Mother Baby NCLEX practice questions week 1
A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant? A. Chorionic gonadotropin. B. Oxytocin. C. Prolactin. D. Luteinizing hormone.
A
The nurse is creating a pedigree from a client's family history. Which of the following symbols should the nurse use to represent a female? A. Circle B. Square. C. Triangle D. Diamond
A
A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits? Select all that apply. A. Leg cramps. B. Varicose veins. C. Hemorrhoids. D. Fainting spells. E. Lordosis.
A, B, C, E
Which of the following sexually transmitted infections is characterized by a foul smelling, yellow-green discharge that is often accompanied by vaginal pain and dyspareunia? A. Syphilis. B. Herpes simplex. C. Trichomoniasis. D. Condylomata acuminata.
C
A woman seen in the emergency department is diagnosed with pelvic inflammatory disease (PID). Before discharge, the nurse should provide the woman with health teaching regarding which of the following! A. Endometriosis B. Menopause. C. Ovarian hyperstimulation. D. Sexually transmitted infections.
D
The nurse is teaching a client regarding the treatment for pubic lice. Which of the following should be included in the teaching session? A. The antibiotics should be taken for a full 10 days B. All clothing should be pretreated with bleach before wearing C. Shampoo should be applied for at least 2 hours before rinsing D. The pubic hair should be combed after shampoo is removed.
D
A 54-year-old client calls her healthcare practitioner complaining of frequency and burning when she urinates. Which of the following factors that occurred within the preceding 3 days likely contribute to this client's problem? A. She had intercourse with her partner. B. She returned from a trip abroad. C. She stopped taking hormone replacement therapy. D. She started a weight-lifting exercise program.
A
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couple's infertility? A. The client is 36 years old. B. The client was 13 years old when she started to menstruate. C. The client works as a dental hygienist 3 days a week. D. The client jogs 2 miles every day.
A
A gravid woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child? A. Stay out of any rooms that are being renovated. B. Drink water only from the hot water tap. C. Refrain from entering the basement. D. Climb the stairs only once per day.
A
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy? A. Influenza. B. Mumps. C. Rubella. D. Varicella.
A
A pregnant woman and her husband are both heterozygous for achondroplastic dwarfism, an autosomal dominant disease. The nurse advises the couple that their unborn child has which of the following probabilities of being of normal stature: A. 25% probability. B. 50% probability. C. 75% probability D. 100% probability
A
A woman has contracted herpes simplex 2 for the first time. Which of the following signs/symptoms is the client likely to complain of? A. Flu-like symptoms. B. Metrorrhagia. C. Amenorrhea. D. Abdominal cramping.
A
Five women, aged 35 to 39, wish to use the Ortho Evra (patch) for family planning. Which of the women should be carefully counseled regarding the safety considerations of the method? Select all that apply. A. The woman who smokes 1 pack of cigarettes each day. B. The woman with a history of lung cancer. C. The woman with a history of deep vein thrombosis. D. The woman who runs at least 50 miles each week. E. The woman with a history of cholecystitis.
A, C
The nurse is interviewing a 38-week gestation Muslim woman. Which of the following questions would be inappropriate for the nurse to ask? A. "Do you plan to breastfeed your baby?" B. "What do you plan to name the baby? C. "Which pediatrician do you plan to use?" D. "How do you feel about having an episiotomy?"
B
A third-trimester client is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the visit? Select all that apply. A. Blood glucose. B. Blood pressure. C. Fetal heart rate. D. Urine protein. E. Pelvic ultrasound.
B, C, D
A breastfeeding woman is requesting that she be prescribed Seasonale (ethinyl estradiol and levonorgestrel) as a birth control method. Which of the following information should be included in the patient teaching session? A. The woman will menstruate every 8 to 9 weeks. B. The pills are taken for 3 out of every 4 weeks. C. Breakthrough bleeding is a common side effect. D. Breastfeeding is compatible with the medication.
C
A client asks the nurse what was meant when the physician told her she had a positive Chadwick sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? A. "It is a purplish stretch mark on your abdomen." B. "It means that you are having heart palpitations." C. "It is a bluish coloration of your cervix and vagina. D. "It means the doctor heard abnormal sounds when you breathed in."
C
What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted? A. Palpate her lower abdomen each month to check the patency of the device. B. Remain on bedrest for 24 hours after insertion of the device. C. Report any complaints of painful intercourse to the physician. D. Insert spermicidal jelly within 4 hours of every sexual encounter.
C
A couple is seeking family planning advice. They are newly married and wish to delay childbearing for at least 3 years. The woman, age 26, G0 P0000, has no medical problems and does not smoke. She states, however, that she is very embarrassed when she touches her vagina. Which of the following methods would be most appropriate for the nurse to suggest to this couple? A. Diaphragm B. Cervical cap C. Intrauterine device (IUD) D. Birth control pills (BCP)
D
The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination. In which of the following positions should the client be placed? A. Orthopneic. B. Lateral-recumbent. C. Sims. D. Semi-Fowler.
