EVOLVE : Maternity – Women’s Health/Disorders
Test Exam Questions And Answers Verified
100% Correct
A couple interested in family planning ask the nurse about the cervical mucus method of
family planning. The nurse explains that with this method the couple must avoid
intercourse when and a few days after the cervical mucus is: - ANSWER- Clear and
stretchable
A pregnant client asks a nurse for information about toxoplasmosis during pregnancy.
What should the nurse teach the client about how to prevent the transmission of
toxoplasmosis? - ANSWER- Pork and beef should be cooked well before being eaten.
A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-
oophorectomy. What does a nurse expect to be the client's priority concern? -
ANSWER- Loss of childbearing potential
A female client with Hodgkin disease is to start total nodal irradiation. She and her
partner, who are planning a family, become concerned when they learn that the
radiation therapy includes the pelvic area. Before responding what must the nurse
consider? - ANSWER- The eggs in the ovaries can be removed and frozen for future
use.
When seeing her preterm infant son in the neonatal intensive care unit for the first time,
a mother exclaims, "He's so little! How will I ever be able to take care of him?" The
nurse explains to the mother that she: - ANSWER- Will be encouraged to participate in
his care as much as possible
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? - ANSWER- Human
chorionic gonadotropin (hCG)
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the
client confides that her mother died of endometrial cancer 1 year ago and says that she
is afraid that she will die of the same cancer. Which risk factor stated by the client after
an education session on risk factors indicates that further teaching is needed? -
ANSWER- Late-onset menarche
,A nurse caring for a pregnant woman determines that she is engaging in the practice of
pica. Why should the nurse prepare a teaching plan for this client? - ANSWER- Inedible
items are being ingested.
-Pica is the eating of inedibles such as starch or dirt. There is a cultural influence on this
practice, but it may also be related to malnutrition or anemia. Food cravings frequently
occur in pregnant women. If many foods are causing nausea and vomiting, the client
has morning sickness. If it continues past the first trimester, it may be hyperemesis
gravidarum. The dislike for essential food groups does not describe the practice of pica.
The nurse is teaching a prenatal class to expectant mothers in their first trimester of
pregnancy. In addition to discussing the need for 0.6 mg/day of folic acid replacement,
which dietary choice that is high in folic acid should the nurse recommend? - ANSWER-
Half cup of cooked spinach
-A half cup of cooked spinach provides 100 mcg of folic acid per serving. One egg, a
slice of bread, and half a cup of corn each provides only 20 mcg per serving.
A nurse is counseling a pregnant client with iron-deficiency anemia about when and
how to take supplemental iron. What time of day and with what drink is iron absorption
most efficient? - ANSWER- Before breakfast with orange juice
-Iron should be taken before breakfast, on an empty stomach, to permit maximal
absorption; ascorbic acid enhances the absorption of iron.
A client undergoes dilation and curettage (D&C) after an early miscarriage
(spontaneous abortion). The nurse finds her crying later in the day. What is the most
appropriate statement by the nurse? - ANSWER- "This must be a very hard experience
for you to deal with."
A practitioner orders doxycycline (Vibramycin) for a sexually active woman with a
history of a mucopurulent discharge and bleeding associated with cervical dysplasia,
dysuria, and dyspareunia. With which sexually transmitted infection are these clinical
findings and medication therapy commonly associated? - ANSWER- Chlamydial
infection
-The signs and symptoms listed and the treatment ordered (doxycycline or
azithromycin) indicate that the client has a chlamydial infection. Painful blisters on the
genitalia, fever, malaise, dysuria, and dyspareunia are signs of herpes simplex virus 2
infection. Chancre formation is a sign of primary syphilis; a symmetrical rash
accompanied by malaise, fever, anorexia, and headache is indicative of secondary
syphilis. Dysuria, heavy greenish-yellow purulent discharge, and swollen Bartholin
glands are signs of gonorrhea.
,The clinic nurse is reviewing the dietary intake of a 16-year-old who is 12 weeks
pregnant. What is the nurse's next action? - ANSWER- -Asking the client, "How many
servings of dairy do you generally consume each day?"
