OB NCLEX Test Questions and Answers Rated A
A client has obtained levonorgestrel as progesterone only pills are commonly initiated
emergency contraception. After unprotected from 4-6 weeks postpartum because the milk
intercourse, the client calls the clinic to ask supply is well established. Prior experiences with
questions about taking the contraceptives. The birth control methods have and impact on the
nurse realizes the client needs further method chosen but they are not the most
explanation when she makes which statement? influential factor. Desire to have another child in 2
1. I can wait up to 4 days after intercourse to years would make some methods such as an
start taking these to prevent pregnancy IUD, less attractive but would still be secondary
2. My boyfriend can buy levonorgestrel from the to the choice to breast feed)
pharmacy if he is over 18 years old
3. The birth control works by preventing ovulation
or fertilization of the egg
4. I may feel nauseated and have breast Which information would be important to include
tenderness or a headache after using the in the teaching plan for the client who wants more
contraceptive - ANSWER -1 information on ovulation and fertility
(Levongorgestrel can reduce the chance of management?
pregnancy if taken within 72 hrs of unprotected 1. The ovum survives for 96 hours after ovulation
intercourse and then again 12 hours later. making conception possible during the time
Waiting 4 days to take levonorgestrel reduces 2. The basal body temp falls at least 0.2 F after
effectiveness. Males can purchase this ovulation has occured
contraceptive as long as they are over 18 years 3. Ovulation usually occurs on day 14 plus or
of age. Levonorgestrel works by preventing minus 2 days, before the onset of the next
ovulation or fertilization depending on where a menstrual cycle
client is in the menstrual cycle. Common side 4. Most women can tell they have ovulated
effects include nausea, breast tenderness, because of severe pain and thick, scant cervical
vertigo and stomach pain.) mucus - ANSWER -3
(For a client with a typlical cycle of 28 days,
ovulation usually occurs on day 14, plus or minus
2 days, before the onset of the next cycle. Stated
An antenatal G2, T1, P0, A0, L1 client is another way, the menstrual period begins about 2
discussing her postpartum plans for birth control weeks after ovulation has occurred. Ovulation
with her HCP. In analyzing the available choices, does not usually occur during the menses
which factor has the greatest impact on her birth component of the cycle when the uterine lining is
control options? being shed. In most women the ovum survives
1. satisfaction with prior methods about 12 to 24 hrs after ovulation, during which
2. preference of a sex partner time conception is possible. The basal body temp
3. breast or bottle-feeding plan rises 0.5 F to 1.0 F when ovulation occurs.
4. desire for another child in 2 years - Although some women experience some pelvic
ANSWER -3 discomfort during ovulation, severe or unusual
(Birth control plans are influenced primarily by pain is rare. After ovulation the cervical mucus is
whether the mother is breast or bottle feeing her thin and copious.)
infant. The maternal milk supply must be well
established prior to the initiation of most
hormonal birth control methods. Low dose oral
contraceptinves would be the exception. Use of Which instruction about activities during
estrogen progesterone based pills and menstruation would the nurse include when
, OB NCLEX Test Questions and Answers Rated A
counseling an adolescent who has just begun to
menstruate?
