The cervix will remain 50% effaced now that you have had a baby. d. The cervix will be slightly dilated to 2 cm for about 6 months.

a. The cervix will now have a slitlike shape.

The nurse is describing the size and shape of the nonpregnant uterus to a client. Which is an accurate description? a. The nonpregnant uterus is the size and shape of a pear. b. The nonpregnant uterus is the size and shape of a cantaloupe. c. The nonpregnant uterus is the size and shape of a grapefruit. d. The nonpregnant uterus is the size and shape of a large orange.

a. The nonpregnant uterus is the size and shape of a pear.

10. With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred? a. The nurse did not document fetal heart tones (FHR) during the second stage of labor. b. The client was only provided ice chips during the labor period, which lasted 8 hours. c. The nurse allowed the client to use the bathroom rather than a bedpan during the first stage of labor. d. The nurse asked family members to leave the room when she prepared to do a pelvic exam on the client.

a. The nurse did not document fetal heart tones (FHR) during the second stage of labor.

The client makes the statement: Im afraid to take the baby home tomorrow. Which response by the nurse would be the most therapeutic? a. Youre afraid to take the baby home? b. Dont you have a mother who can come and help? c. You should read the literature I gave you before you leave. d. I was scared when I took my first baby home, but everything worked out.

a. Youre afraid to take the baby home?

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have: a. Amenorrhea. b. Positive pregnancy test. c. Chadwicks sign. d. Hegars sign.

a. Amenorrhea.

Appendicitis may be difficult to diagnose in pregnancy because the appendix is: a. Displaced upward and laterally, high and to the right. b. Displaced upward and laterally, high and to the left. c. Deep at McBurney point. d. Displaced downward and laterally, low and to the right.

a. Displaced upward and laterally, high and to the right.

The mucous plug that forms in the endocervical canal is called: a. The operculum. b. Leucorrhea. c. The funic souffle. d. Ballottement.

a. The operculum.

A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that: a. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. b. This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. c. The woman is a victim of domestic violence and is being hit in the face by her partner. d. The woman has been using cocaine intranasally.

a. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.

A newly married couple tell the nurse they would like to wait a few years before starting a family. The statement made by the man that indicates an understanding about sexual activity and pregnancy is: a. My wife cant get pregnant if I withdraw before a climax. b. A man can secrete semen before ejaculation. c. If we dont have intercourse very often my wife wont get pregnant. d. It is safe to ejaculate outside the vagina.

b. A man can secrete semen before ejaculation.

The nurse is explaining the function of the males cremaster muscle to a group of nursing students. Which statement accurately describes the function of the cremaster muscle? a. Assists with transporting sperm b. Aids in temperature control of the testicles c. Aids in voluntary control of excretion of urine d. Entraps blood in the penis to produce an erection

b. Aids in temperature control of the testicles

When planning to teach couples about the physiology of the sex act, the nurse would include: a. Fertilization of an ovum requires penetration by several sperm. b. An ovum must be fertilized within 24 hours of ovulation. c. It takes 4 to 5 days for sperm to reach the fallopian tubes. d. Sperm live for only 24 hours following ejaculation.

b. An ovum must be fertilized within 24 hours of ovulation.

A nurse working in a labor and birth unit is asked to take care of two high-risk clients in the labor and birth suite: a 34 weeks gestation 28-year-old gravida 3, para 2 in preterm labor and a 40-year-old gravida 1, para 0 who is severely preeclamptic. The nurse refuses this assignment telling the charge nurse that based on individual client acuity, each client should have one-on-one care. Which ethical principle is the nurse advocating? a. Accountability b. Beneficence c. Justice d. Fidelity

b. Beneficence

A 10-year-old girl asks the nurse, What is the first sign of puberty? The correct nursing response is: a. An increase in height b. Breast development c. Appearance of axillary hair d. The first menstrual period

b. Breast development

The nurse clarifies to the patient that computer charting supports accurate and comprehensive documentation by requiring: a. A uniform style of chart b. Certain responses before allowing the user to progress c. Documentation reflective of the Nursing Care Plan d. A daily audit by the charge nurse

