Reproductive- NCLEX
An adolescent is admitted to the hospital with complaints of lower right abdominal pain. The health care provider prescribes laboratory tests to rule out ectopic pregnancy rather than appendicitis. Which is most significant in ruling out an ectopic pregnancy? 1. Urinalysis 2. White blood count 3. C-reactive protein 4. Serum human chorionic gonadotropin
4. Serum human chorionic gonadotropin
The maternity nurse is describing the ovarian cycle to a group of nursing students and ask a nursing to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for FURTHER teaching in this area? SELECT ALL THAT APPLY 1. Luteal phase 2. Ovulatory phase 3. Secretory phase 4. Proliferative phase 5. Preovulatory phase
3. Secretory phase 4. Proliferative phase
The nurse is teaching an adolescent female about menstruation. Which statements if made by the adolescent female demonstrate a need for FURTHER teaching? SELECT ALL THAT APPLY 1. " The average duration of menstruation is 3 days." 2. " Menstruation typically begins 14 days after ovulation." 3. " The menstrual cycle prepares the uterus for pregnancy." 4. "I will lose about 40 ml of blood during my menstrual period." 5. " The day of ovulation is counted as the first day of the menstrual cycle."
1. " The average duration of menstruation is 3 days." 5. " The day of ovulation is counted as the first day of the menstrual cycle."
The nursing student is asked to describe the size if the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure? 1. " The uterus weighs about 2 ounces" 2. ' The uterus weighs about 2.2 pounds" 3. "The uterus has a capacity of about 50 milliliters" 4. " The uterus is round in shape ans weights approximately 1000 grams. "
1. " The uterus weighs about 2 ounces"
The nursing instructor ask a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which are the functions of the amniotic fluid? SELECT ALL THAT APPLY 1. Allow for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus 5. Prevents large particles such as bacteria from passing to the fetus 6. Provides an exchange of nutrients and waste products between the mother and the fetus
1. Allow for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus
The nursing student is assigned to care for an adolescent female client in the health care clinic who has the potential diagnosis of gonorrhea. Which signs/symptoms if found in this client supports this diagnosis? SELECT ALL THAT APPLY 1. Edematous labia 2. Acute severe pelvic pain 3. Generalized lymphadenopathy 4. Maculopapular rash on the palms and soles of the feet 5. Presence of a greenish- yelloe purulent endocervival discharge
1. Edematous labia 2. Acute severe pelvic pain 5. Presence of a greenish- yelloe purulent endocervival discharge
A client presents to a woman's health clinic and would like to begin taking and oral contraceptive pill(OCP). The nurse reviews the client's past medical history and suspects that oral contraceptives may not be the best option for her. Which information is the client's past medical history should trigger the nurse to question oral contraceptives for this client ? SELECT ALL THAT APPLY 1. Hepatitis 2. Cholecystitis 3. Meniscus tear 4. Hashimoto thyroiditis 5. Chronic obstructive pulmonary disorder (COPD)
1. Hepatitis 2. Cholecystitis 5. Chronic obstructive pulmonary disorder (COPD)
The nurse is caring for a 45 year old client. The client has 3 healthy children , all born via spontaneous vaginal birth. The client has been diagnosed with mild uterine prolapse and asks the nurse what she can do to prevent further prolapse. The nurse should include which instructions in the teaching plan? SELECT ALL THAT APPLY 1. Lose weight 2. Eat a diet high in fiber 3.Perform kegel exercises 4. Take a stool softener daily as needed 5. Engage in hight impact exercise 3 to 5 times weekly
1. Lose weight 2. Eat a diet high in fiber 3.Perform kegel exercises 4. Take a stool softener daily as needed
The nurse in a woman's health clinic is reinforcing instructions to a client that is being treated for pelvic inflammatory disease. Which information is essential for the nurse to reinforce before discharge? SELECT ALL THAT APPLY 1. Refrain from sexual activity for 3 weeks 2. Get plenty of rest and increase fluid intake 3. Continue antibiotic for 2 days after symptoms resolve 4. Re- evaluation in 48-72 hours is necessary, unless signs/symptoms are improving 5. Inform your sexual partner of the need for treatment, even if no signs/ symptoms are present
1. Refrain from sexual activity for 3 weeks 2. Get plenty of rest and increase fluid intake 5. Inform your sexual partner of the need for treatment, even if no signs/ symptoms are present