1. Take a mild analgesic if needed for menstrual A 20 year old nulligravid client expresses a desire
pain to learn more about the symptothermal method of
2. Avoid cold foods if menstrual pain persists family planning. Which information would the
3. Stop excercise while menstruating nurse include in the teaching plan?
4. Avoid tampons until you have had your period 1. This method has a 50% failure rate during the
for 1 year. - ANSWER -1 first year of use
2. couples must abstain from coitus for 5 days
after the menses
3. cervical mucus is carefully monitored for
After conducting a class for female adolescents changes
about human reproduction, the nurse concludes 4. The male parner uses condoms for significant
teaching has been effective when a student effectiveness - ANSWER -3
makes which statement? (The symptothermal method is a natural method
1. Under ideal conditions, sperm can reach the of fertility mngmt. that depends on knowing when
ovum in 15 to 30 mins. resulting in pregnancy ovulation has occurred. Because cycles can vary
2. I will not become pregnant if I abstain from by 1-2 days in either direction, the method
intercourse during the last 14 days o fmy cycle requires daily basal body temp assessments plus
3. Sperms from a healthy male usually remain close monitoring of cervical mucus changes. The
viable in the female reproductive tract for 96 hrs method relies on abstinence during the period of
4. After an ovum is fertilized by a sperm, the ovulation, which occurs approx 14 days before
ovum contains 21 pairs of chromosomes - the beginning of the next cycle. Abstinence from
ANSWER -1 coitus for 5 days after menses is unnecessary
(In ideal conditions sperm can reach the ovum in because it is unlikely that ovulation will occur
15 to 30 mins. This is an important point to make during this time period (days 1-10). Typically the
with teens who may be active. Many people failure rate for this method is 10-20%. Although a
believe that the time interval is much longer and condom may increase the effectiveness of this
that they can wait until after intercourse to take method, most clients who choose natural
steps to prevent conception. Without protection methods are not interested in chemical or barrier
pregnancy and STDs can occur. When using the types of family planning)
abstinance calendar method, the couple should
abstain from intercourse on the days fo the cycle
when the woman is most likely to conceive.
Using a 28 day cycle as an example, a couple Before advising a 24 year old client desiring oral
should abstain from sex 3-4 days before contraceptives for family planning, the nurse
ovulation (days 10-14) and 3 to 4 days after would assess the client for which signs and
ovulation. (days 15-18). Sperm from a healthy symptoms?
male can remain viable for 24 to 72 hrs in the 1. anemia
female tract. If the female ovulates after coitus 2. hypertension
there is a possibility conception could occur. 3. dysmenorrhea
Before fertilization the ovum and sperm each 4. acne vulgaris - ANSWER -2
contain 23 chromosomes. After fertilization the (Before advising a client about oral
conceptus contains 46 chromosomes unless contraceptives the nurse needs to assess the
there is an abnormality.) client for S/S of HTN. Clients who have HTN,
thrombophlebitis, obesity or family history of
A client has obtained levonorgestrel as progesterone only pills are commonly initiated
emergency contraception. After unprotected from 4-6 weeks postpartum because the milk
intercourse, the client calls the clinic to ask supply is well established. Prior experiences with
questions about taking the contraceptives. The birth control methods have and impact on the
nurse realizes the client needs further method chosen but they are not the most
explanation when she makes which statement? influential factor. Desire to have another child in 2
1. I can wait up to 4 days after intercourse to years would make some methods such as an
start taking these to prevent pregnancy IUD, less attractive but would still be secondary
2. My boyfriend can buy levonorgestrel from the to the choice to breast feed)
pharmacy if he is over 18 years old
3. The birth control works by preventing ovulation
or fertilization of the egg
4. I may feel nauseated and have breast Which information would be important to include
tenderness or a headache after using the in the teaching plan for the client who wants more
contraceptive - ANSWER -1 information on ovulation and fertility
(Levongorgestrel can reduce the chance of management?
pregnancy if taken within 72 hrs of unprotected 1. The ovum survives for 96 hours after ovulation
intercourse and then again 12 hours later. making conception possible during the time
Waiting 4 days to take levonorgestrel reduces 2. The basal body temp falls at least 0.2 F after
effectiveness. Males can purchase this ovulation has occured
contraceptive as long as they are over 18 years 3. Ovulation usually occurs on day 14 plus or
of age. Levonorgestrel works by preventing minus 2 days, before the onset of the next
ovulation or fertilization depending on where a menstrual cycle
client is in the menstrual cycle. Common side 4. Most women can tell they have ovulated
effects include nausea, breast tenderness, because of severe pain and thick, scant cervical
vertigo and stomach pain.) mucus - ANSWER -3
(For a client with a typlical cycle of 28 days,
ovulation usually occurs on day 14, plus or minus
2 days, before the onset of the next cycle. Stated
An antenatal G2, T1, P0, A0, L1 client is another way, the menstrual period begins about 2
discussing her postpartum plans for birth control weeks after ovulation has occurred. Ovulation
with her HCP. In analyzing the available choices, does not usually occur during the menses
which factor has the greatest impact on her birth component of the cycle when the uterine lining is
control options? being shed. In most women the ovum survives
1. satisfaction with prior methods about 12 to 24 hrs after ovulation, during which
2. preference of a sex partner time conception is possible. The basal body temp
3. breast or bottle-feeding plan rises 0.5 F to 1.0 F when ovulation occurs.
