Women's Health Nursing Review Questions
Course Introduction
Women's Health Nursing focuses on the comprehensive healthcare needs of women across the lifespan, emphasizing health promotion, disease prevention, and management of common and complex health issues unique to female patients. The course covers reproductive and sexual health, prenatal and postnatal care, gynecological disorders, menopause, and the impact of sociocultural and economic factors on women's health. Students learn evidence-based nursing interventions, patient education strategies, and advocacy skills to support womens physical, emotional, and social well-being in diverse healthcare settings.
Recommended Textbook
Foundations of Maternal Newborn and Womens Health Nursing 6th Edition by Murray
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37 Chapters
1131 Verified Questions
1131 Flashcards
Source URL: https://quizplus.com/study-set/167 Page 2
Chapter 1: Maternity and Women's Health Care Today
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2112
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) In consideration of the historic evolution of maternity care, which treatment options were used? (Select all that apply.)
A) During the nineteenth century, women of privilege were delivered by midwives in a hospital setting.
B) Granny midwives received their training through a period of apprenticeship.
C) The recognition of improved obstetric outcomes was related to increased usage of hygienic practices.
D) A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth.
E) The use of chloroform by midwives led to decreased pain during birth.
Answer: B, C, D
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3
Chapter 2: The Nurse's Role in Maternity and Women's Health Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2113
Sample Questions
Q1) The pregnant woman tells the nurse, "I think something may be wrong with my pregnancy." Which statement by the nurse demonstrates therapeutic communication?
A) "Most women worry; I felt the same way when I was pregnant."
B) "Tell me more about what concerns you about this pregnancy."
C) "That is a very common concern, but your pregnancy will turn out just fine."
D) "You should focus on taking care of yourself and not worry so much."
Answer: B
Q2) The client 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
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4
Chapter 3: Ethical, Social, and Legal Issues
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
A) The nurse did not document fetal heart tones (FHR) during the second stage of labor.
B) The client was only provided ice chips during the labor period, which lasted 8 hours.
C) The nurse allowed the client to use the bathroom rather than a bedpan during the first stage of labor.
D) The nurse asked family members to leave the room when she prepared to do a pelvic exam on the client.
Answer: A
Q2) Damage
A)The nurse's breach of duty caused harm.
B)The nurse has a responsibility to give care to the client.
C)An actual injury or harm to the client occurred because of the nurse's breach of duty.
Answer: C
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Chapter 4: Reproductive Anatomy and Physiology
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A young female client comes to the health unit at school to discuss her irregular periods. In providing education regarding the female reproductive cycle, the nurse describes the regular and recurrent changes related to the ovaries and the uterine endometrium. Although this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? (Select all that apply.)
A) Follicular
B) Ovulatory
C) Luteal
D) Proliferative
E) Secretory
Q2) The nurse is describing the size and shape of the nonpregnant uterus to a client. Which is an accurate description?
A) The nonpregnant uterus is the size and shape of a pear.
B) The nonpregnant uterus is the size and shape of a cantaloupe.
C) The nonpregnant uterus is the size and shape of a grapefruit.
D) The nonpregnant uterus is the size and shape of a large orange.
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Chapter 5: Hereditary and Environmental Influences on Childbearing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An infant is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of the parents. The nurse's answer should be based on the knowledge that which is true?
A) Both A and B blood types are dominant.
B) Types A and B are recessive when linked together.
C) The baby has a mutation of the parents' blood types.
D) Type A is recessive and links more easily with type B.
Q2) 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.
_____%
Q3) People who have two copies of the same abnormal autosomal dominant gene will usually be:
A) mildly affected with the disorder.
B) infertile and unable to transmit the gene.
C) carriers of the trait but not affected with the disorder.
D) more severely affected by the disorder than people with one copy of the gene.
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Page 7
Chapter 6: Conception and Prenatal Development
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is conducting a staff in-service on multifetal pregnancy. Which statement about dizygotic twin development should the nurse include in the teaching session?
A) Dizygotic twins arise from two fertilized ova and are the same sex.
B) Dizygotic twins arise from a single fertilized ovum and are always of the same sex.
C) Dizygotic twins arise from two fertilized ova and may be the same sex or different sexes.
D) Dizygotic twins arise from a single fertilized ovum and may be the same sex or different sexes.
