OB Unit 1 Coursepoint Quiz

When performing a clinical breast examination, which would the nurse do first?

Inspect the breasts.

A nurse is caring for a pregnant woman who has come to the prenatal clinic for a follow-up visit. During the visit, the woman asks the nurse, "I've heard about something called a doula. Can you explain what this is? Which response by the nurse would be most appropriate?

"A doula is someone who assists you during birth and afterwards offers support to you and your family."

A client with a 28-day cycle reports ovulation on May 10. When would the nurse expect the client's next menses to begin?

May 24

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:

menarche, age 11.

After teaching a group of adolescent clients about female reproductive development, the nurse determines that teaching was successful when the clients state that menarche is defined as a woman's first:

menstrual period.

A school nurse is talking to an adolescent who asks about why she has monthly menstrual cycles. The best explanation that the nurse can offer regarding the menstrual phase is to tell her that:

the uterine lining is being shed due to lowering of hormone levels.

A nurse is conducting a class for a local woman's group about recommendations for a Papanicolaou test. One of the participants asks, "At what age should a woman have her first test?" The nurse responds by stating that a woman should have her first Papanicolaou test at which age?

21

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction?

Apply warm compresses to the affected breast.

The nurse is teaching a group of women about the hormone that makes the ovum within the ovaries mature each month. Which hormone is responsible for stimulating the ovum?

Follicle-stimulating hormone (FSH)

A small amount of breast milk is obtained for culture and sensitivity testing from a client with mastitis. The nurse would expect the results to identify which organism as the most likely cause?

Staphylococcus aureus

Which statement best expresses the role of the corpus luteum?

The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation.

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client?

While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.

A group of nurses are discussing the reasons for the United States' low rankings for infant and maternal mortality and what impact they could make on these mortality rates in their practice. Which action could nurses implement to reduce these rates?

assuring early and adequate prenatal care

The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females?

breast budding, appearance of pubic hair, menarche

A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?

human papillomavirus

A nurse is preparing a presentation for a parent group at the local middle school about the importance of immunizations. Which immunization is key to aid in reducing the risk of cervical cancer?

human papillomavirus (HPV)

After teaching a group of women about reproduction and the structures involved, the nurse determines that the teaching was successful when the group identifies which female reproductive structure as comparable to the male testes?

ovaries

A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client?

removal of breast tissue and axillary nodes

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies which action as the primary function of the ovaries?

secreting estrogen and progesterone

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely:

shed her uterine lining.

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer:

typically manifests with vague symptoms resulting in late diagnosis.

A nurse is assessing a 20-year-old female. Which data finding taken during the history would indicate endometrial cancer?

vaginal bleeding that is painless and abnormal

An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make?

vulvar cancer

A client who came to the clinic after finding a mass in her breast is scheduled for a diagnostic breast biopsy. Which response is most appropriate by the nurse while preparing the client for the procedure?

"During this procedure, a small sample of tissue will be removed for testing."

A 42-year-old woman is scheduled for a mammogram. Which statement would the nurse include when teaching the woman about the procedure?

"Each breast will be firmly compressed between two plates."

The nurse is teaching a client with mastitis about care measures. Which client statement indicates effective teaching?

"I can use warm soaks to my breast to relieve the discomfort."

At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment?

"I have to stop breastfeeding because of mastitis."

After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse's instructions were successful?

"I should use the fingerpads of my three middle fingers to apply pressure to my breast."

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement?

"I'll do the check about a week after my period."

A 12-year-old girl expresses concern to the nurse because she has not begun her period yet. The nurse notes that the girl has grown 6 in (15 cm) in the past year and a half and is beginning to develop breast buds. Which response by the nurse is appropriate?

"It is normal for females to begin menstruating between the ages of 12 and 15."

A 12-year-old girl expresses concern to the nurse because she has not begun her period yet. The nurse notes that the girl has grown 6 inches in the past year and a half and is beginning to develop breast buds. Which response by the nurse is appropriate?

"It is normal for females to begin menstruating between the ages of 12 and 15."

A nurse is discussing the changes in the breast that occur after birth to a group of pregnant women. One woman says, "My friend who was breastfeeding told me that at first, her breast milk was dark yellow." Which response by the nurse would be appropriate?

"That is called colostrum. It is rich in antibodies and proteins."

During a prenatal visit, a pregnant woman tells the nurse, "I have had to buy some new bras because my breasts are getting bigger. I know this is supposed to happen, but what is going on in my body?" Which response by the nurse would be appropriate?

"Your hormones are causing the glands in your breasts to grow."

A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolaou test?

