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Maternity Womens Health Nursing 2025/
Womens Health Exam 100% Correct Questions
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A group of nurses are discussing trends in health care. What would the nurses identify as not being a trend in the delivery of health care in the United States? A. Acute care is increasingly provided through home-based services. B. Greater emphasis has been placed on curing disease and disability than on preventing them. C. Hospital stays for many conditions have been shortened. D. Hospital-based nurses are increasingly involved in follow-up
care after discharge. - ANSWERS -B. Greater emphasis has
been placed on curing disease and disability than on preventing them. A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement? A. Refer the woman to a social worker. B. Perform a nutrition assessment. C. Advise the woman to see an obstetrician, not a midwife. D. Explain to the woman the importance of keeping her prenatal
care appointments. - ANSWERS -D. Explain to the woman the
importance of keeping her prenatal care appointments.
When caring for pregnant women, the nurse should keep in mind that violence during pregnancy: A. Has decreased in incidence as a result of better assessment techniques and record-keeping. B. Increases a pregnant woman's risk for gestational hypertension. C. Affects more than 25% of pregnant women in the United States. D. May be associated with substance abuse by both the pregnant
woman and her partner. - ANSWERS -D. May be associated with
substance abuse by both the pregnant woman and her partner. Which condition would a nurse identify as not contributing to an increase in maternity-related health care costs? A. Early postpartum discharges B. The use of high-tech equipment C. The cost of care for low-birth-weight (LBW) infants
D. Maternal medical risk factors, such as diabetes - ANSWERS -
A. Early postpartum discharges From the nurse's perspective, what measure should be the focus of the health care system in order to reduce the rate of infant mortality further? a. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
a. The father is discouraged from accompanying his wife during a cesarean birth. b. The nurse encourages the mother and father to make choices whenever possible. c. The nurse updates the family about what is going to happen but instructs the client's sister that she cannot be present in the room during the birth. d. The nurse believes that he or she is acting in the best interest of the client and commands her what to do throughout labor. -
ANSWERS -b. The nurse encourages the mother and father to
make choices whenever possible. Providing treatment and rehabilitation for people who have developed disease is part of: a. Primordial preventive care. b. Primary preventive care. c. Secondary preventive care.
d. Tertiary preventive care. - ANSWERS -d. Tertiary preventive
care. A nurse is reviewing the perinatal continuum of care. Which option should the nurse identify as representing the beginning of the continuum? a. The diagnosis of pregnancy. b. Identification of a pregnant woman as high risk.
c. Family planning and preconception care.
d. The interval just before birth. - ANSWERS -c. Family planning
and preconception care. -begins when a family is planning A nurse is working with a breastfeeding mother who is concerned that her baby is not getting enough to eat. What should the nurse include in discharge planning that would be most helpful and most cost-effective on the day after discharge? a. Requesting a home visit b. Calling the pediatrician for a lactation consult referral c. Visiting a pediatric screening clinic at the hospital
d. Placing a call to the hospital nursery warm line - ANSWERS -
d. Placing a call to the hospital nursery warm line -support, encouragement, and education for new parents A group of nurses are reviewing types of family structures. A mother's household consists of her husband, his mother, and another child. Which type of family should the nurse identify? a. Single-parent family. b. Extended family. c. Married-blended family.
d. Cohabitating-parent family. - ANSWERS -b. Extended family.
A nurse is providing preconception care to a client. Which statement should be included by the nurse? a. Avoids teaching about safe sex to avoid political controversy. b. Could include interventions to reduce substance use and abuse. c. Includes risk factor assessments for potential medical and psychologic problems but by law cannot consider finances or workplace conditions. d. Is designed for women who have never been pregnant. -
ANSWERS -b. Could include interventions to reduce substance
use and abuse. During a health history interview, a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. Which response made by the nurse would be appropriate? a. Explain to her that most women have "bumps" on their labia. b.Reassure the woman that the examination will not reveal any problems. c. Tell the woman that "bumps" can be treated. d. Explain the process of vulvar self-examination to the woman and reassure her that she will become familiar with normal and
abnormal findings during the examination. - ANSWERS -d.
Explain the process of vulvar self-examination to the woman and reassure her that she will become familiar with normal and abnormal findings during the examination.
A nurse is providing instructions related to a Papaniocolaou (Pap) test to a client. Which statement would the nurse identify as being correct? a. The specimen for the Pap test should be obtained after specimens are collected for cervical infection. b. It should be performed once a year beginning with the onset of puberty. c. The woman should not douche, use vaginal medications, or have intercourse for at least 24 hours before the test. d. A lubricant such as Vaseline should be used to ease speculum
insertion. - ANSWERS -c. The woman should not douche, use
vaginal medications, or have intercourse for at least 24 hours before the test. More info- -q3 years in low risk women -after first sexual contact or by age 18 -Warm water should be used on speculum The nurse-midwife is teaching a group of women who are pregnant about Kegel exercises. Which statement by a participant would indicate to the nurse correct understanding of the instruction? a. "I will see results only if I perform 100 Kegel exercises each day." b. "I should perform Kegel exercises only in the sitting position."
d. "I have lower abdominal pain beginning the third day of my
menstrual period." - ANSWERS -c. "I feel irritable and moody a
week before my period is supposed to start." A nurse is reviewing the diagnosis and management of amenorrhea. Which finding should the nurse anticipate? a. It often goes away on its own. b. It probably is the result of a hormone deficiency that can be treated with medication. c. It may be caused by stress or excessive exercise or both. d. It likely will require the client to eat less and exercise more. -
ANSWERS -c. It may be caused by stress or excessive exercise
or both. A nurse counseling a client with endometriosis understands which statement regarding the management of endometriosis is not accurate? a. Bone loss from hypoestrogenism is not reversible. b. Side effects from the steroid danazol include masculinizing traits. c. Surgical intervention is often needed for severe or acute symptoms. d. Women without pain and who do not want to become pregnant
need no treatment. - ANSWERS -a. Bone loss from
hypoestrogenism is not reversible.