Q2) Umbilical artery
A)Carries deoxygenated blood and waste products from the fetus
B)Site of exchange of substances between the mother and fetus
C)Carries oxygenated blood and nutrients to the fetus
Q3) Intervillous spaces
A)Carries deoxygenated blood and waste products from the fetus
B)Site of exchange of substances between the mother and fetus
C)Carries oxygenated blood and nutrients to the fetus
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Chapter 7: Physiologic Adaptations to Pregnancy
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
A) 1 week
B) 2 weeks
C) 3 weeks
D) 4 weeks
Q2) Which are presumptive signs of pregnancy? (Select all that apply.)
A) Quickening
B) Amenorrhea
C) Ballottement
D) Goodell's sign
E) Chadwick's sign
Q3) Which advice to the client is one of the most effective methods for preventing venous stasis?
A) Sit with the legs crossed.
B) Rest often with the feet elevated.
C) Sleep with the foot of the bed elevated.
D) Wear elastic stockings in the afternoon.
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9
Chapter 8: Psychosocial Adaptations to Pregnancy
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
A) "Could you help me with the housework today?"
B) "The baby is spitting up a lot. What should I do?"
C) "I know you are busy, so I'll get John's mother to help me."
D) "The baby has a stomachache. I'll call the nurse to find out what to do."
Q2) The nurse reveals to the patient that the over-the-counter test is verified and that she is pregnant. The patient confides to the nurse, "We have wanted to be pregnant for some time. These last few days I have been questioning our decision. I am feeling really bad right now." What is the nurse's best response?
A) "You will come around in time and you will grow to love this baby."
B) "Don't feel bad. It is the hormones of pregnancy talking right now."
C) "Why do you think you are feeling bad when you wanted to be pregnant?"
D) "Your feelings are understandable. Ambivalence is not uncommon right now."
Q3) Which 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
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Page 10
Chapter 9: Nutrition for Childbearing
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) For the pregnant client who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?
A) Eggs and beans
B) Fruits and vegetables
C) Grains and legumes
D) Vitamin and mineral supplements
Q2) Changes in the diet of the pregnant client who has phenylketonuria would include:
A) adding foods high in vitamin C.
B) eliminating drinks containing aspartame.
C) restricting protein intake to <20 g a day.
D) increasing caloric intake to at least 1800 cal/day.
Q3) Zinc
A)Important in cell growth and neuromuscular function
B)Important in thyroid function
C)Important in DNA and RNA synthesis
Q4) Iodine
A)Important in cell growth and neuromuscular function
B)Important in thyroid function
C)Important in DNA and RNA synthesis
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Chapter 10: Antepartum Fetal Assessment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2121
Sample Questions
Q1) A pregnant client has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the client's plan of care?
A) No further testing is indicated at this time because results are normal.
B) Refer to the physician for additional testing.
C) Validate the results with the lab facility.
D) Repeat the test in 2 weeks and have the client return for her regularly scheduled prenatal visit.
Q2) The health care provider has prescribed an initial rate of 1 milliunits (mU)/min of diluted Pitocin to be started on a client having a contraction stress test (CST). What mL/hr will the nurse set the infusion pump if the dilution of the Pitocin is 10 units of Pitocin in 1000 mL of 0.25 normal saline? Record your answer as a whole number. ___________ mL/hr
Q3) Which factor serves as a clinical indicator for a third trimester amniocentesis?
A) Sex of the fetus
B) Rh isoimmunization
C) Placenta previa
D) Placental abruption
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Chapter 11: Perinatal Education
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2122
Sample Questions
Q1) A pregnant client is anticipating a vaginal birth without complications. During the course of her labor, complications arise and the fetus has to be delivered via cesarean section. The client is visibly upset and wants to know why this has happened to her because she did everything right during her pregnancy. Which priority nursing diagnosis would apply?
A) Risk for injury
B) Pain
C) Impaired skin integrity
D) Anxiety
Q2) When reading a new client's birth plan, the nurse notices that the client will be bringing a doula to the hospital during labor. What does the nurse think that this means?
A) The client will have her grandmother as a support person.
B) The client will bring a paid, trained labor support person with her during labor.
C) The client will have a special video she will play during labor to assist with relaxation.
D) The client will have a bag that contains all the approved equipment that may help with the labor process.
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Chapter 12: Processes of Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Fetal lie
A)The fetal part that enters the pelvic inlet first
B)The orientation of the long axis of the fetus to the long axis of the woman
C)Relation of a fixed reference point on the fetus to the quadrants of the maternal pelvis
Q2) Which clinical findings would be considered to be normal for a preterm fetus during the labor period?
