CHILDBEARING LATEST 2026 REVISION EXAM PAPER
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔A client who is visiting the family planning clinic is prescribed an oral contraceptive.
As part of teaching, the nurse plans to inform the client of the possibility of:
1. Cervicitis
2. Ovarian cysts
3. Fibrocystic disease
4. Breakthrough bleeding - ✔✔4. Breakthrough bleeding
✔✔A client has a child with Tay-Sachs disease and wants to become pregnant again.
She tells the nurse, "I'm worried it will happen again." How should the nurse respond?
1. "Did you discuss this with your physician?"
2. "Have you considered the option of genetic counseling?"
3. "Can you remember if Tay-Sachs occurred before in your family?"
4. "It is a rare disease that is statistically improbable to happen again." - ✔✔2. "Have
you considered the option of genetic counseling?"
✔✔A client who recently gave birth is transferred to the postpartum unit by the nurse.
What must the nurse do first to avoid a charge of abandonment?
1. Assess the client's condition
2. Document the client's condition and the transfer
3. Orient the client to the room and explain unit routines
4. Report the client's condition to the responsible staff member - ✔✔4. Report the
client's condition to the responsible staff member
**Because the nurse is responsible for the client's care until another nurse assumes that
responsibility, the nurse should report directly to the client's primary nurse.
✔✔A client at 7 weeks' gestation tells the nurse in the prenatal clinic that she has been
bothered by episodes of nausea, but no vomiting, throughout the day. What should the
nurse recommend? (Select all that apply.)
1. Focus on and repeat a rhythmic chant.
2. Sit upright for 30 minutes after meals.
3. Take low-sodium antacids after meals.
4. Drink carbonated beverages with meals.
5. Eat small, frequent meals and eat dry crackers in between. - ✔✔1. Focus on and
repeat a rhythmic chant.
5. Eat small, frequent meals and eat dry crackers in between.
✔✔A client who suspects that she is 6 weeks pregnant appears mildly anxious as she is
waiting for her first obstetric appointment. What symptom of mild anxiety does the nurse
expect this client to experience?
1. Dizziness
2. Breathlessness
,3. Abdominal cramps
4. Increased alertness - ✔✔4. Increased alertness
**Increased alertness is an expected common behavior that occurs in new or different
situations when a person is mildly anxious.
✔✔The nurse is caring for a client who is in the taking-in phase of the postpartum
period. The area of health teaching that the client will be most responsive to is:
1. Perineal care
2. Infant feeding
3. Infant hygiene
4. Family planning - ✔✔1. Perineal care
✔✔What antidote to the side effects of terbutaline (Brethine) should a nurse have
available?
1. Levodopa (l-Dopa)
2. Furosemide (Lasix)
3. Ritodrine (Yutopar)
4. Propranolol (Inderal) - ✔✔4. Propranolol (Inderal)
**Propranolol (Inderal) is a beta-blocking agent that reverses the uterine inhibitory
responses and cardiovascular effects of terbutaline (Brethine).
✔✔What does the nurse teach a client to do when performing breast self-examination?
1. Squeeze the nipples to examine for discharge
2. Use the right hand to examine the right breast
3. Place a pillow under the shoulder opposite the examined breast to raise it
4. Compress breast tissue to the chest wall with the palm to palpate for lumps - ✔✔1.
Squeeze the nipples to examine for discharge
✔✔During discharge teaching a client who just had a hysterectomy states, "After this
surgery, I don't expect to be interested in sex anymore." What should the nurse
consider before responding?
1. Many women incorrectly equate hysterectomy with loss of libido.
2. Surgically forced menopause usually results in a decreased sex drive.
3. The loss of estrogen that results from this surgery will cause most women to
experience a decrease in libido.
4. Body image changes that occur after this surgery prevent many women from
resuming sexual activity. - ✔✔1. Many women incorrectly equate hysterectomy with loss
of libido.
**The uterus is often erroneously believed necessary for a satisfying sex life.
✔✔A client is scheduled for a vacuum aspiration abortion to terminate an unwanted
pregnancy. What information should the nurse's teaching plan include?
