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N3532 Reproductive Health Care COPY > Exam 1 - Practice Questions > Flashcards

Exam 1 - Practice Questions Flashcards

1
Q

This prevents polyspermia at time of fertilization is known as a?

A

Zona Reaction

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2
Q

A physician is examining a patient who came in with complaints of “painful bumps/lesions” in her vagina for the past 3 days. The physician suspects an acute HSV outbreak. You know the best diagnosis can be made by..?

A

Culture of scrapings from the open lesions

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3
Q

Over the past 25 years, the indcidence of preterm birth has:

A. Declined

B. Remained the same

C. Increased

A

C. Increased

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4
Q

An ambulatory care nurse is discussing health promotion behaviors with her client. Her client is a 48 year old Asian women who has been divorced for 5 years and has a new male partner. Both the woman and her partner are smokers. The teaching plan for this client based on her risk factors include (select all that apply):

A. Warning signs of heart attack and stroke

B. Need for yearly pelvic exam that includes a chlamydia test

C. Need for pneumococcal vaccine now and in 10 years

D. Need for tetanus and diphtheria vaccine every 5 years

A

A. Warning signs of heart attack and stroke

B. Need for yearly pelvic exam that includes a chlamydia test

C. Need for pneumococcal vaccine now and in 10 years

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5
Q

Which woman is at highest risk for ovarian cancer?

A. 60 year old jewish woman who recently emigrated from Israel and have never been pregnant

B. A 40 year old African American woman who has four children and history of PID

C. A 55 year old woman who recently emigrated from China and whose sister received treatment for stage I ovarian cancer

D. A 30 year old obese woman with history of endometriosis

A

C. A 55 year old woman who recently emigrated from China and whose sister received treatment for stage I ovarian cancer

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6
Q

Vaginal delivery may be considered in women with HIV if the viral load is…?

A

< 1000

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7
Q

The Population with the lowest brithrate but highest premature birthrate is:

A. Non-hispanic white

B. Non-hispanic black

C. American indian or Alaska Native

D. Asian or pacific Islanders

E. Hispanics

A

C. American indian or Alaska Native

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8
Q

True or false: Genetics is the study of genes and their function and related technology.

A. True

B. False

A

B. False

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9
Q

Factors that can contribute to chronic pelvic pain (CPP) include (select all that apply):

A. Chron’s disease

B. Celiac disease

C. Sleep disorders

D. Intrauterine contraceptive device

A

A. Chron’s disease

B. Celiac disease

C. Sleep disorders

D. Intrauterine contraceptive device

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10
Q

Which of the following strategies can decrease the frequency of hot flashes related to perimenopause? Select all that apply

A. Avoiding alcohol drinks

B. Avoiding hot tears

C. Avoiding foods high in fat

D. Avoiding cold rooms

A

C. Avoiding foods high in fat

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11
Q

Autonomy is defined as the right to:

A. Do good

B. Equal treatment

C. Self-determination

D. Be valued

A

C. Self-determination

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12
Q

Type 1 diabetes is associated with:

A. Decreased pancreatic function

B. Insulin resistance

C. Inappropriate response to insulin

D. Absolute insulin deficiency

A

D. Absolute insulin deficiency

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13
Q

Huntington’s disease is an example of what kind of genetic disease?

A

Autosomal dominant

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14
Q

You are a nurse working in a prenatal clinic. Your patient, an 18 year old women, is in her 10th gestational week. She wants to know when her baby’s heart will start to beat. You inform her that it usually begins to beat around:

A. The 2nd week of gestation

B. The 3rd week of gestation

C. The 4th week of gestation

D. The 5th week of gestation

A

C. The 4th week of gestation

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15
Q

A _____ is a screening test that involves a microscopic examination of cells taken from the cervix for early detection of acnerous or precancerous cells.

A. Cervical biopsy

B. Colposcopy

C. Cervical conization

D. Papanicolaou test

A

D. Papanicolaou test

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16
Q

Infant mortality is defnied as death before _____.