b. Certain responses before allowing the user to progress

Which describes the levator ani? a. Division of the fallopian tube b. Collection of three pairs of muscles c. Imaginary line that divides the true pelvis and false pelvis d. Basin-shaped structure at the lower end of the spine

b. Collection of three pairs of muscles

The certified nurse-midwife (CNM) clarifies to the pregnant patient that the CNMs scope of practice includes: a. Practice independent from medical supervision b. Comprehensive prenatal care c. Attendance at all deliveries d. Simple surgical techniques

b. Comprehensive prenatal care

When explaining the female reproductive tract to a pregnant woman, the nurse would refer to the uterine layer that is involved in implantation as the: a. Perimetrium b. Endometrium c. Myometrium d. Internal os

b. Endometrium

A nurse is working with a labor client who is in preterm labor and is designated as a high-risk client. The client is very apprehensive and asks the nurse, Is everything going to be all right? The nurse tells the client, Everything will be okay. Following birth via an emergency cesarean section, the newborn undergoes resuscitation and does not survive. The client is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate? a. Autonomy b. Fidelity c. Beneficence d. Accountability

b. Fidelity

Maturation of the ovarian follicle is initiated by which of the following hormones? a. Estrogen b. Follicle-stimulating hormone c. Progesterone d. Luteinizing hormone

b. Follicle-stimulating hormone

Which factor significantly contributed to the shift from home births to hospital births in the early twentieth century? a. The number of hospital births decreased. b. Forceps were developed to facilitate difficult births. c. The importance of early parent-infant contact was identified. d. Puerperal sepsis was identified as a risk factor in labor and birth.

b. Forceps were developed to facilitate difficult births.

The medical pioneer who discovered the relationship between the incidence of puerperal fever and unwashed hands was: a. Karl Cred b. Ignaz Semmelweis c. Louis Pasteur d. Joseph Lister

b. Ignaz Semmelweis

f a womans menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred? a. June 10 b. June 16 c. June 29 d. July 5

b. June 16

The nurse, assisting with pelvic inlet measurements on a pregnant woman, is aware the that the measurement that provides information about whether on not the woman can deliver vaginally is: a. Diagonal conjugate b. Obstetrical conjugate c. Transverse diameter d. Anteroposterior diameter

b. Obstetrical conjugate

he nurse explains that the clinical pathway or critical pathway improves quality of care by: a. Listing diagnosis specific implementations b. Outlining expected progress with stated time lines c. Prioritizing effective nursing diagnoses d. Describing common complications

b. Outlining expected progress with stated time lines

A female client who has gone through puberty and started menstruating without any problems now has cessation of periods after 2 years of normal cycles. Which of the following would indicate a possible cause for this occurrence? a. Lag in development of secondary sexual characteristics b. Overproduction of androgenic hormones c. Negative pregnancy test d. Clinical diagnosis of primary amenorrhea

b. Overproduction of androgenic hormones

Which hormone is responsible for milk production after the birth of the placenta? a. Pitocin b. Prolactin c. Estrogen d. Progesterone

b. Prolactin

Which of the following statements is incorrect with regard to reproductive anatomy and physiology? a. Female clients who are past puberty and sexually active can become pregnant even if they have not had a menstrual cycle. b. Puberty symptoms are more prominent in males than females. c. Females enter puberty earlier than their male counterparts. d. Secondary sexual characteristics develop during puberty.

b. Puberty symptoms are more prominent in males than females.

A nursing student on an obstetrical rotation questions the floor nurse where the LVN/LPN scope of practice is defined. The nurse directs the student to contact the: a. American Nurses Association b. State Board of Nursing c. Joint Commission on Accreditation of Healthcare Organizations d. Association of Womens Obstetric and Neonatal Nurses

b. State Board of Nursing

To evaluate an individuals progression through puberty, which assessment tool would be used during the assessment phase of the nursing process? a. Bishop score b. Tanner staging c. Braden score d. SOFA score

b. Tanner staging

The pregnant woman tells the nurse, I think something may be wrong with my pregnancy. Which statement by the nurse demonstrates therapeutic communication? a. Most women worry; I felt the same way when I was pregnant. b. Tell me more about what concerns you about this pregnancy. c. That is a very common concern, but your pregnancy will turn out just fine. d. You should focus on taking care of yourself and not worry so much.

b. Tell me more about what concerns you about this pregnancy.

