OB Lecture Exam Practice Questions
and Answers
A client at the family planning clinic is diagnosed with primary dysmenorrhea. What
should be included in the nurse's teaching plan for non-pharmacologic comfort
measures?
A. Initiation of oral contraception
B. Application of cold to the abdomen
C. Balanced meals and adequate rest
D. Regular emotional counseling - ANSWER-C. Balanced meals and adequate rest
- Self-care measures to treat dysmenorrhea would include regular exercise, rest,
application of heat, and good nutrition.
The nurse is educating a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include? (Select all
that apply.)
A. Tinnitis
B. Irregular vaginal bleeding
C. Weight gain
D. Breast changes - ANSWER-B. Irregular vaginal bleeding
C. Weight gain
D. Breast changes
Which statement made by a preteen girl indicates successful adaptation to menarche?
A. "My cycle should occur every 28 days and last about 5 days."
B. "I won't need to wear protection on the last few days of my period."
C. "My cycle should occur every 20 days and last about 3 days."
D. "Super-absorbent tampons are the best for teenagers." - ANSWER-A. "My cycle
should occur every 28 days and last about 5 days."
- Young girls will adapt successfully to the initiation of menses and cope better when
they have correct information concerning cycle length, amount of flow, length of
menses, and management issues.
The nurse is providing a client with instructions regarding breast self-examination
(BSE). Which of the following statements by the client would indicate that the teaching
has been successful?
A. "I should perform BSE one week prior to the start of my period."
B. "When I reach menopause, I will perform BSE every two months."
C. "Knowing the texture of my breasts is important."
,D. "I should inspect my breasts while in a supine position with my arms at my sides." -
ANSWER-C. "Knowing the texture of my breasts is important."
A woman who knows the texture and feel of her own breasts is far more likely to detect
changes that develop. The breasts should be inspected while standing with arms at
sides. Supine is not a correct position. BSE should be performed one week after the
start of each menstrual period. BSE should be performed monthly, on the same day
each month, during menopause.
The nurse recognizes that modifiable risk factors impacting preconception health
measures include the factors noted except which of the following?
A. Smoking
B. Ethnic background
C. Alcohol use
D. Recreational drug use - ANSWER-B. Ethnic background
- Ethnic background is not a modifiable risk factor. Modifiable means that the client
would be able to change or modify the factor. Smoking, alcohol use, and use of
recreational drug use are modifiable risk factors.
Upon reviewing the client's chart, which set of symptoms would suggest to the nurse the
healthcare provider may diagnose endometriosis?
A. Back discomfort and dysphagia
B. Ovarian pain and dysuria
C. Pelvic cramping and dyspareunia
D. Vaginal discharge and dysmenorrhea - ANSWER-C. Pelvic cramping and
dyspareunia
- The most common symptom of endometriosis is pelvic pain. Other symptoms include
dysmenorrhea, dyspareunia, abnormal uterine bleeding, and infertility.
A nurse is preparing a community health class related to preventing sexually transmitted
infections (STIs). Which should be included in her teaching about human papillomavirus
(HPV) vaccinations?
A. HPV vaccination is recommended for all females ages 11-39.
B. HPV vaccinations are administered only to females who are sexually active.
C. Boys ages 11-12 should receive the HPV vaccination.
D. Females who receive a HPV vaccination do not need to have Papanicolaou (Pap)
smears. - ANSWER-C. Boys ages 11-12 should receive the HPV vaccination.
- HPV vaccine is recommended for girls ages 11-12 (preferably before they are sexually
active) and for 13- to 26-year-old females who did not receive or complete the 3-dose
vaccine series. HPV vaccination is also recommended for boys ages11-12. Females
who are vaccinated against HPV should receive regular Pap smears.
,A nurse is teaching a group of women about toxic shock syndrome (TSS). Which of the
following statements regarding TSS demonstrates correct comprehension of the
material?