D
A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative, but I still think I am pregnant." Which of the following statements would be appropriate for the nurse to make at this time? A. "Your period is probably just irregular." B. "We could do a blood test to check." C. "Home pregnancy test results are very accurate." D. "You should repeat the test in one week."
B
A client in her third trimester is concerned that she will not know the difference between labor contractions and normal aches and pains of pregnancy. How should the nurse respond? A. "Don't worry. You'll know the difference when the contractions start." B. "The contractions may feel just like a backache, but they will come and go." C. "Contractions are a lot worse than your pregnancy aches and pains." D. "I understand. You don't want to come to the hospital before you are in labor."
B
A client is to receive Pergonal (menotropins) injections for infertility prior to in-vitro fertilization. Which of the following is the expected action of this medication? A. Prolongation of the luteal phase. B. Stimulation of ovulation. C. Suppression of menstruation. D. Promotion of cervical mucus production.
B
An infertile woman has been diagnosed with endometriosis. She asks the nurse why that diagnosis has made her infertile. Which of the following explanations is appropriate for the nurse to make? A. "Scarring surrounds the ends of your tubes, preventing your eggs from lying fertilized by your partner's sperm." B. "You are producing insufficient quantities of follicle-stimulating hormone that is needed to mature an egg every month. C. "Inside your uterus is a benign tumor that makes it impossible for the fertilized egg to implant." D. "You have a chronic infection of the vaginal tract that makes the secretions hostile to your partner's sperm."
A
Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following? A. Avoid eating greasy foods. B. Drink orange juice before rising. C. Consume 1 teaspoon of nutmeg each morning. D. Eat 3 large meals plus a bedtime snack.
A
During a preconception counseling session, the nurse encourages a couple to prepare a birth plan. Which of the following is the most important goal for this action? A. Promote communication between the couple and healthcare professionals. B. Enable the couple to learn about the types of pain medicine used in labor. C. Provide the couple with a list of items that they should take to the hospital for the labor and delivery. D. Give the high-risk couple a sense of control over the likelihood of having a surgical delivery.
A
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate? A. Encourage the woman to brush her teeth carefully. B. Advise the woman to have her blood pressure checked regularly. C. Encourage the woman to wear supportive hosiery. D. Advise the woman to avoid eating rare meat.
A
It is day 17 of a woman's menstrual cycle. She is complaining of breast tenderness and pain in her lower left quadrant. The woman states that her cycle is usually 31 days long. Which of the following is an appropriate reply by the nurse? A. "You are probably ovulating." B. "Your hormone levels should be checked." C. "You will probably menstruate early." D. "Your breast changes are a worrisome sign."
A
The nurse is assisting a couple to develop decisions for their birth plan. Which of the following decisions should be considered non negotiable by the parents? A. Whether or not the father will be present during labor. B. Whether or not the woman will have an episiotomy. C. Whether or not the woman will be able to have an epidural. D. Whether or not the father will be able to take pictures of the delivery.
A
When a nurse is teaching a woman about her menstrual cycle, which of the following is the most important change that happens during the follicular phase of the menstrual cycle? A. Maturation of the graafian follicle. B. Multiplication of the fimbriae. C. Secretion of human chorionic gonadotropin. D. Proliferation of the endometrium.
A
Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client? A. Mild anemia. B. Thrombocytopenia. C. Polycythemia. D. Hyperbilirubinemia.
A
A Roman Catholic couple is infertile. Their healthcare practitioner advises them that their best chance of getting pregnant is via in-vitro fertilization with a mixture of the man's sperm and donor sperm. Which of the following issues, related to this procedure, should the nurse realize may be in conflict with the couple's religious beliefs? Select all that apply. A. The man will ejaculate by masturbation into a specially designed condom. B. The woman may become pregnant with donor sperm. C. Fertilization is occurring in the artificial environment of the laboratory D. More embryos may be created than will be used to inseminate the woman. E. The woman will receive medications to facilitate the ripening of her ova.
A, B, C, D
A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply. A. Pap smear. B. Mammogram. C. Glucose tolerance test. D. Biophysical profile. E. Complete blood count.
A, E
A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate? A. That is very exciting. The baby must be very healthy. B. "Would you please describe what you felt for me?" C. "That is impossible. The baby is not big enough yet." D. "Would you please let me see if I can feel the baby?"
B
A 36-week gestation gravid lies flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe? A. Hypertension. B. Dizziness. C. Rales. D. Chloasma.
B
A client, G4 P4004, states that her husband has just been diagnosed with polycystic kidney disease (PKD), an autosomal dominant disease. The husband is heterozygous for PKD, while the client has no PKD genes. The client states, "I have not had our children tested because they have such a slim chance of inheriting the disease. We intend to wait until they are teenagers to do the testing. The nurse should base the reply on which of the following? A. Because affected individuals rarely exhibit symptoms before age 60, the children should be allowed to wait until they are adults to be tested. B. The woman may be exhibiting signs of denial since each of the couples children has a 50/50 chance of developing the disease. C. Because the majority of the renal cysts that develop in affected individuals are harmless, it is completely unnecessary to have the children tested. D. The woman's husband should be seen by a genetic specialist since he is the person who is carrying the affected gene.