The middle school nurse is reviewing the phases of the endometrial cycle with a group of female students. Which student statement will the nurse need to correct? a. The proliferative phase occurs when the ovum is maturing. b. The expulsion phase occurs when the ovum is discharged from the ovary. c. The secretory phase occurs during the second half of the menstrual cycle. d. The menstrual phase occurs after the levels of estrogen and progesterone fall.

b. The expulsion phase occurs when the ovum is discharged from the ovary.

A nurse is entering information on the clients electronic health record (EHR) and is called to assist in an emergency situation with regard to another client in the labor and birth suite. The nurse rushes to the scene to assist but leaves the chart open on the computer screen. The emergent client situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse managers concerns? a. The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency. b. The nurse states that she should have logged out of the EHR prior to attending to the emergency. c. The nurse indicates that the unit was understaffed. d. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.

b. The nurse states that she should have logged out of the EHR prior to attending to the emergency.

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification? a. There is stratification of communication in a directed manner between nursing staff and administration. b. There is increased job satisfaction of nurses, with a low staff turnover rate. c. Physicians are certified in their respective specialty areas. d. All nurses have baccalaureate degrees and certification in their clinical specialty area.

b. There is increased job satisfaction of nurses, with a low staff turnover rate.

The statement which indicates a woman has correct information about oogenesis is: a. Women make less ova as they age. b. Women have all of their ova at the time they are born. c. Ova production begins at birth and continues until puberty. d. New ova are made every month from puberty to climacteric.

b. Women have all of their ova at the time they are born.

A womans obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One child was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system? a. 3-1-1-1-3 b. 4-1-2-0-4 c. 3-0-3-0-3 d. 4-2-1-0-3

b. 4-1-2-0-4

To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that: a. A pregnant woman experiencing disturbed cardiac rhythm such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear. b. Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. c. Palpitations are twice as likely to occur in twin gestations. d. All of the above changes likely will occur.

b. Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.

DEF: This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs). A. Capitated care b. Diagnosis-related groups c. Managed care

b. Diagnosis-related groups

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurses instructions if she states that a positive sign of pregnancy is: a. A positive pregnancy test. b. Fetal movement palpated by the nurse-midwife. c. Braxton Hicks contractions. d. Quickening.

b. Fetal movement palpated by the nurse-midwife.

To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that: a. Increased urinary output makes pregnant women less susceptible to urinary infection. b. Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. c. Renal (kidney) function is more efficient when the woman assumes a supine position. d. Using diuretics during pregnancy can help keep kidney function regular.

b. Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty.

Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? a. Less audible heart sounds (S1, S2) b. Increased pulse rate c. Increased blood pressure d. Decreased red blood cell (RBC) production

b. Increased pulse rate

The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change? a. Her center of gravity will shift backward. b. She will have increased lordosis. c. She will have increased abdominal muscle tone. d. She will notice decreased mobility of her pelvic joints.

b. She will have increased lordosis.

A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level? a. Not palpable above the symphysis at this time b. Slightly above the symphysis pubis c. At the level of the umbilicus d. Slightly above the umbilicus

b. Slightly above the symphysis pubis

Which time-based description of a stage of development in pregnancy is accurate? a. Viability22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight greater than 500 g) b. Termpregnancy from the beginning of week 38 of gestation to the end of week 42 c. Pretermpregnancy from 20 to 28 weeks d. Postdatepregnancy that extends beyond 38 weeks

b. Termpregnancy from the beginning of week 38 of gestation to the end of week 42

A newly pregnant client asks the nurse, What is the false pelvis? Which is a correct statement that the nurse should give the client? a. It is the total anterior portion of the pelvis. b. It is considered to be the lower portion of the pelvis. c. It provides support for the internal organs and the upper part of the body. d. It is the narrowest part of the pelvis through which a fetus will pass during birth.

c. It provides support for the internal organs and the upper part of the body.