A) Baseline tachycardia
B) Baseline bradycardia
C) Fetal anemia
D) Acidosis
Q3) Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?
A) Extension
B) Engagement
C) Internal rotation
D) External rotation
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Chapter 13: Nursing Care During Labor and Birth
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/2124
Sample Questions
Q1) The nurse has given the newborn an Apgar score of 5. She should then:
A) begin ventilation and compressions.
B) do nothing except place the infant under a radiant warmer.
C) observe the infant and recheck the score after 10 minutes.
D) gently stimulate by rubbing the infant's back while administering OS1U1B12S1U1B0
Q2) Which is an essential part of nursing care for a laboring client?
A) Helping the woman manage the pain
B) Eliminating the pain associated with labor
C) Feeling comfortable with the predictable nature of intrapartal care
D) Sharing personal experiences regarding labor and birth to decrease her anxiety
Q3) Which interventions are required following an amniotomy procedure? (Select all that apply.)
A) Notation related to amount of fluid expelled
B) Color and consistency of fluid
C) Fetal heart rate
D) Maternal blood pressure
E) Maternal heart rate
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15
Chapter 14: Intrapartum Fetal Surveillance
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The fetal heart rate baseline increases 20 bpm after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing:
A) a worsening hypoxia.
B) progressive acidosis.
C) a reassuring response.
D) parasympathetic stimulation.
Q2) The nurse is concerned that a client's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?
A) Reposition the tocotransducer.
B) Reposition the Doppler transducer.
C) Obtain an order from the health care provider for a spiral electrode.
D) Obtain an order from the health care provider for an intrauterine pressure catheter.
Q3) Variable decelerations
A)Caused by umbilical cord compression
B)Caused by fetal head compression
C)Caused by uteroplacental insufficiency
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Chapter 15: Pain Management During Childbirth
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which statement is true with regard to the type of pain associated with childbirth experience?
A) Pain is constant throughout the labor experience.
B) Labor pain during childbirth is considered to be an abnormal response.
C) Pain associated with childbirth is self-limiting.
D) Pain associated with childbirth does not allow for adequate preparation.
Q2) When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction?
A) The medication will be rapidly circulated.
B) Less medication will be transferred to the fetus.
C) The maternal vital signs will not be adversely affected.
D) Full benefit of the medication is received during that contraction.
Q3) A client received 25 mg of meperidine (Demerol) intravenously 1 hour before birth. Which drug should the nurse have readily available?
A) Naloxone (Narcan)
B) Butorphanol (Stadol)
C) Nalbuphine (Nubain)
D) Promethazine (Phenergan)
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17
Chapter 16: Nursing Care During Obstetric Procedures
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/2127
Sample Questions
Q1) The labor nurse is providing care for a patient admitted for induction of labor at 38 weeks' gestation. The patient's Bishop score is 5, and an infusion of oxytocin (Pitocin) is initiated with orders that read as follows: mix 30 units of Pitocin in 500 mL of NS, increase the rate of infusion by 2 mL/hr every 15 to 60 minutes until a pattern of three contractions in 10 minutes is established. What is the priority nursing action for this patient?
A) Increase the infusion of Pitocin every 30 to 60 minutes.
B) Assess for changes in the patient's cervix every 2 hours.
C) Obtain a reactive non-stress test prior to starting the infusion.
D) Determine the fetal heart rate baseline for 30 minutes prior to starting the infusion.
Q2) The nurse is positioning the Foley catheter prior to a cesarean birth. Which position should the nurse use to place the catheter drainage tubing and catheter bag?
A) Place near the head of the table.
B) Position on top of the patient's leg.
C) Place at the foot and clamp during the cesarean section.
D) Position at the foot of the surgeon under the sterile drapes.
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18
Chapter 17: Postpartum Physiologic Adaptations
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/2128
Sample Questions
Q1) The nurse is teaching a non-breastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)
A) Avoid massaging the breasts.
B) Allow warm shower water to run over the breasts.
C) If the breasts become engorged, pumping is recommended .
D) Ice packs can be applied to the breasts to relieve discomfort.
E) Wear a sports bra 24 hours a day until the breasts become soft.
Q2) The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?
