Test Bank For Essentials of Maternity, Newborn, and Women's
Health Nursing 4th Edition by Susan Ricci
A nurse instructs a client who is taking oral contraceptives to increase her intake of
dietary supplements. Which supplement should be increased?
Calcium
Vitamin C
Vitamin E
Potassium - ANSWER: Vitamin C
A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is
a recent immigrant from Asia, and the nurse explores the foods that the client
usually eats. Which foods should the nurse counsel the client to avoid during
pregnancy? (Select all that apply.)
1.Yogurt
2.Oily fish
3.Apricots
4.Raw shellfish
5.Herbal supplements
6.Soft-scrambled eggs - ANSWER: 4.Raw shellfish
5.Herbal supplements
6.Soft-scrambled eggs
A nurse is caring for an adolescent in labor an hour after she was admitted to the
birthing unit. The adolescent is anxious and tense. She cries during contractions and
asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current
vital signs and reviews her history and admission information. What nursing
interventions are essential before epidural anesthesia is administered? (Select all
that apply.)
1.Performing a baseline vaginal examination
2.Telling the adolescent what to expect with each procedure
3.Identifying risk factors that contraindicate epidural anesthesia
4.Having the parents sign a consent form for the epidural anesthesia
5.Explaining the need to stay in one position while the epidural catheter is in place -
ANSWER: 1.Performing a baseline vaginal examination
2.Telling the adolescent what to expect with each procedure
3.Identifying risk factors that contraindicate epidural anesthesia
Methods of relieving back pain are explained during a childbirth class. What activities
identified by the client permit the nurse to conclude that the teaching has been
understood? (Select all that apply.)
,1.Tailor sitting
2.Pelvic rocking
3.Forward tilting
4 .Sacral pressure
5.Kegel exercises - ANSWER: 2.Pelvic rocking
3.Forward tilting
4 .Sacral pressure
Contraceptives that contain estrogen-like and/or progesterone-like compounds are
prepared in a variety of forms. Which contraceptives should the nurse tell clients
have a hormonal component? (Select all that apply.)
1.Oral drugs
2.Diaphragm
3.Cervical cap
4.Female condoms
5.Foam spermicide.
6.Transdermal agents - ANSWER: 1.Oral drugs
6.Transdermal agents
A client undergoes anterior and posterior surgical repair of a cystocele and rectocele
and returns from the postanesthesia care unit with an indwelling catheter in place.
What should the nurse tell the client about the primary reasons for the catheter?
(Select all that apply.)
1.Discomfort is minimized.
2.Bladder tone is maintained.
3.Retention of urine is prevented.
4.Pressure on the suture line is relieved.
5.Hourly urine output can be easily measured - ANSWER: 1.Discomfort is minimized
3.Retention of urine is prevented.
4.Pressure on the suture line is relieved.
A client comes to the fertility clinic for hysterosalpingography using radiopaque
contrast material to determine whether her fallopian tubes are patent. When
preparing for the test, the nurse explains to the client that she:
1.Will receive a local anesthetic and the pain will lessen
2.Will have to rest in bed for 8 hours after the test is completed
3.May have some persistent shoulder pain for 14 hours after the test
4.May become nauseated during the test, but the nausea will subside - ANSWER:
3.May have some persistent shoulder pain for 14 hours after the test
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" - ANSWER: 3.Will put a baby's picture on my bathroom mirror so I'll see it
every morning"
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) - ANSWER: 4.Propranolol (Inderal)
A nurse is caring for a client who is being given intravenous magnesium sulfate to
treat preeclampsia. Which adverse side effect alerts the nurse to notify the health
care provider?
1.Respiratory rate of 18 breaths/min
2.2+ patellar reflex response
3.Magnesium blood level of 5 mEq/L
4.Urine output of less than 100 mL in 4 hours - ANSWER: 4.Urine output of less than
100 mL in 4 hours
A couple expresses a desire to use the rhythm method of birth control. The woman
tells the nurse that she menstruates every 32 days. What should the nurse teach the
couple about when the client's ovulation probably occurs?