To reassure and educate pregnant patients about changes in the uterus, nurses should be aware that: a. Lightening occurs near the end of the second trimester as the uterus rises into a different position. b. The womans increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. c. Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. d. The uterine souffle is the movement of the fetus.

b. The womans increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening.

The nurse takes into consideration in designing the nursing care plan for a vaginally delivered postpartum patient that the patient will be hospitalized a minimum of ____ hours. a.24 b.48 c.36 d.72

b.48

A client states, My breasts are so small. I dont think I will be able to breastfeed. Which is the nurses best response? a. It may be difficult but you should try anyway. b. You can always supplement with formula. c. All women have about the same amount of glandular tissue to secrete milk. d. The ability to produce breast milk depends on increased levels of estrogen and progesterone.

c. All women have about the same amount of glandular tissue to secrete milk.

The nurse uses a diagram to demonstrate the fimbriae that: a. Are the passage way for the sperm to meet the ovum. b. Is the site of fertilization. c. Are fingerlike projections that capture the ovum. d. Propel the egg through the fallopian tube.

c. Are fingerlike projections that capture the ovum.

The nurse is reviewing the principles of family-centered care with a primipara. Which client statement will the nurse need to correct? a. Remaining focused on my family will help benefit me and my baby. b. Most of the time, childbirth is uncomplicated and a healthy event for the family. c. Because childbirth is normal, after my babys birth our family dynamics will not change. d. With correct information, I am able to make decisions regarding my health care while I am pregnant.

c. Because childbirth is normal, after my babys birth our family dynamics will not change.

Which of the following statements is true regarding late preterm infants? a. These infants are born before 32 weeks gestation and thus are at higher risk than LBW infants. b. These infants do better than LBW infants because their weight provides added protection against physiologic stressors. c. Care of these infants has led to increased health care costs compared with LBW infants. d. These infants suffer fewer respiratory problems than LBW infants.

c. Care of these infants has led to increased health care costs compared with LBW infants

Which 16-year-old girl may experience secondary amenorrhea? a. Jackie, 5 ft 2 in, 130 lb b. Karen, 5 ft 9 in, 150 lb c. Carol, 5 ft 7 in, 96 lb d. Linda, 5 ft 4 in, 120 lb

c. Carol, 5 ft 7 in, 96 lb

The nurse explains that the sperm are nourished by secretions from the: a. Vas deferens b. Epididymis c. Cowpers glands d. Scrotum

c. Cowpers glands

A nursing student has reviewed a hospitalized childs chart, interviewed her mother, and performed a physical assessment. The next step in developing a nursing care plan for this child is to: a. Identify measurable outcomes with a time line b. Identify specific nursing implementations for the child c. Determine appropriate nursing diagnoses d. State nursing actions related to the childs medical diagnosis

c. Determine appropriate nursing diagnoses

The school nurse is conducting health education classes for a group of adolescents. Which statement best describes a secondary sexual characteristic? a. Maturation of ova b. Production of sperm c. Female breast development d. Secretion of gonadotropin-releasing hormone

c. Female breast development

As a result of research done in the 1930s by the Childrens Bureau: a. Children with heart problems are now cared for by pediatric cardiologists b. The Child Abuse and Prevention Act was passed c. Hot lunch programs were established in many schools d. Childrens asylums were founded

c. Hot lunch programs were established in many schools

The nurse has explained menstruation to a 13-year-old girl. The statement that indicates the girl needs additional education is: a. Periods last about 5 days. b. My cycle should get regular in 6 months. c. I should expect heavy bleeding with clots. d. Periods come about every 4 weeks.

c. I should expect heavy bleeding with clots.

A 14-year-old boy is at the pediatric clinic for a checkup. The nurse is aware that the production of testosterone is responsible for which physical change in males during puberty? a. Stimulation of production of white cells and platelets b. Promotion of growth of small bones c. Increase in muscle mass and strength d. Decrease in production of sebaceous gland secretions

c. Increase in muscle mass and strength

Which statement is true regarding the shortage of nurses in the United States? a. There are a larger proportion of younger nurses in the workforce as compared with older nurses. b. As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting. c. Increased needs for baccalaureate nurses are not being met by current enrollment. d. There are adequate classroom and clinical facilities for training RNs.

c. Increased needs for baccalaureate nurses are not being met by current enrollment.