A) Pulse rate of 50
B) Temperature of 38° C (100.4° F)
C) Firm fundus, but excessive lochia
D) Lightheaded when moving from a lying to standing position
Q3) Which maternal event is abnormal in the early postpartal period?
A) Diuresis and diaphoresis
B) Flatulence and constipation
C) Extreme hunger and thirst
D) Lochial color changes from rubra to alba
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Page 19
Chapter 18: Postpartum Psychosocial Adaptations
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which client is most likely to have the least stress adjusting to her role as a mother?
A) A 26-year-old woman who is returning to work in 10 weeks
B) A 35-year-old anxious mother who has had no contact with babies or children
C) A 16-year-old teenager who lives with her parents and has a strained relationship with her mother
D) A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth
Q2) The term reciprocal attachment behavior refers to which of the following?
A) Behavior during the sensitive period when the infant is in the quiet alert stage
B) Positive feedback an infant exhibits toward parents during the attachment process
C) Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
D) Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents
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Chapter 19: Normal Newborn: Processes of Adaptation
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Sample Questions
Q1) A reported hematocrit level for a newborn vaginal birth is 75%. Based on this lab value, which complication is the newborn least at risk to develop?
A) Hypoglycemia
B) Respiratory distress
C) Infection
D) Jaundice
Q2) Which infant has the lowest risk of developing high levels of bilirubin?
A) The infant who developed a cephalohematoma
B) The infant who was bruised during a difficult birth
C) The infant who uses brown fat to maintain temperature
D) The infant who is breastfed during the first hour of life
Q3) Which infant is at greater risk to develop cold stress?
A) Full-term infant delivered vaginally without complications
B) 36-week infant with an Apgar score of 7 to 9
C) 38-week female infant delivered via cesarean section because of cephalopelvic disproportion
D) Term infant delivered vaginally with epidural anesthesia
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Chapter 20: Assessment of the Normal Newborn
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which action should the nurse take if a discrepancy is found between the measurements of a newborn and the normative criteria?
A) Remeasure the infant.
B) Consider this a normal deviation.
C) Perform an expanded assessment.
D) Inform the parents so that they can follow the infant's growth.
Q2) Which are early signs of hypoglycemia in the newborn for which the nurse should assess? (Select all that apply.)
A) Jitteriness
B) Poor feeding
C) Respiratory difficulty
D) An increase in temperature
E) A capillary refill of 2 seconds
Q3) A new client asks, "Why are you doing a gestational age assessment on my baby?" The nurse's best response is:
A) "It was ordered by your physician."
B) "This must be done to meet insurance requirements."
C) "It helps us identify infants who are at risk for any problems."
D) "The gestational age determines how long the infant will be hospitalized."
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Page 22
Chapter 21: Care of the Normal Newborn
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Sample Questions
Q1) The nurse is explaining the procedure of newborn screening to parents before discharge. Which statement by the parents indicates a need for further teaching?
A) "We understand the tests are performed at 24 to 48 hours."
B) "We're glad all the tests can be done on one blood sample."
C) "We wish the tests would screen for congenital hypothyroidism."
D) "We know that if the tests are done before 24 hours, the tests will need to be repeated at 1 to 2 weeks."
Q2) Which should the nurse implement to prevent the kidnapping of a newborn from the hospital?
A) Restricting the amount of time infants are out of the nursery
B) Questioning anyone who is seen walking in the hallways carrying an infant
C) Allowing no visitors in the maternity area except those who have identification bracelets
D) Instructing the parents to not give the baby to anyone except the nurse assigned that day
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23
Chapter 22: Infant Feeding
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Sample Questions
Q1) A new mother is concerned because her 1-day-old newborn is taking only 1 oz at each feeding. What should the nurse explain?
A) The infant is probably having difficulty adjusting to the formula.
B) An infant does not require as much formula in the first few days of life.
C) The infant's stomach capacity is small at birth but will expand within a few days.
D) The infant tires easily during the first few days but will gradually take more formula.
Q2) A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, the nurse would designate a score of:
A) 10 and document findings in the chart.
B) 6 and further teach and assist the mother in feeding activities.
C) 5 and tell the mother to discontinue feeding attempts at this time because the infant is too sleepy.
D) 8 and no further assistance is needed for feeding.
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Chapter 23: Home Care of the Infant
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Sample Questions
Q1) Parents ask the nurse, "How many wet diapers a day should we expect and how will we know the baby's stools are normal?" Which response should the nurse make if the infant is being formula fed? (Select all that apply.)
