Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
A 25 y/o primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with the nurse. The
nurse reinforces the importance of regular prenatal care and explains changes in insulin requirements will
include which of the following?
1. insulin requirements will increase during pregnancy and decrease after delivery
2. insulin requirements will decrease during pregnancy and increase after delivery
3. insulin requirements will increase during pregnancy and remain increased after delivery.
4. insulin requirements decrease during pregnancy and remain decreased after delivery. - ANSinsulin
requirements will increase during pregnancy and decrease after delivery
Due to hormonal interference in glucose metabolism, insulin requirements increase during pregnancy;
however, immediately after delivery, the requirements usually decrease.
A 28 y/o woman delivers a baby boy. In order to monitor complications, the nurse should be MOST alert
to which of the following findings?
1. complaints of pain
2. changes in blood pressure and pulse
3. ambivalent feelings about being a mother
4. the number of previous delivers - ANSchanges in blood pressure and pulse
Elevated pulse and decreased blood pressure indicate hemorrhage.
A 32 y/o woman is pregnant for the third time. She has one living child and had one abortion. Which
description does the nurse record?
1. gravida III, para II
2. gravida II, para II
3. gravida III, para I
4. gravida II, para III - ANSgravida III, para I
Gravida = pregnancies
Para = full term fetus
Client is experiencing her third pregnancy (Gravida III), but in only one pregnancy did the fetus reach the
age of viability (para I).
A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client's last
menstrual period was five months ago, and the client is sure she is pregnant because she has been
feeling the baby move. Whcih of the following responses by the nurse is BEST?
1. "Since you have felt the fetal movement, I am sure that you are pregnant."
2. "Lie down so that I can listen for fetal heart tones with the Doppler."
3. "We'll collect a urine specimen for testing to confirm that you are pregnant."
4. "Have you noticed feeling more fatigued lately?" - ANS"Lie down so that I can listen for fetal heart
tones with the Doppler."
Auscultating fetal heart tones, visualization of fetus by ultrasound or x-ray, or fetal movement palpated by
the examiner are all positive signs of pregnancy.
A client contacts the nurse and describes some soft and movable masses she felt in her breasts that
become enlarged during menstruation. The nurse should be aware that the client is most likely describing
which of the following?
1. cancer of the breast
2. fibroids of the breast
,Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
3. fibrocystic disease of the breast
4. hyperplasia of the breast - ANSfibrocystic disease of the breast
Fibrocystic disease of the breast involves benign cysts of the breast; present as soft, tender, freely
moving cysts that become enlarged during menstruation.
A couple comes to the fertility clinic after trying for several years to have children. The woman has a
regular 28-day menstrual cycle. The nurse explains to her she is MOST likely to become pregnant
1. 10-14 days after the onset of her menstrual period
2. 16 days before the onset of her menstrual period
3. the last 8 days of her cycle
4. 18-20 days after the first day of her menstrual cycle - ANS10-14 days after the onset of her menstrual
period
In a regular menstrual cycle of 28 days, the time of ovulation is usually around the 14th day;
if the patient has intercourse 2 or 3 days before this time or 2 or 3 days after,
it is possible that she will become pregnant, since the sperm live for about 48 hours.
A fetal heart tracing shows and early deceleration pattern. The nurse is aware that this indicates which
interpretation?
1. the FHR slows early in the contraction, which is a normal finding
2. the FHR slows early in the contraction, which is an abnormal finding
3. the FHR slows at the peak of the contraction, which is a normal finding.
4. the FHR slows at the peak of the contraction, which is an abnormal finding. - ANSthe FHR slows early
in the contraction, which is a normal finding
(deceleration occurs when the FHR falls below baseline for 15 s or more, followed by a return; early
deceleration occurs before the peak of the contraction is is a reassuring fetal heart pattern)
A multipara woman in her fifth month of pregnancy complains to the nurse that her breasts are sensitive
and sore. The nurse should make which of the following suggestions?
1. apply a warm compress and take aspirin
2. gently massage with lotion twice a day and wear loose fitting, comfortable clothing
3. apply cold compresses and wear a well fitting, supportive bra
4. take a diuretic once a day - ANSapply cold compresses and wear a well fitting, supportive bra
Breast soreness due to hormonal changes.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities into
the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes?
1. Tonic neck
2. Moro's
3. Babinski's
4. Rooting - ANSMoro's
Moro'sStartle reflex; disappears at 3-4 months
A nurse counsels a couple who have had difficulty conceiving a child. The nurse explains infertility is
defined as which of the following?
1. inability to conceive after at least three months of unprotected intercourse
,Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
2. inability to conceive after at least six months of unprotected intercourse
3. inability to conceive after at least one year of unprotected intercourse
4. inability to conceive after at least two years of unprotected intercourse - ANSinability to conceive after
at least one year of unprotected intercourse
The medical definition of infertility is inability to conceive after at least on year of unprotected intercourse.
