CHILDBEARING LATEST 2026 STUDY GUIDE QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔At a client's first prenatal visit, the healthcare provider performs a pelvic
examination, stating that the client's cervix is bluish purple, which is known as the
Chadwick sign. The client becomes concerned and asks whether something is wrong.
The best response is "This is expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy" - ✔✔4. Is caused
by increased blood flow to the uterus during pregnancy"
**Stating that the Chadwick sign is caused by increased blood flow to the uterus during
pregnancy underscores the normalcy of Chadwick's sign and provides a simple
explanation of the cause; women often need reassurance that the physical changes
associated with pregnancy are expected.
✔✔What instruction should a nurse include when teaching about the correct use of a
female condom?
1. "Remove the condom before standing up."
2. "Insert the condom within 1 hour before intercourse."
3. "Have your partner wear a male condom at the same time."
4. "Cleanse the condom with warm water when preparing it for future use." - ✔✔1.
"Remove the condom before standing up."
**Removing the condom before standing up keeps the semen in the female condom
and prevents the inadvertent contact of semen with vaginal tissues.
✔✔A female client came to the clinic with suspected primary syphilis. What sign of
primary syphilis does the nurse expect the client to exhibit?
1. Flat wartlike plaques around the vagina and anus
2. An indurated painless nodule on the vulva that is draining
3. Glistening patches in the mouth covered with a yellow exudate
4. A maculopapular rash on the palms of the hands and soles of the feet - ✔✔2. An
indurated painless nodule on the vulva that is draining
**This is the description of a chancre, which is the initial sign of syphilis.
✔✔Although a client in labor is prepared and plans to participate in the labor and birth
process, she states that she is in severe discomfort. The nurse administers the
prescribed butorphanol (Stadol). Which phase of labor is the safest time for the nurse to
administer this medication?
1. Early phase
2. Active phase
,3. Transition phase
4. Expulsion phase - ✔✔2. Active phase
**Respiratory depression of the newborn will not occur if the medication is given during
the active phase; it should not be given when birth is expected to occur within 2 hours.
✔✔During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal
infection because of the presence of a white curdlike vaginal discharge. What other
assessment supports a fungal vaginal infection?
1. A foul odor
2. An itchy perineum
3. An ischemic cervix
4. A forgotten tampon - ✔✔2. An itchy perineum
✔✔A primigravida complains of morning sickness. What should the nurse plan to teach
her?
1. Increasing her fluid intake
2. Eat three small meals a day
3. Increase the calcium in her diet
4. Avoid long periods without food - ✔✔4. Avoid long periods without food
✔✔Which statements by a client with hyperemesis gravidarum would confirm that the
client needs further teaching? (Select all that apply.)
1. "I'll start drinking protein shakes."
2. "I'll start drinking plenty of fluids."
3. "I'll start limiting my carbohydrates."
4. "I'll lie down for at least 2 hours after I eat."
5. "I'll be sure to schedule rest periods throughout the day so I won't get tired." - ✔✔3.
"I'll start limiting my carbohydrates."
4. "I'll lie down for at least 2 hours after I eat."
✔✔An estrogen-progestin oral contraceptive is prescribed for a client. Which adverse
effects should the nurse teach the client to report to the health care provider? (Select all
that apply.)
1. Lethargy
2 .Dizziness
3. Chest pain
4. Constipation
5. Breast soreness
6. Calf tenderness - ✔✔3. Chest pain
5. Breast soreness
6. Calf tenderness
, ✔✔A woman is admitted for a hysterectomy and bilateral salpingo-oophorectomy. The
nurse reviews the client's gynecological history. What condition does the client have that
causes the nurse to anticipate an abdominal, rather than a vaginal, hysterectomy?
1. Prolapsed uterus
2. Large uterine fibroids
3. Mild dysplasia of the cervical os
4. Urinary incontinence when coughing - ✔✔2. Large uterine fibroids
**Attempting to remove a uterus with large uterine fibroids vaginally can cause trauma,
resulting in hemorrhage.
✔✔A client with endometriosis asks the nurse what side effects to expect from
leuprolide (Lupron). What should the nurse include in the response?
1. Weight gain
2. Increased libido
3. Frequent urination
4. Heavy menstrual bleeding - ✔✔1. Weight gain
**The nurse should teach the client that the side effects of leuprolide (Lupron) include
edema, which causes an increase in weight.
✔✔A nurse is instructing a client to cough and deep-breathe after an emergency
cesarean birth. The client says, "Get out of here. Can't you see that I'm in pain?" Which
response will be the most effective?
1. "I'm sure you're in pain. I'll come back later."
2. "If you can't cough, try taking six very deep breaths."
3. "Your pain is to be expected, but you must exercise your lungs."
4. "I'll give you something for your pain. We can start the coughing tomorrow." - ✔✔2. "If
you can't cough, try taking six very deep breaths."
**Having the client take deep breaths is important because deep breathing promotes full
expansion of the alveoli and prevents stasis of pulmonary secretions.
✔✔A nurse is teaching a breastfeeding client about medications that are safe and
unsafe for her to take. Which medication is contraindicated?
1. Heparin (Hep-Lock)
2. Propylthiouracil (PTU)
3. Gentamicin (Garamycin)
4. Diphenhydramine (Benadryl) - ✔✔2. Propylthiouracil (PTU)
**The concentration of propylthiouracil (PTU) excreted in breast milk is three to 12 times
higher than its level in maternal serum; this may cause agranulocytosis or goiter in the
infant.
