mother baby unit 1 eaq questions

Which information would the nurse include as part of the teaching plan for an anxious client about to have her first routine Pap smear?

Information on how a Pap smear screens for precancerous and cancerous cells of the cervix

A couple interested in family planning asks the nurse about the cervical mucus method of preventing pregnancy. Which quality of cervical mucous would indicate fertility?

Clear and stretchable

Which intervention would the nurse recommend when a client reports moodiness and anxiety a few days before her period?

Exercise three to four times a week in the luteal phase

To ensure breast health, the nurse teaches a client about prevention and detection practices. Which client statement indicates the need for further teaching?

"I will increase my daily meat consumption."

A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate?

"Oral contraceptives can cause thrombophlebitis."

Arrange the physiological events from early puberty to ovulation chronologically.

1. Follicle-stimulating hormone stimulates the ovaries to release estrogen. 2. Production of estrogen in large amounts. 3. Building of uterine endometrial lining. 4. Development of the follicular phase. 5. Release of the ovum from the follicle.

A couple has decided to use the basal body temperature method of natural family planning. Which time period would the nurse teach them is the most fertile period in the menstrual cycle?

72 hours before to 24 hours after ovulation

A 26-year-old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center and asks for an appointment for a mammogram. Which guidance would the nurse provide the client?

An appointment should be given for history, assessment, and indicated imagery

On a visit to the fertility clinic a couple requests fertility medications because, despite having a 28-day menstrual cycle and temperature readings that demonstrate an ovulatory pattern, the woman has been unable to conceive. Which guidance would the nurse provide to this couple?

An examination of semen will be needed

Which time in the menstrual cycle would the nurse recommend the client come in for the intrauterine device (IUD) insertion?

Anytime in the cycle

What information is essential for the nurse to explain to the client who has scheduled a vasectomy?

At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked

A 25-year-old female client reports increased vaginal discharge, milky gray in color with a "fishy' odor. A wet smear is performed and the presence of "clue cells" is confirmed. Which type of infection would the nurse suspect?

Bacterial vaginosis

Oral contraceptives are prescribed for a client who smokes heavily. Which is a major immediate risk to this client?

Blood clots

As part of an infertility workup involving both partners, a male client is to have a semen analysis. Which instruction would the nurse give to him?

Deliver the specimen to the laboratory within 2 hours of obtaining it.

Which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period?

gross malformations

Which is a neonatal effect of maternal smoking during pregnancy?

Low birth weight (SGA)

Which hormone is crucial for ovulation and complete maturation of the ovarian follicles?

Luteinizing hormone

Which is the best advice the nurse can provide to a pregnant woman in her first trimester?

"Avoid drugs and don't smoke or drink alcohol."

Which statement would the nurse include in a teaching session for pregnant clients regarding fetal growth and development?

"Development occurs in a head-to-toe and central-to-peripheral pattern." "Pregnancy includes the pre-embryonic, embryonic, and fetal stages of development." "During pregnancy, the embryo grows from a single cell to a complex physiologic being."

The nurse is teaching a family planning class about ovulation and conception. For which period of time in hours would the nurse inform the class that the ovum is capable of being fertilized after ovulation?

12- 24 hours

Which medication is safe to take during pregnancy?

Acetaminophen

Which infection is characterized by vaginal itching and thick, white, cottage cheese-like discharge along with a laboratory finding of hyphae?

Candida albicans

The primary health care provider has diagnosed the overweight client who is experiencing infertility with the condition PCOS. Which intervention is the most important?

Discussing weight loss, exercise, and a balanced low-fat diet

A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider?

Dizziness Chest Pain Calf tenderness

Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?

Human chorionic gonadotropin (hCG)

Which nutrient would the nurse instruct the client to increase while on oral contraceptives?

Folic acid

The laboratory results of a woman in labor indicate the presence of cocaine and alcohol. Which findings would the nurse associate with fetal alcohol spectrum disorder (FASD) in the newborn?

