Question: The nurse is interviewing a healthy 27 year old, newly married woman who is seeking information about contraception. The woman states the couple is not sure yet but may plan to start their family soon. The woman also reports that she is uncomfortable touching her vagina. Which of the following contraceptive methods will be most appropriate to educate the woman about?
Answer Choices: A. Diaphragm
B. Cervical cap
C. Intrauterine device
D. Oral contraceptives
Answer: D. Oral contraceptives
Question: A woman who has been trying to conceive for two years tells the nurse that when she heard her friend was pregnant she became very sad. Which of the following would be the nurse’s best response?
Answer Choices: A. “You should suppress these negative feelings to increase fertility.”
B. “It is not normal that you should react to your friend’s news like this.”
C. “You should avoid getting together with your friend for a while.”
D. “This feeling can be disturbing. Can you tell me more about it?”
Answer: D. “This feeling can be disturbing. Can you tell me more about it?”
Question: A woman calls the clinic stating that she had unprotected intercourse 8 hours ago and is concerned that she may become pregnant because it is her “fertile” time. Which of the following would be the most appropriate response by the nurse?
Answer Choices: A. She can use emergency contraception obtained from the local pharmacy
B. She should know emergency contraception will cause her to have an abortion
C. She should prevent this from happening again by always using condoms
D. She can use emergency contraception up to 10 days after unprotected intercourse
Answer: A. She can use emergency contraception obtained from the local pharmacy
Question: Which of the following factors would the nurse be most concerned about when screening a woman before hospital discharge for the risk of postpartum depression?
Answer Choices: A. A woman whose mother lives in another state and will visit tomorrow
B. A woman who has concerns about the time when she returns to work
C. A woman who delivered vaginally before she could get an epidural
D. A woman who had prolonged sadness after the birth of her first child
Answer: D. A woman who had prolonged sadness after the birth of her first child
Question: Which of the following women who delivered 72 hours ago by cesarean would the nurse need to contact the physician?
Answer Choices: A. A woman who feels slightly bloated but is passing flatus
B. A woman who reports some discomfort when rising from the chair
C. A woman who reports occasional mild abdominal cramps
D. A woman who reports that her incision is painful and red
Answer Options:
A. A woman who feels slightly bloated but is passing flatus
B. A woman who reports some discomfort when rising from the chair
C. A woman who reports occasional mild abdominal cramps
D. A woman who reports that her incision is painful and red
Answer: D. A woman who reports that her incision is painful and red
Question: An infant whose mother took opiates during pregnancy has been having withdrawal symptoms and is being treated with morphine. Which of the following would indicate that the morphine dose can be reduced?
Answer Choices: A. The infant is constantly sucking on the pacifier
B. The infant vomits and has watery stools
C. The infant is restless throughout the feeding
D. The infant sleeps quietly for 2 1/2 hours
Answer: D. The infant sleeps quietly for 2 1/2 hours
Question: A two-day old full term male infant with an elevated bilirubin level is placed in an incubator under overhead phototherapy lights. Which of the following interventions would the nurse include in the plan of care?
Answer Choices: A. Keep the baby under the lights for all of the feedings
B. Keep the eye shields in place while the lights are on
C. Initiate Intravenous therapy and keep the baby NPO
D. Maintain temperature by keeping the baby’s legs covered
Answer: B. Keep the eye shields in place while the lights are on
Question: The nurse is admitting a woman at 39 weeks gestation with a cephalic fetal presentation for induction of labor. The woman reports that she has noted a small amount of clear fluid leaking from her vagina for about a day and a half. Which of the following assessments would the nurse do first?
Answer Choices: A. Maternal pain level and blood pressure
B. Effacement and dilation of the cervix
C. Maternal temperature and fetal heart rate
D. Fundal height measurement and fetal position
Answer: C. Maternal temperature and fetal heart rate
Question: The nurse is assessing a woman who is taking injectable human gonadotropic hormones. Which of the following would indicate to the nurse that the woman is developing a serious side effect of this medication?
Answer Choices: A. Pelvic pain with ascites
B. Facial hair growth
C. Slight nipple discharge
D. Occasional mild nausea
Answer: A. Pelvic pain with ascites
Question: A 35 year old client who delivered a stillborn infant at 30 weeks gestation has come to the clinic for postpartum checkup at 6 weeks. The nurse enters the room and notes that the woman is crying. Which comment by the nurse is appropriate?
Answer Choices: A. “You should plan to get pregnant again soon.”
B. “You shouldn’t keep crying about this loss.”
C. “I am very sorry that your baby died.”
D. “Stillbirth is not likely to happen to you again.”
Answer: C. “I am very sorry that your baby died.”
Question: The nurse is caring for a woman in labor with external uterine and fetal heart rate monitoring in progress. When the nurse sees the fetal heart rate declining, the nurse calls for help and checks the woman to find the membranes have ruptured and the umbilical cord is protruding from the vagina. Which action would the nurse do first?
Answer Choices: A. Begin the abdominal skin preparation for a cesarean delivery
B. Hold the protruding part of the umbilical cord with both hands
C. Place the woman in a knee chest position with her hips elevated
D. Wrap the protruding cord with cool sterile saline dressings
Answer: C. Place the woman in a knee chest position with her hips elevated
Question: When teaching a woman about the fertility awareness, the nurse should emphasize that the basal body temperature…
Answer Choices: A. Can be taken with a purchased standard fever thermometer
B. Is an average of daily morning and evening temperature readings
C. Can be taken by the oral method after consuming some fluids
D. Needs to be taken and recorded each morning before any activity
Answer: D. Needs to be taken and recorded each morning before any activity
Question: A postpartum woman thirty minutes after the delivery of the placenta is noted to have saturated two perineal pads with blood in a 15 minute period. Upon palpation, the fundus is noted to be firm, midline and at the umbilicus. Which of the following conditions would the nurse further assess the woman for to identify the source of bleeding?
Answer Choices: A. Bladder distention
B. Rectal hemorrhoids
C. Uterine atony
D. Perineal laceration
Answer: D. Perineal laceration
Question: A nurse is counseling a healthy couple who have been trying to conceive. Which recommendation to the man would be the most appropriate?
Answer Choices: A. Consume alcohol regularly to promote relaxation
B. Participate in a smoking cessation program
C. Avoid intercourse except on the day of ovulation
D. Take a hot shower before having intercourse
Answer: B. Participate in a smoking cessation program
Question: During the second stage of labor for a woman at term, the obstetrical team identifies shoulder dystocia after the fetal head is delivered. Which of the following would the nurse expect the team at the delivery to do to address this complication?
Answer Choices: A. Apply pressure to the fundus of the uterus
B. Apply pressure to the woman’s suprapubic area
C. Perform an internal cephalic version
D. Immediately assist delivery using forceps
Answer: B. Apply pressure to the woman’s suprapubic area
Question: Which of the following interventions would the nurse include in the plan of care when caring for a large for gestational age infant with an initial bedside blood glucose at the lower limits of normal and stable respirations?
Answer Choices: A. Bottle feed the baby a glucose and water solution
B. Start an IV infusion of 5% Dextrose and water
C. Have the mother breastfeed the baby as soon as possible
D. Withhold feedings until the physician can examine the baby
Answer: C. Have the mother breastfeed the baby as soon as possible