, 1. It is a lengthy procedure but will cause no pain.
2. Both she and the father must sign the consent form.
3. A temperature of 100.4° F (38° C) or higher should be reported immediately.
4. She will experience a heavy menstrual flow for 1 to 2 weeks after the procedure. -
✔✔3. A temperature of 100.4° F (38° C) or higher should be reported immediately.
✔✔A 2-day-old infant who weighs 6 lb (2722 g) is fed formula every 4 hours. Newborns
need about 73 mL of fluid per pound of body weight each day. In light of this
information, approximately how much formula should the infant receive at each feeding?
1. 1 to 2 oz
2. 2 to 3 oz
3. 3 to 4 oz
4. 4 to 5 oz - ✔✔2. 2 to 3 oz
✔✔During a class for prepared childbirth, the nurse teacher discusses the importance of
the spurt of energy that occurs before labor. Why is it important to conserve this
energy?
1. Fatigue may increase the progesterone level.
2. Extra energy decreases the intensity of contractions.
3. Extra energy is needed to push during the first stage
4. Fatigue may influence pain medication requirements. - ✔✔4. Fatigue may influence
pain medication requirements.
✔✔In childbirth classes the nurse is teaching paced breathing techniques for use during
labor. In which order should the breathing techniques be used as labor progresses?
1. Slow, deep breaths
2. Pant-blow breathing
3. Modified-paced breathing
4. Slow, exhalation pushing
5. Cleansing breaths - ✔✔5. Cleansing breaths
1. Slow, deep breaths
3. Modified-paced breathing
2. Pant-blow breathing
4. Slow, exhalation pushing
✔✔A nurse at a women's health clinic confirms that client teaching regarding the use of
an oral contraceptive is understood when the client states, "I:
1. Can stop the pill and try to get pregnant right away"
2. May miss two periods and not worry about being pregnant"
3. Will put a baby's picture on my bathroom mirror so I'll see it every morning"
4. Am so glad we won't have to use condoms even if I miss just one pill during the
month" - ✔✔3. Will put a baby's picture on my bathroom mirror so I'll see it every
morning"
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔A client who is visiting the family planning clinic is prescribed an oral contraceptive.
As part of teaching, the nurse plans to inform the client of the possibility of:
1. Cervicitis
2. Ovarian cysts
3. Fibrocystic disease
4. Breakthrough bleeding - ✔✔4. Breakthrough bleeding
✔✔A client has a child with Tay-Sachs disease and wants to become pregnant again.
She tells the nurse, "I'm worried it will happen again." How should the nurse respond?
1. "Did you discuss this with your physician?"
2. "Have you considered the option of genetic counseling?"
3. "Can you remember if Tay-Sachs occurred before in your family?"
4. "It is a rare disease that is statistically improbable to happen again." - ✔✔2. "Have
you considered the option of genetic counseling?"
✔✔A client who recently gave birth is transferred to the postpartum unit by the nurse.
What must the nurse do first to avoid a charge of abandonment?
1. Assess the client's condition
2. Document the client's condition and the transfer
3. Orient the client to the room and explain unit routines
4. Report the client's condition to the responsible staff member - ✔✔4. Report the
client's condition to the responsible staff member
**Because the nurse is responsible for the client's care until another nurse assumes that
responsibility, the nurse should report directly to the client's primary nurse.
✔✔A client at 7 weeks' gestation tells the nurse in the prenatal clinic that she has been
bothered by episodes of nausea, but no vomiting, throughout the day. What should the
nurse recommend? (Select all that apply.)
1. Focus on and repeat a rhythmic chant.
2. Sit upright for 30 minutes after meals.
3. Take low-sodium antacids after meals.
4. Drink carbonated beverages with meals.
5. Eat small, frequent meals and eat dry crackers in between. - ✔✔1. Focus on and
repeat a rhythmic chant.
5. Eat small, frequent meals and eat dry crackers in between.
✔✔A client who suspects that she is 6 weeks pregnant appears mildly anxious as she is
waiting for her first obstetric appointment. What symptom of mild anxiety does the nurse
expect this client to experience?