-Once the nurse knows the number of servings of calcium-rich foods the client
consumes each day, the nutrition teaching plan can be personalized to her needs. The
daily required intake of calcium for clients under 19 is 1300 mg. This amount can be
obtained from 4 cups of milk or yogurt per day. Because there are sources of calcium
other than milk, asking whether the client likes milk is not an appropriate first question.
*Alternative sources of calcium include cheese, yogurt, figs, kale, sardines, orange juice
with added calcium, creamy pesto, and cheese sauce.*
A client who is to undergo dilation and curettage, and conization of the cervix for cancer
appears tense and anxious. What is the best approach for the nurse to support the
client emotionally? - ANSWER- Asking whether something is troubling the client and
whether she'd like to talk about it
A nurse is caring for a client who has contracted a trichomonal infection. Which oral
drug should the nurse anticipate that the health care provider will most likely prescribe?
- ANSWER- Metronidazole (Flagyl)
-Metronidazole (Flagyl) is a potent amebicide. It is effective in eradicating the protozoan
Trichomonas vaginalis. Penicillin is administered for its effect on bacterial, not protozoal,
infections. Gentian violet is a local anti-infective that is applied topically; it may cause
discoloration of the skin. It is effective against Candida albicans. Nystatin (Mycostatin) is
an antifungal for infections caused by C. albicans.
After 8 postpartum hours the nurse determines that a client's fundus is 3 cm above the
umbilicus and displaced to the right. Which statement is most significant in confirming
the reason for the location of the uterus? - ANSWER- "I went to the bathroom, but I
can't seem to urinate."
-Not being able to urinate, in conjunction with the other findings, suggests urine
retention. Thirst is unrelated to the other findings; it is related to dehydration. Changing
the pad once in 8 hours is an expected postpartum response. Contractions while
breastfeeding are expected; oxytocin secretion, which is stimulated by infant suckling,
causes the uterus to contract.
A client asks the nurse at the family planning clinic whether contraception is needed
while she is breastfeeding. How should the nurse reply? - ANSWER- "You should use
contraceptives, because ovulation may occur without a period."
, -Anovulation occurs in nursing mothers for varying periods; breastfeeding is not a
reliable method of birth control. Periods may not occur for several months; sexual
relations need not be delayed this long. Ovulation can occur without menstruation.
Lactation may delay menses but does not reliably suppress ovulation.
A nurse is caring for four clients, each with a different medical condition. Which
condition should the nurse anticipate will result in the client's being instructed by the
health care provider not to breastfeed? - ANSWER- Human immunodeficiency virus
-Breastfeeding by a mother infected with HIV is contraindicated because breast milk
can transmit the virus to the infant. Breastfeeding by a mother with mastitis is not
always contraindicated; during antibiotic treatment the mother can maintain lactation by
pumping the breasts and discarding the milk. Once the infection has resolved,
breastfeeding may be resumed.
A client at 16 weeks' gestation is being treated for Trichomonas vaginalis. Which
statement best indicates to the nurse that the client has learned measures to prevent a
recurrence? - ANSWER- "My partner has to get treated before we have sex again."
Which action involving client needs may a nurse delegate to a nursing assistant? -
ANSWER- Providing ice chips to a primigravida in early labor per order
A married 35-year-old client is to undergo a tubal ligation. The factor in the history that
contributes most to the healthy resolution of any emotional problem associated with
sterilization is that the client: - ANSWER- Has a son and daughter and feels that her
family is complete
A nurse understands the stages of parental adjustment that follow the birth of an at-risk
infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse
bases observations and assessments on the recognition that the: - ANSWER- Mother
should be reunited with her infant as soon as possible to enhance adjustment
A nurse in a family planning clinic determines that a client understands the discussion
about using a cervical cap with a spermicide when the client states that after
intercourse, a cervical cap must be left in place for at least: - ANSWER- 6 hours
A client is admitted in preterm labor. After intravenous tocolytic medications are
administered, contractions cease and she is discharged. She is to receive oral
terbutaline (Brethine) 5 mg every 6 hours at home. When should the nurse advise the
client to take the medication? - ANSWER- With food
`
Test Exam Questions And Answers Verified
100% Correct
A couple interested in family planning ask the nurse about the cervical mucus method of
family planning. The nurse explains that with this method the couple must avoid
intercourse when and a few days after the cervical mucus is: - ANSWER- Clear and
stretchable
A pregnant client asks a nurse for information about toxoplasmosis during pregnancy.