A) The stools should be watery.
B) The stools should be dry and hard.
C) The infant should have at least one stool a day.
D) The infant should have at least six wet diapers a day.
Q2) An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?
A) Use a nipple with a smaller hole.
B) Place the infant on the left side after feeding.
C) Provide the infant with water between feedings.
D) Begin the feeding before the infant becomes too hungry.
Q3) Which should be included in the home care of a high-risk infant?
A) Feeding the infant on a strict schedule
B) Keeping the infant in the supine or prone position
C) Providing continued respiratory support and oxygen
D) Cleaning the umbilical cord several times daily with alcohol
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Chapter 24: The Childbearing Family with Special Needs
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Sample Questions
Q1) Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?
A) Intrauterine growth restriction
B) Genetic changes and anomalies
C) Extensive central nervous system damage
D) Fetal addiction to the substance inhaled
Q2) Which nursing diagnoses may apply to the childbearing family with special needs? (Select all that apply.)
A) Risk for spiritual distress
B) Risk for injury
C) Readiness for enhanced nutrition
D) Ineffective breathing pattern
E) Situational low self-esteem
Q3) A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Which is the reason the nurse should give to counsel her to eliminate all alcohol intake?
A) The fetus is placed at risk for altered brain growth.
B) The fetus is at risk for severe nervous system injury.
C) The client will be at risk for abusing other substances as well.
D) A daily consumption of alcohol indicates a risk for alcoholism.
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Chapter 25: Complications of Pregnancy
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Sample Questions
Q1) A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient's magnesium level is 7.6 mg/dL. What is the nurse's priority action?
A) Stop the infusion of magnesium.
B) Assess the patient's respiratory rate.
C) Assess the patient's deep tendon reflexes.
D) Notify the health care provider of the magnesium level.
Q2) The nurse who suspects that a client has early signs of ectopic pregnancy should be observing her for which symptoms? (Select all that apply.)
A) Pelvic pain
B) Missed period
C) Abdominal pain
D) Unanticipated heavy bleeding
E) Vaginal spotting or light bleeding
Q3) What is the value of the main line fluid rate for your client, whose total fluid intake is ordered at 150 mL/hr and who is also being given magnesium sulfate at 1 g/hr (1 g = 25 mL/hr) IV piggyback and pitocin at 15 mU/min (l mU/min = 1 mL/hr) IV piggyback.
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Page 27
Chapter 26: Concurrent Disorders During Pregnancy
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Sample Questions
Q1) A client who has type 2 diabetes is pregnant with her second child. She was not diagnosed with diabetes until after her first pregnancy. Past obstetric history is unremarkable-spontaneous vaginal birth of a male weighing 7 pounds, 15 ounces. The client is now concerned over what will happen during this subsequent pregnancy as a result of her disease process. What impact could the disease process have on her upcoming birth?
A) Client will not be able to receive an epidural for pain management.
B) Client will not be able to have a vaginal birth.
C) A planned birth will be instituted by her health care provider.
D) It is likely that she will deliver a fetus who is small for gestational age (SGA).
Q2) Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
A) Hypoglycemia
B) Hypercalcemia
C) Hypoinsulinemia
D) Hypobilirubinemia
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Chapter 27: Intrapartum Complications
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Sample Questions
Q1) The fetus in a breech presentation is often born by cesarean birth because:
A) the buttocks are much larger than the head.
B) compression of the umbilical cord is more likely.
C) internal rotation cannot occur if the fetus is breech.
D) postpartum hemorrhage is more likely if the client delivers vaginally.
Q2) A pregnant client who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered an fFN (fetal fibronectin) test. Which instructions should be given to the client related to this clinical test?
A) Client must be NPO prior to testing.
B) Blood work will be drawn every week to help confirm the start of preterm labor.
C) Client should refrain from sexual activity prior to testing.
D) A urine specimen will be collected for testing.
Q3) Which pelvic shape is most conducive to vaginal labor and birth?
A) Android
B) Gynecoid
C) Platypelloid
D) Anthropoid
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Chapter 28: Postpartum Maternal Complications
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Sample Questions
Q1) A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:
A) uterine atony.
B) perineal hematoma.
C) infection of the uterus.
D) lacerations of the genital tract.
Q2) The client who is being treated for endometritis is placed in the Fowler position because it:
A) promotes comfort and rest.