A. 28 days of age

B. 6 months of age

C. 1 year of age

D. 18 months of age

A

C. 1 year of age

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17
Q

What must occur in order for a sperm (flage) to enter ova?

A

capication

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18
Q

Risk management is an approach to the prevention of:

A. Morbidity and mortality

B. Litigation

C. Staff conflicts

D. Poor care

A

B. Litigation

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19
Q

Mrs. Smith is in labor, being augmented with Pitocin and is 6 cm dilated. It is difficult to keep the baby on continuous EFM, so the physician decides to apply a fetal scalp electrode. You know that this is contraindicated if the mother has a history of…?

A

Hepatitis B

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20
Q

Which of the following women are at risk for osteoporosis? Select all that apply

A. A 45 year old woman with a DXA of -0.5

B. A 25 year old woman with anorexia

C. A 35 year old non-smoking woman

D. A 30 year old woman who had weight loss surgery

A

B. A 25 year old woman with anorexia

D. A 30 year old woman who had weight loss surgery

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21
Q

To be effective advocates for patients and their families, the nurse needs to:

A. Talk to patients about their concerns

B. Recognize themselves as equal partners in the health care team

C. Assume the patient’s needs

D. Ask family members about key health care decisions

A

B. Recognize themselves as equal partners in the health care team

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22
Q

During a teaching session, the nurse explains that women with polycystic ovary syndrome (POS) have:

A. Decreased levels of lutenizing hormone (LH)

B. Increased levels of testosterone

C. Increased secretion of follicle-stimulating hormone

D. Decreased levels of estrogen

A

B. Increased levels of testosterone

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23
Q

Lesbians are at _____ risk for breast, cervical, endometrial, and ovarian cancer than heterosexual women.

A. Higher

B. Lower

C. The same

A

A. Higher

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24
Q

Instruction to a patient experiencing diarrhea related to radiation therapy includes (select all that apply):

A. Drink 8-12 cups of clear liquid per day

B. Eat three large meals per day

C. Eat foods high in fiber

D. Use baby wipes instead of toilet paper

A

A. Drink 8-12 cups of clear liquid per day

D. Use baby wipes instead of toilet paper

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25
Q

Management of women with pregestational diabetes should begin:

A. Before conception

B. At the end of the first trimester

C. At the end of 20 weeks

D. Before the onset of labor

A

A. Before conception

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26
Q

A 25 year old women is seeing her gynecologist for a preconception visit. She has been married for 3 years. Her brother has hemophilia. Which of these genetic tests would be recommended for this women?

A. Carrier testing

B. Predictive testing

C. Preimplantation testing

D. Prenatal testing

A

A. Carrier testing

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27
Q

Nurses have the professional responsibility to provide high-quality, impartial nursing care to all patients in _____, regardless of the nurses’ personal beliefs.

A. Emergency situations

B. Urgent situations

C. Safe situations

D. Every situation

A

A. Emergency situations

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28
Q

Your patient delivered a full-term baby 12 hours ago. The woman and her husband, who are in their early 20s, have just been informed by their pediatrician that their baby has trisomy 21 (down syndrome). This is their first child and they did not have parenatal genetic testing. Your nursing care will include: (select all that apply)

A. Explaining that they will go through a grieving process over the loss of their “dream” child

B. Explaining the importance of talking openly to each other about their feelings and concerns regarding their child

C. Explaining they will benefit from seeing a genetic counselor

D. Explaining that they should direct questions regarding the baby’s diagnosis to their pediatrician

A

A. Explaining that they will go through a grieving process over the loss of their “dream” child

B. Explaining the importance of talking openly to each other about their feelings and concerns regarding their child

C. Explaining they will benefit from seeing a genetic counselor

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29
Q

Based on her knowledge of the number on leading cause of death for girls/women 15-24 years of age, the clinic nurse stresses the importance of _____ with her 19 year old client.

