OB NCLEX questions Exam 3

A woman is to undergo chorionic villus sampling as part of a risk assessment for genetic disorders. What statement would the nurse include when describing this test to the woman?

"A small piece of tissue from the fetal placenta will be removed and analyzed."

A woman opts to use a diaphragm for contraception. Which instruction would be most important for the nurse to provide?

"Have your diaphragm refitted if you lose 10 pounds or more."

After teaching a woman who has chosen the vaginal ring as her method of contraception, the nurse determines that the client needs additional teaching when she makes which statement?

"I will insert a new ring at the same time and day of every week."

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?

"I've been having bleeding off and on that's irregular and sometimes heavy."

A nurse is conducting a presentation for a group of nurses at the prenatal clinic on basic genetic information. After teaching the group about genetics, the nurse teaching was effective based on which statement by the group?

"My genome is my genetic blueprint."

A nurse is teaching a couple who has chosen condoms of contraception. The nurse determines that the teaching was successful when the couple makes which statements? Select all that apply.

"We'll keep the condom in its wrapper until we're ready to use it." "The penis needs to be erect before putting on the condom" "We will use a new condom each time we have sexual intercourse."

A couple has come in for genetic testing. The nurse is explaining the different types of numerical abnormalities that may occur within the chromosome pairs. The nurse determines that additional explanation is necessary when the couple identifies which trisomy as common?

10

A woman is to undergo quad screening testing. The nurse would anticipate that this test would be done at which time?

16 weeks gestation

A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?

70 %

A nurse is reading a journal article about premenstrual syndrome (PMS) and the millions of women affected by it during their reproductive years. The nurse would expect to find approximately what percentage of women meeting the ACOG criteria for PMS?

75 %

The client has heard of extended oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination; placebo pills are contained in these regimens?

84; 7

A nurse is reviewing an article on genotypes. The nurse demonstrates understanding of the information by identifying which designation homozygous dominant?

BB

A client is diagnosed with bacterial vaginosis and is prescribed medication therapy. The nurse would anticipate which drugs as being prescribed?

Clindamycin, metronidazole

A newly-pregnant 41-year-old woman is requesting genetic testing of her baby. She is concerned that due to her age her baby has an increased risk for which condition?

Down syndrome

A woman who is HIV positive and receiving drug therapy comes to the clinic and says, "1 have no appetite, and then when I do eat, I get sick to my stomach. Which suggestion would be least effective?

Drink fluids with anything that you eat.

A client presents at the clinic and is interested in obtaining emergency contraception ( EC ) . The nurse explains that EC must be used within 7 hours of unprotected sex to be effective. This is because:

ECs simply prevent embryo creation and uterine implantation from occurring in the first place.

A woman at 15 weeks' gestation asks the nurse what the fetus looks like Which response by the nurse would be most accurate?

Fingernails and toenails are present.

A client comes to the prenatal clinic for her first visit. Which screening would be most appropriate for the nurse to encourage the client undergo?

HBV

When educating a client about the dangers of STis, the nurse emphasizes the risk of damage to other organs if the infection is left untreated. The nurse identifies possible liver damage that may result from which infection?

HBV

After teaching group college-aged about condom use, the nurse deter mines that additional teaching ts needed when the students make which statement?

It's okay to use petroleum jelly with a latex condom.

The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive her?

Medroxyprogesterone acetate

A nurse is conducting an in-service program for a group of perinatal nurses. After teaching the group about autosomal dominant and recessive inheritance patterns, the nurse determines that the group needs additional teaching when they identify which condition as an example of an autosomal dominant disorder?

Tay-Sachs disease

The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate?

Tell the client to learn to live with it.

When describing the characteristics of the amniotic fluid to a pregnant woman, the nurse would include which information?

The amount gradually fluctuates during pregnancy.

A mother has come to the clinic with her 13-year-old daughter to find out why she has not started her menses. After a thorough examination and history, genetic testing is ordered to rule out which abnormality?

Turner syndrome

A woman is to undergo karyotyping. The nurse best explains this testing as:

a picture-like analysis of the number, form, and size of the woman's chromosomes.

