Test 5 Practice Questions
A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be *most* appropriate for the nurse to make?
"By the time you are 12 weeks pregnant, this frequent urination should really decrease, but it is likely to return toward the end of your pregnancy." Pg 335
A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask?
"Clients with you injuries are often abused. Is anything like this happening now?" Pg 277
A pregnant woman in her first trimester is being seen at the women's clinic. What statement by the nurse would be *most* beneficial to this client to support her acceptance of the pregnancy?
"Having feelings of uncertainty are very common when a woman becomes pregnant. I will be glad to talk to you about any concerns you may have." Pg 355
A client has just confided in the nurse about being slapped and kicked by the partner that morning. What is the *best* response by the nurse?
"It's very brave of you to tell me all this. Help is available if you choose it." Pg 278
When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?
"The best contraceptive is one that you will use correctly and consistently." Pg 124
A young client in the infertility clinic tells the nurse, "I just know it is my fault we cannot conceive." What would be the *best* response by the nurse?
"The problem can be with the man, woman, or both." Pg 125
A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be *most* appropriate?
"There is no cure, but drug therapy helps to reduce symptoms and recurrences." Pg 160
A client at 36 weeks' gestation comes in for her weekly primary care provider visit. She tells the nurse, "I am having contractions, but they are irregular and go away when i rest. Do you think I am going into labor?" The *best* response by the nurse would be:
"These are called Braxton-Hicks contractions and are preparing your body for labor but are not 'true' labor contractions" Pg 335
A client states "My spouse loves me. My spouse did not mean to hit me. My spouse felt so bad, I received flowers to show me how sorry my spouse was for hitting me. I know this will not happen again." How will the nurse respond?
"This is a common action of abusers. It does not mean you will not be hit again." Pg 272
A nurse is assisting with a pelvic exam on a client who is suspected of having trichomoniasis. Which findings would the nurse note as helping to confirm this diagnosis? Select all that apply.
- Cervical bleeding when touched - Cervical petechiae - Vaginal erythema Pg 154
A client is diagnosed with bacterial vaginosis and is prescribed medication therapy. The nurse would anticipate which drugs as being prescribed? Select all that apply.
- Clindamycin - Metronidiazole Pg 156
A nurse is conducting an assessment of a client who is suspected of having pelvic inflammatory disease. Which finding would the nurse identify as mandatory for the diagnosis to be made? Select all that apply.
- Lower abdominal tenderness - Adnexal tenderness - Cervical motion tenderness Pg 165
A woman at the infertility clinic for the first time asks, "What could have caused my infertility?" Learning has taken place when the woman can identify which common cause of infertility?
- Ovarian dysfunction - Blocked fallopian tubes Pg 100
A nurse is teaching a local community group about STIs. When discussing syphilis, the nurse would identify which stage as being the *most* infectious? Select all that apply.
- Primary - Secondary - Early latent Pg 163
The pregnant mother and her partner ask the nurse why the health care provider chose a chorionic villus sampling (CVS) procedure over an amniocentesis. The nurse is correct to highlight which benefits of CVS over amniocentesis. Select all that apply.
- Quicker results - Able to be completed earlier in pregnancy Pg 385 to 386
The nurse is documenting subjective and objective data changes from a client at 34 weeks' gestation. Which would the nurse report immediately to the health care provider? Select all that apply.
- Sharp abdominal pain - Scant spotting on underwear
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.
- Store the condoms in a cool dry place - Place the condom on an erect penis - Only use latex condoms Pg 152
A nurse is reviewing the sperm count results for a couple trying to conceive. Which results would concern the nurse?
10 million per mL of seminal fluid Pg 101
A patient is in her 22nd week of pregnancy and is preparing to have her fundal height measured. Given the patient's stage of gestation and following McDonald's rule, what result does the nurse expect?
22 cm Pg 336
The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which client would be at *highest* risk for a heart attack or stroke related to the use of these contraceptives?
A 38-year old woman who smokes Pg 119
A client with trichomoniasis is to receive metronidiazole. What should the nurse instruct the client to avoid while taking this drug?
Alcohol Pg 146
The use if what during pregnancy is potentially the *most* harmful to the fetus?
Alcohol Pg 365
A pregnant client's last menstrual period was March 10. Using Naegele's rule, the nurse estimates the date of the birth to be:
December 17 Pg 372
A woman in her third trimester is suffering from heartburn. What should the nurse advise her to do?
Eat small meals frequently rather than large meals
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?
Fallopian tube Pg 73
A woman comes to the clinic to be screened for sexually transmitted infections (STI). Which factor places this client at high risk for an STI?
