OB Exam 1

¬ After teaching nursing students the basic concepts of family-centered care, which of the following statements would indicate that the nursing students understood family-centered care?

"Childbirth affects the entire family, and relationships will change."

6. After the nurse teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching?

"I will make sure to take my estrogen supplements a week before my period."

¬ When educating nursing students about the major health concerns in the 21st century, which statement would indicate that the students understood the Healthy People 2010 Report?

"Obesity, drug use, and smoking are major problems."

¬ When developing a teaching plan for a couple who are considering contraception options, which of the following statements would the nurse include?

"The best contraceptive is one that you will use correctly and consistently"

¬ During this century, the focus on health has shifted to all but which of the following?

Analysis of morbidity and morality

11. The United States ranks 21st for maternal mortality and 27th for infant mortality rate compared with the rest of the world. Which factor has the greatest impact on decreasing these rates?

Assuring early and adequate prenatal care

¬ Which of the following organs is responsible for providing lubrication during intercourse?

Bartholin's glands

¬ When integrating the principles of family-centered care, the nurse would include which of the following?

Childbirth results in changes in relationships

¬A client is to receive an implantable contraceptive. The nurse plans care knowing that which of the following describes this contraceptive as containing:

Combined estrogen and progestin

¬ After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protecting against sexually transmitted infections (STIs)?

Condoms

¬ A client states that she is to have a test to measure bone mass to help diagnose osteoporosis. The nurse would most likely plan to prepare the client for:

DEXA scan

¬ A 9-month old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?

Determining sole or joint custody by the parents

¬ When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 2oth century?

Development of free-standing birth centers

¬ The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only by prescription?

Diaphragm

¬ A nurse is explaining the menstrual cycle to a 12 year old client who has experienced menarche. Which of the following should the nurse tell the client?

Duration of the flow is about 3 to 7 days

¬ Which finding would the nurse expect to find in a client with endometriosis?

Dysuria

¬A nurse is planning a continuum of care for a client during pregnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience?

Educating the client about the importance of a support person

¬ Which of the following conditions accounts for the most common cause of pregnancy-related mortality?

Embolism

¬ A women comes to the clinic complaining that she has little sexual desire. As part of the client's evaluation, the nurse would anticipate the need to evaluate which hormone level?

Estrogen

¬ When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which of the following as the primary cause?

Estrogen deficiency

10. The lifespan of the ovum is about 168 hours? TRUE or FALSE

FALSE

¬ Endometriosis is a rare gynecologic disease that affects women over 65 years of age.

FALSE

¬ When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important?

Finances

8. The nurse is trying to get consent to care for an 11-year old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?

Getting telephone consent with two people listening to the verbal consent

¬ The nurse working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem?

Heart disease

¬ The nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern?

Hemoglobin level 10.1 g/dL

¬ A nurse is assigned to care for an Asian American client. The nurse plans care knowing which of the following describes an Asian American's view of illness?

Illness is due to an imbalance between yin and yang

¬ When discussing contraceptive options, which method would the nurse recommends as being the most reliable?

Intrauterine system

9. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which of the following to confirm this suspicion?

Laparoscopy

¬When describing the ovarian cycle to a group of students, which phase would the instructor include?

Luteal phase

4.The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation?

Luteinizing hormone

¬ After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defines as a women's first:

Menstrual period

¬A client is trying to have a baby and wants to know the best time to have intercourse to increase the chances of pregnancy. Which of the following is the ideal time for intercourse, to help her chances conceiving?

One or two days before ovulation

¬ Which of the following measures would the nurse include in teaching plan for a woman to reduce the risk of osteoporosis after menopause?

Participating in regular daily exercise

¬ The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

Penile vasodialation

7. A nurse has educated a group of nursing students about the issue of informed consent. Which of the following , if identified by the student, would indicate an understanding of a violation of informed consent?

Preforming a procedure on a 15-year old without consent

5.After teaching a group of pregnant woman about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breastmilk after childbirth?

Prolactin

17. When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

Proliferative

¬ A client asks the nurse how she would know if ovulation has occurred. Which of the following is a sign of ovulation that the nurse should inform the client about?

Risk temperature by 0.5-1 degree F

¬ Which glands are located on either side of the female urethra and secrete mucus to keep the opening moist and lubricated for urination?

Skene's

¬ A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The nurse interprets this as which of the following?

Spinnbarkeit mucus

¬ Women are born with a single lifetime supply of ova that are released from the ovaries gradually throughout the child bearing years. TRUE or FALSE

TRUE

¬ Which of the following would the nurse emphasize when teaching postmenopausal women about ways to reduce the risk of osteoporosis?

Taking calcium pill supplements

¬ The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful?

Testes

¬ Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth?

Vagina

¬ The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland?

Vas deferens

37. The nurse is reviewing the medical records of several clients. Which client would the nurse expect to have an increased risk for developing osteoporosis?

a thin woman with small bones

1. The nurse is assessing a 13-year old girl. Which of the following events would the nurse expect to have occurred first?

development of breat buds

2. A client with a 28-day cycle reports the she ovulated on May 10. The nurse would expect the client's next menses to begin on:

may 24

2. A women has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which of the following?

ovulation