practice questions for maternity exam 1

The nurse is admitting a client to the emergency clinic and notes that the client's gender expression is different than the gender noted in the driver's license and insurance documentation. What is the nurse's best response?

The nurse should communicate with the client based on the client's preferred

A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States? a. chlamydia

chlamydia

The nurse is caring for a pregnant woman and her family who are immigrants. Which intervention would be the priority for helping to achieve a successful outcome?

communicating using understandable terms

The nurse cares for a client recently diagnosed with syphilis who has no known drug allergies. Which medication will the nurse expect the health care provider to prescribe?

pen g

Whata. penicillin G benzathine is the medication of choice for early syphilis

penicilling if allergic doxycycline

The nurse is teaching an adolescent client about fertility and the various phases of the menstrual cycle. The client has a 28-day menstrual cycle. Which statement is a priority for the nurse to include in the teaching?

"Day 14 of your menstrual cycle is normally when you will ovulate."

After teaching a pregnant woman about using complementary and alternative medicine (CAM) therapies, the nurse determines that the teaching was successful based on which client statement?

"I need to talk with my provider before I try using any therapy."

A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion (elective termination of pregnancy). What would be the most appropriate response from the nurse to this client?

"I'll put together the information that you will need."

A female client has been trying to conceive for 3 months. She tells the nurse, "I just know something is wrong with me." Which response by the nurse is best?

"It can take up to 1 year of regular, unprotected intercourse to conceive."

A 12-year-old girl expresses concern to the nurse because she has not begun her period yet. The nurse notes that the girl has grown 6 inches in the past year and a half and is beginning to develop breast buds. Which response by the nurse is appropriate?

"It is normal for females to begin menstruating between the ages of 12 and 15."

A client at 15 weeks' gestation is Rh negative and has an amniocentesis booked. What will the nurse explain to this client about this procedure?

"You will be given a shot of Rh immune globulin after the procedure."

Subfertility/infertility is said to exist when a couple has failed to achieve pregnancy after how many months of unprotected sexual intercourse?

12 months

A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?

A vaccine has been approved to prevent the human papillomavirus."

The nurse is reviewing a client's electronic health record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system. What is the best description of dyspareunia that the nurse can share with the nursing student?

A woman experiences painful sexual intercourse

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact with a client who has a different cultural perspective on space and distance?

Allow the client to adopt a position that is comfortable for him or her.

A nurse is reviewing a labor plan with a client who has been admitted to the labor and birth unit. The client states that she has been drinking a significant amount of herbal teas lately to help with uterine contractions. Which is the priority action by the nurse?

Determine the type of herbal teas recently consumed.

What is the most common viral infection?

HPV

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?

It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

Which intervention best demonstrates the L & D nurse is respectful of a client who is deaf and in early labor?

Seek assistance from another health care professional who can converse in sign

A nurse is developing a plan of care for a client of Muslim faith. Which action demonstrates an understanding of providing culturally competent care?

The client is asked if there are any meal preferences to be included in the care plan.

During pregnancy a woman has many psychological adaptations that must be made. The nurse must remember that the baby's father is also experiencing the pregnancy and has adaptations that must be made. Some fathers actually have symptoms of the pregnancy along with the mothers. What is this called?

couvade syndrome

When caring for a woman in her sixth month of pregnancy, the client reports her plans to nurse her baby for at least 2 to 3 years like the rest of the women in her family. Based upon the nurse's knowledge, the nurse should:

document her report but do nothing as this is a cultural belief that should be respected.

A nurse is reviewing the history and physical examination of a client diagnosed with secondary dysmenorrhea for possible associated causes. Which etiology would the nurse need to keep in mind as being the most common?

endometriosis

Clients who have had PID are prone to which complication?

etopic pregnancy

A school health nurse is presenting information on sexually transmitted infections (STIs) "The health care provider will prescribe antibiotics to cure this infection." to a high school class. The nurse feels confident that learning has taken place when the students report:

female adolescents are more susceptible to STIs due to their anatomy.

A nurse is speaking with a client who has just learned that she is pregnant with her first child. The nurse reads in the client's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the client about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as?

health promotion

A nurse in the sexual health clinic assesses a client and notes wart-like lesions on the genital area and rectum. Which diagnosis correlates with these findings? a. trichomoniasis infection

hpv

An anatomy professor is teaching a class of pre-nursing students about the female reproductive system. One student asks, "Where is the opening to the vagina?" The best answer the professor can give is:

in what is called the vestibule, which is located between the labia minora.

Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis

latency

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:

menarche age 11

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?

metronidazole

Which hormone is called the hormone of pregnancy because it reduces uterine contractions during pregnancy?

progesterone

A couple who is in for fertility testing ask the nurse what tests are commonly performed to assess fertility. The nurse replies that there are only three primary tests that are used. What are these tests?

semen analysis, ovulation monitoring, and tubal patency assessment

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely: a. shed her uterine lining.

shed of uterine lining

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

syphilis

A school nurse is talking to an adolescent who asks about why she has monthly menstrual cycles. The best explanation that the nurse can offer regarding the menstrual phase is to tell her that:

the uterine lining is being shed due to lowering of hormone levels.

A nurse assesses that a 15-year-old female client has not developed secondary sexual characteristics, is short in stature, and has a webbed neck. The nurse identifies this as being most likely related to which diagnosis?

turner syndrome

Which factor in a client's history indicates she is at risk for candidiasis?

use of cotorsteroids