1.On the 14th day of the cycle
2.10 days after the first day of bleeding
3.14 days before the start of the next menses
4.2 to 3 days after the last day of menstrual bleeding - ANSWER: 3.14 days before
the start of the next menses
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 - ANSWER: 1.Perineal care
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." -
ANSWER: 3."I'll start limiting my carbohydrates."
4."I'll lie down for at least 2 hours after I eat."
A primigravida at 12 weeks' gestation complains of nausea and vomiting during a
visit to the prenatal clinic. Which pregnancy hormone should the nurse explain is
thought to be responsible for nausea and vomiting during the first trimester?
1.Estrogen
2.Progesterone
3.Human placental lactogen (hPL)
4.Human chorionic gonadotropin (hCG) - ANSWER: 4.Human chorionic gonadotropin
(hCG)
The nurse discusses the recommended weight gain during pregnancy with a newly
pregnant client who is 5 feet 3 inches tall and weighs 125 lb. The nurse explains that
with the recommended weight gain, at term the client should weigh about:
1.150 lb
2.140 lb
3.135 lb
4.130 lb - ANSWER: 1.150 lb
The nurse is caring for a group of postpartum clients. Which factor puts a client at
increased risk for postpartum hemorrhage?
1.Breastfeeding in the birthing room
2.Receiving a pudendal block for the birth
3.Having a third stage of labor that lasts 10 minutes
4.Giving birth to a baby weighing 9 lb 8 oz - ANSWER: 4.Giving birth to a baby
weighing 9 lb 8 oz
A client at 10 weeks' gestation phones the prenatal clinic to report that she is
experiencing some vaginal bleeding and abdominal cramping. The nurse arranges for
her to go to the local hospital. The vaginal examination reveals that her cervix is
dilated 2 cm. What diagnosis should the nurse expect?
1.Septic abortion
2.Inevitable abortion
3.Threatened abortion
4.Incomplete abortion - ANSWER: 2.Inevitable abortion
The school nurse is teaching a group of 16-year-old girls about the female
reproductive system. One student asks how long after ovulation it is possible for
Health Nursing 4th Edition by Susan Ricci
A nurse instructs a client who is taking oral contraceptives to increase her intake of
dietary supplements. Which supplement should be increased?
Calcium
Vitamin C
Vitamin E
Potassium - ANSWER: Vitamin C
A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is
a recent immigrant from Asia, and the nurse explores the foods that the client
usually eats. Which foods should the nurse counsel the client to avoid during
pregnancy? (Select all that apply.)
1.Yogurt
2.Oily fish
3.Apricots
4.Raw shellfish
5.Herbal supplements
6.Soft-scrambled eggs - ANSWER: 4.Raw shellfish
5.Herbal supplements
6.Soft-scrambled eggs
A nurse is caring for an adolescent in labor an hour after she was admitted to the
birthing unit. The adolescent is anxious and tense. She cries during contractions and
asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current
vital signs and reviews her history and admission information. What nursing
interventions are essential before epidural anesthesia is administered? (Select all
that apply.)
1.Performing a baseline vaginal examination
2.Telling the adolescent what to expect with each procedure
3.Identifying risk factors that contraindicate epidural anesthesia
4.Having the parents sign a consent form for the epidural anesthesia
5.Explaining the need to stay in one position while the epidural catheter is in place -
ANSWER: 1.Performing a baseline vaginal examination
2.Telling the adolescent what to expect with each procedure
3.Identifying risk factors that contraindicate epidural anesthesia
Methods of relieving back pain are explained during a childbirth class. What activities
identified by the client permit the nurse to conclude that the teaching has been
understood? (Select all that apply.)
,1.Tailor sitting
2.Pelvic rocking
3.Forward tilting
4 .Sacral pressure
5.Kegel exercises - ANSWER: 2.Pelvic rocking
3.Forward tilting
4 .Sacral pressure
Contraceptives that contain estrogen-like and/or progesterone-like compounds are
prepared in a variety of forms. Which contraceptives should the nurse tell clients
have a hormonal component? (Select all that apply.)