A. Eating foods high in calcium and vitamin D

B. Avoiding secondhand smoke

C. Wearing seatbelts when traveling in an automobile

D. Exercising daily to improve muscle strength and balance

A

C. Wearing seatbelts when traveling in an automobile

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30
Q

The greatest increase in birthrate is in women ________.

A. 15-19 years of age

B. 25-29 years of age

C. 30-34 years of age

D. 40-45+ years of age

A

D. 40-45+ years of age

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31
Q

Moderately premature neonates are neonates born:

A. At less than 28 weeks of gestations

B. Between 28 weeks and 30 weeks of gestation

C. Between 20 and 32 weeks of gestation

D. Between 32 and 34 weeks of gestation

D. Between 34 and 36 weeks of gestation

A

D. Between 34 and 36 weeks of gestation

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32
Q

In addition to being the most commonly sexually transmitted virus in the United States, _____ is also the main cause of cervical cancer.

A. HIV

B. Chlamydia

C. Humam papillomavirus

D. Gonorrhea

A

C. Humam papillomavirus

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33
Q

Smoking during pregnancy increases the risk of:

A. Low birth weight and prematurity

B. Neonatual lung disease

C. Precalmpsia

A

A. Low birth weight and prematurity

34
Q

True or fale: Meiosis is a process of two successive cell divisions that produces two haploid cells.

A. True

B. False

A

A. True

35
Q

The region between the vaginal orifice and the anus is known as the?

A

Perineum

36
Q

The likelihood of dizygotic twinning is affected by:

A. Advancing maternal age

B. Use of assited reproductive technology

C. Maternal nutritional status

A

B. Use of assited reproductive technology

37
Q

Very low birth weight (VLBW) is defined as a birth weight less than _____.

A. 500 grams

B. 1,000 grams

C. 1,500 grams

D. 2000 grams.

A

C. 1,500 grams

38
Q

Chemotherapy is commonly used in the treatment plan of:

A. All who have breast cancer

B. Women who have stage 0 breast cancer

C. Women who have stage II breast cancer with low risk of recurrence

D. Women who have stage IV breast cancer

A

D. Women who have stage IV breast cancer

39
Q

An appropriate gestational age to do glucose screening is:

A. 22 weeks of gestation.

B. 26 weeks of gestation

C. 30 weeks of gestation

D. 34 weeks of gestation

A

B. 26 weeks of gestation

40
Q

An oxygen saturation level below _____ is an abnormal finding for a pregnant owmen.

A. 90%

B. 92&%

C. 95%

D. 97%

A

D. 97%

41
Q

Factors that place a man at risk for infertility are: (Select all that apply)

A. Cigarette smoking

B. Eating disorders

C. Excessive exercising

D. Use of marijuana

A

A. Cigarette smoking

D. Use of marijuana

42
Q

Obesity places women at risk for a variety of health problems. These risks include (select all that apply):

A. Stroke

B. Breast cancer

C. Colon cancer

D. Menstrual disorders

A

B. Breast cancer

D. Menstrual disorders

43
Q

An ethical dilemma is:

A. A violation of patient autonomy

B. A choice that violates ethical principles

C. A conflict between advocacy and respect

D. A conflict between what is just and good

A

B. A choice that violates ethical principles

44
Q

You are a nurse in a family planning clinic. Your patient has been married for 5 years. She used an IUD, which was removed 12 months ago. she infroms you that she and her husband have been trying to get pregnant for the past 12 months. Initial screening to determine the cause of infertility includes: (Select all that apply)

A. Sperm analysis

C. Testicular biospy

B. Assessing for ovulation

D. Hysterosalpingogram

A

A. Sperm analysis

C. Testicular biospy

D. Hysterosalpingogram

45
Q

A medical work-up for a 28 year old owman presenting with chronic pelvic pain with normal menstural cycles would include (select all that apply):

A. Laparoscopy

B. Colposcopy

C. Urinalysis

D. Endometrial biopsy

A

A. Laparoscopy

C. Urinalysis

46
Q

The quadrivalent HPV vaccine protects against the what strains of high risk HPV?

