Contraception
A nurse in a health clinic is reviewing contraceptive
use with a group of clients. Which of the following
client statements demonstrates understanding?
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.”
A. CORRECT: Condoms are used with
water-soluble lubricants.
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
B. CORRECT: Von Willebrand disease is a genetic
bleeding disorder and warrants a client being
referred to a genetic counselor.
A nurse is caring for a client who is pregnant and states
that their 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
.A. CORRECT: April 1st minus 3 months plus 7 days and 1 year equals an estimated date of delivery of January 8.
A nurse is teaching a group of clients who are
pregnant about measures to relieve backache
during pregnancy. Which of the following measures
should the nurse include? (Select all that apply.)
A. Avoid any lifting.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing.
C. CORRECT: The pelvic rock or tilt exercise stretches the
muscles of the lower back and helps relieve lower-back pain.
D. CORRECT: The use of proper body mechanics prevents back
injury due to the incorrect use of muscles when lifting.
A nurse in a prenatal clinic is providing education to a
client who is at 8 weeks of gestation. The client states,
“I don’t 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
A. CORRECT: Good sources of calcium for bone and
teeth formation include low-oxalate, dark green leafy vegetables (kale, artichokes, turnip greens).
A nurse is instructing a client who is taking
an oral contraceptive about manifestations to
report to the provider. Which of the following
manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite
C. CORRECT: Shortness of breath can indicate a
pulmonary embolus or myocardial infarction and
should be reported to the provider immediately.
. A nurse is caring for a couple who is being
evaluated for infertility. Which of the following
statements by the nurse indicates understanding
of the infertility assessment process?
A. “You will need to see a genetic counselor
as part of the assessment.”
B. “It is usually the female who is having trouble,
so the male doesn’t have to be involved.”
C. “The male is the easiest to assess, and
the provider will usually begin there.”
D. “Think about adopting first because there
are many babies that need good homes.”
C. CORRECT: A sperm analysis is one of the first steps in the infertility assessment process and can identify a cause of infertility in a less invasive and costly manner
A nurse in a prenatal clinic is caring for a client
who is in the first trimester of pregnancy. The
client’s health record includes this data: G3
T1 P0 A1 L1. How should the nurse interpret
this information? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child.
. A. CORRECT: T1 indicates the client has delivered one newborn at term
D. CORRECT: G3 indicates the client has had two prior pregnancies and the client is currently pregnant.
E. CORRECT: L1 indicates the client has one living child.
. A nurse is caring for a client who is pregnant and
reviewing manifestations of complications the client
should promptly report to the provider. Which of the
following complications should the nurse include?
A. Vaginal bleeding
B. Swelling of the ankles
C. Heartburn after eating
D. Lightheadedness when lying on back
A. CORRECT: Vaginal bleeding indicates a potential
complication of the placenta such as placenta previa.
Instruct the client to notify the provider immediately.
2. A nurse in a prenatal clinic is caring for four
clients. Which of the following clients’ weight
gain should the nurse report to the provider?
A. 1.8 kg (4 lb) weight gain and is in the first trimester
B. 3.6 kg (8 lb) weight gain and is in the first trimester
C. 6.8 kg (15 lb) weight gain and is
in the second trimester
D. 11.3 kg (25 lb) weight gain and
is in the third trimester
B. CORRECT: The nurse should be concerned about this client because they have exceeded the expected 3- to 4-lb weight gain of a client in the first trimester.
. A nurse in an obstetrical clinic is teaching a
client about using an IUD for contraception.
Which of the following statements by the client
indicates an understanding of the teaching?
A. “An IUD should be replaced annually during a pelvic exam.”
B. “I cannot get an IUD until after I’ve had a child.”
C. “I should plan on regaining fertility 5 months after the IUD is removed.”
D. “I will check to be sure the strings of the IUD are still present after my periods.”
D. CORRECT: The client should check for presence of
IUD strings following each menstruation to ensure
the device is still present. A change in the length of
the strings should be reported to the provider.
A nurse in an infertility clinic is providing care
to clients who have been unable to conceive for
18 months. Which of the following data should
the nurse assess? (Select all that apply.)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D. History of falls
E. Recent blood transfusions
. A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace (radiation, chemicals, herbicides, pesticides).
B. CORRECT: Menstrual history can identify hormone-related patterns (anovulation, pituitary disorders, endometriosis).
C. CORRECT: Childhood infectious diseases can identify the male partner having had the mumps
A nurse is reviewing the health record of a client who
is pregnant. The provider indicated the client exhibits
probable signs of pregnancy. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Montgomery’s glands
B. Goodell’s sign
C. Ballottement
D. Chadwick’s sign
E. Quickening
B. CORRECT: Goodell’s sign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick’s sign is a probable sign of pregnancy
A client who is at 7 weeks of gestation is experiencing
nausea and vomiting in the morning. Which of the
following information should the nurse include?
A. Eat crackers or plain toast before
getting out of bed.
B. Awaken during the night to eat a snack.
C. Skip breakfast and eat lunch after
nausea has subsided.
D. Eat a large evening meal
. A. CORRECT: Nausea and vomiting during the first
trimester might be relieved by eating crackers or
plain toast prior to rising in the morning.
. A nurse in a clinic is teaching a client of childbearing
age about recommended folic acid supplements.
Which of the following defects can occur in the fetus
or neonate as a result of folic acid deficiency?
A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. Neural tube defects
D. CORRECT: Neural tube defects are caused by folic acid deficiency. Food sources of folic acid include fresh green leafy vegetables, liver, peanuts, cereals, and whole-grain breads.
