NURS 678 Exam 1 Questions With Complete Solutions
21.A nurse suspects that a pregnant client may be experiencing
abruption placenta based on assessment of which of the
following? (Select all that apply.) A) Dark red vaginal bleeding
B) Insidious onset
C) Absence of pain
D) Rigid uterus
E) Absent fetal heart tones Correct Answers A) Dark red
vaginal bleeding
D) Rigid uterus
E) Absent fetal heart tones
8. It is determined that a clients blood Rh is negative and her
partners is positive. To help prevent Rh isoimmunization, the
nurse anticipates that the client will receive RhoGAM at which
time?
A)At 34 weeks gestation and immediately before discharge
B) 24 hours before delivery and 24 hours after delivery
C) In the first trimester and within 2 hours of delivery
D)At 28 weeks gestation and again within 72 hours after
delivery Correct Answers D)At 28 weeks gestation and again
within 72 hours after delivery
a 16 year old sees you in the derm clinic. she is hesitant because
she heard antibiotics made "your birth control not work". you
reassure her that most common antibiotics do not lessen the
effectiveness of birth control pills.
when taken concurrently, which of the following will reduce the
efficacy of oral contraceptives?
A. tetracycline
,B. aspirin
C. phenytoin
D. metronidazole
E. methyldopa Correct Answers C. phenytoin
A 20 year old college student G0 sees you for her annual. her
gyn history is remarkable for menarche at 13 years and regular
cycles but her periods last 7-9 days and are very painful. her
college roommate had similar periods and got results with birth
control pills. during the history you note that she smokes 1 pack
per day. she has migraines that are preceded by flashing lights.
her mother had breast cancer diagnosed at age 49 years and both
her parents are hypertensive.
you are hesitant to prescribe birth control pills because of
A. her migraines preceded by flashing lights
B. Her painful periods that may be consistent with endometriosis
C. her smoking one pack per day
D. her history of breast cancer in her mother
E. her family history of hypertension Correct Answers A. her
migraines preceded by flashing lights
A 20-year-old white female G0 comes to see you about
contraception. She is in college and plans to go to grad school,
so she wants something that is 100% effective in preventing
pregnancy. You explain to her that the method failure rate and
the typical use rate can be very different depending on the
method chosen. The "method failure rate" reflects the rate of
failure when the method is:
A: compared with the use of no contraception at all
B: used correctly 100% of the time
, C: used by a random sample of women D: used in laboratory
animals e: used in the laboratory setting Correct Answers B:
used correctly 100% of the time
A 24-year-old Latin American female G2P2 sees you for her
annual. She is about to wean her baby in a few months and is on
the progesterone-only pill. She really likes this particular pill
because she has had no periods while breastfeeding. She
wonders if she can continue to use it. You counsel her that one
of the main reasons to consider switching to combination birth
control pills is:
A. Better lipid profile
B. better control of her moods
C. better cycle control
D. better weight loss
E. better control of her acne Correct Answers C. better cycle
control
A 34-year-old female G4P4 sees you for her annual exam. you
notice that she uses natural family planning for contraception.
she states she desires no more pregnancies. you discuss other
options including long acting reversible contraception and
permanent sterilization. she declines for religious reasons.
Your next step should be to
A. Refuse to continue to see her as a patient
B. Laughingly tell her she is crazy and will probably see her
pregnant again next year
C. give her information on fertility awareness and encourage her
to contact you with any questions
D. advise her to talk to her partner and come back to discuss the
options
21.A nurse suspects that a pregnant client may be experiencing
abruption placenta based on assessment of which of the
following? (Select all that apply.) A) Dark red vaginal bleeding
B) Insidious onset
C) Absence of pain
D) Rigid uterus
E) Absent fetal heart tones Correct Answers A) Dark red
vaginal bleeding
D) Rigid uterus
E) Absent fetal heart tones
8. It is determined that a clients blood Rh is negative and her
partners is positive. To help prevent Rh isoimmunization, the
nurse anticipates that the client will receive RhoGAM at which
time?
A)At 34 weeks gestation and immediately before discharge
B) 24 hours before delivery and 24 hours after delivery
C) In the first trimester and within 2 hours of delivery
D)At 28 weeks gestation and again within 72 hours after
delivery Correct Answers D)At 28 weeks gestation and again
within 72 hours after delivery
a 16 year old sees you in the derm clinic. she is hesitant because
she heard antibiotics made "your birth control not work". you
reassure her that most common antibiotics do not lessen the
effectiveness of birth control pills.
when taken concurrently, which of the following will reduce the
efficacy of oral contraceptives?
A. tetracycline
,B. aspirin
C. phenytoin
D. metronidazole
E. methyldopa Correct Answers C. phenytoin
A 20 year old college student G0 sees you for her annual. her
gyn history is remarkable for menarche at 13 years and regular
cycles but her periods last 7-9 days and are very painful. her
college roommate had similar periods and got results with birth
control pills. during the history you note that she smokes 1 pack
per day. she has migraines that are preceded by flashing lights.
her mother had breast cancer diagnosed at age 49 years and both
her parents are hypertensive.
you are hesitant to prescribe birth control pills because of
A. her migraines preceded by flashing lights
B. Her painful periods that may be consistent with endometriosis
C. her smoking one pack per day
D. her history of breast cancer in her mother
E. her family history of hypertension Correct Answers A. her
migraines preceded by flashing lights
A 20-year-old white female G0 comes to see you about
contraception. She is in college and plans to go to grad school,
so she wants something that is 100% effective in preventing
pregnancy. You explain to her that the method failure rate and
the typical use rate can be very different depending on the
method chosen. The "method failure rate" reflects the rate of
failure when the method is:
A: compared with the use of no contraception at all
B: used correctly 100% of the time
, C: used by a random sample of women D: used in laboratory
animals e: used in the laboratory setting Correct Answers B:
used correctly 100% of the time
A 24-year-old Latin American female G2P2 sees you for her
annual. She is about to wean her baby in a few months and is on
the progesterone-only pill. She really likes this particular pill
because she has had no periods while breastfeeding. She
wonders if she can continue to use it. You counsel her that one
of the main reasons to consider switching to combination birth
control pills is:
A. Better lipid profile
B. better control of her moods
C. better cycle control
D. better weight loss
E. better control of her acne Correct Answers C. better cycle
control
A 34-year-old female G4P4 sees you for her annual exam. you
notice that she uses natural family planning for contraception.
she states she desires no more pregnancies. you discuss other
options including long acting reversible contraception and
permanent sterilization. she declines for religious reasons.
Your next step should be to
A. Refuse to continue to see her as a patient
B. Laughingly tell her she is crazy and will probably see her
pregnant again next year
C. give her information on fertility awareness and encourage her
to contact you with any questions
D. advise her to talk to her partner and come back to discuss the
options
