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This course provides a comprehensive overview of womens health issues throughout the various stages of life, from adolescence through menopause and beyond. It explores the physiological, psychological, and social factors influencing health outcomes, addressing topics such as reproductive health, menstrual disorders, pregnancy, menopause, and chronic conditions prevalent among women. Emphasis is placed on preventive care, health promotion, and the impact of policy and culture on womens health. Students will engage with current research and health disparities, equipping them with the knowledge to advocate for and implement holistic, evidence-based care for women across their lifespan.
Recommended Textbook
Foundations of Maternal Newborn and Womens Health Nursing 7th Edition Murray
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27 Chapters
812 Verified Questions
812 Flashcards
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2149
Sample Questions
Q1) The patient makes the statement: "I'm afraid to take the baby home tomorrow." Which response by the nurse would be the most therapeutic?
A) "You're afraid to take the baby home?"
B) "Don't you have a mother who can come and help?"
C) "You should read the literature I gave you before you leave."
D) "I was scared when I took my first baby home, but everything worked out."
Answer: A
Q2) A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
A) There is stratification of communication in a directed manner between nursing staff and administration.
B) There is increased job satisfaction of nurses, with a lower staff turnover rate.
C) Physicians are certified in their respective specialty areas.
D) All nurses have baccalaureate degrees and certification in their clinical specialty area.
Answer: B
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which situation is most representative of an extended family?
A) It includes adoptive children.
B) It is headed by a single-parent.
C) It contains children from previous marriages.
D) It is composed of children, parents, and grandparents living in the same house.
Answer: D
Q2) Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists?
A) Analysis
B) Planning
C) Evaluation
D) Assessment
Answer: A
Q3) Which issue is a major concern among members of lower socioeconomic groups?
A) Practicing preventive health care
B) Meeting health needs as they occur
C) Maintaining an optimistic view of life
D) Maintaining group health insurance for their families
Answer: B
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse explain is responsible for milk production after the birth of the placenta?
A) Pitocin
B) Prolactin
C) Estrogen
D) Progesterone
Answer: B
Q2) On speculum examination of the cervix, it is found to be round and smooth. These findings suggest that the patient
A) is a multipara.
B) has had previous vaginal deliveries.
C) is nulliparous.
D) is a gravida 1, para 0.
Answer: C
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21 Flashcards
Source URL: https://quizplus.com/quiz/2152
Sample Questions
Q1) While obtaining a genetic history from a female patient, you note that there is a family history of a genetic disease on the maternal side; however, no evidence of symptomatology in the patient or the patient's children, two girls. Which observation can you make related to genetic expression?
A) Autosomal dominant expression is observed.
B) X-linked dominant trait is observed.
C) More information is needed to determine the answer.
D) Autosomal recessive expression is observed and both the children will be carriers of the disease process.
Q2) Which characteristic is related to Down syndrome?
A) Up-slanting eyes
B) Abnormal genitalia
C) Bleeding tendency
D) Edema of extremities
Q3) Two healthy parents who carry the same abnormal autosomal recessive gene have what percentage chance of having a child affected with the disorder caused by this gene? Record your answer as a whole number. _____%
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Source URL: https://quizplus.com/quiz/2153
Sample Questions
Q1) One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?
A) One artery and one vein
B) Two veins and one artery
C) Two arteries and one vein
D) Two arteries and two veins
Q2) Which statement best describes the changes that occur during the fetal period of development?
A) Maturation of organ systems
B) Development of basic organ systems
C) Resistance of organs to damage from external agents
D) Development of placental oxygen-carbon dioxide exchange
Q3) Which physical characteristics decrease as the fetus nears term? (Select all that apply.)
A) Vernix caseosa
B) Lanugo
C) Port wine stain
D) Brown fat
E) Eyebrows or head hair
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2154
Sample Questions
Q1) A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is tired, and her breasts are sore all of the time. The patient's urine test is positive for hCG. What is the correct nursing action related to this information?