A nurse prepares a client for a gynecological examination. The nurse explains that the physician will
perform a pelvis examination will obtain a Pap smear. The nurse explains the Pap smear is
1. taken from exudates of the vagina and cervix
2. a sample of tissue used to locate a lesion
3. an xray film taken from various angles
4. a specimen of cells used to identify abnormal cells - ANSa specimen of cells used to identify abnormal
cells
A Pap smear is a routine procedure to identify infectious processes, the presence of abnormal cells, and
hormonal changes
A nurse teaches the client about birth control methods. How long should the nurse advise the client to
leave a diaphragm in place after intercourse?
1. 6hrs
2. 8hrs
3. 10hrs
4. 12hrs - ANS6hrs
It is necessary for the diaphragm to remain in place for at least 6 hours to be effective in preventing
pregnancy;
can be inserted up to 6 hours prior to intercourse, but spermicide must be inserted into vagina with every
intercourse.
A patient is admitted to the hospital and is scheduled to have a modified radical mastectomy. The patient
asks the nurse about the surgical procedure. Which of the following explanations should the nurse give?
1. only the tissue is removed, leaving all the muscles and lymph nodes
2. the breast, axillary nodes and superior apical nodes are removed but he muscles are preserved.
3. the breast, axillary nodes, and the major and minor pectoral muscles are preserved.
4. The sternum will be split and lymph nodes will be dissected from the mediatinum - ANSthe breast,
axillary nodes and superior apical nodes are removed but he muscles are preserved.
In a modified radical mastectomy, the breast, axillary nodes, and superior apical nodes are removed, but
the major and minor pectoral muscles are preserved.
A woman arrives at the hospital in labor. The midwife states that the client is 4 cm dilated and 60%
effaced. The nurse explains the the client this means which of the following?
1. The opening of the cervix is 4cm wide and the cervical canal is 60% shorter than normal
2. The cervix is 4cm short in dilation and 60% thinner than normal
3. The walls of the cervix ar 4cm thick and 60% shorter than normal
4. The cervix is 4cm long and 60% wider than normal - ANSThe opening of the cervix is 4cm wide and
the cervical canal is 60% shorter than normal
Dilation is stretching of the external os from an opening a few mm in size to an opening large enough to
allow the passage of the infant (0-10 cm);
, Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
effacement is the thinning and shortening or obliteration of the cervix;
occurs in late pregnancy and/or labor.
A woman asks the nurse if she can safely drink wine while nursing her baby. Which of the following is the
BEST response by the nurse?
1. The wine you drink will not be present in the breast milk
2. A moderate amount of wine will help you relax
3. Alcohol has a CNS depressant effect on the baby
4. Drink beer rather than wine while you are breastfeeding - ANSAlcohol has a CNS depressant effect on
the baby
Acts as CNS depressant and is contraindicated.
A woman at 29 wks gestation comes to the ER complaining of vaginal bleeding. The nurse identifies
which of the following patient statements as indicative of placenta previa?
1. The bleeding scares me, other than that I feel fine
2. I've been more nauseated during the past few weeks
3. The bleeding started after I carried in 4 bags of groceries
4. I've been having sever abdominal cramps - ANSThe bleeding scares me, other than that I feel fine
."Painless vaginal bleeding indicates placenta previa; placenta previa is a placenta that is abnormally
implanted in the lower uterine segment; patient will be treated with bed rest, no vaginal exams, IVs to
restore blood volume, monitor fetal well-being.
A woman comes to the clinic pregnant with her second child. She questions the nurse about the amount
of exercise that is acceptable for her to perform during her pregnancy. Which of the following is MOST
important response by the nurse?
1. you can continue your activities but rest when you get tired.
2. you should take a brisk walk daily
3. you can exercise as much as you want but limit household activities
4. what is your usual type of exercise - ANSwhat is your usual type of exercise
Should exercise at least 3x per week; most important to determine regular exercise regimen before
recommending an exercise program.
A woman comes to the hospital in labor. Her membranes rupture at 4:10AM. Which of the following
actions should the nurse take FIRST?
1. Identify the amniotic fluid by testing it or alkalinity
2. Contact physician and prepare for immediate delivery.
3. Note the time of rupture
4. Observe for a prolapsed cord or meconium stained fluid. - ANSObserve for a prolapsed cord or
meconium stained fluid.
Signs of possible life-threatening complications to the fetus that may require emergency delivery.
A woman complains to the nurse that during the client's menstrual period she gains weight and gets
muscle cramps. The nurse should suggest which of the following measure to alleviate the client's
symptoms?
1. Take OTC analgesics, restrict caffeine, exercise moderately
(verified answers already graded a+||newest version
A 25 y/o primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with the nurse. The
nurse reinforces the importance of regular prenatal care and explains changes in insulin requirements will
include which of the following?