The nurse working in a prenatal clinic reviews a client's chart and notes that the primary health care provider documents that the client has a gynecoid pelvis. The nurse plans care understanding that which findings are characteristics of this type of pelvis? SELECT ALL THAT APPLY 1. Round shape 2. Shallow deph 3. Narrow pubic arch 4. Diagonal conjugate measures 12.5 cm to 13 cm 5. Blunt, somewhat widely separated ischial spines
1. Round shape 4. Diagonal conjugate measures 12.5 cm to 13 cm 5. Blunt, somewhat widely separated ischial spines
The nurse at an outpatient cardiology clinic is reviewing the medical history of a 48 year old client during a routine exam. The client is complaining of the inability to maintain an erection and ask the nurse what could be causing it. Which information should the nurse include as possible contributing factors to his erectile dysfunction? SELECT ALL THAT APPLY 1. weight 245 lb 2. total cholesterol 223mg/dl 3. serum creatinine 1.86 mg/dl 4. blood pressure 117/68 mm Hg 5. thyroid stimulating hormone (TSH) 1.54mIU/L
1. weight 245 lb 2. total cholesterol 223mg/dl 3. serum creatinine 1.86 mg/dl
The nurse is caring for a client with a possible ectopic pregnancy. The nurse should perform the following actions in which priority order? 1.Assess the client for signs of increased pain or vaginal bleeding 2. obtain a urine specimen 3. prepare the client for ulerasound 4. assess the emotions state of the client
1.Assess the client for signs of increased pain or vaginal bleeding 2. obtain a urine specimen 3. prepare the client for ulerasound 4. assess the emotions state of the client
A couple comes to the family planning clinic and ask about sterilization procedures. Which question by the nurse helps determine whether this method of family planning is appropriate? 1. " Have either of you ever had surgery 2. " Do you plan to have another child?" 3. " Do either of you have diabetes mellitus?" 4. " Do either of you have problems with high blood pressure?"
2. " Do you plan to have another child?"
The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormones identified by the student indicate an understanding of the hormones produced by this endocrine gland? SELECT ALL THAT APPLY 1. Oxytocin 2. Estrogen 3. Progesterone 4. Luteinizing hormone LH 5. Follicle- stimulating hormone FSH 6. Thyroid- stimulating hormone TSH
2. Estrogen 3. Progesterone
The nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation consists of which components? 1. Two umbilical veins and one umbilical artery 2. Two umbilical arteries and one umbilical vein 3. Arteries that carry oxygenated blood to the fetus 4. Veins that carry deoxygenated blood to the fetus
2. Two umbilical arteries and one umbilical vein
During a prenatal visit , the nurse checks the fetal heart rate (FHR) of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted? 1. 80 beats per minute 2. 100 beats per minute 3. 150 beats per minute 4. 180 beats per minute
3. 150 beats per minute
A nursing student is assigned to a client in labor. The nursing instructor ask the student to describe fetal circulation., specifically the ductus venosus. The instructor determines that the student understands the structure of the ductus venous if the student states which about the ductus venous? 1. Connects the pulmonary artery to the aorta 2. Is an opening between the right and left atrium 3. Connects the umbilical vein to the inferior vena cava 4. Connects the umbilical artery to the inferior vena cava
3. Connects the umbilical vein to the inferior vena cava
The nurse is reinforcing teaching to a pregnant woman about the physiological effects and hormonal changes that occur during pregnancy. The woman ask the nurse about the purpose of estrogen. The nurse bases the response on which purpose of estrogen? 1. It maintains the uterine lining for implantation 2. It stimulates the metabolism of glucose and converts glucose to fat 3. It stimulates uterine development to provide an environment for the fetus and stimulates the breast to prepare for lactation 4. It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed
3. It stimulates uterine development to provide an environment for the fetus and stimulates the breast to prepare for lactation
The nurse is collecting data from a pregnant client when the client ask the nurse about the purpose of the fallopian tubes.Which is the accurate response the nurse should make? 1. The organ of copulation 2. where the fetus develops 3. where fertilization occurs 4. the organ that secretes estrogen and progesterone
3. where fertilization occurs
