Reproductive NCLEX questions

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure?

"The uterus weighs about 2 ounces."

The nurse is caring for a client with a possible ectopic pregnancy. The nurse should perform the following actions in which priority order? Arrange the actions in the order they should be performed. All options must be used.

**Assess the client for signs of increased pain or vaginal bleeding. **Obtain a urine specimen. **Prepare the client for ultrasound. **Assess the emotional state of the client.

The nurse is assisting in preparing a plan of care for a client who will be receiving a calcium antagonist to prevent preterm delivery. Which action does the nurse include in the plan of care for the client to detect a side effect of the medication?

Monitor for increases in maternal and fetal heart rates.

The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. Which time of the month should the nurse tell the client to perform breast self-examination?

On a specific day of the month and on that same day every month thereafter

The nursing student is asked to describe the size of the uterus in a pregnant client at the end of pregnancy. Which response by the student indicates an understanding of the anatomy of this structure?

"The uterus is round and weighs approximately 1000 grams."

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted during assessment? Select all that apply.

**Respirations of 10 breaths/minute **Urine output of 20 mL in an hour

The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to stop uterine activity. During this medication therapy, the nurse implements nursing interventions to monitor which specific body organs that can be affected by this medication?

Heart and lungs

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.

**Myometrium **Perimetrium **Endometrium

The nurse in the delivery room is caring for a newborn delivered 10 minutes ago. The nurse assists in preparing which medications that will be prescribed to be given within the first hour of life? Select all that apply.

**Phytonadione **Erythromycin eye drops

A client diagnosed with severe preeclampsia is on magnesium sulfate by continuous intravenous infusion. Which finding suggests to the nurse that the next dose of this medication should be held?

Absence of deep tendon reflexes

Rho(D) immune globulin is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her next baby from which condition?

Being affected by Rh incompatibility

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and her contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?

Betamethasone

Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication the nurse checks which important client parameter?

Blood pressure

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority nursing assessment?

Blood pressure

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs?

Naloxone

The postpartum nurse is caring for a client following a cesarean birth who received epidural analgesia. The client is lethargic and is exhibiting signs of respiratory depression. The nurse suspects that the respiratory depression is caused by the epidural analgesia. The nurse notifies the registered nurse immediately and prepares the client for the administration of which medication?

Naloxone

The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likely day for ovulation in a 30-day menstrual cycle is which day?

Day 16

The nurse is assisting in monitoring a preterm infant in the neonatal intensive care unit who received surfactant. The nurse monitors for which desired therapeutic outcome of this medication?

Decreased tachypnea and nasal flaring

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse contacts the primary health care provider (PHCP) who prescribed the medication if which condition is documented in the client's medical history?

Peripheral vascular disease

An adolescent is admitted to the hospital with complaints of lower right abdominal pain. The primary health care provider prescribes laboratory tests to rule out ectopic pregnancy rather than appendicitis. Which is most significant in ruling out an ectopic pregnancy?

Serum human chorionic gonadotropin

The nurse is providing a teaching session to an adolescent female regarding sexual maturation. The nurse recognizes that successful teaching has occurred if the adolescent female makes which statement?

"Breast changes most commonly occur before growth of pubic and axillary hair."

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.

"The average duration of menstruation is 3 days." "The day of ovulation is counted as the first day of the menstrual cycle."

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 luteinizing hormone (LH) if the student makes which statement?

"FSH and LH are released from the anterior pituitary gland."

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which statement supports this probable diagnosis?

"I experience a sharp pain located on my low right side midway through my cycle."

Magnesium sulfate is prescribed for a client with severe preeclampsia. Which statement by the student nurse indicates the need for further teaching regarding the action of this medication?

"It increases acetylcholine and blocks neuromuscular transmission."

A nursing instructor asks a nursing student to describe Montgomery's tubercles of the breast. Which response by the student indicates successful learning regarding Montgomery's tubercles?

"These are sebaceous glands that are located in the areola."

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.

**Estrogen **Progesterone

The nurse is preparing to administer beractant to a premature infant who has respiratory distress syndrome. The nurse plans to administer the medication by which route?

Intratracheal

The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed?

"I will flush the eyes after instilling the ointment."

The nursing instructor asks the nursing student about the physiology related to the cessation of ovulation that occurs during pregnancy. Which response by the student indicates an understanding of this physiological process?

"Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high."

A client has been examined in the clinic and has been diagnosed with pelvic inflammatory disease. The client asks the nurse to describe this condition. Which description of pelvic inflammatory disease by the nurse is accurate?

"Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus."

The nursing student is assigned to care for a 30-week gestational woman who is admitted to the maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The nursing instructor asks the student about the purpose of the medication. Which statement by the student indicates an understanding of the purpose of this medication?

"This medication will promote fetal lung maturity."

Which statements made by the nursing student accurately reflect correct information about the hormone oxytocin? Select all that apply.

**"It can cause contractions of the uterus during and after birth." **"Oxytocin is used primarily for labor induction and augmentation."

A 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.

***The blastocyst usually implants in the anterior or posterior fundal region. **Fertilization of the mature ovum occurs in the distal third of the fallopian tube. **Human chorionic gonadotropin is the hormone needed for a positive pregnancy test.

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which are functions of amniotic fluid? Select all that apply.

**Allows for fetal movement **Is a measure of kidney function **Surrounds, cushions, and protects the fetus **Maintains the body temperature of the fetus

A client with severe preeclampsia is receiving magnesium sulfate by intravenous infusion. Which criteria indicate expected findings for this medication? Select all that apply.

**Deep tendon reflexes at 2+ **Magnesium level of 7 mg/dL **Urine output of 30 mL per hour

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply.

**Uterine hyperstimulation **Late decelerations of the fetal heart rate

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 asks 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.

**Weight 245 lb **Total cholesterol 223 mg/dL **Serum creatinine 1.86 mg/dL

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.

**Lose weight. **Eat a diet high in fiber. **Perform Kegel exercises. **Take a stool softener daily as needed.

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.

**Edematous labia **Acute severe pelvic pain **Presence of a greenish-yellow purulent endocervical discharge

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply.

**Flushing **Depressed respirations **Extreme muscle weakness

A client presents to a women's health clinic and would like to begin taking an 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 in the client's past medical history should trigger the nurse to question oral contraceptives for this client? Select all that apply.

**Hepatitis **Cholecystitis **Chronic obstructive pulmonary disorder (COPD)

The nursing instructor asks 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.

**Prevents large particles such as bacteria from passing to the fetus **Provides an exchange of nutrients and waste products between the mother and the fetus

The nurse in a women's health clinic is reinforcing instructions to a client that is being treated for pelvic inflammatory disease (PID). Which information is essential for the nurse to reinforce before discharge? Select all that apply.

**Refrain from sexual activity for 3 weeks. **Get plenty of rest and increase fluid intake. **Inform your sexual partner of the need for treatment, even if no signs/symptoms are present.

The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student 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.

**Secretory phase **Proliferative phase