A) Ask the patient if she has had any nausea or vomiting in the morning.
B) Schedule the patient to be seen by a health care provider within the next 4 weeks.
C) Send the patient to the maternity screening area of the clinic for a routine ultrasound.
D) Determine if there are any factors that might prohibit her from seeking medical care.
Q2) The capacity of the uterus in a term pregnancy is how many times its prepregnant capacity? Record your answer as a whole number. ______ times
Q3) Which physiologic finding is consistent with normal pregnancy?
A) Systemic vascular resistance increases as blood pressure decreases.
B) Cardiac output increases during pregnancy.
C) Blood pressure remains consistent independent of position changes.
D) Maternal vasoconstriction occurs in response to increased metabolism.
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Sample Questions
Q1) When a pregnant woman develops ptyalism, which guidance should the nurse provide?
A) Chew gum or suck on lozenges between meals.
B) Eat nutritious meals that provide adequate amounts of essential vitamins and minerals.
C) Take short walks to stimulate circulation in the legs and elevate the legs periodically.
D) Use pillows to support the abdomen and back during sleep.
Q2) When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
A) Multigravida
B) Multipara
C) Nullipara
D) Primigravida
Q3) Which type of cutaneous stimulation involves massage of the abdomen?
A) Imagery
B) Effleurage
C) Mental stimulation
D) Thermal stimulation
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy?
A) 20 lb
B) 25 lb
C) 28 lb
D) 40 lb
Q2) The nurse is teaching a patient taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session? (Select all that apply.)
A) Advise taking a daily laxative for constipation.
B) Recommend a diet high in fruits and vegetables.
C) Encourage an increase in fluid consumption during the day.
D) Increase the intake of whole grains and whole grain products.
E) Suggest increasing the intake of dairy products, especially cheeses.
Q3) When should iron supplementation during a normal pregnancy begin?
A) Before pregnancy
B) In the first trimester
C) In the third trimester
D) In the second trimester
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28 Verified Questions
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Sample Questions
Q1) What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
A) Positive
B) Negative
C) Reactive
D) Nonreactive
Q2) Which factors should be considered a contraindication for transcervical chorionic villus sampling?
A) Rh-negative mother
B) Gestation less than 15 weeks
C) Maternal age younger than 35 years
D) Positive for group B Streptococcus
Q3) Which aspect of fetal diagnostic testing is most important to expectant parents?
A) Safety of the fetus
B) Duration of the test
C) Cost of the procedure
D) Physical discomfort caused by the procedure
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) A nurse is explaining to the nursing students working on the antepartum unit how to assess for edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area?
A) +1
B) +2
C) +3
D) +4
Q2) Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
A) Blood pressure of 120/80 mm Hg
B) Complaint of frequent mild nausea
C) Fundal height measurement of 18 cm
D) History of bright red spotting for 1 day weeks ago
Q3) Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant patient with diabetes?
A) Evaluation of retinopathy by an ophthalmologist
B) The patient's stable emotional and psychological status
C) Degree of glycemic control before and during the pregnancy
D) Total protein excretion and creatinine clearance within normal limits
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?
A) "My plan is to visit the outpatient clinic daily for treatment."
B) "I will see my health care provider at least every 2 weeks."
C) "My baby will not have to go through withdrawal when I take methadone."
D) "With oral methadone, my baby and I are at decreased risk of infection."
Q2) In planning sex education classes for the middle school age group, more emphasis should be placed on
A) how to set limits for sexual behavior.
B) the inaccuracy of information from peers.
C) the use of oral contraceptives to prevent unwanted pregnancy.
D) the use of condoms to prevent sexually transmitted diseases as well as pregnancy.
Q3) Which health concern is most likely to be an issue for the older mother?
A) Nutrition and diet planning
B) Exercise and fitness
C) Having enough rest and sleep
D) Effective contraceptive methods
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Sample Questions
Q1) An increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of
A) lightening.
B) breech presentation.
C) urinary tract infection.