Five different sexual partners Pg 144-178
The nurse instructor is teaching a class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects?
Folic acid PG 345
A young client has just been told by her primary care provider that she has a problem with ovulation. Which treatment would the nurse expect the care provider to prescribe for this client?
Hormones Pg 103
The community health nurse presents information to an elementary school parents' association about vaccines available for both preteen boys and girls. The nurse determines the presentation a success when the parents identify which STI as having an available vaccine?
Human papillomavirus (HPV) Pg 167
When caring for a client with lactose intolerance, the nurse would be aware of which potential problem during pregnancy?
Inadequate calcium for skeletal growth Pg 353
If constipation is a problem for a woman during pregnancy, which of the following measures would be *best* to recommend?
Increased fiber intake Pg 387
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which of the following?
Linea nigra Pg 341
After teaching a group of adolescent girl about female reproductive development, the nurse determines that teaching was successful when the girls state the menarche is defined as a woman's first:
Menstrual period Pg 76
A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?
Mercury, which could harm the developing fetus if eaten in large amounts Pg 350
What can the nurse educate a subfertile couple about to avoid the problem with lower sperm counts in the male partner?
Minimize actions that increase scrotal heat Pg 98
The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior?
Moderate to severe violence with people both within and outside the family Pg 273
What is the term that refers to a woman who has never been pregnant?
Nulligravida Pg 364
A woman reports that her LMP occurred on January 10, 2017. Using Naegele rule, what is her due date?
October 17, 2017 PG 372
In the female reproductive system, the hormones estrogen and progesterone are produced by the:
Ovaries Pg 77
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 event?
Ovulation Pg 111
A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which sign would confirm the pregnancy?
Palpable fetal movement Pg 335
On a routine hematocrit screen during a prenatal visit, the nurse notices that the client is mildly anemic. When discussing this with the couple, the husband hints that she might be eating unusual things. The nurse recognizes the need for the women to be evaluated for which condition?
Pica Pg 354
A nurse is reviewing the medical record of a pregnant woman and notes that she is gravid II. The nurse interprets this to indicate the number of:
Pregnancies Pg 373
A pregnant client in her second trimester visits a health care center. She informs the nurse that at times she experiences difficulty breathing. What would the nurse identify as the *most* likely cause of the client's report?
Pressure on the diaphragm by the growing fetus Pg 394
The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. Based on this information, what is the specific hormone that functions primarily during pregnancy?
Progesterone Pg 77
The nurse is caring for a client who is seeking care after being raped. What is the *primary* reason the nurse does not leave the client alone during an emergency room stay?
Promotes the clients sense of safety Pg 287
Which two tests are generally performed on urine at a prenatal visit?
Protein and glucose Pg 377
Which action is *most* important when providing contraceptive care to the client?
Providing detailed education to the client Pg 125
A pregnant client is excited that she is beginning to feel her baby move within her. The nurse explains that these first fetal movements are known as:
Quickening Pg 379
The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the COC?
Same time of day, each day Pg 116
During cold conditions, how does the body react to maintain scrotal temperature?
Scrotum is pulled closer to the body Pg 79
A female client is interested in knowing what the most effective procedure for permanent sterilization in women is. The nurse should mention which procedure to the client?
Tubal ligation Pg 123
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which contraceptive should the nurse say is a mechanical barrier contraceptive?
Cervical cap Pg 115
On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
Chadwick's sign Pg 375
A sex trade worker is seen at the sexual health clinic reporting dysuria, mucopurulent vaginal discharge with bleeding between periods, conjunctivitis, and a painful rectal area. What sexually transmitted infection would the nurse suspect?
Chlamydia Pg 157
When educating a class of hish school students on safer sex choices, the nurse would highlight which method as the *most* effective in preventing pregnancy and sexually transmitted infections?
Condom Pg 113
A client in the clinic requests birth control pills to prevent pregnancy. Upon taking a sexual history, the nurse realizes that the client has multiple partners. Which type of contraception would be *best* for the nurse to suggest?
Condoms Pg 132
An intrauterine device has been inserted into a client as a requested birth control method. What is an advantage of intrauterine devices (IUDs)?
Continuous protection without the client's active participation Pg 120
The nurse is caring for a young couple who are expecting their first baby. They are experiencing the phenomenon known as couvade syndrome. What can the nurse explain to this family to help them understand this syndrome?
Couvade syndromeis when the partner begins to experience the same physical symptoms as the pregnant woman experiences. Pg 356