NURS473 OB Exam 3: Review
1. A client at 6 weeks postpartum is preparing to receive a depot medrox-
yprogesterone acetate (Depo-Provera) injection. Which statement by the
client indicates that further teaching is necessary?
A. "I will need to return every 3 months for a follow-up."
B. "I need to be patient as it will take a while before I can get pregnant."
C. "By increasing my activity and watching my diet I will better control
my weight."
D. "This does not affect my milk supply so I can continue to breastfeed.": B.
"I need to be patient as it will take a while before I can get pregnant."
2. When discussing contraceptive options, the nurse would recommend
which option as being the most reliable?
A. coitus interruptus
B. lactational amenorrheal method (LAM)
C. natural family planning
D. intrauterine system: D. intrauterine system
3. When preparing a teaching plan for a female adolescent with a sexually
transmitted infection (STI), the nurse plans to address the fact that the
adoles- cent is at increased risk for cervical cancer. Which STI would the
adolescent most likely have?
A. genital warts
B. genital herpes
C. syphilis
D. chlamydia: A. genital warts
4. A nurse is teaching about genital herpes infection at a community
clinic. The nurse determines that additional discussion is needed when
the group identifies which activity as a means of transmission?
A. kissing
B. sexual contact
, NURS473 OB Exam 3: Review
C. giving vaginal birth
D. sharing contaminated needles: D. sharing contaminated needles
5. A client reports leaking urine when she sneezes. Which of the
following characteristics might be contributing to her stress
incontinence? (Multiple response)
A. A lingering, "COVID cough"
B. Frequent bouts of constipation
C. History of smoking in her twenties
D. History of 4 vaginal births
E. A passion for weightlifting
F. History of chemotherapy for breast cancer: A. A lingering, "COVID cough"
B. Frequent bouts of constipation
D. History of 4 vaginal births
E. A passion for weightlifting
6. When obtaining the health history from an adolescent client, which
factor would lead the nurse to suspect that the client has an increased risk
for sexually transmitted infections (STIs)?
A. hive-like rash for the past 2 days
B. five different sexual partners
C. weight gain of 5 lb (2.3 kg) in 1 year
D. clear vaginal discharge: B. five different sexual partners
7. A client reports feeling a lump on her right breast that does not move
when she touches it. She denies pain to the breast and states "the skin
around my nipple is taut". What type of breast disorder might be present?
A. Mastitis
B. Fibrocystic changes
C. Fibroademona
D. Malignancy: D. Malignancy
, NURS473 OB Exam 3: Review
8. The nurse is monitoring several postpartum women for potential
compli- cations related to the birthing process. Which assessment should
the nurse prioritize on an hourly basis?
A. Complete blood count
B. Vital signs
C. Pad count
D. Urine volume excreted: C. Pad count
9. Which factor puts a multiparous client on her first postpartum day at
risk for developing hemorrhage?
A. hemoglobin level of 12 g/dl (120 g/L)
B. uterine atony
C. thrombophlebitis
D. moderate amount of lochia rubra: B. uterine atony
10. A client develops mastitis 3 weeks after giving birth. What part of
client self-care is emphasized as most important?
A. Administer antibiotic medication for the full 10 days even if she begins
to feel better
B. Use NSAIDs, warm showers, and warm compresses to relieve her
discom- fort
C. Breastfeed or otherwise empty her breasts every 1 to 2 hours
D. Increase her fluid intake to ensure that she will continue to produce
ade- quate milk: C. Breastfeed or otherwise empty her breasts every 1
to 2 hours
11. Which factor in a client's history would alert the nurse to an increased
risk for postpartum hemorrhage?
A. multiparity, age of mother, operative birth
B. size of placenta, small baby, operative birth
C. uterine atony, placenta previa, operative procedures
D. prematurity, infection, length of labor: C. uterine atony, placenta previa,
1. A client at 6 weeks postpartum is preparing to receive a depot medrox-
yprogesterone acetate (Depo-Provera) injection. Which statement by the
client indicates that further teaching is necessary?
A. "I will need to return every 3 months for a follow-up."
B. "I need to be patient as it will take a while before I can get pregnant."
C. "By increasing my activity and watching my diet I will better control
my weight."
D. "This does not affect my milk supply so I can continue to breastfeed.": B.
"I need to be patient as it will take a while before I can get pregnant."
2. When discussing contraceptive options, the nurse would recommend
which option as being the most reliable?
A. coitus interruptus
B. lactational amenorrheal method (LAM)
C. natural family planning
D. intrauterine system: D. intrauterine system
3. When preparing a teaching plan for a female adolescent with a sexually
transmitted infection (STI), the nurse plans to address the fact that the
adoles- cent is at increased risk for cervical cancer. Which STI would the
adolescent most likely have?
A. genital warts
B. genital herpes
C. syphilis
D. chlamydia: A. genital warts
4. A nurse is teaching about genital herpes infection at a community
clinic. The nurse determines that additional discussion is needed when
the group identifies which activity as a means of transmission?
A. kissing
B. sexual contact
, NURS473 OB Exam 3: Review
C. giving vaginal birth
D. sharing contaminated needles: D. sharing contaminated needles
5. A client reports leaking urine when she sneezes. Which of the
following characteristics might be contributing to her stress
incontinence? (Multiple response)
A. A lingering, "COVID cough"
B. Frequent bouts of constipation
C. History of smoking in her twenties
D. History of 4 vaginal births
E. A passion for weightlifting
F. History of chemotherapy for breast cancer: A. A lingering, "COVID cough"
B. Frequent bouts of constipation
D. History of 4 vaginal births
E. A passion for weightlifting
6. When obtaining the health history from an adolescent client, which
factor would lead the nurse to suspect that the client has an increased risk
for sexually transmitted infections (STIs)?
A. hive-like rash for the past 2 days
B. five different sexual partners
C. weight gain of 5 lb (2.3 kg) in 1 year
D. clear vaginal discharge: B. five different sexual partners
7. A client reports feeling a lump on her right breast that does not move
when she touches it. She denies pain to the breast and states "the skin
around my nipple is taut". What type of breast disorder might be present?
A. Mastitis
B. Fibrocystic changes
C. Fibroademona
D. Malignancy: D. Malignancy
, NURS473 OB Exam 3: Review
8. The nurse is monitoring several postpartum women for potential
compli- cations related to the birthing process. Which assessment should
the nurse prioritize on an hourly basis?
A. Complete blood count
B. Vital signs
C. Pad count
D. Urine volume excreted: C. Pad count
9. Which factor puts a multiparous client on her first postpartum day at
risk for developing hemorrhage?
A. hemoglobin level of 12 g/dl (120 g/L)
B. uterine atony
C. thrombophlebitis
D. moderate amount of lochia rubra: B. uterine atony
10. A client develops mastitis 3 weeks after giving birth. What part of
client self-care is emphasized as most important?
A. Administer antibiotic medication for the full 10 days even if she begins
to feel better
B. Use NSAIDs, warm showers, and warm compresses to relieve her
discom- fort
C. Breastfeed or otherwise empty her breasts every 1 to 2 hours
D. Increase her fluid intake to ensure that she will continue to produce
ade- quate milk: C. Breastfeed or otherwise empty her breasts every 1
to 2 hours
11. Which factor in a client's history would alert the nurse to an increased
risk for postpartum hemorrhage?
A. multiparity, age of mother, operative birth
B. size of placenta, small baby, operative birth
C. uterine atony, placenta previa, operative procedures
D. prematurity, infection, length of labor: C. uterine atony, placenta previa,