21

A nurse is preparing a presentation for a health fair at a local college. The nurse is creating a poster to emphasize the need for cervical cancer screening. The nurse would list which age to begin screening?

21 years

A client is at the clinic for her annual pelvic exam and asks the nurse about ovulation and where the eggs come from. What educational information would the nurse share with this client?

A woman is born with all the ova that she will ever have and they are stored within the ovaries.

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum in the review with the client?

All the ova a female will ever have are present at birth.

A nurse is conducting an intake interview with a new client who wishes to become pregnant. The client has a history of seizures and is on antiepileptics. Which measure should the nurse advocate for the client to take to prevent adverse effects on the fetus?

Discuss her medication regimen with her health care provider to determine if her medications need to be changed.

A pregnant client refuses treatment for an infection based on cultural beliefs. Which action by the nurse would be appropriate?

Explain to the client why the treatment is important.

The nurse is caring for a client with end-stage breast cancer. When the nurse takes chemotherapy medication into the client's room, the client states, "I'm too tired to fight any more. I don't want any more medication that may prolong my life." The client's husband is at the bedside and states, "No! You have to give my wife her medication. I can't let her go." What action by the nurse is most appropriate?

Explain to the husband that his wife has the right to refuse medication and care.

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that fertilization normally occurs in what structure of the woman's body?

Fallopian tube

A national campaign to improve the health of the people in the United States has as one of its goals to "eliminate health disparities." What is the name of this national campaign?

Healthy People 2030

A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage?

III

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of high school students. What would be the best response by a high school student about the function of the vagina?

It receives sperm, provides an exit for menstrual flow, and serves as the birth canal.

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

It receives the fertilized ovum and provides housing and nourishment for a fetus.

A nurse is educating a 25-year-old client with a family history of cervical cancer. Which test should the nurse inform the client about to detect cervical cancer at an early stage?

Papanicolaou test

An adolescent client asks the nurse about how the ovaries work. The nurse would include which information in her reply?

Storage of ova and maturation of them is one of the main functions of the ovaries.

A woman with ovarian cancer has been told that she is in stage III of the cancer. The nurse is reviewing the information with her. Which statement would help in the woman's understanding of stage III ovarian cancer?

The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity.

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the correct response by a nursing student about the function of the ovaries?

They produce female gametes or ova and secrete female sex hormones.

The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred?

Thin and copious

A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?

breast development

After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which sign?

breast symmetry

A nurse is teaching a group of female adolescents and young adult females about the female sexual response. The nurse determines that the teaching was successful when the group identifies which structure as being most erotically sensitive?

clitoris

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?

estrogen

What is the most common breast mass in women?

fibroadenoma

A nurse assesses and suspects vulvar cancer based on which assessment finding?

fleshy, ulcerated mass on the labia majora

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

freezing

Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands?

gonadotropin-releasing hormone (GnRH)

A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs:

in the fallopian tubes.

An anatomy professor is teaching a class of pre-nursing students about the female reproductive system. One student asks, "Where is the opening to the vagina?" The best answer the professor can give is:

in what is called the vestibule, which is located between the labia minora.

A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?

increasing the number of women receiving prenatal care

A client has been diagnosed with in situ breast carcinoma. The nurse explains that this means:

it is noninvasive and has not extended beyond the point of origin.

When preparing a woman with suspected vulvar cancer for a biopsy, the nurse expects that the lesion would most likely be located at which area?

labia majora

An expectant mother states that she read that more black mothers die in childbirth than do white mothers. When responding to her questions about the reasons for this, the nurse accurately states that which is the major reason for the high maternal mortality rate?

lack of prenatal care.

A nurse is conducting research in preparation for developing programs to improve maternal and newborn health. The nurse is reviewing statistics revealing the number of infant deaths occurring in the first 28 days of life. The nurse is researching which rate?

neonatal mortality rate

A nurse has completed the assessment of a client. The nurse suspects that the client may have a malignant breast mass based on which finding?

nipple retraction

A nurse working in the emergency department has witnessed women arriving in labor and experiencing complications that have led to poor outcomes. When reviewing the medical records of these clients, the nurse notes that a lack of which factor appears to be a common thread?

prenatal care

Which hormone is called the hormone of pregnancy because it reduces uterine contractions during pregnancy?

progesterone

A young mother is expressing frustration of not being able to breastfeed her infant. A potential cause could be the lack of the hormone:

prolactin.

A nurse is teaching a group of women at the local health clinic about reproduction. After describing the various internal structures involved, the nurse determines that the teaching was successful when the group identifies which structure as connecting the external structures with the cervix?

vagina