The client is single, admits to not using condoms during sexual intercourse, and has had multiple partners over the past year. Which symptoms would alert the nurse to a possible gonorrheal infection? Select all that apply

abnormal vaginal discharge dysuria mild sore throat abnormal uterine bleeding

A nurse is conducting a class for a group of women who are planning on becoming pregnant. As part of the class, the nurse describes how teratogens can affect a pregnancy. The nurse determines that the teaching was successful when the class identifies which effects that may result with the use of cocaine? Select all that apply

abruptio placenta premature birth microcephaly

A nurse is engaged in primary prevention activities for HPV . The nurse would be most likely involved with which activity ?

administering HPV vaccine

A 24-year-old female client reports various issues. She admits to having unprotected sexual intercourse. Which findings would indicate possible PID? Select all that apply.

adnexal tenderness lower abdominal tenderness cervical motion tenderness

It is important that nurses include a discussion about teratogens in their prenatal discussions to help prevent deformities or abnormalities. Which substances would the nurse include as teratogens? Select all that apply.

alcohol certain medications caustic chemicals

The nurse considers the contraceptive class at the college dormitory to be effective when the students understand that the effectiveness of oral contraceptives (OCs) can be decreased if they take:

antibiotics

A couple desires to undergo genetic testing for Huntington disease. The nurse recognizes that this is which type of genetic disorder?

autosomal dominant inherited disorder

After teaching a class on the various structures formed by the embryonic membranes, the nurse determines that the teaching was successful when the class identifies which structure as being formed by the mesoderm?

bones

A nurse is presenting a program for a local women's group about STis. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge?

candidiasis

After a teaching an in-service presentation on genes and genetics, the nurse determines that additional teaching is needed when the group identifies which component as a source of gene mutation?

chemical

A client reporting symptoms that suggest a gonorrheal infection. After laboratory testing confirms this diagnosis, the nurse anticipates that the client will also be treated for which infection?

chlamydia

A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection most commonly reported bacterial STI in the United States?

chlamydia

The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method?

coitus interruptus method

A young couple is exploring their contraceptive options and are curious about using an intrauterine contraceptive device. The nurse explains that two types, one that uses hormones and one that uses:

copper.

When assessing a client with symptoms of premenstrual syndrome (PMS), the nurse uses the ACDHO tool. The nurse questions the client about symptom when addressing the "C in the tool?

cravings

A nurse is working with a couple who is dealing with infertility. Which aspect would be most important for the nurse to consider?

culture

A nurse is preparing a presentation for a local community women's group about menopause. When describing the body system changes that occur, the nurse would include which changes? Select all that apply.

decreased bone density vaginal dryness increased abdominal fat hot flashes

A nurse working in the newborn nursery hears an innocent murmur on auscultation of a 24-hour-old infant's chest. The nurse recognizes this as most likely the result of which condition?

delayed fetal shunt closure

The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. The nurse would include which possible treatment options? Select all that apply.

diuretic therapy vitamin and mineral supplements NSAIDs reduction of caffeine intake

Some chromosomal abnormalities of number often result because of the failure of the chromosome pair to correctly separate during cell division. One type is referred to as polyploidy. The nurse recognizes that this type usually results in:

early spontaneous abortion.

Working the local health clinic, the nurse recognizes that STIs can often result in PID. When a client with a history of repeat STis presents to the clinic reporting severe abdominal cramping and bleeding, the immediate concern is to ensure the client does not have:

ectopic pregnancy

A nurse is evaluating the client to determine the possible cause of her secondary dysmenorrhea. When talking with the client, the client asks: "What would cause this condition? When responding to the client, the nurse would integrate information about which condition as the most common etiology for secondary dysmenorrhea?

endometriosis

A nurse is reviewing the history and physical examination of a client diagnosed secondary dysmenorrhea for possible associated causes. Which keep being the most common?

endometriosis

The nurse is assessing a couple who has come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility?

endometriosis

The nurse is assessing a couple who have come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility?

endometriosis

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis?

engaging in daily weight-bearing exercise

A nurse is explaining to a pregnant client about the various events associated with pregnancy and its progression. Which placental hormone would the nurse identify as playing a key role in stimulating myometrial contractility?

estrogen

A mother presents to the clinic with her 15-year-old girl daughter complaining of amenorrhea. The girl's menarche was at age 12. Which findings might the nurse identify as indicating the cause? Select all that apply.

extreme rapid weight gain pregnancy emotional distress hypothyroidism

When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would explain that which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain?

foramen ovale

A nurse is providing prenatal care to a pregnant woman. Understandinga major component of this care, the nurse would conduct a risk assessment for:

genetic conditions and disorders.