What should the nurse teach the client about how to prevent the transmission of
toxoplasmosis? - ANSWER- Pork and beef should be cooked well before being eaten.
A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-
oophorectomy. What does a nurse expect to be the client's priority concern? -
ANSWER- Loss of childbearing potential
A female client with Hodgkin disease is to start total nodal irradiation. She and her
partner, who are planning a family, become concerned when they learn that the
radiation therapy includes the pelvic area. Before responding what must the nurse
consider? - ANSWER- The eggs in the ovaries can be removed and frozen for future
use.
When seeing her preterm infant son in the neonatal intensive care unit for the first time,
a mother exclaims, "He's so little! How will I ever be able to take care of him?" The
nurse explains to the mother that she: - ANSWER- Will be encouraged to participate in
his care as much as possible
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? - ANSWER- Human
chorionic gonadotropin (hCG)
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the
client confides that her mother died of endometrial cancer 1 year ago and says that she
is afraid that she will die of the same cancer. Which risk factor stated by the client after
an education session on risk factors indicates that further teaching is needed? -
ANSWER- Late-onset menarche
,A nurse caring for a pregnant woman determines that she is engaging in the practice of
pica. Why should the nurse prepare a teaching plan for this client? - ANSWER- Inedible
items are being ingested.
-Pica is the eating of inedibles such as starch or dirt. There is a cultural influence on this
practice, but it may also be related to malnutrition or anemia. Food cravings frequently
occur in pregnant women. If many foods are causing nausea and vomiting, the client
has morning sickness. If it continues past the first trimester, it may be hyperemesis
gravidarum. The dislike for essential food groups does not describe the practice of pica.
The nurse is teaching a prenatal class to expectant mothers in their first trimester of
pregnancy. In addition to discussing the need for 0.6 mg/day of folic acid replacement,
which dietary choice that is high in folic acid should the nurse recommend? - ANSWER-
Half cup of cooked spinach
-A half cup of cooked spinach provides 100 mcg of folic acid per serving. One egg, a
slice of bread, and half a cup of corn each provides only 20 mcg per serving.
A nurse is counseling a pregnant client with iron-deficiency anemia about when and
how to take supplemental iron. What time of day and with what drink is iron absorption
most efficient? - ANSWER- Before breakfast with orange juice
-Iron should be taken before breakfast, on an empty stomach, to permit maximal
absorption; ascorbic acid enhances the absorption of iron.
A client undergoes dilation and curettage (D&C) after an early miscarriage
(spontaneous abortion). The nurse finds her crying later in the day. What is the most
appropriate statement by the nurse? - ANSWER- "This must be a very hard experience
for you to deal with."
A practitioner orders doxycycline (Vibramycin) for a sexually active woman with a
history of a mucopurulent discharge and bleeding associated with cervical dysplasia,
dysuria, and dyspareunia. With which sexually transmitted infection are these clinical
findings and medication therapy commonly associated? - ANSWER- Chlamydial
infection
-The signs and symptoms listed and the treatment ordered (doxycycline or
azithromycin) indicate that the client has a chlamydial infection. Painful blisters on the
genitalia, fever, malaise, dysuria, and dyspareunia are signs of herpes simplex virus 2
infection. Chancre formation is a sign of primary syphilis; a symmetrical rash
accompanied by malaise, fever, anorexia, and headache is indicative of secondary
syphilis. Dysuria, heavy greenish-yellow purulent discharge, and swollen Bartholin
glands are signs of gonorrhea.
,The clinic nurse is reviewing the dietary intake of a 16-year-old who is 12 weeks
pregnant. What is the nurse's next action? - ANSWER- -Asking the client, "How many
servings of dairy do you generally consume each day?"