1. insulin requirements will increase during pregnancy and decrease after delivery
2. insulin requirements will decrease during pregnancy and increase after delivery
3. insulin requirements will increase during pregnancy and remain increased after delivery.
4. insulin requirements decrease during pregnancy and remain decreased after delivery. - ANSinsulin
requirements will increase during pregnancy and decrease after delivery
Due to hormonal interference in glucose metabolism, insulin requirements increase during pregnancy;
however, immediately after delivery, the requirements usually decrease.
A 28 y/o woman delivers a baby boy. In order to monitor complications, the nurse should be MOST alert
to which of the following findings?
1. complaints of pain
2. changes in blood pressure and pulse
3. ambivalent feelings about being a mother
4. the number of previous delivers - ANSchanges in blood pressure and pulse
Elevated pulse and decreased blood pressure indicate hemorrhage.
A 32 y/o woman is pregnant for the third time. She has one living child and had one abortion. Which
description does the nurse record?
1. gravida III, para II
2. gravida II, para II
3. gravida III, para I
4. gravida II, para III - ANSgravida III, para I
Gravida = pregnancies
Para = full term fetus
Client is experiencing her third pregnancy (Gravida III), but in only one pregnancy did the fetus reach the
age of viability (para I).
A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client's last
menstrual period was five months ago, and the client is sure she is pregnant because she has been
feeling the baby move. Whcih of the following responses by the nurse is BEST?
1. "Since you have felt the fetal movement, I am sure that you are pregnant."
2. "Lie down so that I can listen for fetal heart tones with the Doppler."
3. "We'll collect a urine specimen for testing to confirm that you are pregnant."
4. "Have you noticed feeling more fatigued lately?" - ANS"Lie down so that I can listen for fetal heart
tones with the Doppler."
Auscultating fetal heart tones, visualization of fetus by ultrasound or x-ray, or fetal movement palpated by
the examiner are all positive signs of pregnancy.
A client contacts the nurse and describes some soft and movable masses she felt in her breasts that
become enlarged during menstruation. The nurse should be aware that the client is most likely describing
which of the following?
1. cancer of the breast
2. fibroids of the breast
,Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
3. fibrocystic disease of the breast
4. hyperplasia of the breast - ANSfibrocystic disease of the breast
Fibrocystic disease of the breast involves benign cysts of the breast; present as soft, tender, freely
moving cysts that become enlarged during menstruation.
A couple comes to the fertility clinic after trying for several years to have children. The woman has a
regular 28-day menstrual cycle. The nurse explains to her she is MOST likely to become pregnant
1. 10-14 days after the onset of her menstrual period
2. 16 days before the onset of her menstrual period
3. the last 8 days of her cycle
4. 18-20 days after the first day of her menstrual cycle - ANS10-14 days after the onset of her menstrual
period
In a regular menstrual cycle of 28 days, the time of ovulation is usually around the 14th day;
if the patient has intercourse 2 or 3 days before this time or 2 or 3 days after,
it is possible that she will become pregnant, since the sperm live for about 48 hours.
A fetal heart tracing shows and early deceleration pattern. The nurse is aware that this indicates which
interpretation?
1. the FHR slows early in the contraction, which is a normal finding
2. the FHR slows early in the contraction, which is an abnormal finding
3. the FHR slows at the peak of the contraction, which is a normal finding.
4. the FHR slows at the peak of the contraction, which is an abnormal finding. - ANSthe FHR slows early
in the contraction, which is a normal finding
(deceleration occurs when the FHR falls below baseline for 15 s or more, followed by a return; early
deceleration occurs before the peak of the contraction is is a reassuring fetal heart pattern)
A multipara woman in her fifth month of pregnancy complains to the nurse that her breasts are sensitive
and sore. The nurse should make which of the following suggestions?
1. apply a warm compress and take aspirin
2. gently massage with lotion twice a day and wear loose fitting, comfortable clothing
3. apply cold compresses and wear a well fitting, supportive bra
4. take a diuretic once a day - ANSapply cold compresses and wear a well fitting, supportive bra
Breast soreness due to hormonal changes.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities into
the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes?
1. Tonic neck
2. Moro's
3. Babinski's
4. Rooting - ANSMoro's
Moro'sStartle reflex; disappears at 3-4 months
A nurse counsels a couple who have had difficulty conceiving a child. The nurse explains infertility is
defined as which of the following?
1. inability to conceive after at least three months of unprotected intercourse
,Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
2. inability to conceive after at least six months of unprotected intercourse
3. inability to conceive after at least one year of unprotected intercourse
4. inability to conceive after at least two years of unprotected intercourse - ANSinability to conceive after
at least one year of unprotected intercourse
The medical definition of infertility is inability to conceive after at least on year of unprotected intercourse.