A

16 & 18

47
Q

 Punctuate hemorrhages in cervix is a prominent characteristic of?

A

Trichomoniasis

48
Q

Risk factors for bacterial vaginosis (BV) include (select all that apply):

A. Poor hygiene

B. Poor nutrition

C. Antibiotic therapy

D. Smoking

A

C. Antibiotic therapy

49
Q

The two most important predictors of an infant’s health and survival after birth are:

A. Gestational age and birth weight

B. Gestational age and early prenatal care

C. Gestational age and complication during labor and birth

D. Gestational age and Apgar score

A

A. Gestational age and birth weight

50
Q

Days 6 through 14 of the ovarian cycle, are known as which of the following phases?

A

Follicular

51
Q

The pain associated with ovulation is termed?

A

Mittleschmerz

52
Q

The fetal nervous system is formed by the germ layer known as the?

A

Ectoderm

53
Q

During a routine assessment of a 60 year old woman in the women’s health clinic, the nurse notes numerous bruises at various stages of healing on the woman’s chest and abdomen. The first nursing action is:

A. Complete a fall risk assessment

B. Question the women about her relationship with her partner

C. Question her about medication that can cause brusing

D. Assess for vertigo

A

B. Question the women about her relationship with her partner

54
Q

Hypoglycemia is defined as a blood glucose below:

A. 60 mg/dL

B. 70 mg/dL

C. 80 mg/dL

D. 90 mg/dL

A

B. 70 mg/dL

55
Q

The nurse would suspect preeclampsia if which of the following was found during assessment?

A. Hypertension and diminished reflexes

B. Ankle edema and ketonuria

C. Proteinuria and hypertension

D. Glucosuria and proteinuria

A

C. Proteinuria and hypertension

56
Q

True or False: Very low birth weight (VLBW) neonates account for 1.45% of births but account for 45% of all infant deaths.

A. True

B. False

A

A. True

57
Q

Which of the following is an indication to turn off magnesium sulfate in a women managed with preeclampsia?

A. Blood pressure 190/100 mmHg

B. Nausea and vomiting

C. Epigastirc pain

D. Respiratory rate 13 breaths/min

A

D. Respiratory rate 13 breaths/min

58
Q

A response to nursing interventions that are measurable and observable are:

A. Variables

B. Guidelines

C. Health dimensions

D. Expected outcomes

A

D. Expected outcomes

59
Q

A maternal and infant goal stated in Healthy People 2020 is:

A. Increase abstinence from smking during pregnancy to 100%

B. Reduce cesarean birth for first-time mothers to 23.9%

C. Increase the proportion of infants who are breastfed at 6 months to 50%

D. Reduce the rate of maternal mortality to 5%

A

B. Reduce cesarean birth for first-time mothers to 23.9%

60
Q

In order to promote vaginal health, you would include all of the following in your teaching EXCEPT…?

A

You may douche once in a while

61
Q

The developing human is most vulnerable to teratogens during

A. The first 4 weeks of gestation

B. The first 8 weeks of gestatioin

C. The first 12 weeks of gestation

D. The first 16 weeks of gestation

A

B. The first 8 weeks of gestatioin

62
Q

Mother’s smoking habit predisposes babies to IUGR by?