-Once the nurse knows the number of servings of calcium-rich foods the client
consumes each day, the nutrition teaching plan can be personalized to her needs. The
daily required intake of calcium for clients under 19 is 1300 mg. This amount can be
obtained from 4 cups of milk or yogurt per day. Because there are sources of calcium
other than milk, asking whether the client likes milk is not an appropriate first question.
*Alternative sources of calcium include cheese, yogurt, figs, kale, sardines, orange juice
with added calcium, creamy pesto, and cheese sauce.*
A client who is to undergo dilation and curettage, and conization of the cervix for cancer
appears tense and anxious. What is the best approach for the nurse to support the
client emotionally? - ANSWER- Asking whether something is troubling the client and
whether she'd like to talk about it
A nurse is caring for a client who has contracted a trichomonal infection. Which oral
drug should the nurse anticipate that the health care provider will most likely prescribe?
- ANSWER- Metronidazole (Flagyl)
-Metronidazole (Flagyl) is a potent amebicide. It is effective in eradicating the protozoan
Trichomonas vaginalis. Penicillin is administered for its effect on bacterial, not protozoal,
infections. Gentian violet is a local anti-infective that is applied topically; it may cause
discoloration of the skin. It is effective against Candida albicans. Nystatin (Mycostatin) is
an antifungal for infections caused by C. albicans.
After 8 postpartum hours the nurse determines that a client's fundus is 3 cm above the
umbilicus and displaced to the right. Which statement is most significant in confirming
the reason for the location of the uterus? - ANSWER- "I went to the bathroom, but I
can't seem to urinate."
-Not being able to urinate, in conjunction with the other findings, suggests urine
retention. Thirst is unrelated to the other findings; it is related to dehydration. Changing
the pad once in 8 hours is an expected postpartum response. Contractions while
breastfeeding are expected; oxytocin secretion, which is stimulated by infant suckling,
causes the uterus to contract.
A client asks the nurse at the family planning clinic whether contraception is needed
while she is breastfeeding. How should the nurse reply? - ANSWER- "You should use
contraceptives, because ovulation may occur without a period."
, -Anovulation occurs in nursing mothers for varying periods; breastfeeding is not a
reliable method of birth control. Periods may not occur for several months; sexual
relations need not be delayed this long. Ovulation can occur without menstruation.
Lactation may delay menses but does not reliably suppress ovulation.
A nurse is caring for four clients, each with a different medical condition. Which
condition should the nurse anticipate will result in the client's being instructed by the
health care provider not to breastfeed? - ANSWER- Human immunodeficiency virus
-Breastfeeding by a mother infected with HIV is contraindicated because breast milk
can transmit the virus to the infant. Breastfeeding by a mother with mastitis is not
always contraindicated; during antibiotic treatment the mother can maintain lactation by
pumping the breasts and discarding the milk. Once the infection has resolved,
breastfeeding may be resumed.
A client at 16 weeks' gestation is being treated for Trichomonas vaginalis. Which
statement best indicates to the nurse that the client has learned measures to prevent a
recurrence? - ANSWER- "My partner has to get treated before we have sex again."
Which action involving client needs may a nurse delegate to a nursing assistant? -
ANSWER- Providing ice chips to a primigravida in early labor per order
A married 35-year-old client is to undergo a tubal ligation. The factor in the history that
contributes most to the healthy resolution of any emotional problem associated with
sterilization is that the client: - ANSWER- Has a son and daughter and feels that her
family is complete
A nurse understands the stages of parental adjustment that follow the birth of an at-risk
infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse
bases observations and assessments on the recognition that the: - ANSWER- Mother
should be reunited with her infant as soon as possible to enhance adjustment
A nurse in a family planning clinic determines that a client understands the discussion
about using a cervical cap with a spermicide when the client states that after
intercourse, a cervical cap must be left in place for at least: - ANSWER- 6 hours
A client is admitted in preterm labor. After intravenous tocolytic medications are
administered, contractions cease and she is discharged. She is to receive oral
terbutaline (Brethine) 5 mg every 6 hours at home. When should the nurse advise the
client to take the medication? - ANSWER- With food
`