B) facilitates drainage of lochia.
C) prevents spread of infection to the urinary tract.
D) decreases tension on the reproductive organs.
Q3) Before administering methylergonovine (Methergine), the nurse checks the:
A) color of the lochia.
B) blood pressure.
C) location of the fundus.
D) last administration of analgesics.
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Chapter 29: High-Risk Newborn: Complications Associated with Gestational Age and Development
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Sample Questions
Q1) In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?
A) Necrotizing enterocolitis (NEC)
B) Retinopathy of prematurity (ROP)
C) Intraventricular hemorrhage (IVH)
D) Bronchopulmonary dysplasia (BPD)
Q2) An infant presents with lethargy in the newborn nursery on the second day of life. On further examination, vital signs are stable but muscle tone is slightly decreased, with sluggish reflexes noted. Other physical characteristics are noted as being normal. Lab tests reveal a decreased hematocrit and increased blood sugar. The nurse suspects that the infant may be exhibiting signs and symptoms of:
A) RDS.
B) PIVH.
C) BPD.
D) ROP.
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Chapter 30: High-Risk Newborn: Acquired and Congenital Conditions
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Sample Questions
Q1) A mother with diabetes has done some reading about the effects of her condition on a newborn. Which statement shows a misunderstanding that should be clarified by the nurse?
A) "The red appearance of my baby's skin is due to an excessive number of red blood cells."
B) "My baby will be watched closely for signs of low blood sugar, especially during the early days after birth."
C) "My baby's pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy."
D) "Although my baby is large, some women with diabetes have very small babies because the blood flow through the placenta may not be as good as it should be."
Q2) The nurse's immediate action after the birth of a post-term infant with meconium stained amniotic fluid is to:
A) stimulate the infant to cry.
B) suction the infant's airways.
C) complete the 1- and 5-minute Apgars.
D) vigorously dry the infant's head and trunk.
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Page 32
Chapter 31: Family Planning
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Q1) Which of the following is a potential disadvantage for a client who wishes to use an intrauterine device (IUD) as a method of birth control?
A) Insertion of the device prior to coitus resulting in decreased spontaneity
B) Ectopic pregnancy
C) Protection against STDs
D) Decrease in dysmenorrhea
Q2) Which response by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?"
A) "Ask your doctor. She will know what is best for you."
B) "The male condom is probably the easiest for you to use."
C) "Because you are younger than 40, you should use oral contraceptives."
D) "I can discuss the various methods with you so you can decide what is best."
Q3) Which client 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
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Chapter 32: Infertility
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Q1) Chromosome analysis is a diagnostic test that should be offered to which couple?
A) Never conceived
B) Has long-standing infertility
C) Has had repeated pregnancy losses
D) Has a normal child but has not conceived again
Q2) Which of the following medical conditions could possible affect a woman's fertility status?
A) Past medical history of asthma during childhood that is presently under control with the use of an inhaler
B) Recently diagnosed with PCOS
C) Past surgical history of removal of external polyps on labial tissue
D) History of frequent sinus headaches that is seasonal in nature treated with over-the-counter medication
Q3) 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 best 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."
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Page 34
Chapter 33: Preventive Care for Women
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Sample Questions
Q1) Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap smear?
A) Lubricant
B) Speculum
C) Fixative agent
D) Gloves and eye protectors
Q2) Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS are reported. Which therapeutic treatment option would the nurse expect the practitioner to order?
A) Mammography
B) Bone scan
C) Transvaginal ultrasound
D) Biopsy
Q3) A 45-year-old client asks how often she should have a mammogram. The most appropriate answer is:
A) whenever she feels a lump.
B) every year beginning at age 40.
C) they are unnecessary until age 50.
D) every year if you have risk factors.
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Chapter 34: Women's Health Problems
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Sample Questions
Q1) A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:
A) "No, it is part of the aging process."
B) "Water-soluble vaginal lubricants may provide relief."
C) "You need to be evaluated for a sexually transmitted disease."
D) "You may have vaginal scar tissue that is producing the discomfort."
Q2) Which are the most common sites of breast cancer metastasis?
A) Kidneys
B) Bones and liver
C) Heart and blood vessels
D) Central nervous system
Q3) Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?
A) Radical mastectomy procedure
B) Radiation therapy
C) Sentinel lymph node mapping
D) Ultrasound
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