OB Exam 1

Question 1

From the nurses perspective, what measure should be the focus of the health care system to reduce the rate
of infant mortality further?

Answer 1

Implementing programs to ensure womens early participation in ongoing prenatal care

Question 2

Through the use of social media technology, nurses can link with other nurses who may share similar
interests, insights about practice, and advocate for patients. The most concerning pitfall for nurses using this technology is:

Answer 2

Violation of patient privacy and confidentiality

Question 3

The two primary functions of the ovary are:

Answer 3

Ovulation and hormone production.

Question 4

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE)
is

Answer 4

5 to 7 days after menses ceases.

Question 5

Menstruation is periodic uterine bleeding

Answer 5

That is regulated by ovarian hormones

Question 6

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an
examination gown with the front open. The woman states, I have special undergarments that I do not remove for religious reasons. The most appropriate response from the nurse would be:

Answer 6

Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss
how you can have your examination comfortably.

Question 7

A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurses
initial response should be to:

Answer 7

Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection

Question 8

Which statement would indicate that the client requires additional instruction about breast self examination?

Answer 8

Yellow discharge from my nipple is normal if Im having my period

Question 9

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will
counsel her to eliminate all alcohol intake because:

Answer 9

The fetus is placed at risk for altered brain growth.

Question 10

As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm
labor, placental separation (abruption), and stillbirth?

Answer 10

Cocaine

Question 11

As a girl progresses through development, she may be at risk for a number of age-related conditions. While
preparing a 21-year-old client for her first adult physical examination and Papanicolaou (Pap) test, the nurse is
aware of excessiveness shyness. The young woman states that she will not remove her bra because, There is something wrong with my breasts; one is way bigger. What is the best response by the nurse in this situation?

Answer 11

I will explain normal growth and breast development to you.

Question 12

The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is:

Answer 12

Intrauterine growth restriction

Question 13

When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused by:

Answer 13

Lack of exercise

Question 14

Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?

Answer 14

I feel irritable and moody a week before my period is supposed to start

Question 15

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten
worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get
pregnant for the past 18 months. These symptoms are most likely related to:

Answer 15

Endometriosis.

Question 16

During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as:

Answer 16

Dysmenorrhea.

Question 17

Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides
care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is:

Answer 17

NSAIDS

Question 18

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the
most common bacterial STI is:

Answer 18

Chlamydia

Question 19

The viral sexually transmitted infection (STI) that affects most people in the United States today is

Answer 19

Human papillomavirus (HPV).

Question 20

The U.S. Centers for Disease Control and Prevention (CDC) recommends that HPV be treated with client applied:

Answer 20

Topical podofilox 0.5% solution or gel.

Question 21

On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse,
thin, grayish white vaginal discharge with a fishy odor; complaint of pruritus. On the basis of these findings,
the nurse suspects that this woman has:

Answer 21

Bacterial vaginosis (BV).

Question 22

A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. This is
most likely:

Answer 22

Intraductal papilloma

Question 23

A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty
he and his wife are having getting pregnant. The nurses most appropriate response is:

Answer 23

Smoking can reduce the quality of your sperm.

Question 24

A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse

Answer 24

Obtain a history of menstrual cycle lengths for the past 6 to 12 months

Question 25

A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, My period is due in a few days, and my temperature has not gone up. The nurses most appropriate response is:

Answer 25

You probably didnt ovulate during this cycle

Question 26

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurses most appropriate response would be

Answer 26

Your current medications will reduce the effectiveness of the pill.

Question 27

An unmarried young woman describes her sex life as active and involving many partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD). The nurses most appropriate response is:

Answer 27

The risk of pelvic inflammatory disease (PID) will be higher for you

Question 28

A woman is 16 weeks pregnant and has elected to terminate her pregnancy. The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:

Answer 28

Dilation and evacuation (D&;E).

Question 29

A womans cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse when such anomalies occur during development. Which response by the nurse is most accurate

Answer 29

They occur between the third and fifth weeks of development

Question 30

pregnant woman at 25 weeks gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate

Answer 30

Babies respond to sound starting at about 24 weeks of gestation

Question 31

The nurse caring for the laboring woman should know that meconium is produced by

Answer 31

fetal intestine

Question 32

The measurement of lecithin in relation to sphingomyelin (L/S ratio) is used to determine fetal lung maturity. Which ratio reflects maturity of the lungs

Answer 32

2:1

Question 33

The most basic information a maternity nurse should have concerning conception is that

Answer 33

Implantation in the endometrium occurs 6 to 10 days after conception

Question 34

A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:

Answer 34

Within the next month, you should start to feel fluttering sensations

Question 35

When are you most likely to get a UTI during pregnancy

Answer 35

Later in pregnancy

Question 36

is a bluish discoloration of the cervix, vagina, and labia resulting from increased blood flow

Answer 36

Chadwick’s sign

Question 37

It is demonstrated as a softening in the consistency of the uterus, and the uterus and cervix seem to be two separate regions

Answer 37

Hegira sign

Question 38

Causes milk to form

Answer 38

Prolactin

Question 39

Startes contractions for birth

Answer 39

Oxytocin

Question 40

With regard to prenatal genetic testing, nurses should be aware that:

Answer 40

maternal serum screening can determine whether a pregnant woman is at risk of carrying a fetus with Down syndrome.

Question 41

A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this patient, the nurse should know that:

Answer 41

menorrhagia is a common finding.

Question 42

The nurse should know that once human immunodeficiency virus (HIV) enters the body, seroconversion to HIV positivity usually occurs within:

Answer 42

6-12 weeks

Question 43

Which of the following is the most appropriate teaching for a patient who is using a diaphragm for birth control?

Answer 43

" You must be re-fitted for your diaphragm if you gain or lose more than 8-10 lbs.