AND ANSWERS GUARANTEE A+
✔✔At a client's first prenatal visit, the healthcare provider performs a pelvic
examination, stating that the client's cervix is bluish purple, which is known as the
Chadwick sign. The client becomes concerned and asks whether something is wrong.
The best response is "This is expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy" - ✔✔4. Is caused
by increased blood flow to the uterus during pregnancy"
**Stating that the Chadwick sign is caused by increased blood flow to the uterus during
pregnancy underscores the normalcy of Chadwick's sign and provides a simple
explanation of the cause; women often need reassurance that the physical changes
associated with pregnancy are expected.
✔✔What instruction should a nurse include when teaching about the correct use of a
female condom?
1. "Remove the condom before standing up."
2. "Insert the condom within 1 hour before intercourse."
3. "Have your partner wear a male condom at the same time."
4. "Cleanse the condom with warm water when preparing it for future use." - ✔✔1.
"Remove the condom before standing up."
**Removing the condom before standing up keeps the semen in the female condom
and prevents the inadvertent contact of semen with vaginal tissues.
✔✔A female client came to the clinic with suspected primary syphilis. What sign of
primary syphilis does the nurse expect the client to exhibit?
1. Flat wartlike plaques around the vagina and anus
2. An indurated painless nodule on the vulva that is draining
3. Glistening patches in the mouth covered with a yellow exudate
4. A maculopapular rash on the palms of the hands and soles of the feet - ✔✔2. An
indurated painless nodule on the vulva that is draining
**This is the description of a chancre, which is the initial sign of syphilis.
✔✔Although a client in labor is prepared and plans to participate in the labor and birth
process, she states that she is in severe discomfort. The nurse administers the
prescribed butorphanol (Stadol). Which phase of labor is the safest time for the nurse to
administer this medication?
1. Early phase
2. Active phase
,3. Transition phase
4. Expulsion phase - ✔✔2. Active phase
**Respiratory depression of the newborn will not occur if the medication is given during
the active phase; it should not be given when birth is expected to occur within 2 hours.
✔✔During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal
infection because of the presence of a white curdlike vaginal discharge. What other
assessment supports a fungal vaginal infection?
1. A foul odor
2. An itchy perineum
3. An ischemic cervix
4. A forgotten tampon - ✔✔2. An itchy perineum
✔✔A primigravida complains of morning sickness. What should the nurse plan to teach
her?
1. Increasing her fluid intake
2. Eat three small meals a day
3. Increase the calcium in her diet
4. Avoid long periods without food - ✔✔4. Avoid long periods without food
✔✔Which statements by a client with hyperemesis gravidarum would confirm that the
client needs further teaching? (Select all that apply.)
1. "I'll start drinking protein shakes."
2. "I'll start drinking plenty of fluids."
3. "I'll start limiting my carbohydrates."
4. "I'll lie down for at least 2 hours after I eat."
5. "I'll be sure to schedule rest periods throughout the day so I won't get tired." - ✔✔3.
"I'll start limiting my carbohydrates."
4. "I'll lie down for at least 2 hours after I eat."
✔✔An estrogen-progestin oral contraceptive is prescribed for a client. Which adverse
effects should the nurse teach the client to report to the health care provider? (Select all
that apply.)
1. Lethargy
2 .Dizziness
3. Chest pain
4. Constipation
5. Breast soreness
6. Calf tenderness - ✔✔3. Chest pain
5. Breast soreness
6. Calf tenderness
, ✔✔A woman is admitted for a hysterectomy and bilateral salpingo-oophorectomy. The
nurse reviews the client's gynecological history. What condition does the client have that
causes the nurse to anticipate an abdominal, rather than a vaginal, hysterectomy?
1. Prolapsed uterus
2. Large uterine fibroids
3. Mild dysplasia of the cervical os
4. Urinary incontinence when coughing - ✔✔2. Large uterine fibroids
**Attempting to remove a uterus with large uterine fibroids vaginally can cause trauma,
resulting in hemorrhage.
✔✔A client with endometriosis asks the nurse what side effects to expect from
leuprolide (Lupron). What should the nurse include in the response?
1. Weight gain
2. Increased libido
3. Frequent urination
4. Heavy menstrual bleeding - ✔✔1. Weight gain
**The nurse should teach the client that the side effects of leuprolide (Lupron) include
edema, which causes an increase in weight.
✔✔A nurse is instructing a client to cough and deep-breathe after an emergency
cesarean birth. The client says, "Get out of here. Can't you see that I'm in pain?" Which
response will be the most effective?
1. "I'm sure you're in pain. I'll come back later."
2. "If you can't cough, try taking six very deep breaths."
3. "Your pain is to be expected, but you must exercise your lungs."
4. "I'll give you something for your pain. We can start the coughing tomorrow." - ✔✔2. "If
you can't cough, try taking six very deep breaths."
**Having the client take deep breaths is important because deep breathing promotes full
expansion of the alveoli and prevents stasis of pulmonary secretions.
✔✔A nurse is teaching a breastfeeding client about medications that are safe and
unsafe for her to take. Which medication is contraindicated?
1. Heparin (Hep-Lock)
2. Propylthiouracil (PTU)
3. Gentamicin (Garamycin)
4. Diphenhydramine (Benadryl) - ✔✔2. Propylthiouracil (PTU)
**The concentration of propylthiouracil (PTU) excreted in breast milk is three to 12 times
higher than its level in maternal serum; this may cause agranulocytosis or goiter in the
infant.