At the present time, surrogate parenting is governed by which of the following? a. State law b. Federal law c. Individual court decision d. Protective child services

c. Individual court decision

12. A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, 1 station, and vertex with membranes intact. The client asks the nurse if she can break her water so that her labor can go faster? The nurses response, based on the ethical principle of nonmaleficence, is which of the following? a. Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy. b. Have the client write down her request and then call the physician for an order to implement the amniotomy. c. Instruct the client that only a physician or certified midwife can perform this procedure. d. Give the client an enema to stimulate labor.

c. Instruct the client that only a physician or certified midwife can perform this procedure.

Which client will most likely seek prenatal care? a. Janice, 15 years old, tells her friends, I dont believe I am pregnant. b. Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. c. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. d. Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister.

c. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic.

Which method would not be used by hospitals to control costs during perinatal health care for prospective birth management? a. Diagnosis-related groups (DRGs) b. Prospective form of payment c. Negotiated length of stay (LOS) of 12 hours postbirth d. Acceptance of capacitation

c. Negotiated length of stay (LOS) of 12 hours postbirth

Regarding advanced roles of nursing, which statement is true with regard to clinical practice? a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting. b. Clinical nurse specialists provide primary care to obstetric clients. c. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. d. A certified nurse midwife (CNM) is not considered to be an advanced practice nurse.

c. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants.

The nurse explains to a 12-year-old patient that nocturnal emissions (wet dreams) are characterized by: a. A drop in testosterone level b. Sexual stimulation c. No sperm in ejaculate d. Association with violent dreams

c. No sperm in ejaculate

Which nursing intervention is an independent function of the nurse? a. Administering oral analgesics b. Requesting diagnostic studies c. Teaching the client perineal care d. Providing wound care to a surgical incision

c. Teaching the client perineal care

A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of childbirth. It is so dangerous. I am afraid I will die. A nursing response reflecting cultural sensitivity would be: a. Maternal mortality in the United States is extremely low. b. Anesthesia is available to relieve pain during labor and childbirth. c. Tell me why you are afraid of childbirth. d. Your condition will be monitored during labor and delivery.

c. Tell me why you are afraid of childbirth.

A single client who has just delivered a baby asks the nurse where she can receive help in getting formula for her baby. Which is the nurses best response? a. Medicaid can help with buying formula. b. Head Start is a program that helps provide formula. c. The Women, Infants, and Children (WIC) program can assist you in getting formula. d. The National Center for Family Planning has a program that helps with obtaining formula.

c. The Women, Infants, and Children (WIC) program can assist you in getting formula.

An example of an NIC is: a. Patient will ambulate in the hall independently for 10 minutes three times a day. b. The nurse will report temperature elevations to the charge nurse. c. The nurse will offer extra liquids at all meals. d. Patient will express pain relief after massage.

c. The nurse will offer extra liquids at all meals.

A medical surgical nurse is asked to float to a womens health unit to care for clients who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment and expresses her personal beliefs as being incongruent with this medical practice. The nursing supervisor states that the unit is short-staffed and that they could really use her expertise because it just involves taking care of clients who have undergone a surgical procedure. In consideration of legal and ethical practices, can the nursing supervisor enforce this assignment? a. The staff nurse has the responsibility of accepting any assignment that is made while working for a health care unit, so the nursing supervisor is within his or her rights to enforce this assignment. b. Because the unit is short-staffed, the staff nurse should accept the assignment to provide care by benefit of her or his experience to clients who need care. c. The staff nurse has expressed a legitimate concern based on his or her feelings; the nursing supervisor does not have the authority to enforce this assignment. d. The nursing supervisor should emphasize that this assignment requires care of a surgical client for which the staff nurse is adequately trained and should therefore enforce the assignment.

c. The staff nurse has expressed a legitimate concern based on his or her feelings; the nursing supervisor does not have the authority to enforce this assignment.