A. "Using a diaphragm during my period can increase the risk for developing TSS."
B. "Only girls and women can develop TSS."
C. "TSS is caused by a toxin released by Trichomonas vaginalis."
D. "One of the symptoms of TSS is hypertension." - ANSWER-A. "Using a diaphragm
during my period can increase the risk for developing TSS."
Use of a contraceptive device such as a diaphragm to occlude the cervical os during
menses may increase the risk for TSS. Although TSS is primarily seen in women, it has
been reported in children and men. Release of a toxin by a strain of Staphylococcus
aureuscauses TSS. Diagnostic criteria for TSS include fever, hypotension, rash, and
multisystem involvement.
A client describes breast swelling and tenderness. Gathering what piece of data would
be most important?
A. Timing of the symptoms
B. Birth control method
C. Method of breast self-examination (BSE)
D. Diet history - ANSWER-A. Timing of the symptoms
- The breast undergoes regular cyclical changes in response to hormonal stimulation.
The nurse will want to determine when the swelling and tenderness occurs within the
menstrual cycle. Birth control method, method of BSE, and diet history may contribute
to the database, but do not have priority.
A client is hospitalized for pelvic inflammatory disease. Which of the following nursing
interventions would have priority?
A. Encourage oral fluids
B. Administer cefotetan IV
C. Enforce bed rest
D. Remove intrauterine device (IUD) if present - ANSWER-B. Administer cefotetan IV
- Administration of medications to treat the disease is priority. Bed rest and encouraging
oral fluids are not a priority. Removal of the IUD is not a nursing intervention.
A client diagnosed with polycystic ovarian syndrome (PCOS) is seeing her healthcare
provider to address her infertility concerns. A first-line plan of action to restore
reproductive function would be the use of which medication?
A. Spironolactone
B. Metformin
C. Progesterone
D. Furosemide - ANSWER-Metformin has been found to improve tissue sensitivity to
insulin, inhibit glucose production in the liver, and improve glucose uptake by fat and
muscle cells. It improves ovarian function, reducesthe degree of hyperandrogenism,
, restores normal ovulation in women with PCOS, and is associated with an improved
ability to lose weight.
The nurse is preparing an educational workshop on fetal development. Which statement
by the student would require the nurse to explain the content further?
A. "Fetal movement causes the umbilical cord to knot."
B. "The average cord length at term is 22 inches."
C. "The umbilical cord is made of two veins and one artery."
D. "The high blood volume and Wharton jelly content of the umbilical cord prevents
compression of the cord." - ANSWER-C. "The umbilical cord is made of two veins and
one artery."
- A nuchal cord exists when the umbilical cord encircles the fetal neck. Fetal movement
causes the umbilical cord to knot. The umbilical cord is made of two arteries and one
vein. The high blood volume and Wharton jelly content of the umbilical cord prevents
compression of the cord.
A nurse is instructing students where to listen for a uterine souffle. Each student has
placed the fetoscope on the pregnant women's abdomen. Based on the following
placements of the fetoscopes, the student most likely to hear a uterine souffle is the one
who placed the fetoscope on which of the following areas?
A. Under the area of the umbilical cord of the fetus
B. Just above the symphysis pubis
C. Over the area of the umbilical cord of the fetus
D. Just below the symphysis pubis - ANSWER-B. Just above the symphysis pubis
- A uterine souffle is best heard just above the mother's symphysis pubis. There are no
specific placental circulatory sounds that can be heard under the area of the umbilical
cord of the fetus. A funic souffle can be heard over the area of the umbilical cord of the
fetus in late pregnancy. There are no specific placental circulatory sounds that can be
heard in the area just below the symphysis pubis.
A pregnant client is concerned about a blow to the abdomen if she continues to play
basketball early during her pregnancy. The nurse's response is based upon her
knowledge of which of the following facts concerning amniotic fluid?
A. The total amount of amniotic fluid during early pregnancy is 700 mL.
B. Amniotic fluid functions as a cushion to protect against mechanical injury.
C. The fetus does not contribute to the production of amniotic fluid.
D. Amniotic fluid is slightly acidic. - ANSWER-B. Amniotic fluid functions as a cushion to
protect against
and Answers
A client at the family planning clinic is diagnosed with primary dysmenorrhea. What
should be included in the nurse's teaching plan for non-pharmacologic comfort
measures?
