1. A nurse in a clinic is caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will refer
to a genetic counselor?
A. A client whose sister has alopecia
B. A client whose partner has von Willebrand disease
C. A client who has an allergy to sulfa
D. A client who had rubella 3 months ago - Answer-A. Alopecia is a nonhereditary
disorder and does not warrant referral to a genetic counselor.
B. CORRECT: Von Willebrand disease is a genetic bleeding disorder and warrants a
client being referred to a genetic counselor.
C. Allergy to sulfa is a nonhereditary condition and does not warrant referral to a genetic
counselor.
D. A recent episode of rubella in a nonpregnant female does not warrant a referral to a
genetic counselor."
/.1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements by an adolescent reflects an understanding of
the teaching?
A. "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed 2 hours after intercourse."
C. "oral contraceptives can worsen a case of acne."
D. "a contraceptive patch is replaced once a month." - Answer-A. CORRECT: "a water-
soluble lubricant should be used with condoms."
B. "a diaphragm should be removed no sooner than 6 hr. and no later than 24 hr. after
intercourse."
C. "acne is reduced when taking oral contraceptives."
D. "Contraceptive patches are replaced once a week."
/.1. A nurse in a prenatal clinic is providing education to a client who is in the 8th week
of gestation. The client states that she does not like milk. Which of the following foods
should the nurse recommend as a good source of calcium?
A. Dark green leafy vegetables
B. Deep red or orange vegetables
C.White breads and rice
,D. Meat, poultry, and fish. - Answer-A. CORRECT: good sources of calcium for bone
and teeth formation include low-oxalate, dark green leafy vegetables, such as kale,
artichokes, and turnip greens.
B. Deep red or orange vegetables are good sources of vitamins c and a.
C. White breads and rice do not contain high levels of calcium.
D. Meat, poultry, and fish are sources of protein but do not contain high levels of
calcium."
/.1. A nurse in the emergency department is caring for a client who reports abrupt,
sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The
client states she missed one menstrual cycle and cannot be pregnant because she has
an intrauterine device. The nurse should suspect which of the following?
A. Missed abortion
B. ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole - Answer-A. a client who experienced a missed abortion would
report brownish discharge and no pain.
B. CORRECT: Manifestations of an ectopic pregnancy include unilateral lower quadrant
pain with or without bleeding. Use of an IUD is a risk factor associated with this
condition.
C. a client who has severe preeclampsia does not have vaginal bleeding and presents
with right upper quadrant epigastric pain.
D. a client who has a hydatidiform mole usually has dark brown vaginal bleeding in the
second trimester that is not accompanied by abdominal pain."
/.1. A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all that
apply.)
A. episiotomy
B. oxytocin infusion
C. forceps
D. cesarean birth
E. internal fetal monitoring - Answer-A. CORRECT: An episiotomy should be avoided
for a client who is HIV-positive due to the risk of maternal blood exposure.
B. oxytocin infusion is not contraindicated for this client.
C. CORRECT: the use of forceps during delivery should be avoided due to the risk of
fetal bleeding.
D. cesarean birth is not contraindicated for this client.
E. CORRECT: Internal fetal monitoring should be avoided due to the risk of fetal
bleeding.
/.1. A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis
gravidarum. The nurse should identify that which of the following are risk factors for the
client? (Select all that apply.)
, A. obesity
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Migraine headache
E. oligohydramnios - Answer-A. CORRECT: obesity is a risk factor for hyperemesis
gravidarum.
B. CORRECT: Multifetal pregnancy is a risk factor for hyperemesis gravidarum.
C. Maternal age less than 30 is a risk factor for hyperemesis gravidarum.
D. CORRECT: Migraine headache is a risk factor for hyperemesis gravidarum.
E. oligohydramnios is not a risk factor for hyperemesis gravidarum"
/.1. A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 - Answer-A. CORRECT: April 1st minus 3 months plus 7 days and 1
year equals an estimated date of delivery of January. 8.
B. this is incorrect using nägele's rule.
C. this is incorrect using nägele's rule.
D. this is incorrect using nägele's rule."
/.1. A nurse is caring for a client who reports indications of preterm labor. Which of the
following findings are risk factors of this condition? (Select all that apply).
A. Urinary tract infection
B. Multifetal pregnancy
C. Oligohydramnios
D. Diabetes mellitus
E. Uterine abnormalities - Answer-A. CORRECT: a urinary tract infection is a risk factor
of preterm labor.
B. CORRECT: Multifetal pregnancy is a risk factor of preterm labor.
C. Hydramnios (excessive amniotic fluid) is a risk factor for preterm labor.
D. CORRECT: Diabetes mellitus is a risk factor of preterm labor.
E. CORRECT: Uterine abnormalities are a risk factor of preterm labor."
/.1. A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse
should expect which of the following variables to be included in this test? (Select all that
apply.)
A. fetal weight
B. fetal breathing movement
C. fetal tone
D. fetal Position
infertility. Which of the following clients should the nurse anticipate the provider will refer
to a genetic counselor?
