Science Medicine Obstetrics
Maternity Exam 3 NCLEX Qs
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MONTH 3 REVIEW Patient Care, Safety, and Communic... Ch34 obstetrics
Teacher 30 terms 30 terms 50 terms
delaneydowns95 Preview LawrieJ95 Preview antgutr23
For the client who is using oral ANS B
contraceptives, the nurse
informs the client about the Regular timely ingestion of oral contraceptives is necessary to
need to take the pill at the same maintain hormonal levels of the drugs to suppress the action of
time each day to accomplish the hypothalamus and anterior pituitary leading to inappropriate
which of the following? secretion of FSH and LH. Therefore, follicles do not mature,
ovulation is inhibited, and pregnancy is prevented. The estrogen
A- Decrease the incidence of content of the oral site contraceptive may cause the nausea,
nausea regardless of when the pill is taken. Side effects and drug
B- Maintain hormonal levels interactions may occur with oral contraceptives regardless of the
C- Reduce side effects time the pill is taken.
D- Prevent drug interactions
See an expert-written answer!
,A couple who wants to conceive ANS D
but has been unsuccessful
during the last 2 years has Based on the partner's statement, the couple is verbalizing
undergone many diagnostic feelings of inadequacy and negative feelings about themselves
procedures. When discussing and their capabilities. Thus, the nursing diagnosis of self-esteem
the situation with the nurse, one disturbance is most appropriate. Fear, pain, and ineffective family
partner states, "We know several coping also may be present but as secondary nursing diagnoses.
friends in our age group and all
of them have their own child
already, Why can't we have
one?". Which of the following
would be the most pertinent
nursing diagnosis for this
couple?
A-Fear related to the unknown
B-Pain related to numerous
procedures.
c-Ineffective family coping
related to infertility.
d-Self-esteem disturbance
related to infertility.
Heartburn and flatulence, ANS C
common in the second
trimester, are most likely the During the second trimester, the reduction in gastric acidity in
result of which of the following? conjunction with pressure from the growing uterus and smooth
muscle relaxation, can cause heartburn and flatulence. HCG
A- Increased plasma HCG levels levels increase in the first, not the second, trimester. Decrease
B- Decreased intestinal motility intestinal motility would most likely be the cause of constipation
C- Decreased gastric acidity and bloating. Estrogen levels decrease in the second trimester.
D- Elevated estrogen levels
See an expert-written answer!
ANS C
When teaching a client about
contraception. Which of the Condoms, when used correctly and consistently, are the most
following would the nurse effective contraceptive method or barrier against bacterial and
include as the most effective viral sexually transmitted infections. Although spermicides kill
method for preventing sexually sperm, they do not provide reliable protection against the
transmitted infections? spread of sexually transmitted infections, especially intracellular
organisms such as HIV. Insertion and removal of the diaphragm
A- Spermicides along with the use of the spermicides may cause vaginal
B- Diaphragm irritations, which could place the client at risk for infection
C- Condoms transmission. Male sterilization eliminates spermatozoa from the
D- Vasectomy ejaculate, but it does not eliminate bacterial and/or viral
microorganisms that can cause sexually transmitted infections.
See an expert-written answer!
, ANS D
A 40-year-old woman with a
high body mass index (BMI) is 10
An ultrasound is the method of biophysical assessment of the
weeks pregnant. Which
infant that is performed at this gestational age. Transvaginal
diagnostic tool is appropriate to
ultrasound is especially useful for obese women, whose thick
suggest to her at this time?
abdominal layers cannot be penetrated adequately with the
a- Biophysical profile
abdominal approach. A biophysical profile is a method of
B- Amniocentesis
biophysical assessment of fetal well-being in the third trimester.
C- Maternal serum alpha-
An amniocentesis is performed after the fourteenth week of
fetoprotein (MSAFP)
pregnancy. A MSAFP test is performed from week 15 to week 22
D- Transvaginal ultrasound
of the gestation (weeks 16 to 18 are ideal).