1.Oral drugs
2.Diaphragm
3.Cervical cap
4.Female condoms
5.Foam spermicide.
6.Transdermal agents - ANSWER: 1.Oral drugs
6.Transdermal agents
A client undergoes anterior and posterior surgical repair of a cystocele and rectocele
and returns from the postanesthesia care unit with an indwelling catheter in place.
What should the nurse tell the client about the primary reasons for the catheter?
(Select all that apply.)
1.Discomfort is minimized.
2.Bladder tone is maintained.
3.Retention of urine is prevented.
4.Pressure on the suture line is relieved.
5.Hourly urine output can be easily measured - ANSWER: 1.Discomfort is minimized
3.Retention of urine is prevented.
4.Pressure on the suture line is relieved.
A client comes to the fertility clinic for hysterosalpingography using radiopaque
contrast material to determine whether her fallopian tubes are patent. When
preparing for the test, the nurse explains to the client that she:
1.Will receive a local anesthetic and the pain will lessen
2.Will have to rest in bed for 8 hours after the test is completed
3.May have some persistent shoulder pain for 14 hours after the test
4.May become nauseated during the test, but the nausea will subside - ANSWER:
3.May have some persistent shoulder pain for 14 hours after the test
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" - ANSWER: 3.Will put a baby's picture on my bathroom mirror so I'll see it
every morning"
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) - ANSWER: 4.Propranolol (Inderal)
A nurse is caring for a client who is being given intravenous magnesium sulfate to
treat preeclampsia. Which adverse side effect alerts the nurse to notify the health
care provider?
1.Respiratory rate of 18 breaths/min
2.2+ patellar reflex response
3.Magnesium blood level of 5 mEq/L
4.Urine output of less than 100 mL in 4 hours - ANSWER: 4.Urine output of less than
100 mL in 4 hours
A couple expresses a desire to use the rhythm method of birth control. The woman
tells the nurse that she menstruates every 32 days. What should the nurse teach the
couple about when the client's ovulation probably occurs?
1.On the 14th day of the cycle
2.10 days after the first day of bleeding
3.14 days before the start of the next menses
4.2 to 3 days after the last day of menstrual bleeding - ANSWER: 3.14 days before
the start of the next menses
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 - ANSWER: 1.Perineal care
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." -
ANSWER: 3."I'll start limiting my carbohydrates."
4."I'll lie down for at least 2 hours after I eat."
A primigravida at 12 weeks' gestation complains of nausea and vomiting during a
visit to the prenatal clinic. Which pregnancy hormone should the nurse explain is
thought to be responsible for nausea and vomiting during the first trimester?
1.Estrogen
2.Progesterone
3.Human placental lactogen (hPL)
4.Human chorionic gonadotropin (hCG) - ANSWER: 4.Human chorionic gonadotropin
(hCG)
The nurse discusses the recommended weight gain during pregnancy with a newly
pregnant client who is 5 feet 3 inches tall and weighs 125 lb. The nurse explains that
with the recommended weight gain, at term the client should weigh about:
1.150 lb
2.140 lb
3.135 lb
4.130 lb - ANSWER: 1.150 lb
The nurse is caring for a group of postpartum clients. Which factor puts a client at
increased risk for postpartum hemorrhage?
1.Breastfeeding in the birthing room
2.Receiving a pudendal block for the birth
3.Having a third stage of labor that lasts 10 minutes
4.Giving birth to a baby weighing 9 lb 8 oz - ANSWER: 4.Giving birth to a baby
weighing 9 lb 8 oz
A client at 10 weeks' gestation phones the prenatal clinic to report that she is
experiencing some vaginal bleeding and abdominal cramping. The nurse arranges for
her to go to the local hospital. The vaginal examination reveals that her cervix is
dilated 2 cm. What diagnosis should the nurse expect?
1.Septic abortion
2.Inevitable abortion
3.Threatened abortion
4.Incomplete abortion - ANSWER: 2.Inevitable abortion
The school nurse is teaching a group of 16-year-old girls about the female
reproductive system. One student asks how long after ovulation it is possible for