A nurse prepares a client for a gynecological examination. The nurse explains that the physician will
perform a pelvis examination will obtain a Pap smear. The nurse explains the Pap smear is
1. taken from exudates of the vagina and cervix
2. a sample of tissue used to locate a lesion
3. an xray film taken from various angles
4. a specimen of cells used to identify abnormal cells - ANSa specimen of cells used to identify abnormal
cells
A Pap smear is a routine procedure to identify infectious processes, the presence of abnormal cells, and
hormonal changes
A nurse teaches the client about birth control methods. How long should the nurse advise the client to
leave a diaphragm in place after intercourse?
1. 6hrs
2. 8hrs
3. 10hrs
4. 12hrs - ANS6hrs
It is necessary for the diaphragm to remain in place for at least 6 hours to be effective in preventing
pregnancy;
can be inserted up to 6 hours prior to intercourse, but spermicide must be inserted into vagina with every
intercourse.
A patient is admitted to the hospital and is scheduled to have a modified radical mastectomy. The patient
asks the nurse about the surgical procedure. Which of the following explanations should the nurse give?
1. only the tissue is removed, leaving all the muscles and lymph nodes
2. the breast, axillary nodes and superior apical nodes are removed but he muscles are preserved.
3. the breast, axillary nodes, and the major and minor pectoral muscles are preserved.
4. The sternum will be split and lymph nodes will be dissected from the mediatinum - ANSthe breast,
axillary nodes and superior apical nodes are removed but he muscles are preserved.
In a modified radical mastectomy, the breast, axillary nodes, and superior apical nodes are removed, but
the major and minor pectoral muscles are preserved.
A woman arrives at the hospital in labor. The midwife states that the client is 4 cm dilated and 60%
effaced. The nurse explains the the client this means which of the following?
1. The opening of the cervix is 4cm wide and the cervical canal is 60% shorter than normal
2. The cervix is 4cm short in dilation and 60% thinner than normal
3. The walls of the cervix ar 4cm thick and 60% shorter than normal
4. The cervix is 4cm long and 60% wider than normal - ANSThe opening of the cervix is 4cm wide and
the cervical canal is 60% shorter than normal
Dilation is stretching of the external os from an opening a few mm in size to an opening large enough to
allow the passage of the infant (0-10 cm);
, Kaplan mental health ngn a. b & c actual exam questions and correct detailed answers
(verified answers already graded a+||newest version
effacement is the thinning and shortening or obliteration of the cervix;
occurs in late pregnancy and/or labor.
A woman asks the nurse if she can safely drink wine while nursing her baby. Which of the following is the
BEST response by the nurse?
1. The wine you drink will not be present in the breast milk
2. A moderate amount of wine will help you relax
3. Alcohol has a CNS depressant effect on the baby
4. Drink beer rather than wine while you are breastfeeding - ANSAlcohol has a CNS depressant effect on
the baby
Acts as CNS depressant and is contraindicated.
A woman at 29 wks gestation comes to the ER complaining of vaginal bleeding. The nurse identifies
which of the following patient statements as indicative of placenta previa?
1. The bleeding scares me, other than that I feel fine
2. I've been more nauseated during the past few weeks
3. The bleeding started after I carried in 4 bags of groceries
4. I've been having sever abdominal cramps - ANSThe bleeding scares me, other than that I feel fine
."Painless vaginal bleeding indicates placenta previa; placenta previa is a placenta that is abnormally
implanted in the lower uterine segment; patient will be treated with bed rest, no vaginal exams, IVs to
restore blood volume, monitor fetal well-being.
A woman comes to the clinic pregnant with her second child. She questions the nurse about the amount
of exercise that is acceptable for her to perform during her pregnancy. Which of the following is MOST
important response by the nurse?
1. you can continue your activities but rest when you get tired.
2. you should take a brisk walk daily
3. you can exercise as much as you want but limit household activities
4. what is your usual type of exercise - ANSwhat is your usual type of exercise
Should exercise at least 3x per week; most important to determine regular exercise regimen before
recommending an exercise program.
A woman comes to the hospital in labor. Her membranes rupture at 4:10AM. Which of the following
actions should the nurse take FIRST?
1. Identify the amniotic fluid by testing it or alkalinity
2. Contact physician and prepare for immediate delivery.
3. Note the time of rupture
4. Observe for a prolapsed cord or meconium stained fluid. - ANSObserve for a prolapsed cord or
meconium stained fluid.
Signs of possible life-threatening complications to the fetus that may require emergency delivery.
A woman complains to the nurse that during the client's menstrual period she gains weight and gets
muscle cramps. The nurse should suggest which of the following measure to alleviate the client's
symptoms?
1. Take OTC analgesics, restrict caffeine, exercise moderately
