OB: Exam Part II (maternity - 13th end)
2025 newest update with well elaborated
questions and detailed accurate
answers verified A+ graded by experts
Which action is the first priority for the nurse who is assessing the influence of culture
on a client's diet?
a. Evaluate the client's weight gain during pregnancy.
b. Assess the socioeconomic status of the client.
c. Discuss the four food groups with the client.
d. Identify the food preferences and methods of food preparation common to the client's
culture. - CORRECT ANSWER D
Understanding the client's food preferences and how she prepares food will assist the
nurse in determining whether the client's culture is adversely affecting her nutritional
intake. An
evaluation of a client's weight gain during pregnancy should be included for all clients,
not only for clients from different cultural backgrounds. The socioeconomic status of the
client may alter the nutritional intake but not the cultural influence. Teaching the food
groups to the client should come after assessing her food preferences.
The nurse has formulated a diagnosis of Imbalanced nutrition: Less than body
requirements for the client. Which goal is most appropriate for this client to obtain?
a. Gain a total of 30 pounds.
b. Consistently take daily supplements.
c. Decrease her intake of snack foods.
d. Increase her intake of complex carbohydrates. - CORRECT ANSWER A
A weight gain of 30 pounds is one indication that the client has gained a sufficient
amount for the nutritional needs of pregnancy. A daily supplement is not the best goal
for this client and does not meet the basic need of proper nutrition during pregnancy.
Decreasing snack foods may be needed and should be assessed; however, assessing
weight gain is the best method of monitoring nutritional intake for this pregnant client.
Although increasing the intake of complex carbohydrates is important for this client,
monitoring the weight gain should be the end goal.
Which action is the highest priority for the nurse when educating a pregnant
adolescent?
,a. Emphasize the need to eliminate common teenage snack foods because they are
high in fat and sodium.
b. Determine the weight gain needed to meet adolescent growth, and add 35 pounds.
c. Suggest that she not eat at fast-food restaurants to avoid foods of poor nutritional
value.
d. Realize that most adolescents are unwilling to make dietary changes during
pregnancy. - CORRECT ANSWER B
Adolescents should gain in the upper range of the recommended weight gain. They also
need to gain weight that would be expected for their own normal growth. Changes in the
diet should be kept at a minimum. Snack foods can be included in moderation, and
other foods can be added to make up for lost nutrients. Eliminating fast foods would
make the adolescent appear different to her peers. The client should be taught to
choose foods that add needed nutrients. Adolescents are willing to make changes;
however, they still have the need to be similar to their peers.
Most women with uncomplicated pregnancies can use the nurse as their primary source
for
nutritional information. However, the nurse or midwife may need to refer a client to a
registered dietitian for in-depth nutritional counseling. Which conditions would require
such a consultation? (Select all that apply.)
a. Preexisting or gestational illness such as diabetes
b. Ethnic or cultural food patterns
c. Obesity
d. Vegetarian diets
e. Multifetal pregnancy - CORRECT ANSWER A, B, C, D
The nurse should be especially aware that conditions such as diabetes can require in-
depth dietary planning and evaluation. To prevent issues with hypoglycemia and
hyperglycemia, as well as an increased risk for perinatal morbidity and mortality, the
client with a preexisting or gestational illness would benefit from a referral to a dietitian.
Consultation with a dietitian may ensure that cultural food beliefs are congruent with
modern knowledge of fetal development and that adjustments can be made to ensure
that all nutritional needs are met. The obese pregnant client may be under the
misapprehension that, because of her excess weight, little or no weight gain is
necessary. According to the Institute of Medicine, a client with a BMI in the obese range
should gain at least 7 kg to ensure a healthy outcome. This client may require in-depth
counseling on the optimal food choices. The vegetarian client needs to have her dietary
intake carefully assessed to ensure that the optimal combination of amino acids and
protein intake is achieved. Very strict vegetarians (vegans) who consume only plant
products may also require vitamin B and mineral supplementation. A multifetal
pregnancy can be managed by increasing the number of servings of complex
carbohydrates and proteins.
Foodborne illnesses can cause adverse effects for both mother and fetus. The nurse is
in an ideal position to evaluate the client's knowledge regarding steps to prevent a
,foodborne illness. The nurse asks the client to "teach back" the fours simple steps of
food preparation. What are they?
(Select all that apply.)
a. Purchase
b. Clean
c. Separate
d. Cook
e. Chill - CORRECT ANSWER B, C, D, E
According to the U.S. Food and Drug Administration (2013), the "four simple steps" are:
• Clean: Frequently cleanse hands, food preparation surfaces, and utensils.
• Separate: Avoid contact among raw meat, fish, or poultry and other foods that will not
be
cooked before consumption.
