MNB Chapter 7 Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Why is the first prenatal visit usually the longest prenatal visit?
Laboratory tests are performed.
Extensive client teaching is done.
A pelvic exam with Papanicolau test is performed.
Baseline data is collected. - CORRECT ANSWER Baseline data is collected.
Explanation:
The first prenatal visit is usually the longest because the baseline data to which all subsequent
assessments are compared are obtained at this visit.
Why is a Papanicolau test done at the first prenatal visit?
It helps to date the pregnancy.
It predicts whether cervical cancer will occur.
It identifies abnormal cervical cells.
It detects if uterine cancer is present. - CORRECT ANSWER It identifies abnormal
cervical cells.
,Explanation:
A Papanicolau test is a test for cervical cancer. Should abnormal cells be present, the woman
may need to make a decision about her priorities of therapy for cervical disease or continuing
the pregnancy.
During the interview portion of her first prenatal visit, a woman reports she thinks she may
have a vaginal infection. When questioned, she reports the discharge is thick, greenish-
yellow, and she is very uncomfortable. She reports she thinks it is "yeast." How should the
nurse reply?
"Yeast is usually a thick, cheesy, white discharge so we will need to evaluate it during the
pelvic exam."
"You have a sexually transmitted disease."
"You are describing gonorrhea."
"You may have chlamydia so we will need to perform a pelvic exam." - CORRECT
ANSWER "Yeast is usually a thick, cheesy, white discharge so we will need to evaluate
it during the pelvic exam."
Explanation:
Yeast is normally a thick, cheesy discharge. Greenish-yellow discharge is associated with
gonorrhea.
A woman is in her early second trimester of pregnancy. The nurse would instruct the woman
to return for a follow-up visit every:
1 week
2 weeks
,3 weeks
4 weeks - CORRECT ANSWER 4 weeks.
Explanation:
The recommended follow-up visit schedule is every 4 weeks up to 28 weeks, every 2 weeks
from 29 to 36 weeks, and then every week from 37 weeks to birth.
Before beginning the initial prenatal examination, a nurse should instruct a client to complete
what procedure before undressing?
ultrasound for fetal measurements
initial blood tests
clean catch urine
measurement of fundal height - CORRECT ANSWER clean catch urine
Explanation:
The first procedure a nurse should ask the client to do is obtain a clean catch, midstream urine
before undressing. Lab tests can be done after the examination is complete. At the first visit,
the fetus is too small to be measured or ultrasound done.
The nurse understands that the maternal uterus should be at what location at 20 weeks'
gestation?
at the level of the symphysis pubis
at the level of the umbilicus
, at the level near the bottom of the sternum
three finger-breadths above the umbilicus - CORRECT ANSWER at the level of the
umbilicus
Explanation:
By 20 weeks' gestation, the uterus is at about the level of the umbilicus; by 36 weeks, it nears
the bottom of the sternum.
As part of the assessment of a client's health history during the first prenatal visit, the nurse is
having the client complete a 24-hour recall to establish what and how much the woman is
eating. In which section of the health history should the nurse record this information?
Day history/social profile
Demographic data
History of past illnesses
Chief concern - CORRECT ANSWER Day history/social profile
Explanation:
The day history/social profile contains information about a woman's current nutrition,
elimination, sleep, recreation, and interpersonal interactions. This information can be elicited
best by asking a woman to describe what her typical day is like. The chief concern is the
reason the woman has come to the health care setting—in this instance, the fact she is or
thinks she is pregnant. Among other things, this section of the health history should include
the date of her last menstrual period, whether it was normal for her and whether she has used
a home test pregnancy kit. Demographic data usually obtained include name, age, address,
telephone number, e-mail address, religion, ethnicity, type and place of employment, and
health insurance information. Questions about a woman's past medical history are important
because a past condition can become active during or immediately following pregnancy.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Why is the first prenatal visit usually the longest prenatal visit?
Laboratory tests are performed.
Extensive client teaching is done.
A pelvic exam with Papanicolau test is performed.
Baseline data is collected. - CORRECT ANSWER Baseline data is collected.
Explanation:
The first prenatal visit is usually the longest because the baseline data to which all subsequent
assessments are compared are obtained at this visit.
Why is a Papanicolau test done at the first prenatal visit?
It helps to date the pregnancy.
It predicts whether cervical cancer will occur.
It identifies abnormal cervical cells.
It detects if uterine cancer is present. - CORRECT ANSWER It identifies abnormal
cervical cells.
,Explanation:
A Papanicolau test is a test for cervical cancer. Should abnormal cells be present, the woman
may need to make a decision about her priorities of therapy for cervical disease or continuing
the pregnancy.
During the interview portion of her first prenatal visit, a woman reports she thinks she may
have a vaginal infection. When questioned, she reports the discharge is thick, greenish-
yellow, and she is very uncomfortable. She reports she thinks it is "yeast." How should the
nurse reply?
"Yeast is usually a thick, cheesy, white discharge so we will need to evaluate it during the
pelvic exam."
"You have a sexually transmitted disease."
"You are describing gonorrhea."
"You may have chlamydia so we will need to perform a pelvic exam." - CORRECT
ANSWER "Yeast is usually a thick, cheesy, white discharge so we will need to evaluate
it during the pelvic exam."
Explanation:
Yeast is normally a thick, cheesy discharge. Greenish-yellow discharge is associated with
gonorrhea.
A woman is in her early second trimester of pregnancy. The nurse would instruct the woman
to return for a follow-up visit every:
1 week
2 weeks
,3 weeks
4 weeks - CORRECT ANSWER 4 weeks.
Explanation:
The recommended follow-up visit schedule is every 4 weeks up to 28 weeks, every 2 weeks
from 29 to 36 weeks, and then every week from 37 weeks to birth.
Before beginning the initial prenatal examination, a nurse should instruct a client to complete
what procedure before undressing?
ultrasound for fetal measurements
initial blood tests
clean catch urine
measurement of fundal height - CORRECT ANSWER clean catch urine
Explanation:
The first procedure a nurse should ask the client to do is obtain a clean catch, midstream urine
before undressing. Lab tests can be done after the examination is complete. At the first visit,
the fetus is too small to be measured or ultrasound done.
The nurse understands that the maternal uterus should be at what location at 20 weeks'
gestation?
at the level of the symphysis pubis
at the level of the umbilicus
, at the level near the bottom of the sternum
three finger-breadths above the umbilicus - CORRECT ANSWER at the level of the
umbilicus
Explanation:
By 20 weeks' gestation, the uterus is at about the level of the umbilicus; by 36 weeks, it nears
the bottom of the sternum.
As part of the assessment of a client's health history during the first prenatal visit, the nurse is
having the client complete a 24-hour recall to establish what and how much the woman is
eating. In which section of the health history should the nurse record this information?
Day history/social profile
Demographic data
History of past illnesses
Chief concern - CORRECT ANSWER Day history/social profile
Explanation:
The day history/social profile contains information about a woman's current nutrition,
elimination, sleep, recreation, and interpersonal interactions. This information can be elicited
best by asking a woman to describe what her typical day is like. The chief concern is the
reason the woman has come to the health care setting—in this instance, the fact she is or
thinks she is pregnant. Among other things, this section of the health history should include
the date of her last menstrual period, whether it was normal for her and whether she has used
a home test pregnancy kit. Demographic data usually obtained include name, age, address,
telephone number, e-mail address, religion, ethnicity, type and place of employment, and
health insurance information. Questions about a woman's past medical history are important
because a past condition can become active during or immediately following pregnancy.