D) onset of Braxton-Hicks contractions.
Q2) A 28-year-old gravida 1, para 0 patient who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet; however, it is not bloody in nature. She relates a contraction pattern that is irregular, ranging from 5 to 7 minutes and lasting 30 seconds. Which questions should the nurse pose to the patient during this telephone triage? (Select all that apply.)
A) Does she think that her membranes have ruptured?
B) Is there any evidence of bloody show?
C) Instruct the patient to keep monitoring her contraction pattern and call you back if they become more regular.
D) When is her next scheduled visit with her health care provider?
E) Tell her to come into the hospital for evaluation.
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Sample Questions
Q1) A patient in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with
A) visceral pain.
B) tissue ischemia.
C) somatic pain.
D) cervical dilation.
Q2) A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?
A) Perform a vaginal exam to denote progress.
B) Reposition the patient to a side lying position.
C) Instruct the patient to breathe into her cupped hands.
D) Notify the physician about current findings.
Q3) Excessive anxiety during labor heightens the patient's sensitivity to pain by increasing A) muscle tension.
B) the pain threshold.
C) blood flow to the uterus.
D) rest time between contractions.
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2162
Sample Questions
Q1) Which patient is a candidate for internal monitoring with an intrauterine pressure catheter?
A) Obese patient whose contractions are 3 to 6 minutes apart, lasting 20 to 50 seconds
B) Gravida 1, para 0, whose contractions are 2 to 3 minutes apart, lasting 60 seconds
C) Multigravida whose contractions are 2 minutes apart, lasting 60 to 70 seconds
D) Gravida 2, para 1, in latent phase whose contractions are irregular and mild
Q2) When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?
A) Reposition the patient.
B) Apply a fetal scalp electrode.
C) Record this normal pattern.
D) Administer oxygen by nasal cannula.
Q3) Which nursing action is correct when initiating electronic fetal monitoring?
A) Lubricate the tocotransducer with an ultrasound gel.
B) Securely apply the tocotransducer with a strap or belt.
C) Inform the patient that she should remain in the semi-Fowler position.
D) Determine the position of the fetus before attaching the electrode to the maternal abdomen.
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2163
Sample Questions
Q1) A patient who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
A) Increase rate of Pitocin infusion to help spread out contraction pattern.
B) Place oxygen on patient at 8 to 10 L/minute via face mask and turn patient to left side.
C) Stop Pitocin infusion.
D) Call physician to obtain an order for initiation of magnesium sulfate.
Q2) On vaginal exam, the patient's cervix is anterior, soft, 70% effaced, dilated 2 cm, and the presenting part is at 0 station. The Bishop's score for this patient is A) 6.
B) 9.
C) 10.
D) 12.
Q3) The nurse thoroughly dries the infant immediately after birth primarily to A) reduce heat loss from evaporation.
B) stimulate crying and lung expansion.
C) increase blood supply to the hands and feet.
D) remove maternal blood from the skin surface.
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2164
Sample Questions
Q1) Which factor should alert the nurse to the potential for a prolapsed umbilical cord?
A) Oligohydramnios
B) Pregnancy at 38 weeks of gestation
C) Presenting part at a station of -3
D) Meconium-stained amniotic fluid
Q2) A dose of dexamethasone 12 mg was administered to a patient in preterm labor at 0830 hours on March 12. The nurse knows that the next dose must be scheduled for
A) 1430 hours on March 12th.
B) 2030 hours on March 12th.
C) 0830 hours on March 13th.
D) 1430 hours on March 13th.
Q3) Which is the priority nursing assessment for the patient undergoing tocolytic therapy with terbutaline (Brethine)?
A) Intake and output
B) Maternal blood glucose level
C) Internal temperature and odor of amniotic fluid
D) Fetal heart rate, maternal pulse, and blood pressure
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?
A) En face behavior is observed between father and infant.
B) Mother relates that she feels exhilarated postbirth.
C) Mother states that she feels excessive fatigue as a result of the childbirth experience.