Expectant parents ask a prenatal nurse educator, Which setting for childbirth allows for the least amount of parent-infant interaction? Which answer should the nurse give to the parents? a. Birth center b. Home birth c. Traditional hospital birth d. Labor, birth, and recovery room

c. Traditional hospital birth

Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth should be made by the nurse? a. Everything will be OK. b. Dont worry about it. It will be over soon. c. What concerns you most about a cesarean birth? d. The physician will be in later and you can talk to him.

c. What concerns you most about a cesarean birth?

On speculum examination of the cervix, it is found to be round and smooth. These findings suggest that the client: a. is a multipara. b. has had vaginal deliveries. c. is a nulliparous. d. is a gravida 1, para 0.

c. is a nulliparous.

A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL system? a. 2-0-0-1-1 b. 2-1-0-1-0 c. 3-1-0-1-0 d. 3-0-1-1-0

c. 3-1-0-1-0

20. Some pregnant patients may complain of changes in their voice and impaired hearing. The nurse can tell these patients that these are common reactions to: a. A decreased estrogen level. b. Displacement of the diaphragm, resulting in thoracic breathing. c. Congestion and swelling, which occur because the upper respiratory tract has become more vascular. d. Increased blood volume.

c. Congestion and swelling, which occur because the upper respiratory tract has become more vascular.

The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs). A. Capitated care b. Diagnosis-related groups c. Managed care

c. Managed care

The nurse providing care to the pregnant woman should know that all are normal gastrointestinal changes in pregnancy except: a. Ptyalism. b. Pyrosis. c. Pica. d. Decreased peristalsis.

c. Pica.

After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A)Placental estrogen B)Progesterone C)Gonadotropin-releasing hormone d)Prolactin

d)Prolactin

Current maternity practices focus on: a. Hospital births for the majority of women b. The traditional family unit c. Teaching the proper attitudes toward childbearing d. A quality family experience for each patient

d. A quality family experience for each patient

The nurse explains to a pregnant patient who expects to breastfeed that the portions of the breast that secrete milk are the: a. Lactiferous sinuses b. Lobes c. Montgomerys glands d. Alveoli

d. Alveoli

A nurse is reviewing teaching and learning principles. Which situation is most conducive to learning? a. An auditorium is being used as a classroom for 300 students. b. A teacher who speaks very little Spanish is teaching a class of Hispanic students. c. A class is composed of students of various ages and educational backgrounds. d. An Asian nurse provides nutritional information to a group of pregnant Asian women.

d. An Asian nurse provides nutritional information to a group of pregnant Asian women.

Which nursing intervention is correctly written? a. Force fluids as necessary. b. Observe interaction with the infant. c. Encourage turning, coughing, and deep breathing. d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.

d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.

The nurse is writing an expected outcome for the nursing diagnosisacute pain related to trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on a scale of 10. Which is a correctly stated expected outcome for this problem? a. Client will state that pain is a 2 on a scale of 10. b. Client will have a reduction in pain after administration of the prescribed analgesic. c. Client will state an absence of pain 1 hour after administration of the prescribed analgesic. d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.

d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.

You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant? a. Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension. b. Present information to parents prior to discharge so that the information will be current. c. Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition. d. Demonstrate bathing techniques on the newborn infant with parents in attendance.

d. Demonstrate bathing techniques on the newborn infant with parents in attendance.

The nurse is teaching a homeless pregnant teenager about prenatal care. Which should the nurse emphasize in the teaching session? a. The importance of naming the baby b. Risk factors associated with pregnancy c. Information about employment opportunities d. Eating habits that will provide adequate nutrition

d. Eating habits that will provide adequate nutrition

An urban area has been reported to have a high perinatal mortality rate. The nurse explains that this statistic refers to: a. Maternal and infant deaths per 100,000 live births per year b. Deaths of fetuses weighing more than 500 g per 10,000 births per year c. Deaths of infants up to 1 year of age per 1,000 live births per year d. Fetal and neonatal deaths per 1,000 live births per year

d. Fetal and neonatal deaths per 1,000 live births per year

The government program that was implemented to increase the educational exposure of preschool children is: a. WIC program b. Title XIX of the Medicaid program c. The Childrens Charter d. Head Start

d. Head Start

Which statement explains why below poverty level African-Americans have the highest infant mortality rate in the United States? a. Their diets are deficient in protein. b. Infectious diseases are more prevalent. c. More African-American infants are born with congenital anomalies. d. Inadequate prenatal care is associated with low-birth-weight infants.

d. Inadequate prenatal care is associated with low-birth-weight infants.