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection. Which assessment would be most indicative of trichomoniasis

green vaginal discharge

The nurse is explaining the process of conception and implantation to a group of women attending a preconception planning education program. When describing the hormones involved in these events, the nurse would identify which hormone as being responsible for ensuring implantation of the embryo at the beginning of conception?

human chorionic gonadotropin (hCG)

The nurse is providing care to a client with abnormal uterine bleeding. Treatment with medications has been unsuccessful, and surgical intervention is being considered. The nurse identifies which technique as being the last resort?

hysterectomy

In preparing a talk about STis for high school students, the nurse should emphasize which group as being at high risk? Select all that apply.

individuals with multiple sex partners women who are single women under the age of 25 years

When assessing a woman with dysmenorrhea, client to report which symptom? the nurse would expect the

intermittent sharp suprapubic pain

A woman is undergoing testing in which provides a picture-like analysis of the number, form, and size of the woman's chromosomes. The nurse identifies this as:

karyotyping.

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?

metronidazole

A client is diagnosed with endometriosis. As of the teaching plan, the nurse is explaining the condition, including the ways that the diagnosis would be confirmed. The nurse determines that the teaching was successful wher the client states that which test would confirm the diagnosis?

pelvic laparoscopy

The nurse is preparing to administer medication therapy to a woman diagnosed with syphils. The nurse would expect to administer:

penicillin G.

A nurse is providing care to a woman who has just found out that she fs pregnant. The nurse is describing the events that have occurred and the structures that are forming. When describing the trophoblast to the client, the nurse would explain that this structure forms:

placenta.

A nurse is preparing a presentation for a client who is considering contraception. When discussing oral contraceptives, the nurse would identify which advantages? Select all that apply.

reduction in severe cramping shortening of the menstrual period reduction in risk for osteoporosis

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission?

sharing contaminated needles

After teaching a group of college students about the modes of transmission for herpes simplex virus, the nurse determines that additional teaching is needed when the group identifies which mode of transmission?

sharing contaminated needles

A nurse is assessing a client and suspects that the client may be experiencing premenstrual dysphoric disorder (PMDD). Applying the American Psychiatric Association criteria, the nurse would likely assess symptoms? Select all that apply.

sleep difficulties diarrhea affective lability

A client has delivered an infant with Patau syndrome, or trisomy 13. Based on the nurse's understanding of this condition, the nurse would counsel this couple that the care of this infant is:

supportive.

During examination of clients, the nurse will question women concerning their LMP. This indicates:

the first day of their last menstrual period.

Genetic testing has revealed that a couple's unborn child shows the possibility of mosaicism. When counseling this couple, the nurse explains this means that:

the genetic abnormality occurred after fertilization and during the mitotic cell division.

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be which time?

three days before and three days after ovulation

When teaching the client how to use a contraceptive sponge, the nurse must tell the client that leaving the sponge in place longer than 30 hours may lead to:

toxic shock syndrome.

A woman comes to the clinic complaining of intense pruritus and a thick curd- like vaginal discharge. On examination white plaques on observed vaginal wall. The nurse suspects which condition?

vulvovaginal candidiasis

When teaching a woman diagnosed with genital ulcers, the nurse would include which measure?

washing hands with soap and water after touching lesions

A client presents with the possible symptoms of herpes simplex virus (HSV). When assessing the client, the nurse would anticipate which assessment being likely confirming diagnosis?

Pap smear

A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client's amenorrhea? Select all that apply.

bradycardia reduced subcutaneous fat hypotension

A woman is to receive methotrexate and misoprostol to terminate a first- trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by:

causing uterine contractions to expel the uterine contents.

Working at the college health clinic, the nurse recogntzes the importance of educating students that the human papillomavirus has confirmed to be the cause of essentially all cases of which type of cancer?

cervical

A nurse is developing a program for the community on preventing STis. Which measure would be most effective for a nurse to utilize?

education to promote sexual health

The nurse is describing the preembryonic stage of fetal development to a group of nurses, identifying the events that occur. Place the events in their proper sequence for this stage as the nurse would discuss them. All options must be used.

formation of the zygote cleavage formation of the morula formation of blastocyst implantation

The clinical nurse specialist is conducting a program for a group of nurses working at the prenatal clinic. When describing the preembryonic stage of fetal development, the nurse describes the events of this stage. Place the events in their proper sequence as the nurse would describe them. All options must be used.

formation of the zygote cleavage formation of the morula formation of blastocyst implantation

A nurse is preparing a presentation on genetic disorders. Which condition would the nurse most likely include as the most common form of male intellectual disability?

fragile X syndrome

After a discussion on the HPV vaccine with a mother and her 10-year-old daughter at a well-child visit, the nurse recognizes discussion successful when the mother makes which statement?

My daughter will need three injections over a 6-month period.

A nurse is conducting a presentation at a community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite?

spina bifida