1. Dizziness
2. Breathlessness
,3. Abdominal cramps
4. Increased alertness - ✔✔4. Increased alertness
**Increased alertness is an expected common behavior that occurs in new or different
situations when a person is mildly anxious.
✔✔The nurse is caring for a client who is in the taking-in phase of the postpartum
period. The area of health teaching that the client will be most responsive to is:
1. Perineal care
2. Infant feeding
3. Infant hygiene
4. Family planning - ✔✔1. Perineal care
✔✔What antidote to the side effects of terbutaline (Brethine) should a nurse have
available?
1. Levodopa (l-Dopa)
2. Furosemide (Lasix)
3. Ritodrine (Yutopar)
4. Propranolol (Inderal) - ✔✔4. Propranolol (Inderal)
**Propranolol (Inderal) is a beta-blocking agent that reverses the uterine inhibitory
responses and cardiovascular effects of terbutaline (Brethine).
✔✔What does the nurse teach a client to do when performing breast self-examination?
1. Squeeze the nipples to examine for discharge
2. Use the right hand to examine the right breast
3. Place a pillow under the shoulder opposite the examined breast to raise it
4. Compress breast tissue to the chest wall with the palm to palpate for lumps - ✔✔1.
Squeeze the nipples to examine for discharge
✔✔During discharge teaching a client who just had a hysterectomy states, "After this
surgery, I don't expect to be interested in sex anymore." What should the nurse
consider before responding?
1. Many women incorrectly equate hysterectomy with loss of libido.
2. Surgically forced menopause usually results in a decreased sex drive.
3. The loss of estrogen that results from this surgery will cause most women to
experience a decrease in libido.
4. Body image changes that occur after this surgery prevent many women from
resuming sexual activity. - ✔✔1. Many women incorrectly equate hysterectomy with loss
of libido.
**The uterus is often erroneously believed necessary for a satisfying sex life.
✔✔A client is scheduled for a vacuum aspiration abortion to terminate an unwanted
pregnancy. What information should the nurse's teaching plan include?
, 1. It is a lengthy procedure but will cause no pain.
2. Both she and the father must sign the consent form.
3. A temperature of 100.4° F (38° C) or higher should be reported immediately.
4. She will experience a heavy menstrual flow for 1 to 2 weeks after the procedure. -
✔✔3. A temperature of 100.4° F (38° C) or higher should be reported immediately.
✔✔A 2-day-old infant who weighs 6 lb (2722 g) is fed formula every 4 hours. Newborns
need about 73 mL of fluid per pound of body weight each day. In light of this
information, approximately how much formula should the infant receive at each feeding?
1. 1 to 2 oz
2. 2 to 3 oz
3. 3 to 4 oz
4. 4 to 5 oz - ✔✔2. 2 to 3 oz
✔✔During a class for prepared childbirth, the nurse teacher discusses the importance of
the spurt of energy that occurs before labor. Why is it important to conserve this
energy?
1. Fatigue may increase the progesterone level.
2. Extra energy decreases the intensity of contractions.
3. Extra energy is needed to push during the first stage
4. Fatigue may influence pain medication requirements. - ✔✔4. Fatigue may influence
pain medication requirements.
✔✔In childbirth classes the nurse is teaching paced breathing techniques for use during
labor. In which order should the breathing techniques be used as labor progresses?
1. Slow, deep breaths
2. Pant-blow breathing
3. Modified-paced breathing
4. Slow, exhalation pushing
5. Cleansing breaths - ✔✔5. Cleansing breaths
1. Slow, deep breaths
3. Modified-paced breathing
2. Pant-blow breathing
4. Slow, exhalation pushing
✔✔A nurse at a women's health clinic confirms that client teaching regarding the use of
an oral contraceptive is understood when the client states, "I:
1. Can stop the pill and try to get pregnant right away"
2. May miss two periods and not worry about being pregnant"
3. Will put a baby's picture on my bathroom mirror so I'll see it every morning"
4. Am so glad we won't have to use condoms even if I miss just one pill during the
month" - ✔✔3. Will put a baby's picture on my bathroom mirror so I'll see it every
morning"