ANS A
The diaphragm must be fitted individually to ensure
effectiveness. Because of the changes to the reproductive
When preparing a woman who
structures during pregnancy and following delivery, the
is 2 days postpartum for
diaphragm must be refitted, usually at the 6 weeks' examination
discharge, recommendations for
following childbirth or after a weight loss of 15 lbs or more. In
which of the following
addition, for maximum effectiveness, spermicidal jelly should be
contraceptive methods would
placed in the dome and around the rim. However, spermicidal
be avoided?
jelly should not be inserted into the vagina until involution is
completed at approximately 6 weeks. Use of a female condom
A- Diaphragm
protects the reproductive system from the introduction of semen
B- Female condom
or spermicides into the vagina and may be used after childbirth.
C- Oral contraceptives
Oral contraceptives may be started within the first postpartum
D- Rhythm method
week to ensure suppression of ovulation . For the couple who
has determined the female's fertile period, using the rhythm
method, avoidance of intercourse during this period, is safe and
effective.
See an expert-written answer!
On which of the following areas ANS D
would the nurse expect to
observe chloasma? Chloasma, also called the mask of pregnancy, is an irregular
A- Breast, areola, and nipples hyperpigmented area found on the face. It is not seen on the
B- Chest, neck, arms, and legs breasts, areola, nipples, chest, neck, arms, legs, abdomen, or
C- Abdomen, breast, and thighs thighs.
D- Cheeks, forehead, and nose
See an expert-written answer!
, ANS C
An IUD may increase the risk of pelvic inflammatory disease,
For which of the following especially in women with more than one sexual partner, because
clients would the nurse expect of the increased risk of sexually transmitted infections. An UID
that an intrauterine device should not be used if the woman has an active or chronic pelvic
would not be recommended? infection, postpartum infection, endometrial hyperplasia or
carcinoma, or uterine abnormalities. Age is not a factor in
A- Woman over age 35 determining the risks associated with IUD use. Most IUD users
B- Nulliparous woman are over the age of 30. Although there is a slightly higher risk for
C- Promiscuous young adult infertility in women who have never been pregnant, the IUD is an
D- Postpartum client acceptable option as long as the risk-benefit ratio is discussed.
IUDs may be inserted immediately after delivery, but this is not
recommended because of the increased risk and rate of
expulsion at this time.
See an expert-written answer!
A pregnant client states that she ANS C
"waddles" when she walks. The
nurse's explanation is based on During pregnancy, hormonal changes cause relaxation of the
which of the following as the pelvic joints, resulting in the typical "waddling" gait. Changes in
cause? posture are related to the growing fetus. Pressure on the
surrounding muscles causing discomfort is due to the growing
A- The large size of the uterus. Weight gain has no effect on gait.
newborn
B- Pressure on the pelvic
muscles
C- Relaxation of the pelvic joints
D- Excessive weight gain
When preparing to listen to the ANS B
fetal heart rate at 12 weeks'
gestation, the nurse would use At 12 weeks gestation, the uterus rises out of the pelvis and is
which of the following? palpable above the symphysis pubis. The Doppler intensifies the
sound of the fetal pulse rate so it is audible. The uterus has
A- Stethoscope placed midline merely risen out of the pelvis into the abdominal cavity and is not
at the umbilicus at the level of the umbilicus. The fetal heart rate at this age is not
B- Doppler placed midline at audible with a stethoscope. The uterus at 12 weeks is just above
the suprapubic region the symphysis pubis in the abdominal cavity, not midway
C- Fetoscope placed midway between the umbilicus and the xiphoid process. At 12 weeks the
between the umbilicus and the FHR would be difficult to auscultate with a fetoscope. Although
xiphoid process the external electronic fetal monitor would project the FHR, the
D- External electronic fetal uterus has not risen to the umbilicus at 12 weeks.
monitor placed at the umbilicus
See an expert-written answer!