A

Decreased placental perfusion

63
Q

Failing to use the latest health care research is

A. Unsafe

B. Costly and harmful

C. Costly, farmful, and can lead to use of ineffective care

D. Risky

A

C. Costly, farmful, and can lead to use of ineffective care

64
Q

Evidence-based decision making should include consideration of:

A. Best research evidence, patient’s clinical state, and clinical setting

B. Best research evidence, patient’s acuity, and financial considerations

C. Best research evidence, clinical expertise, and patient values

D. Best research evidence, clinical resources, and patient values

A

C. Best research evidence, clinical expertise, and patient values

65
Q

A teaching plan for a 40 year old woman having her first mammogram should include (select all that apply):

A. Informing her that she should have mammogram every 5 years

B. Explaining that she might experience a sensation that her breast is being squeezed or pinched

C. Instructing her to avoid use of deodorant under her arms on the day of her appointment

D. Explaining that this is a screening test versus a diagnostic test

A

B. Explaining that she might experience a sensation that her breast is being squeezed or pinched

C. Instructing her to avoid use of deodorant under her arms on the day of her appointment

D. Explaining that this is a screening test versus a diagnostic test

66
Q

The organization that publishes standards and guidelines for maternity nursing is the:

A. National perinatal association

B. American nurses association

C. American academy of pediatrics

D. Association of women’s health, obsterics and neonatal nursing

A

D. Association of women’s health, obsterics and neonatal nursing

67
Q

What is the most common cause of congenital infection in the U.S.A?

A

Cytomegalovirus

68
Q

The thickened endometrium in which the fertilized ovum implants is called the?

A

Decidua

69
Q

A _____ is a framework developed through expert consensus and review of the literature.

A. guideline

B. Outcome

C. Standard

D. Evaluation

A

C. Standard

70
Q

Tom and Tina have been married for 6 years have not used contraception, have had frequent sexual experiences, and have tried to conceive a child but have been unsuccessful. Their situation is best referred to as?

A

Primary Infertility

71
Q

Which placental hormone is responsible for regulating glucose availability to the fetus?

A. Progesterone

B. Estrogen

C. hCG

D. hPL

A

D. hPL

72
Q

The developing human being is most vulnerable to teratogens during?

A

The first eight weeks of gestation

73
Q

The ambulatory care nurse is instructing a woman regarding oral bisphosphonates in the treatment of osteoporosis. The teaching plan should include which of the following?

A. Take the medication on a full stomach

B. Remain upright for 30 minutes after taking the medication

C. Take the medication with the evening meal

D. Take the medication with her calcium supplement

A

B. Remain upright for 30 minutes after taking the medication

74
Q

Women are more receptive to treatment and lifestyle changes during pregnancy, so pregnancy may be a window of opprotunity for chemically dependent women to enter treatment.

A. True

B. False

A

A. True

75
Q

The leading cause of infant death in 2010 was _____.

A. Sudden infant death syndrome (SIDS)

B. Congenital malformations

C. Respiratory distress syndrome of newborns

D. Accidents

A

B. Congenital malformations

76
Q

Fertilization takes palce in the _____.

A. Ovaries

B. Fallopian tube

C. Uterus

A

B. Fallopian tube

77
Q

The highest percentage of woemen who smoke during pregnancy are _____.

A. American Indian and/or Alaskan Native

B. Asian and/or Pacific Islander

C. Hispanic

D. Non-Hispanic black

E. Non-Hispanic white

A

A. American Indian and/or Alaskan Native

78
Q

What is the most frequently reported bacterial STI is the United States?

A

Chlamydia

79
Q

A definition of menorrhagia is:

A. Bleeding that is excessive in number of days and amount of bleeding

B. Bleeding between periods or after menopause

C. Painful menstruation

D. Bleeding related to cervical dysplasia

A

A. Bleeding that is excessive in number of days and amount of bleeding

80
Q

A 45 year old woman present at the women’s health clinic complains of a foul vaginal odor and leakage of fecal material from her vagina. This is most likely related to:

A. Rectocele

B. Bacterial vaginitis

C. Genital fistulas

D. Endometrial cancer

A

C. Genital fistulas

81
Q

The goal of magnesium sulfate therapy in treating preeclampsia is to:

A. Reduce blood pressure

B. Delay delivery

C. Prevent seizures

D. Increase placental perfusion

A

C. Prevent seizures

N3532 Reproductive Health Care COPY (14 decks)

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