A. A client whose sister has alopecia
B. A client whose partner has von Willebrand disease
C. A client who has an allergy to sulfa
D. A client who had rubella 3 months ago - Answer-A. Alopecia is a nonhereditary
disorder and does not warrant referral to a genetic counselor.
B. CORRECT: Von Willebrand disease is a genetic bleeding disorder and warrants a
client being referred to a genetic counselor.
C. Allergy to sulfa is a nonhereditary condition and does not warrant referral to a genetic
counselor.
D. A recent episode of rubella in a nonpregnant female does not warrant a referral to a
genetic counselor."
/.1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements by an adolescent reflects an understanding of
the teaching?
A. "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed 2 hours after intercourse."
C. "oral contraceptives can worsen a case of acne."
D. "a contraceptive patch is replaced once a month." - Answer-A. CORRECT: "a water-
soluble lubricant should be used with condoms."
B. "a diaphragm should be removed no sooner than 6 hr. and no later than 24 hr. after
intercourse."
C. "acne is reduced when taking oral contraceptives."
D. "Contraceptive patches are replaced once a week."
/.1. A nurse in a prenatal clinic is providing education to a client who is in the 8th week
of gestation. The client states that she does not like milk. Which of the following foods
should the nurse recommend as a good source of calcium?
A. Dark green leafy vegetables
B. Deep red or orange vegetables
C.White breads and rice
,D. Meat, poultry, and fish. - Answer-A. CORRECT: good sources of calcium for bone
and teeth formation include low-oxalate, dark green leafy vegetables, such as kale,
artichokes, and turnip greens.
B. Deep red or orange vegetables are good sources of vitamins c and a.
C. White breads and rice do not contain high levels of calcium.
D. Meat, poultry, and fish are sources of protein but do not contain high levels of
calcium."
/.1. A nurse in the emergency department is caring for a client who reports abrupt,
sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The
client states she missed one menstrual cycle and cannot be pregnant because she has
an intrauterine device. The nurse should suspect which of the following?
A. Missed abortion
B. ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole - Answer-A. a client who experienced a missed abortion would
report brownish discharge and no pain.
B. CORRECT: Manifestations of an ectopic pregnancy include unilateral lower quadrant
pain with or without bleeding. Use of an IUD is a risk factor associated with this
condition.
C. a client who has severe preeclampsia does not have vaginal bleeding and presents
with right upper quadrant epigastric pain.
D. a client who has a hydatidiform mole usually has dark brown vaginal bleeding in the
second trimester that is not accompanied by abdominal pain."
/.1. A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all that
apply.)
A. episiotomy
B. oxytocin infusion
C. forceps
D. cesarean birth
E. internal fetal monitoring - Answer-A. CORRECT: An episiotomy should be avoided
for a client who is HIV-positive due to the risk of maternal blood exposure.
B. oxytocin infusion is not contraindicated for this client.
C. CORRECT: the use of forceps during delivery should be avoided due to the risk of
fetal bleeding.
D. cesarean birth is not contraindicated for this client.
E. CORRECT: Internal fetal monitoring should be avoided due to the risk of fetal
bleeding.
/.1. A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis
gravidarum. The nurse should identify that which of the following are risk factors for the
client? (Select all that apply.)
, A. obesity
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Migraine headache
E. oligohydramnios - Answer-A. CORRECT: obesity is a risk factor for hyperemesis
gravidarum.
B. CORRECT: Multifetal pregnancy is a risk factor for hyperemesis gravidarum.
C. Maternal age less than 30 is a risk factor for hyperemesis gravidarum.
D. CORRECT: Migraine headache is a risk factor for hyperemesis gravidarum.
E. oligohydramnios is not a risk factor for hyperemesis gravidarum"
/.1. A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 - Answer-A. CORRECT: April 1st minus 3 months plus 7 days and 1
year equals an estimated date of delivery of January. 8.
B. this is incorrect using nägele's rule.
C. this is incorrect using nägele's rule.
D. this is incorrect using nägele's rule."
/.1. A nurse is caring for a client who reports indications of preterm labor. Which of the
following findings are risk factors of this condition? (Select all that apply).
A. Urinary tract infection
B. Multifetal pregnancy
C. Oligohydramnios
D. Diabetes mellitus
E. Uterine abnormalities - Answer-A. CORRECT: a urinary tract infection is a risk factor
of preterm labor.
B. CORRECT: Multifetal pregnancy is a risk factor of preterm labor.
C. Hydramnios (excessive amniotic fluid) is a risk factor for preterm labor.
D. CORRECT: Diabetes mellitus is a risk factor of preterm labor.
E. CORRECT: Uterine abnormalities are a risk factor of preterm labor."
/.1. A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse
should expect which of the following variables to be included in this test? (Select all that
apply.)
A. fetal weight
B. fetal breathing movement
C. fetal tone
D. fetal Position