A. Initiation of oral contraception
B. Application of cold to the abdomen
C. Balanced meals and adequate rest
D. Regular emotional counseling - ANSWER-C. Balanced meals and adequate rest
- Self-care measures to treat dysmenorrhea would include regular exercise, rest,
application of heat, and good nutrition.
The nurse is educating a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include? (Select all
that apply.)
A. Tinnitis
B. Irregular vaginal bleeding
C. Weight gain
D. Breast changes - ANSWER-B. Irregular vaginal bleeding
C. Weight gain
D. Breast changes
Which statement made by a preteen girl indicates successful adaptation to menarche?
A. "My cycle should occur every 28 days and last about 5 days."
B. "I won't need to wear protection on the last few days of my period."
C. "My cycle should occur every 20 days and last about 3 days."
D. "Super-absorbent tampons are the best for teenagers." - ANSWER-A. "My cycle
should occur every 28 days and last about 5 days."
- Young girls will adapt successfully to the initiation of menses and cope better when
they have correct information concerning cycle length, amount of flow, length of
menses, and management issues.
The nurse is providing a client with instructions regarding breast self-examination
(BSE). Which of the following statements by the client would indicate that the teaching
has been successful?
A. "I should perform BSE one week prior to the start of my period."
B. "When I reach menopause, I will perform BSE every two months."
C. "Knowing the texture of my breasts is important."
,D. "I should inspect my breasts while in a supine position with my arms at my sides." -
ANSWER-C. "Knowing the texture of my breasts is important."
A woman who knows the texture and feel of her own breasts is far more likely to detect
changes that develop. The breasts should be inspected while standing with arms at
sides. Supine is not a correct position. BSE should be performed one week after the
start of each menstrual period. BSE should be performed monthly, on the same day
each month, during menopause.
The nurse recognizes that modifiable risk factors impacting preconception health
measures include the factors noted except which of the following?
A. Smoking
B. Ethnic background
C. Alcohol use
D. Recreational drug use - ANSWER-B. Ethnic background
- Ethnic background is not a modifiable risk factor. Modifiable means that the client
would be able to change or modify the factor. Smoking, alcohol use, and use of
recreational drug use are modifiable risk factors.
Upon reviewing the client's chart, which set of symptoms would suggest to the nurse the
healthcare provider may diagnose endometriosis?
A. Back discomfort and dysphagia
B. Ovarian pain and dysuria
C. Pelvic cramping and dyspareunia
D. Vaginal discharge and dysmenorrhea - ANSWER-C. Pelvic cramping and
dyspareunia
- The most common symptom of endometriosis is pelvic pain. Other symptoms include
dysmenorrhea, dyspareunia, abnormal uterine bleeding, and infertility.
A nurse is preparing a community health class related to preventing sexually transmitted
infections (STIs). Which should be included in her teaching about human papillomavirus
(HPV) vaccinations?
A. HPV vaccination is recommended for all females ages 11-39.
B. HPV vaccinations are administered only to females who are sexually active.
C. Boys ages 11-12 should receive the HPV vaccination.
D. Females who receive a HPV vaccination do not need to have Papanicolaou (Pap)
smears. - ANSWER-C. Boys ages 11-12 should receive the HPV vaccination.
- HPV vaccine is recommended for girls ages 11-12 (preferably before they are sexually
active) and for 13- to 26-year-old females who did not receive or complete the 3-dose
vaccine series. HPV vaccination is also recommended for boys ages11-12. Females
who are vaccinated against HPV should receive regular Pap smears.
,A nurse is teaching a group of women about toxic shock syndrome (TSS). Which of the
following statements regarding TSS demonstrates correct comprehension of the
material?
