345 Ob Test #1 Review

Front 1

The nurse has presented a community education class on recommended helath screenings for women. Which statement by a class member indicates that additional teaching is necessary? "The Pap smear:
A) Detects abnormal cells."
B) Is recommended every year."
C) Can be done every three years in some women."
D) Diagnoses cervical cancer."

Back 1

D) Diagnoses cervical cancer.

Front 2

The nurse is presenting a class on cenception to a group of middle school students. Which answer to this questions indicates the learning has occurred? "In order for fertilization to occur, what portion of the sperm must enter the ovum?"
A) Only the tail
B) Only the head
C) Either the head or the tail
D) The entire sperm

Back 2

B) Only the head

Front 3

The client is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome (PCOS). Which problem does the nurse expect to find in the client's history?
A) Vulvitis
B) Oligomenorrhea
C) Multiple first trimester fetal losses
D) Dyspareunia

Back 3

B) Oligomenorrhea

Front 4

A teaching plan for a client with premenstrual syndrome (PMS) should include a recommendation to restrict her intake of:
A) Chicken, eggs, and fish.
B) High-starch foods such as potatoes and spaghetti.
C) Coffee, colas, and chocolate cake.
D) Whole grain breads and cereals, and beans.

Back 4

C) Coffee, colas, and chocolate cake.

Front 5

Which of the following is most important when screening a woman for partner abuse?
A) Conveying warmth and empathy
B) Clarifying her myths and battering
C) Ensuring privacy and confidentiality
D) Asking specific, direct questions about abuse

Back 5

C) Ensuring privacy and confidentiality

Front 6

The pregnant client asks the nurse when the male and female reproductive organs begin to differentiate. The best answer would be, "This happens at:
A) Four weeks."
B) 20 weeks."
C) 14 weeks."
D) Eight weeks."

Back 6

D) Eight weeks."

Front 7

A client is concerned about her risk for breast cancer. Following the initial history, the nurse identifies which of the following as a high risk factor for breast cancer?
A) Mother with fibrocystic breast disease
B) Multiparity
C) Sister with premenopausal breast cancer
D) History of late menarche and early menopause

Back 7

C) Sister with premenopausal breast cancer

Front 8

A nurse teaches newly pregnant clients that is an ovum is fertilized and implants in the endometrium, the hormone the fertilized egg begins to secrete is:
A) Progesterone
B) Estrogen
C) Human chorionic gonadotropin (hCG).
D) Luteinizing hormone

Back 8

C) Human chorionic gonadotropin (hCG)

Front 9

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraceptive would be one who reports:
A) Forgetting to start her pill pack yesterday.
B) Increased dysmenorrhea since IUD insertion
C) That a condom broke yesterday in the middle of her cycle
D) Unprotected intercourse during her menses

Back 9

C) That a condom broke yesterday in the middle of her cycle

Front 10

The nurse has presented a class on reproduction at a college. The nurse knows that teaching has been effective is a student states, "Once the ovum has entered the fallopian tube, movement of the ovum through the fallopian tube and toward the uterus is facilitated by:
A) Motions of the fallopian fimbriae."
B) Progesterone-induced cervical mucus changes."
C) Estrogen-induced tubal peristalsis."
D) Movements of the corona radiata of the ovum."

Back 10

C) Estrogen-induced tubal peristalsis."

Front 11

The couple at 12 weeks' gestation has been told that their fetus has sickle cell disease. Which statement by the couple indicates that they are adequately coping?
A) "Taking vitamins before we got pregnant would have prevented this from happening."
B) "We knew we were both carriers of sickle cell. We shouldn't have tried to have a baby."
C) "If we been healthier when we conceived, our baby wouldn't have this disease now."
D) "The doctor told us there was a 25% chance that our baby would have sickle disease."

Back 11

D) "The doctor told us there was a 25% chance that our baby would have sickle disease."

Front 12

The client has read that the placenta produces hormones that are vital to the function of the fetus. It is evident that the client understands the function of the placenta if she states which hormone is primarily responsible for the maintenance of pregnancy past the eleventh week?
A) Human chorionic gonadotropin (hCG)
B) Progesterone
C) Estrogen
D) Human placental lactogen (hPL)

Back 12

B) Progesterone

Front 13

A nonpregnant client reports a fishy smelling, thin, white, watery vaginal discharge. She is diagnosed with bacterial vaginosis (BV). The client reports an allergy to sulfa. The nurse would expect to administer:
A) Penicillin G (Bicillin 2 million units IM one time.
B) Metronidazole (Flagyl) 500 mg po bid for a week.
C) Zithromax (Azithromycin) 1 mg po bid for two weeks.
D) Doxycycline (Vibramycin) 100 mg po bid for a week.

Back 13

B) Metronidazole (Flagyl) 500 mg po bid for a week.

Front 14

The nurse is scheduling an ultrasound for a 45-year old woman with a suspected uterine tumor. The nurse includes in the client's teaching that the most common benign uterine tumor seen in women in their forties is a:
A) Fibrocystic tumor.
B) Fibroid tumor.
C) Fibroadenoma.
D) Lymphoma.

Back 14

B) Fibroid tumor.

Front 15

A male infant was born two days ago, and the nurse assessed the infant as having single palmar crease, poor muscle tone, and low-set ears. Genetic testing of the infant has been ordered by the physician. Which statement should the nurse include when explaining this plan to the parents?
A) When your sone is two years old, he will need a blood test.
B) After your breast milk is in, we will draw blood from your son.
C) We will draw blood from both of you to check for abnormal genes.
D) Your son will have his chromosomes sampled and then studied.

Back 15

D) Your son will have his chromosomes sampled and then studied.

Front 16

During a prenatal examination, an adolescent client asks, "How does my baby get air?" The nurse would give correct information by saying:
A)The fetus is able to obtain sufficient oxygen due to the fact that you hemoglobin concentration is 50% greater during pregnancy.
B) The placenta assumes the function of the fetal lungs by supplying oxygen and allowing the excretion of carbon dioxide into your bloodstream.
C) The blood from the placenta is carried through the umbilical artery, which penetrates the abdominal wall of the fetus.
D) The lungs of the fetus carry out respiratory gas exchange in utero similar to what an adult experiences.

Back 16

B) The placenta assumes the function of the fetal lungs by supplying oxygen and allowing the excretion of carbon dioxide into your bloodstream.

Front 17

The nurse is conductin health screening at a community clinic. The client has asked if there are any risks with body piercing and tattooing, or if these activities would impact sexual activity. How should the nurse respond?
A) The benefit of body art outweighs and risk of infection of a tattoo or piercing.
B) Both piercing and tattooing carry risks of infection, including hepatitis.
C) You should avoid piercing your genetalia and your nipples.
D) There are no problems that occur with either body piercing or tattooing.

Back 17

B) Both piercing and tattooing carry risks of infection, including hepatitis.