The client ask the nurse about the purpose of the placenta. The nurse plans to respond to the client knowing which about the placenta? 1. cushions and protects the fetus 2. maintains the body temperature of the fetus 3. surrounds the fetus and allows for fetal movement 4. provides an exchange of nutrients and waste products between the mother and fetus
4. provides an exchange of nutrients and waste products between the mother and fetus
The nursing instructor ask a nursing student to list the functions of the amniotic fluid. The student needs FURTHER teaching if which responses are made? SELECT ALL THAT APPLY 1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions ans protects the fetus 4. Maintains the body temperature of the fetus 5. Prevents large particles such as bacteria from passing to the fetus 6. Provides an exchange of nutrients and waste products between the mother and fetus
5. Prevents large particles such as bacteria from passing to the fetus 6. Provides an exchange of nutrients and waste products between the mother and fetus
The maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that successful learning has occurred if the nursing students correctly identify which statements as true? SELECT ALL THAT APPLY 1. The stage of the embryo lasts for 12 weeks 2. Uterine implantation occurs 21 days following fertilization 3. The blastocyst usually implants in the anterior or posterior fundal region 4. Fertilization of the mature ovum in the distal third of the fallopian tube 5. Human Chorionic gonadotropin is the hormone needed for a positive pregnancy test
3. The blastocyst usually implants in the anterior or posterior fundal region 4. Fertilization of the mature ovum in the distal third of the fallopian tube 5. Human Chorionic gonadotropin is the hormone needed for a positive pregnancy test
The nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understands the process of the secretion of follicle-stimulating hormone (FSH) and the luteinizing hormone (LH) if the student makes which statement? 1. " FSH and LH are secreted by the adrenal glands." 2. " FSH and LH are released from the anterior pituitary gland." 3. "FSH and LH are secreated by the corpus luteum of the ovary." 4. " FSH and LH stimulate the formation of milk during pregnmancy."
2. " FSH and LH are released from the anterior pituitary gland."
A nursing student is asked to identify the layers of tissue found within the uterus. Which student responses are correct with regard to the tissue layers of the uterus? SELECT ALL THAT APPLY 1. Ectometrium 2.Myometrium 3. Perimetrium 4.Endometrium 5. Transmetrium
2.Myometrium 3. Perimetrium 4.Endometrium
The nurse is providing a teaching session to an adolescent female regarding sexual maturation. The nurse recognizes that a successful teaching has occurred if the adolescent female makes which statement ? 1. ' I will experience a sudden decline in height and weight." 2. " Menstruation typically occurs before breast development." 3. " Growth of pubic hair typically precedes changes in breast development." 4. " Breast changes most commonly occur before growth of pubic and axillary hair."
4. " Breast changes most commonly occur before growth of pubic and axillary hair."
The nurse is collecting data from a client who is suspected of having mittelschmerz. Which statement supports thus probable diagnosis ? 1. " My monthly is very heavy." 2. " I experience pain that occurs during intercourse." 3. I have incapacitating pain for the first few days of my menstrual cycle." 4. " I experience a sharp pain located on my lower right side midway through my cycle."
4. " I experience a sharp pain located on my lower right side midway through my cycle."
A client has been examined in the clinic and has been diagnosed with pelvic inflammatory disease. The client ask the nurse to describe this condition. Which description of pelvic inflammatory disease by the nurse is accurate? 1. " Pelvic inflammatory disease is pain that occurs during ovulation." 2. " Pelvic inflammatory disease is also known as primary dysmenorrhea." 3. " Pelvic inflammatory disease is the cause of cessation of menstruation." 4. " Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus."
4. " Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus."
The nursing student is asked to describe the size of the uterus in a pregnant client at the end of the pregnancy. Which response by the student indicates an understanding of the anatomy of this structure ? 1. "The uterus weighs about 2 ounces." 2." The uterus weighs about 1 pound" 3. " The uterus has a capacity of about 10 milliliters 4. "The uterus is round ans weighs approximately 1000 grams."
4. "The uterus is round ans weighs approximately 1000 grams."