Maternity Exam 3 NCLEX Qs
Save
Students also studied
Flashcard sets Study guides
MONTH 3 REVIEW Patient Care, Safety, and Communic... Ch34 obstetrics
Teacher 30 terms 30 terms 50 terms
delaneydowns95 Preview LawrieJ95 Preview antgutr23
For the client who is using oral ANS B
contraceptives, the nurse
informs the client about the Regular timely ingestion of oral contraceptives is necessary to
need to take the pill at the same maintain hormonal levels of the drugs to suppress the action of
time each day to accomplish the hypothalamus and anterior pituitary leading to inappropriate
which of the following? secretion of FSH and LH. Therefore, follicles do not mature,
ovulation is inhibited, and pregnancy is prevented. The estrogen
A- Decrease the incidence of content of the oral site contraceptive may cause the nausea,
nausea regardless of when the pill is taken. Side effects and drug
B- Maintain hormonal levels interactions may occur with oral contraceptives regardless of the
C- Reduce side effects time the pill is taken.
D- Prevent drug interactions
See an expert-written answer!
,A couple who wants to conceive ANS D
but has been unsuccessful
during the last 2 years has Based on the partner's statement, the couple is verbalizing
undergone many diagnostic feelings of inadequacy and negative feelings about themselves
procedures. When discussing and their capabilities. Thus, the nursing diagnosis of self-esteem
the situation with the nurse, one disturbance is most appropriate. Fear, pain, and ineffective family
partner states, "We know several coping also may be present but as secondary nursing diagnoses.
friends in our age group and all
of them have their own child
already, Why can't we have
one?". Which of the following
would be the most pertinent
nursing diagnosis for this
couple?
A-Fear related to the unknown
B-Pain related to numerous
procedures.
c-Ineffective family coping
related to infertility.
d-Self-esteem disturbance
related to infertility.
Heartburn and flatulence, ANS C
common in the second
trimester, are most likely the During the second trimester, the reduction in gastric acidity in
result of which of the following? conjunction with pressure from the growing uterus and smooth
muscle relaxation, can cause heartburn and flatulence. HCG
A- Increased plasma HCG levels levels increase in the first, not the second, trimester. Decrease
B- Decreased intestinal motility intestinal motility would most likely be the cause of constipation
C- Decreased gastric acidity and bloating. Estrogen levels decrease in the second trimester.
D- Elevated estrogen levels
See an expert-written answer!
ANS C
When teaching a client about
contraception. Which of the Condoms, when used correctly and consistently, are the most
following would the nurse effective contraceptive method or barrier against bacterial and
include as the most effective viral sexually transmitted infections. Although spermicides kill
method for preventing sexually sperm, they do not provide reliable protection against the
transmitted infections? spread of sexually transmitted infections, especially intracellular
organisms such as HIV. Insertion and removal of the diaphragm
A- Spermicides along with the use of the spermicides may cause vaginal
B- Diaphragm irritations, which could place the client at risk for infection
C- Condoms transmission. Male sterilization eliminates spermatozoa from the
D- Vasectomy ejaculate, but it does not eliminate bacterial and/or viral
microorganisms that can cause sexually transmitted infections.
See an expert-written answer!
, ANS D
A 40-year-old woman with a
high body mass index (BMI) is 10
An ultrasound is the method of biophysical assessment of the
weeks pregnant. Which
infant that is performed at this gestational age. Transvaginal
diagnostic tool is appropriate to
ultrasound is especially useful for obese women, whose thick
suggest to her at this time?
abdominal layers cannot be penetrated adequately with the
a- Biophysical profile
abdominal approach. A biophysical profile is a method of
B- Amniocentesis
biophysical assessment of fetal well-being in the third trimester.
C- Maternal serum alpha-
An amniocentesis is performed after the fourteenth week of
fetoprotein (MSAFP)
pregnancy. A MSAFP test is performed from week 15 to week 22
D- Transvaginal ultrasound
of the gestation (weeks 16 to 18 are ideal).