A client at 36 weeks of gestation states, Why cant I have an induction now? My sister delivered at 36 weeks and her baby is fine. Which information about infants born at 34 to 36 weeks should the nurse consider when answering? a. Birth by induction is low for this gestational age. b. Infants born at 34 to 36 weeks have mature lungs and do well at birth. c. The birth of infants between 34 to 36 weeks has declined as more births are going to term or post term. d. Infants born at 34 to 36 weeks are immature and have more health complications than infants born at term.

d. Infants born at 34 to 36 weeks are immature and have more health complications than infants born at term.

The nurse is planning a teaching session for staff on ethical theories. Which situation best reflects the deontologic theory? a. Approving a physician-assisted suicide b. Supporting the transplantation of fetal tissue and organs c. Using experimental medications for the treatment of AIDS d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer

d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer

A woman giving birth in the 1960s may have been given a narcotic plus scopolamine for pain control. What is the major problem with this medication regimen? a. It lacked continuous pain control. b. It was expensive and available only to women who could afford the medications. c. The father had to assume the role of decision maker while the mother was on medication. d. It caused confusion and disorientation so that the mother could not see the infant for several hours postbirth.

d. It caused confusion and disorientation so that the mother could not see the infant for several hours postbirth.

Which situation is most representative of an extended family? a. It includes adoptive children. b. It is headed by a single parent. c. It contains children from previous marriages. d. It is composed of children, parents, and grandparents living in the same house.

d. It is composed of children, parents, and grandparents living in the same house.

Which goal is most appropriate for the collaborative problem of wound infection? a. The client will not exhibit further signs of infection. b. Maintain the clients fluid intake at 1000 mL/8 hr. c. The client will have a temperature of 98.6 F within 2 days. d. Monitor the client to detect therapeutic response to antibiotic therapy.

d. Monitor the client to detect therapeutic response to antibiotic therapy.

Which action should the nurse take to evaluate the clients learning about performing infant care? a. Demonstrate infant care procedures. b. Allow the client to verbalize the procedure. c. Routinely assess the infant for cleanliness. d. Observe the client as she performs the procedure.

d. Observe the client as she performs the procedure.

A nurse is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard-Towner Act of 1921 promoted family-centered care. b. Changes in pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.

d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.

A 16-year-old primipara has just completed her first prenatal visit with the health care provider. The nurse is preparing to teach her about nutrition during pregnancy. What must the nurse include in the patients teaching plan? a. Provide her with pictures of dairy products. b. Ask her, Are you ready to hear this information now? c. Read directly from the pamphlet prepared for teen mothers. d. Provide a comfortable and warm setting after she has put on her street clothes.

d. Provide a comfortable and warm setting after she has put on her street clothes.

Which nursing diagnosis should the nurse set as a priority for a laboring client? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes

d. Risk for injury (maternal) related to altered sensations and positional or physical changes

A mother asks the nurse, When will I know my child has entered puberty? Based on an understanding of changes associated with puberty, the nurse states: a. When your daughter has her first period. b. Youll recognize puberty by the mood swings. c. The child becomes interested in the opposite sex. d. Secondary sex characteristics, such as pubic hair, appear.

d. Secondary sex characteristics, such as pubic hair, appear.