D) Father displays finger tipping behavior toward infant.
Q2) The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)
A) Mild incisional pain
B) Feeling of pelvic fullness
C) Lochia changing from red to pink in color
D) Frequency, urgency, or burning on urination
E) Redness or edema of the abdominal incision
Q3) Which situation would require the administration of Rho(D) immune globulin?
A) Mother Rh-negative, baby Rh-positive
B) Mother Rh-negative, baby Rh-negative
C) Mother Rh-positive, baby Rh-positive
D) Mother Rh-positive, baby Rh-negative
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36 Flashcards
Source URL: https://quizplus.com/quiz/2166
Sample Questions
Q1) The nurse observes the patient as she ambulates to the bathroom. Which clinical finding might indicate development of a DVT (deep vein thrombosis)?
A) Slow gait
B) Shuffling gait
C) Stiffness of right leg
D) Leans on husband for support
Q2) The visiting nurse must be aware that women who have had a postpartum hemorrhage are subject to a variety of complications after discharge from the hospital. These include which of the following? (Select all that apply.)
A) Anemia
B) Dehydration
C) Exhaustion
D) Postpartum infection
E) Failure to attach to her infant
Q3) If a DVT (deep vein thrombosis) is suspected, the nurse should
A) perform a Homans sign on the affected leg.
B) dorsiflex the foot of the affected leg.
C) palpate the affected leg for edema and pain.
D) place the patient on bed rest, with the affected leg elevated.
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2167
Sample Questions
Q1) A multiparous patient arrives to the labor unit and urgently states, "The baby is coming RIGHT NOW!" The nurse assists the patient into a comfortable position and delivers the infant. To prevent infant heat loss from conduction, what is the priority nursing action?
A) Dry the baby off.
B) Turn up the temperature in the patient's room.
C) Pour warmed water over the baby immediately after birth.
D) Place the baby on the patient's abdomen after the cord is cut.
Q2) Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?
A) Radiation
B) Conduction
C) Convection
D) Evaporation
Q3) Which of the following is the most likely cause of regurgitation when a newborn is fed?
A) The gastrocolic reflex
B) A relaxed cardiac sphincter
C) An underdeveloped pyloric sphincter
D) Placing the infant in a prone position following a feeding
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22 Flashcards
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Sample Questions
Q1) The nurse is conducting a body system assessment of the newborn. Which are abnormal findings that the nurse should report? (Select all that apply.)
A) Low-set ears
B) Yellow sclera
C) A doll's eye sign
D) Edema of the eyelids
E) Absence of the grasp reflex
Q2) The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
A) Depress the tip of the nose.
B) Stroke the outer aspect of the foot.
C) Place a finger in the palm of the hand.
D) Rotate the hips in an upward and outward direction.
Q3) The nurse is receiving shift report on her mother-baby couplet assignment. Which infant should the nurse evaluate first?
A) 38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL
B) Term male newborn with a noted axillary temperature of 37.2°C (99°F)
C) 40-weeks' gestation female newborn with reported poor feed at last attempt
D) 39-weeks' gestation male newborn who has been crying prior to initial bath
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2169
Sample Questions
Q1) A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate?
A) The yellow crust should not be removed.
B) This yellow crust is an early sign of infection.
C) Discontinue the use of petroleum jelly to the tip of the penis.
D) After circumcision, the diaper should be changed frequently and fastened snugly.
Q2) A new mother asks, "Why should I bring my baby in for a checkup? He is not sick." Which is the nurse's best response?
A) "Please ask your pediatrician to explain this to you."
B) "He may have a problem that you haven't identified."
C) "These visits are required by law to identify communicable diseases."
D) "Well-baby visits allow the doctor to determine whether your baby is growing and developing normally."
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Sample Questions
Q1) To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
A) Feed her infant no more than every 4 hours.
B) Limit her intake of fluids for the first few days.
C) Apply cold packs to the breast prior to feeding.
D) Breast-feed frequently and for adequate lengths of time.