ANS A
The diaphragm must be fitted individually to ensure
effectiveness. Because of the changes to the reproductive
When preparing a woman who
structures during pregnancy and following delivery, the
is 2 days postpartum for
diaphragm must be refitted, usually at the 6 weeks' examination
discharge, recommendations for
following childbirth or after a weight loss of 15 lbs or more. In
which of the following
addition, for maximum effectiveness, spermicidal jelly should be
contraceptive methods would
placed in the dome and around the rim. However, spermicidal
be avoided?
jelly should not be inserted into the vagina until involution is
completed at approximately 6 weeks. Use of a female condom
A- Diaphragm
protects the reproductive system from the introduction of semen
B- Female condom
or spermicides into the vagina and may be used after childbirth.
C- Oral contraceptives
Oral contraceptives may be started within the first postpartum
D- Rhythm method
week to ensure suppression of ovulation . For the couple who
has determined the female's fertile period, using the rhythm
method, avoidance of intercourse during this period, is safe and
effective.
See an expert-written answer!
On which of the following areas ANS D
would the nurse expect to
observe chloasma? Chloasma, also called the mask of pregnancy, is an irregular
A- Breast, areola, and nipples hyperpigmented area found on the face. It is not seen on the
B- Chest, neck, arms, and legs breasts, areola, nipples, chest, neck, arms, legs, abdomen, or
C- Abdomen, breast, and thighs thighs.
D- Cheeks, forehead, and nose
See an expert-written answer!
, ANS C
An IUD may increase the risk of pelvic inflammatory disease,
For which of the following especially in women with more than one sexual partner, because
clients would the nurse expect of the increased risk of sexually transmitted infections. An UID
that an intrauterine device should not be used if the woman has an active or chronic pelvic
would not be recommended? infection, postpartum infection, endometrial hyperplasia or
carcinoma, or uterine abnormalities. Age is not a factor in
A- Woman over age 35 determining the risks associated with IUD use. Most IUD users
B- Nulliparous woman are over the age of 30. Although there is a slightly higher risk for
C- Promiscuous young adult infertility in women who have never been pregnant, the IUD is an
D- Postpartum client acceptable option as long as the risk-benefit ratio is discussed.
IUDs may be inserted immediately after delivery, but this is not
recommended because of the increased risk and rate of
expulsion at this time.
See an expert-written answer!
A pregnant client states that she ANS C
"waddles" when she walks. The
nurse's explanation is based on During pregnancy, hormonal changes cause relaxation of the
which of the following as the pelvic joints, resulting in the typical "waddling" gait. Changes in
cause? posture are related to the growing fetus. Pressure on the
surrounding muscles causing discomfort is due to the growing
A- The large size of the uterus. Weight gain has no effect on gait.
newborn
B- Pressure on the pelvic
muscles
C- Relaxation of the pelvic joints
D- Excessive weight gain
When preparing to listen to the ANS B
fetal heart rate at 12 weeks'
gestation, the nurse would use At 12 weeks gestation, the uterus rises out of the pelvis and is
which of the following? palpable above the symphysis pubis. The Doppler intensifies the
sound of the fetal pulse rate so it is audible. The uterus has
A- Stethoscope placed midline merely risen out of the pelvis into the abdominal cavity and is not
at the umbilicus at the level of the umbilicus. The fetal heart rate at this age is not
B- Doppler placed midline at audible with a stethoscope. The uterus at 12 weeks is just above
the suprapubic region the symphysis pubis in the abdominal cavity, not midway
C- Fetoscope placed midway between the umbilicus and the xiphoid process. At 12 weeks the
between the umbilicus and the FHR would be difficult to auscultate with a fetoscope. Although
xiphoid process the external electronic fetal monitor would project the FHR, the
D- External electronic fetal uterus has not risen to the umbilicus at 12 weeks.
monitor placed at the umbilicus
See an expert-written answer!