4. desire for another child in 2 years - Although some women experience some pelvic
ANSWER -3 discomfort during ovulation, severe or unusual
(Birth control plans are influenced primarily by pain is rare. After ovulation the cervical mucus is
whether the mother is breast or bottle feeing her thin and copious.)
infant. The maternal milk supply must be well
established prior to the initiation of most
hormonal birth control methods. Low dose oral
contraceptinves would be the exception. Use of Which instruction about activities during
estrogen progesterone based pills and menstruation would the nurse include when
, OB NCLEX Test Questions and Answers Rated A
counseling an adolescent who has just begun to
menstruate?
1. Take a mild analgesic if needed for menstrual A 20 year old nulligravid client expresses a desire
pain to learn more about the symptothermal method of
2. Avoid cold foods if menstrual pain persists family planning. Which information would the
3. Stop excercise while menstruating nurse include in the teaching plan?
4. Avoid tampons until you have had your period 1. This method has a 50% failure rate during the
for 1 year. - ANSWER -1 first year of use
2. couples must abstain from coitus for 5 days
after the menses
3. cervical mucus is carefully monitored for
After conducting a class for female adolescents changes
about human reproduction, the nurse concludes 4. The male parner uses condoms for significant
teaching has been effective when a student effectiveness - ANSWER -3
makes which statement? (The symptothermal method is a natural method
1. Under ideal conditions, sperm can reach the of fertility mngmt. that depends on knowing when
ovum in 15 to 30 mins. resulting in pregnancy ovulation has occurred. Because cycles can vary
2. I will not become pregnant if I abstain from by 1-2 days in either direction, the method
intercourse during the last 14 days o fmy cycle requires daily basal body temp assessments plus
3. Sperms from a healthy male usually remain close monitoring of cervical mucus changes. The
viable in the female reproductive tract for 96 hrs method relies on abstinence during the period of
4. After an ovum is fertilized by a sperm, the ovulation, which occurs approx 14 days before
ovum contains 21 pairs of chromosomes - the beginning of the next cycle. Abstinence from
ANSWER -1 coitus for 5 days after menses is unnecessary
(In ideal conditions sperm can reach the ovum in because it is unlikely that ovulation will occur
15 to 30 mins. This is an important point to make during this time period (days 1-10). Typically the
with teens who may be active. Many people failure rate for this method is 10-20%. Although a
believe that the time interval is much longer and condom may increase the effectiveness of this
that they can wait until after intercourse to take method, most clients who choose natural
steps to prevent conception. Without protection methods are not interested in chemical or barrier
pregnancy and STDs can occur. When using the types of family planning)
abstinance calendar method, the couple should
abstain from intercourse on the days fo the cycle
when the woman is most likely to conceive.
Using a 28 day cycle as an example, a couple Before advising a 24 year old client desiring oral
should abstain from sex 3-4 days before contraceptives for family planning, the nurse
ovulation (days 10-14) and 3 to 4 days after would assess the client for which signs and
ovulation. (days 15-18). Sperm from a healthy symptoms?
male can remain viable for 24 to 72 hrs in the 1. anemia
female tract. If the female ovulates after coitus 2. hypertension
there is a possibility conception could occur. 3. dysmenorrhea
Before fertilization the ovum and sperm each 4. acne vulgaris - ANSWER -2
contain 23 chromosomes. After fertilization the (Before advising a client about oral
conceptus contains 46 chromosomes unless contraceptives the nurse needs to assess the
there is an abnormality.) client for S/S of HTN. Clients who have HTN,
thrombophlebitis, obesity or family history of