A nurse is teaching a client about potential
adverse effects of implantable progestins.
Which of the following adverse effects should
the nurse include? (Select all that apply.)
A. Tinnitus
B. Irregular vaginal bleeding
C. Weight gain
D. Nausea
E. Gingival hyperplasia
B. CORRECT: Irregular vaginal bleeding is a potential adverse effect of implantable progestins.
C. CORRECT: Weight gain is a potential adverse effect of implantable progestins.
D. CORRECT: Nausea is a potential adverse effect of implantable progestins
A nurse in a clinic is caring for a client who is
postoperative following a salpingectomy due to
an ectopic pregnancy. Which of the following
statements by the client requires clarification?
A. “It is good to know that I won’t have a
tubal pregnancy in the future.”
B. “The doctor said that this surgery can affect
my ability to get pregnant again.”
C. “I understand that one of my fallopian
tubes had to be removed.”
D. “Ovulation can still occur because
my ovaries were not affected.
A. CORRECT: The risk of recurrence of an ectopic pregnancy is increased following an ectopic pregnancy.
. A nurse in a prenatal clinic is caring for a client
who is pregnant and experiencing episodes
of maternal hypotension. The client asks the
nurse what causes these episodes. Which of the
following responses should the nurse make?
A. “This is due to an increase in blood volume.”
B. “This is due to pressure from the uterus on the diaphragm.”
C. “This is due to the weight of the uterus on the vena cava.”
D. “This is due to increased cardiac output.”
C. CORRECT: Maternal hypotension occurs when the client is lying in the supine position and the weight of
the gravid uterus places pressure on the vena cava,
decreasing venous blood flow to the heart
A nurse is teaching a client who is at 6 weeks
of gestation about common discomforts of
pregnancy. Which of the following findings should
the nurse include? (Select all that apply.)
A. Breast tenderness
B. Urinary frequency
C. Epistaxis
D. Dysuria
E. Epigastric pain
. A. CORRECT: Breast tenderness is a common discomfort
occurring during the first trimester of pregnancy.
B. CORRECT: Urinary frequency is a common discomfort occurring during the first trimester of pregnancy.
C. CORRECT: Epistaxis is a common discomfort occurring during the first trimester of pregnancy.
4. A nurse is reviewing a new prescription for iron
supplements with a client who is at 8 weeks of
gestation and has iron deficiency anemia. Which of
the following beverages should the nurse instruct
the client to take the iron supplements with?
A. Ice water
B. Low-fat or whole milk
C. Tea or coffee
D. Orange juice
D. CORRECT: Orange juice contains vitamin C,
which aids in the absorption of iron.
. A nurse in a clinic is teaching a client about a new
prescription for medroxyprogesterone. Which of the following information should the nurse
include in the teaching? (Select all that apply.)
A. “Weight fluctuations can occur.”
B. “You are protected against STIs.”
C. “You should increase your intake of calcium.”
D. “You should avoid taking antibiotics.”
E. “Irregular vaginal spotting can occur.”
. A. CORRECT: Weight fluctuations can occur when
taking medroxyprogesterone
C. CORRECT: Clients should take calcium and vitamin D to prevent loss of bone density, which can
occur when taking medroxyprogesterone.
E. CORRECT: Medroxyprogesterone can
cause irregular vaginal bleeding
A nurse is reviewing the medical record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure?
VITAL SIGNS Temperature 36.1° C (97° F) Heart rate 60/min
HISTORY AND PHYSICAL Employed as a radiology technician Allergy to shrimp Tonsillectomy at age 18
LABORATORY FINDINGS Glucose 103 mg/dL Hgb 13.1 g/dL Total cholesterol 265 mg/dL
MEDICATIONS Rosuvastatin Magnesium oxide Mafenide acetate
A. Vital signs
B. History and physical
C. Laboratory findings
D. Medications
B. CORRECT: An allergy to seafood is a contraindication to the dye used in hysterosalpingography.
A nurse in a clinic receives a phone call from a
client who would like to be tested in the clinic
to confirm a pregnancy. Which of the following
information should the nurse provide to the client?
A. “You should wait until 4 weeks after
conception to be tested.”
B. “You should be off any medications
for 24 hours prior to the test.”
C. “You should be NPO for at least
8 hours prior to the test.”
D. “You should collect urine from
the first morning void.
D. CORRECT: Urine pregnancy tests should be
done on a first-voided morning specimen to
provide the most accurate results.
A client who is at 8 weeks of gestation tells the nurse "I
am not sure I am happy about being pregnant." Which
of the following responses should the nurse make?
A. “I will inform the provider that you
are having these feelings.”
B. “It is normal to have these feelings during
the first few months of pregnancy.”
C. “You should be happy that you are going
to bring new life into the world.”
D. “I am going to make an appointment with the
counselor for you to discuss these thoughts.”
B. CORRECT: Feelings of ambivalence about pregnancy are normal during the first trimester.
A nurse is reviewing postpartum nutrition
needs with a group of clients who have begun
breastfeeding their newborns. Which of the
following statements by a member of the group
indicates an understanding of the teaching?
A. “I am glad I can have my morning coffee.”
B. “I should take folic acid to increase my milk supply.”
C. “I will continue adding 330 calories
per day to my diet.”
D. “I will continue my calcium supplements
because I don’t like milk.”
D. CORRECT: Postpartum clients who are at risk for
inadequate dietary calcium should continue taking
calcium supplements during lactation