The nurse explains that the decrease in estrogen and progesterone during the menstrual cycle is responsible for: a. Degeneration of the corpus luteum b. Ovulation c. Follicle maturation d. Shedding of the endometrium

d. Shedding of the endometrium

The delivery room nurse remarks that in 1884 Karl Cred recommended that: a. All women should be delivered in a hospital setting b. Chemical means should be used to combat infection c. Podalic version be done on all fetuses d. Silver nitrate be placed in the eyes of newborns

d. Silver nitrate be placed in the eyes of newborns

The nurse, speaking with a couple trying to conceive a child, reminds the patients that a factor that can decrease sperm production is: a. Infrequent sexual intercourse b. The man is not circumcised c. The penis and testes are small d. The testes are too warm

d. The testes are too warm

Which is an advantage to labor, birth, recovery, and postpartum (LDRP) rooms? a. The family is in a familiar environment. b. They are less expensive than traditional hospital rooms. c. The infant is removed to the nursery to allow the mother to rest. d. The womans support system is encouraged to stay until discharge.

d. The womans support system is encouraged to stay until discharge.

The nurse is interviewing a 6-week pregnant client. The client asks the nurse, Why is elective abortion considered an ethical issue? Which is the best response that the nurse should make? a. Abortion requires third-party consent. b. The U.S. Supreme Court ruled that life begins at conception. c. Abortion law is unclear about a womans constitutional rights. d. There is a conflict between the rights of the woman and the rights of the fetus.

d. There is a conflict between the rights of the woman and the rights of the fetus.

Which statement is true regarding the quality assurance or incident report? a. Reports are a permanent part of the patients chart. b. The report assures the legal department that there is no problem. c. The nurses notes should contain this statement: Incident report filed and copy placed in chart. d. This report is a form of documentation of an event that may result in legal action.

d. This report is a form of documentation of an event that may result in legal action.

The nurse is reviewing a health history of a newly pregnant woman at a local health fair. Which statement made by the nurse will most likely improve the womans outcome for a healthy pregnancy? a. Make sure you eat four servings of calcium-rich foods like milk, cheese, or yogurt every day. b. Include 30 minutes of walking three times per week to make sure you get enough exercise. c. Report any changes in vision or headaches that do not subside to your health care provider. d. Throughout your pregnancy, it is important to see your health care provider as scheduled.

d. Throughout your pregnancy, it is important to see your health care provider as scheduled.

The use of twilight sleep during the labor and birth process: a. provided inadequate pain relief during the labor and birth process. b. facilitated bonding between mother and infant. c. resulted in a decreased incidence of puerperal infections. d. affected the maternal level of consciousness.

d. affected the maternal level of consciousness.

The Grantly Dick-Read method of prepared childbirth allows for: a. the use of medication to control pain. b. advocating for the role of the father and/or significant other as labor coach. c. the use of chloroform as an analgesic during the birthing process. d. focusing on the ability of the mother to control fear of impending labor through knowledge.

d. focusing on the ability of the mother to control fear of impending labor through knowledge.

Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and therefore the basis for many tests. A maternity nurse should be aware that: a. hCG can be detected as early as 2 weeks after conception. b. The hCG level increases gradually and uniformly throughout pregnancy. c. Much lower than normal increases in the level of hCG may indicate a postdate pregnancy. d. A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.

d. A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.

19. To reassure and educate their pregnant patients about changes in their blood pressure, maternity nurses should be aware that: a. A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high. b. Shifting the patients position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. c. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. d. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.

d. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.

Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)? a. Radioimmunoassay b. Radioreceptor assay c. Latex agglutination test d. Enzyme-linked immunosorbent assay (ELISA)

d. Enzyme-linked immunosorbent assay (ELISA)

When the nurse is providing education to the pregnant patient regarding changes in the cervix, vagina, and the position of the fetus, it is important to be aware that: a. Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. b. Quickening is a technique of palpating the fetus to engage it in passive movement. c. The deepening color of the vaginal mucosa and cervix (Chadwicks sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.

d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.

Which statement about a condition of pregnancy is accurate? a. Insufficient salivation (ptyalism) is caused by increases in estrogen. b. Acid indigestion (pyrosis) begins early but declines throughout pregnancy. c. Hyperthyroidism often develops (temporarily) because hormone production increases. d. Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

d. Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

The nurse caring for the pregnant patient must understand that the hormone essential for maintaining pregnancy is: a. Estrogen. b. Human chorionic gonadotropin (hCG). c. Oxytocin. d. Progesterone.

d. Progesterone.

White House Conferences on Children and Youth are held every _____ years. a.2 b.3 c.5 d.10

d.10