Hypotonia. Hypoplastic maxilla. Small, upturned nose.

Which conclusion about the client's knowledge of condom use would the nurse draw during an AIDS education class when a client states, "Petroleum jelly works great when I use condoms"?

Lack of knowledge related to correct condom application and use

Which factor is most important for the survival of the newborns?

Gestational age and birth weight

Which preventative wellness recommendation will the nurse make to a male client who tests positive for BRCA mutation after his mother and two sisters are found to carry the gene?

Get a baseline mammogram at 40 years. Get breast self-exam training at 35 years. Get a clinical breast exam every 6 months starting at 35 years.

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancers of the vulva, cervix, and vagina in young girls and women?

HPV vaccine

A client asks the nurse about the most common side effects associated with the use of a copper intrauterine device (IUD). Which answer would the nurse provide?

Heavier menstrual periods

The nurse teaches a pregnant client regarding the necessity for a folic acid supplement. Folic acid taken in the first trimester of pregnancy helps reduce the risk for which neonatal disorder?

Neural tube defects

Which recommendation would the nurse provide to a client who is seeking birth control and reports difficulty remembering to take daily medications?

NuvaRing Depo Provera Ortho Evra Patch Nexplanon system Levonorgestrel T device

A primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. Which hormone would the nurse tell the client to maintain pregnancy.

Progesterone

Which teratogens affecting fetal growth and development would the nurse include in a teaching session for pregnant clients?

Rubella Varicella Swordfish Phenytoin

Which information about the prenatal client's activities indicates to the nurse that there is a need for toxoplasmosis testing?

The client cares for a neighbor's cat

A female client who is undergoing infertility testing is taught how to examine her cervical mucus. After listening to the instructions, the client says, "That sounds gross. I don't think I can do it." Which conclusion would the nurse make from this statement?

The client may be uncomfortable with performing manual examination of the genitals.

A pregnant client asks how smoking will affect her baby. Which information about cigarette smoking will influence the nurse's response?

The resulting vasoconstriction affects both fetal and maternal blood vessels

Which information would the nurse include as part of the teaching plan for the client requesting information on different methods of contraception?

The rim of a condom must be held in place while the penis withdrawn from the vagina

Which hormone is crucial in maintaining the implanted ovum at its site?

progesterone

Which would the nurse expect to observe in a healthy newborn's cord vessels?

three vessels: one vein and two arteries

Which time period would the nurse teach the health education class that fertilization of the ovum by the sperm occurs?

when 1 sperm penetrates the wall of the ovum

Which statement by a pregnant woman after attending a prenatal education session indicates the need for additional teaching?

"During pregnancy, it's safe for me to use my regular herbal remedies."

A couple in their late 30s are in the first trimester of pregnancy and have been referred to genetic counseling because of a family history of an inheritable problem and advanced maternal age. They are concerned because they believe that genetic counseling will favor abortion if studies reveal a defective fetus. Which response would the nurse provide regarding genetic counseling?

"Families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed."

The nurse teaches a client about side effects that necessitate discontinuation of oral contraceptives. Which statement made by the client indicates that the teaching was effective?

"I'll stop taking the pills if I have chest pain."

A client seeking advice regarding contraception asks the nurse to explain how an intrauterine device (IUD) prevents pregnancy. How would the nurse respond?

"It produces a spermicidal intrauterine environment"

After the birth of a neonate, a parent asks, "What is that white substance over the baby's body?" How would the nurse respond?

"Its expected, and it's called vernix caseosa.

Which instruction would the nurse include when teaching about the correct use of a female condom?

"Remove the condom before standing up."

Which statement indicates that a pregnant client requires further teaching about fetal growth and development?

"The fetus gets nutrients from the amniotic fluid."

The nurse is teaching a group of young adults about the calender method of contraception. Which statement made by an adolescent indicates effective learning?

"This type of contraception requires a regular menstrual cycle."