Q2) Which type of formula should not be diluted before being administered to an infant?
A) Powdered
B) Concentrated
C) Ready to use
D) Modified cow's milk
Q3) Which is the first step in assisting the breastfeeding mother to nurse her infant?
A) Assess the woman's knowledge of breastfeeding.
B) Provide instruction on the composition of breast milk.
C) Discuss the hormonal changes that trigger the milk-ejection reflex.
D) Help her obtain a comfortable position and place the infant to the breast.
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Sample Questions
Q1) Which preterm infant should receive gavage feedings instead of bottle feedings?
A) Sucks on a pacifier during gavage feedings
B) Sometimes gags when a feeding tube is inserted
C) Has a sustained respiratory rate of 70 breaths per minute
D) Has an axillary temperature of 36.9°C (98.4°F), an apical pulse of 149 beats/minute, and respirations of 54 breaths per minute
Q2) A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents come to visit for the first time, what is the most important action by the nurse?
A) Encourage the parents to touch their infant.
B) Reassure the parents that the infant is progressing well.
C) Discuss the care they will give their infant when the infant goes home.
D) Suggest that the parents visit for only a short time to reduce their anxiety.
Q3) A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is
A) soft and supple skin.
B) a hematocrit level of 55%.
C) lack of subcutaneous fat.
D) an abundance of vernix caseosa.
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Q1) Which of the following lab values indicates that an infant may have polycythemia?
A) Hct 50%
B) Hct 55%
C) Hct 62%
D) Hct 70%
Q2) The priority assessment for the Rh-negative infant whose mother's indirect Coombs test was positive at 36 weeks is
A) skin color.
B) temperature.
C) respiratory rate.
D) blood glucose level.
Q3) The nurse notes that the infant has been feeding poorly over the last 24 hours. The nurse should immediately assess for other signs of
A) hyperglycemia.
B) neonatal infection.
C) hemolytic anemia.
D) increased bilirubin levels.
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Q1) You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group?
A) Adolescents are more likely to become pregnant even if they use available contraception methods correctly.
B) The withdrawal technique provides a higher likelihood that a teen will not get pregnant.
C) Pregnancy can occur in the presence or absence of orgasm.
D) Pregnancy can occur even if a teen is menstruating at the time of coitus.
Q2) Which patient is a safe candidate for the use of oral contraceptives?
A) 39-year-old with a history of thrombophlebitis.
B) 16-year-old with a benign liver tumor.
C) 20-year-old who suspects she may be pregnant.
D) 43-year-old who does not smoke cigarettes.
Q3) The role of the nurse in family planning is to
A) refer the couple to a reliable physician.
B) decide on the best method for the couple.
C) advise couples on which contraceptive to use.
D) educate couples on the various methods of contraception.
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Sample Questions
Q1) A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?
A) Semen analysis
B) Testicular biopsy
C) Endometrial biopsy
D) Hysterosalpingography
Q2) A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's ideal response is
A) "You should confront him about this."
B) "He probably doesn't understand your concern."
C) "Men are sometimes less eager to have children."
D) "It may be harder for him to express his feelings."
Q3) The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is
A) in vitro fertilization (IVF).
B) tubal embryo transfer (TET).
C) therapeutic insemination (IUI).
D) gamete intrafallopian transfer (GIFT).
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Sample Questions
Q1) In reviewing genetic testing for a female patient, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?
A) There is no increased likelihood that the patient will develop breast or ovarian cancer.
B) There is an increased likelihood only for the development of breast cancer in a woman.
C) More information is needed to interpret these findings based on the patient's family history and the patient's current and past medical history.
D) A radical bilateral mastectomy is required as soon as possible, since the cancer may have already undergone sub-metastasis.
Q2) The drug of choice to treat a gonorrhea infection is
A) penicillin G (Pfizerpen).
B) tetracycline (Achromycin).
C) ceftriaxone (Rocephin).
D) acyclovir (Zovirax).
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