A. "Using a diaphragm during my period can increase the risk for developing TSS."
B. "Only girls and women can develop TSS."
C. "TSS is caused by a toxin released by Trichomonas vaginalis."
D. "One of the symptoms of TSS is hypertension." - ANSWER-A. "Using a diaphragm
during my period can increase the risk for developing TSS."
Use of a contraceptive device such as a diaphragm to occlude the cervical os during
menses may increase the risk for TSS. Although TSS is primarily seen in women, it has
been reported in children and men. Release of a toxin by a strain of Staphylococcus
aureuscauses TSS. Diagnostic criteria for TSS include fever, hypotension, rash, and
multisystem involvement.
A client describes breast swelling and tenderness. Gathering what piece of data would
be most important?
A. Timing of the symptoms
B. Birth control method
C. Method of breast self-examination (BSE)
D. Diet history - ANSWER-A. Timing of the symptoms
- The breast undergoes regular cyclical changes in response to hormonal stimulation.
The nurse will want to determine when the swelling and tenderness occurs within the
menstrual cycle. Birth control method, method of BSE, and diet history may contribute
to the database, but do not have priority.
A client is hospitalized for pelvic inflammatory disease. Which of the following nursing
interventions would have priority?
A. Encourage oral fluids
B. Administer cefotetan IV
C. Enforce bed rest
D. Remove intrauterine device (IUD) if present - ANSWER-B. Administer cefotetan IV
- Administration of medications to treat the disease is priority. Bed rest and encouraging
oral fluids are not a priority. Removal of the IUD is not a nursing intervention.
A client diagnosed with polycystic ovarian syndrome (PCOS) is seeing her healthcare
provider to address her infertility concerns. A first-line plan of action to restore
reproductive function would be the use of which medication?
A. Spironolactone
B. Metformin
C. Progesterone
D. Furosemide - ANSWER-Metformin has been found to improve tissue sensitivity to
insulin, inhibit glucose production in the liver, and improve glucose uptake by fat and
muscle cells. It improves ovarian function, reducesthe degree of hyperandrogenism,
, restores normal ovulation in women with PCOS, and is associated with an improved
ability to lose weight.
The nurse is preparing an educational workshop on fetal development. Which statement
by the student would require the nurse to explain the content further?
A. "Fetal movement causes the umbilical cord to knot."
B. "The average cord length at term is 22 inches."
C. "The umbilical cord is made of two veins and one artery."
D. "The high blood volume and Wharton jelly content of the umbilical cord prevents
compression of the cord." - ANSWER-C. "The umbilical cord is made of two veins and
one artery."
- A nuchal cord exists when the umbilical cord encircles the fetal neck. Fetal movement
causes the umbilical cord to knot. The umbilical cord is made of two arteries and one
vein. The high blood volume and Wharton jelly content of the umbilical cord prevents
compression of the cord.
A nurse is instructing students where to listen for a uterine souffle. Each student has
placed the fetoscope on the pregnant women's abdomen. Based on the following
placements of the fetoscopes, the student most likely to hear a uterine souffle is the one
who placed the fetoscope on which of the following areas?
A. Under the area of the umbilical cord of the fetus
B. Just above the symphysis pubis
C. Over the area of the umbilical cord of the fetus
D. Just below the symphysis pubis - ANSWER-B. Just above the symphysis pubis
- A uterine souffle is best heard just above the mother's symphysis pubis. There are no
specific placental circulatory sounds that can be heard under the area of the umbilical
cord of the fetus. A funic souffle can be heard over the area of the umbilical cord of the
fetus in late pregnancy. There are no specific placental circulatory sounds that can be
heard in the area just below the symphysis pubis.
A pregnant client is concerned about a blow to the abdomen if she continues to play
basketball early during her pregnancy. The nurse's response is based upon her
knowledge of which of the following facts concerning amniotic fluid?
A. The total amount of amniotic fluid during early pregnancy is 700 mL.
B. Amniotic fluid functions as a cushion to protect against mechanical injury.
C. The fetus does not contribute to the production of amniotic fluid.
D. Amniotic fluid is slightly acidic. - ANSWER-B. Amniotic fluid functions as a cushion to
protect against
