227-01 Softchalk
A young woman is seen in the emergency department. She states, "I took a pregnancy test today. I am pregnant. My parents will be furious with me!! I have to do something!" Which of the following responses by the nurse is most appropriate? a. "You can take medication to abort the pregnancy so your parents won't know" b. "Let's talk about your options" c. "The best thing for you to do is to have the baby and to give it up for adoption" d. "I can help you tell your parents"
"Let's talk about your options"
Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)? a. "The IUD can remain in place for a year or more" b. "I will not menstruate while the IUD is in" c. "Pain during intercourse is a common side effect" d. "The device will reduce my chances of getting infected"
"The IUD can remain in place for a year or more"
The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development? a. "The fertilized egg has yet to implant into the uterus." b. "The lung fields are finally completely formed." c. "The sex of the fetus can clearly be identified." d. "The eye lids are unfused and begin to open and close."
"The fertilized egg has yet to implant into the uterus."
A 16-year-old woman, who had unprotected intercourse 24 hours ago, has entered the emergency department seeking assistance. Which of the following responses by the nurse is appropriate? a. "You can walk into your local pharmacy and buy Plan B" b. "I am sorry but because of your age I am unable to assist you" c. "The emergency room doctor can prescribe high-dose birth control pills for you" d. "The nurse's response is dependent upon which state he or she is practicing in"
"The nurse's response is dependent upon which state he or she is practicing in"
The nursing faculty member explains to a class that embryonic stem cells have a special feature. Which feature is the instructor describing? a. Ability to develop into any type of human cell b. Able to nourish the blastocyst as it develops c. Gives rise to the embryo and placenta d. Secretes a mixture of lipids and other liquids
Ability to develop into any type of human cell
Sexual dysfunction is any sexual situation that causes personal distress for the woman herself. Sexual dysfunction may present in the form of which of the following? Select all that apply. [mark all correct answers] a. Pain b. Arousal Disorder c. Orgasmic Disorder d. Desire Disorder
All of the above
Which of the following activities should the perinatal nurse encourage women who come for preconceptional counseling to consider? (Select all that apply.) [mark all correct answers] a. Choosing breastfeeding or bottle feeding b. Decreasing risk for exposure to toxoplasmosis c. Decreasing fetal risks related to the work environment d. Ensuring folic acid supplementation e. Ensuring iron supplementation
Decreasing risk for exposure to toxoplasmosis Decreasing fetal risks related to the work environment Ensuring folic acid supplementation
A woman has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time? Select all that apply. [mark all correct answers] a. Genitals b. Heart c. Fingers d. Alveoli e. Kidneys
Genitals, heart, fingers, and kidneys.
An obstetrical nurse is taking a medication history from a pregnant woman. One of the woman's medications is classified as category D. What action by the nurse is best? a. Advise her to stop the medication right away. b. Encourage her to find herbal substitutions. c. Have her call her primary care provider immediately. d. Tell her to cut the medication dose in half until she gives birth.
Have her call her primary care provider immediately.
During a counseling session on natural family planning techniques, how should the nurse explain the consistency of cervical mucus at the time of ovulation? a. It becomes thin and elastic b. It becomes opaque and acidic c. It contains numerous leukocytes to prevent vaginal infections d. It decreases in quantity in response to body temperature changes
It becomes thin and elastic
The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following? a. Does not use any cream or jelly with it b. Douches promptly after its removal c. Leaves it in place for 6 hours following intercourse d. Inserts it at least 5 hours prior to having intercourse
Leaves it in place for 6 hours following intercourse
A nurse is caring for a client who states that she is a lesbian. Which of the following should the nurse consider when caring for this client? a. Lesbian women are usually less sexually active than straight women b. Lesbian women need to be asked about domestic violence issues c. Lesbian women should be tested for cervical cancer every 3-7 years. d. Lesbian women are at higher risk for bacterial vaginosis than are straight women.
Lesbian women are at higher risk for bacterial vaginosis than are straight women.
A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. Which of the following is an appropriate response by the nurse? a. It is unlikely that any of these factors is impacting his fertility. b. Daily alcholol consumption could be causing his infertility problems. c. Sperm may be malformed when exposed to the heat of the sauna. d. Cancer survivors have the same fertility rates as healthy males.
Sperm may be malformed when exposed to the heat of the sauna.
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
The client is 36 years old
A woman asks the nurse about the function of amniotic fluid. Which of the following statement by the woman indicates that additional teaching is needed? a. The fluid provides fetal nutrition b. The fluid cushions the fetus from injury c. The fluid enables the fetus to grow d. The fluid provides a stable thermal environment
The fluid provides fetal nutrition
A Roman Catholic Couple is infertile. Their health care 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. [mark all correct answers] 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 will be created than will be used to inseminate the woman. e. The woman will receive medication to facilitate the ripening of her ova.
The man will ejaculate by masturbation into a specially designed condom. The woman may become pregnant with donor sperm. Fertilization is occurring in the artificial environment of the laboratory. More embryos will be created than will be used to inseminate the woman.
An ultrasounds of a fetus' heart shows that normal fetal circulation is occurring. Which of the following statement should the nurse interpret as correct in relation to the fetal circulation? a. The foramen ovale is a hole between ventricles b. The umbilical vein contains oxygen-poor blood c. The right atrium contains both oxygen rich and oxygen poor blood d. The ductus venosus lies between the aorta and pulmonary artery
The right atrium contains both oxygen rich and oxygen poor blood
A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate? a. During a period of rapid growth, the fertilized egg divided completely. b. When the woman ovulated she expelled two mature ova. c. The babies share one placenta and a common chorion. d. The babies will definitely be the same sex and have the same blood type.
When the woman ovulated she expelled two mature ova.