• Cook: Cook foods to the proper temperature.
• Chill: Properly store foods, and promptly refrigerate.
The BMI for a woman who is 51 kg before pregnancy and 1.57 m tall is _____. -
CORRECT ANSWER 20.7
A commonly used method of evaluating the appropriateness of weight for height is the
BMI, which is calculated by the following formula.
BMI = Weight in kg divided by the height in meters squared
BMI = 51 kg / (1.57 m).47 = 20.69
Syphilis is a complex disease that can lead to serious systemic illness and even death if
left untreated. Which manifestation differentiates primary syphilis from secondary
syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection - CORRECT ANSWER D
Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to
90 days after infection. The chancre begins as a painless papule at the site of
inoculation and erodes to form a contender, shallow, and clean ulcer several millimeters
to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months after the
appearance of the chancre and is characterized by a widespread maculopapular rash.
The individual may also experience fever, headache, and malaise. Latent syphilis are
those infections that lack clinical manifestations; however, they are detected by
serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million
Americans, with an estimated number of 14 million new infections each year. The
highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic
, vaccination to prevent the HPV is now available. Which statement regarding this
vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact. - CORRECT
ANSWER A
Two vaccines for HPV are available—Cervix and Gardasil—and other vaccines
continue to be investigated. These vaccines protect against HPV types 6, 11, 16, and
18. They are most effective if administered before the first sexual contact.
Recommendations are that vaccines be administered to 11- and 12-year-old girls and
boys. The vaccine can be given to girls as young as 9 years of age and young women
ages 13 to 26 years in three doses over a 6-month period.
Which sexually transmitted infection (STI) is the most commonly reported in American
women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis - CORRECT ANSWER C
Chlamydia is the most common and fastest spreading STI among American women,
with an estimated 3 million new cases each year. Infection rates are two and a half
times that of men. Gonorrhea is probably the oldest communicable disease in the
United States and second to Chlamydia in reported conditions. Syphilis is the earliest
described STI. Candidiasis is a relatively common fungal infection.
The Centers for Disease Control and Prevention (CDC) recommends which therapy for
the treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth - CORRECT ANSWER B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is
used to treat athlete's foot. Penicillin IM is used to treat syphilis. Metronidazole is used
to treat bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white
patches on her labia and in her vagina. She complains of intense pruritus. Which
medication should the nurse practitioner order to treat this condition?
2025 newest update with well elaborated
questions and detailed accurate
answers verified A+ graded by experts
Which action is the first priority for the nurse who is assessing the influence of culture
on a client's diet?
a. Evaluate the client's weight gain during pregnancy.
b. Assess the socioeconomic status of the client.
c. Discuss the four food groups with the client.
d. Identify the food preferences and methods of food preparation common to the client's
culture. - CORRECT ANSWER D
Understanding the client's food preferences and how she prepares food will assist the
nurse in determining whether the client's culture is adversely affecting her nutritional
intake. An
evaluation of a client's weight gain during pregnancy should be included for all clients,
not only for clients from different cultural backgrounds. The socioeconomic status of the
client may alter the nutritional intake but not the cultural influence. Teaching the food
groups to the client should come after assessing her food preferences.
The nurse has formulated a diagnosis of Imbalanced nutrition: Less than body
requirements for the client. Which goal is most appropriate for this client to obtain?
a. Gain a total of 30 pounds.
b. Consistently take daily supplements.
c. Decrease her intake of snack foods.
d. Increase her intake of complex carbohydrates. - CORRECT ANSWER A
A weight gain of 30 pounds is one indication that the client has gained a sufficient
amount for the nutritional needs of pregnancy. A daily supplement is not the best goal
for this client and does not meet the basic need of proper nutrition during pregnancy.
Decreasing snack foods may be needed and should be assessed; however, assessing
weight gain is the best method of monitoring nutritional intake for this pregnant client.
Although increasing the intake of complex carbohydrates is important for this client,
monitoring the weight gain should be the end goal.
Which action is the highest priority for the nurse when educating a pregnant
adolescent?
,a. Emphasize the need to eliminate common teenage snack foods because they are
high in fat and sodium.
b. Determine the weight gain needed to meet adolescent growth, and add 35 pounds.
c. Suggest that she not eat at fast-food restaurants to avoid foods of poor nutritional
value.
d. Realize that most adolescents are unwilling to make dietary changes during
pregnancy. - CORRECT ANSWER B
Adolescents should gain in the upper range of the recommended weight gain. They also
need to gain weight that would be expected for their own normal growth. Changes in the
diet should be kept at a minimum. Snack foods can be included in moderation, and
other foods can be added to make up for lost nutrients. Eliminating fast foods would
make the adolescent appear different to her peers. The client should be taught to
choose foods that add needed nutrients. Adolescents are willing to make changes;
however, they still have the need to be similar to their peers.