B
A couple is preparing to interview obstetric primary care providers to determine who they will go to for care during their pregnancy and delivery. To make the best choice, which of the following actions should the couple perform first? A. Take a tour of hospital delivery areas. B. Develop a preliminary birth plan. C. Make appointments with three or four obstetric care providers. D. Search the Internet for the malpractice histories of the providers.
B
A woman's temperature has just risen 0.4°F and will remain elevated during the remainder of her cycle. She expects to menstruate in about 2 weeks. Which of the following hormones is responsible for the change? A. Estrogen. B. Progesterone. C. Luteinizing hormone (LH). D. Follicle-stimulating hormone (FSH).
B
The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide? A. Pain management during labor. B. Methods to relieve backaches. C. Breastfeeding positions. D. Characteristics of the newborn
B
A woman has been advised that the reason she has had a number of spontaneous abortions is because she has an inheritable mutation. Which of the following situations is consistent with this statement? A. A client developed skin cancer after being exposed to the sun. B. A client developed colon cancer from an inherited dominant gene. C. A client's genetic analysis report revealed a reciprocal translocation. D. A client's left arm failed to develop when she was a fetus.
C
In analyzing the need for teaching regarding sexual health in a client who is sexually active, which of the following questions is the most important for a nurse to ask: A. "How old are your children?" B. "Did you have intercourse last evening? " C. "With whom do you have intercourse?" D. "Do you use vaginal lubricant?"
C
The parent of a newborn angrily asks the nurse, "Why would the doctor want to give my baby the vaccination for hepatitis B? It's a sexually transmitted disease, you know!" Which of the following is the best response by the nurse? A. "The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy." B. "It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older." C. "Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood as well as sexually." D. "Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases."
C
The public health nurse calls a woman and states, I am afraid that I have some disturbing news. A man who has been treated for gonorrhea by the health department has told them that he had intercourse with you. It is very important that you seek medical attention. The woman replies, "There is no reason for me to go to the doctor! I feel fine!" Which of the following replies by the nurse is appropriate at this time? A. "I am sure that you are upset by the disturbing news, but there is no reason to be angry with me." B. "I am sorry. We must have received the wrong information." C. "That certainly could be the case. Women often report no symptoms." D. "All right, but please tell me your contacts because it is possible for you to pass the disease on even if you have no symptoms."
C
Which of the following client responses indicates that the nurse is teaching about care following chorionic villus sampling (CVS) has been successful? A. If the baby stops moving, the woman should immediately go to the hospital B. The woman should take oral terbutaline every 2 hours for the next day. C. If the woman starts to bleed or to contract, she should call her physician. D. The woman should stay on complete bed rest for the next 48 hours.
C
A woman has been diagnosed with pelvic inflammatory disease (PID). Which of the following organisms are the most likely causative agents Select all that apply. A. Gardnerella vaginalis. B. Candida albicans. C. Chlamydia trachomatis D. Neisseria gonorhoeae E. Treponema pallidum
C, D
A 35-year-old client is being seen for her yearly gynecological examination. She states that she and her partner have been trying to become pregnant for a little over 6 months and that a friend had recently advised her partner to take ginseng to improve the potency of his sperm. The woman states that they have decided to take their friend's advice. On which of the following information should the nurse base his or her reply? A. Based on their history, the client and her partner have made the appropriate decision regarding their fertility. B. Ginseng can cause permanent chromosomal mutations and should be stopped immediately. C. It is unnecessary to become concerned about this woman's fertility because she has tried to become pregnant for only a few months. D. Although ginseng may be helpful, it would be prudent to encourage the woman to seek fertility counseling.
D
A couple inquire about the inheritance of Huntington's disease (HD) because the prospective father's mother is dying of the illness. There is no history of the disease in his partner's family. The man has never been tested for HD. Which of the following responses by the nurse is appropriate A. "Because HD is an autosomal dominant disease, each and every one of your children will have a 1 in chance of having the disease." B. "Because only one of you has a family history of HD, the probability of any of your children having the disease is less than 10%." C. "Because HD is such a devastating disease, if there is any chance of passing the gene along, it would be advisable for you to adopt." D. "Because neither of you has been tested for HD, the most information I can give you is that each and every one of your children may have the disease."
D
A nurse teaches a woman who wishes to become pregnant that if she assesses for spinnbarkeit she will be able to closely predict her time of ovulation. Which technique should the client be taught to assess for spinnbarkeit? A. Take her temperature each morning before rising. B. Carefully feel her breasts for glandular development. C. Monitor her nipples for signs of tingling and sensitivity, D. Assess her vaginal discharge for elasticity and slipperiness.
D
A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see? A. Both estrogen and progesterone are high. B. Estrogen is high and progesterone is low. C. Estrogen is low and progesterone is high. D. Both estrogen and progesterone are low.
D
Infertility increases a client's risk of which of the following diseases A. Diabetes mellitus. B. Nystagmus. C. Cholecystitis. D. Ovarian cancer.
D