A client states her husband is a fraternal twin and asks about her probability of having twins. Which is an appropriate response by the nurse?

"You have no greater probability of having twins than anyone else in the general population."

A client is scheduled for a laparoscopic bilateral tubal ligation. Which information would the nurse include in preoperative teaching?

"You will be admitted as an outpatient for same-day surgery."

Which order do the events of the positive feedback mechanism of estradiol chronologically occur?

1. Estradiol levels are increased during the menstrual cycle. 2. Follice-stimulating hormone (FSH) production and release is increased. 3. Estradiol levels are increased as a result of follicle-stimulating hormone. 4. Death of follicles has occurred. 5. Follicle-stimulating hormone levels in serum drop.

Steps involved in the changes during puberty

1. Triggering of the GnRH by the hypothalamus. 2. Movement of GnRH through a network of capillaries to the anterior pituitary gland. 3. Stimulation of production and secretion of FSH and LH. 4. Stimulation of the gonadal response.

The primigravida would be taught by the nurse to anticipate quickening in which week of pregnancy?

20th week

Which newborn anomaly can occur if rubella is contracted during the first trimester of pregnancy?

Cardiac anomalies

At which point during a human pregnancy does the embryo become a fetus?

During the 8th week of the pregnancy

A newly pregnant client reports that she is taking isotretinoin. Which statement applies to the care of this client?

Isotretinoin is teratogenic and is associated with major fetal malformations, so the client should stop the medication immediately.

Which statements would the nurse include when teaching a client who is considering medroxyprogesterone injection as a form of hormonal birth control?

It lasts for 3 months. It can cause nausea & vomiting, Side effects include drowsiness or insomnia and depression. The most severe undesirable effects are liver dysfunction and thromboembolic disorders.

A pregnant client is treated with sertraline for depression. Which would the nurse infer about the medications action?

It will affect both the client and the fetus.

The nurse is obtaining a health history from a client with endometriosis. Which consequence can occur as a result of this disorder?

Metrorrhagia Impaired fertility Bowel strictures Voiding difficulties

A client at the women's health clinic tells the nurse that she has endometriosis. Which factors associated with endometriosis would the nurse anticipate the client will report?

Rectal pressure Abdominal pain

The nurse is assessing a newborn immediately after birth. Which finding indicates normal development?

The body weight is 3500 grams

Which surgery is associated with permanent contraception?

Vasectomy Tubal ligation

Which would the nurse explain to the newly pregnant primigravida about how and when the fetal heartbeat will first be heard?

electronic doppler ultrasonography at 10 to 12 weeks

The nurse understands that a teratogen would cause neural tube defects in which stage of pregnancy?

embryonic period

Which common side effect associated with the use of copper intrauterine device (IUD) would the nurse discuss with the client during a teaching session?

excessive menstrual flow

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion?

hypertension

Which gland secretes gonadotropin-releasing hormone to help control the events of puberty?

hypothalamus

Which contraceptive method is 99% effective is used correctly?

oral contraceptives

Which organ produces sex steroid hormones?

ovaries

Which term would the nurse use to describe the first fetal movements that a pregnant client feels?

quickening

Which time during the menstrual cycle would the nurse stress as the optimal time to achieve pregnancy?

14 days before the next period is expected

Which is the most highly sensitive time within the developing embryo for the risk of malformation related to environmental teratogens?

Cleft palate at 8 weeks' gestation

The nurse would identify which anomaly as possibly being observed when a fetus is exposed to a teratogen during the embryonic development?

Improper development of the organs

Which direction would the nurse give to a client at 6 weeks' gestation who reports using an over-the-counter herbal product as a health supplement?

Stop taking the supplement immediately. Discuss the use of the supplement with the health care provider. Discuss the use of any other over-the-counter products with the health care provider.

The nurse would identify which period of pregnancy as the time frame during which functional disabilities in a fetus's brain occur via fetal exposure to a teratogenic agent?

fetal period