Most women with uncomplicated pregnancies can use the nurse as their primary source
for
nutritional information. However, the nurse or midwife may need to refer a client to a
registered dietitian for in-depth nutritional counseling. Which conditions would require
such a consultation? (Select all that apply.)
a. Preexisting or gestational illness such as diabetes
b. Ethnic or cultural food patterns
c. Obesity
d. Vegetarian diets
e. Multifetal pregnancy - CORRECT ANSWER A, B, C, D
The nurse should be especially aware that conditions such as diabetes can require in-
depth dietary planning and evaluation. To prevent issues with hypoglycemia and
hyperglycemia, as well as an increased risk for perinatal morbidity and mortality, the
client with a preexisting or gestational illness would benefit from a referral to a dietitian.
Consultation with a dietitian may ensure that cultural food beliefs are congruent with
modern knowledge of fetal development and that adjustments can be made to ensure
that all nutritional needs are met. The obese pregnant client may be under the
misapprehension that, because of her excess weight, little or no weight gain is
necessary. According to the Institute of Medicine, a client with a BMI in the obese range
should gain at least 7 kg to ensure a healthy outcome. This client may require in-depth
counseling on the optimal food choices. The vegetarian client needs to have her dietary
intake carefully assessed to ensure that the optimal combination of amino acids and
protein intake is achieved. Very strict vegetarians (vegans) who consume only plant
products may also require vitamin B and mineral supplementation. A multifetal
pregnancy can be managed by increasing the number of servings of complex
carbohydrates and proteins.
Foodborne illnesses can cause adverse effects for both mother and fetus. The nurse is
in an ideal position to evaluate the client's knowledge regarding steps to prevent a
,foodborne illness. The nurse asks the client to "teach back" the fours simple steps of
food preparation. What are they?
(Select all that apply.)
a. Purchase
b. Clean
c. Separate
d. Cook
e. Chill - CORRECT ANSWER B, C, D, E
According to the U.S. Food and Drug Administration (2013), the "four simple steps" are:
• Clean: Frequently cleanse hands, food preparation surfaces, and utensils.
• Separate: Avoid contact among raw meat, fish, or poultry and other foods that will not
be
cooked before consumption.
• Cook: Cook foods to the proper temperature.
• Chill: Properly store foods, and promptly refrigerate.
The BMI for a woman who is 51 kg before pregnancy and 1.57 m tall is _____. -
CORRECT ANSWER 20.7
A commonly used method of evaluating the appropriateness of weight for height is the
BMI, which is calculated by the following formula.
BMI = Weight in kg divided by the height in meters squared
BMI = 51 kg / (1.57 m).47 = 20.69
Syphilis is a complex disease that can lead to serious systemic illness and even death if
left untreated. Which manifestation differentiates primary syphilis from secondary
syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection - CORRECT ANSWER D
Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to
90 days after infection. The chancre begins as a painless papule at the site of
inoculation and erodes to form a contender, shallow, and clean ulcer several millimeters
to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months after the
appearance of the chancre and is characterized by a widespread maculopapular rash.
The individual may also experience fever, headache, and malaise. Latent syphilis are
those infections that lack clinical manifestations; however, they are detected by
serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million
Americans, with an estimated number of 14 million new infections each year. The
highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic
, vaccination to prevent the HPV is now available. Which statement regarding this
vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact. - CORRECT
ANSWER A
Two vaccines for HPV are available—Cervix and Gardasil—and other vaccines
continue to be investigated. These vaccines protect against HPV types 6, 11, 16, and
18. They are most effective if administered before the first sexual contact.
Recommendations are that vaccines be administered to 11- and 12-year-old girls and
boys. The vaccine can be given to girls as young as 9 years of age and young women
ages 13 to 26 years in three doses over a 6-month period.
Which sexually transmitted infection (STI) is the most commonly reported in American
women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis - CORRECT ANSWER C
Chlamydia is the most common and fastest spreading STI among American women,
with an estimated 3 million new cases each year. Infection rates are two and a half
times that of men. Gonorrhea is probably the oldest communicable disease in the
United States and second to Chlamydia in reported conditions. Syphilis is the earliest
described STI. Candidiasis is a relatively common fungal infection.
The Centers for Disease Control and Prevention (CDC) recommends which therapy for
the treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth - CORRECT ANSWER B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is
used to treat athlete's foot. Penicillin IM is used to treat syphilis. Metronidazole is used
to treat bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white
patches on her labia and in her vagina. She complains of intense pruritus. Which
medication should the nurse practitioner order to treat this condition?