A nurse is caring for a client diagnosed with primary dysmenorrhea. What intervention should the nurse identify as being an effective relief measure? a. Begin taking prostaglandin synthesis inhibitors on the first day of the menstrual flow. b. Reduce physical activity level until menstruation ceases. c. Decrease intake of salt and refined sugar about 1 week before menstruation is about to occur. d. Use barrier methods rather than the oral contraceptive pill
(OCP) for birth control. - ANSWERS -c. Decrease intake of salt
and refined sugar about 1 week before menstruation is about to occur. -helps to reduce fluid retention A group of nurses are discussing health risks associated with menopause. Which finding should the nurses identify as not being associated as a health risk with menopause? a. Coronary heart disease b. Osteoporosis c. Obesity
d. Breast cancer - ANSWERS -d. Breast cancer
- associated with the use of hormone replacement therapy for women who have a familial history
Select all that apply. a. With primary, the pain originates at the beginning of menses. b. With primary, the client often complains of abdominal bloating. c. With secondary, the pain can occur also during ovulation. d. With primary, the client often presents with systemic symptoms such as dizziness and headache. e. The pain associated with primary radiates to the back and
thighs. - ANSWERS -a. With primary, the pain originates at the
beginning of menses. c. With secondary, the pain can occur also during ovulation. d. With primary, the client often presents with systemic symptoms such as dizziness and headache. e. The pain associated with primary radiates to the back and thighs. 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." What is the nurse's most appropriate response? a. "You probably didn't ovulate during this cycle." b. "Have you been sick this month?" c. "Don't worry; it's probably nothing."
d. "This probably means you're pregnant." - ANSWERS -a. "You
probably didn't ovulate during this cycle." -Decrease in temperature is the result of anovulation
A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). What is the nurse's most appropriate response? a. "The lubricant prevents vaginal irritation." b. "The additional lubrication improves sex." c. "Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; also, it has been linked to an increase in the transmission of human immunodeficiency virus (HIV) and can cause genital lesions."
d. "Nonoxynol-9 improves penile sensitivity." - ANSWERS -c.
"Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; also, it has been linked to an increase in the transmission of human immunodeficiency virus (HIV) and can cause genital lesions." A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should the nurse identify to be avoided? a. Condom b. Cervical cap c. Vaginal film
d. Vaginal sheath - ANSWERS -b. Cervical cap
A nurse is reviewing contraceptive failure rate. Which statement should the nurse identify as being accurate?
c. The pills protect the woman against pregnancy even if she engages in unprotected intercourse in the days after treatment. d. The pills must be taken no later than 48 hours after
unprotected intercourse or birth control mishap. - ANSWERS -b.
The pills should be readily available during the initial learning phase when a woman is using a new method of contraception. -backup method A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met with regard to providing information related to contraception choices.. Which action should the nurse take first when meeting with a new client to discuss contraception? a. Evaluate the woman's contraceptive life plan. b. Determine the woman's level of knowledge about contraception and commitment to any particular method. c. Assess the woman's willingness to touch her genitals and cervical mucus.
d. Obtain data about the frequency of coitus. - ANSWERS -b.
Determine the woman's level of knowledge about contraception and commitment to any particular method. The nurse is providing instructions to a woman taking an oral contraceptive pill (OCP) as her birth control method. Which finding should the nurse identify as requiring the client to immediately contact her physician? a. Swelling and pain in one of her legs b. Weight gain
c. Breast tenderness and swelling
d. Mood swings - ANSWERS -a. Swelling and pain in one of her
legs A married couple is discussing male and female sterilization with the nurse. Which statement is most appropriate for the nurse to make? a. "Male and female sterilization methods are 100% effective." b. "Tubal ligation can be easily reversed if you change your mind in the future." c. "A vasectomy may have a slight effect on sexual performance."
d. "Major complications after sterilization are rare." - ANSWERS
-d. "Major complications after sterilization are rare." A nurse is reviewing failure rates of barrier methods of contraception with consistent and correct use by the client. Which method should the nurse identify as having the lowest failure rate? a. Male condoms b. Diaphragms c. Spermicides
d. Female condoms - ANSWERS -a. Male condoms
Semen analysis is a common diagnostic procedure related to infertility. What instructions would the nurse provide to the client regarding this test?
c. Whether or how to disclose the facts of conception to offspring
d. Financial ability to cover the cost of treatment - ANSWERS -
d. Financial ability to cover the cost of treatment A couple presents for their first appointment at an infertility center. Which noninvasive test should the nurse identify as needing to be done during initial diagnostic testing? a. Semen analysis b. Endometrial biopsy c. Hysterosalpingogram
d. Laparoscopy - ANSWERS -a. Semen analysis
An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified follicle-stimulating hormone (FSH) (urofollitropin [Metrodin]). Which administration method should the nurse implement? a. Intranasal spray b. Tablet c. Intramuscular injection
d. Vaginal suppository - ANSWERS -c. Intramuscular injection
A nurse is discussing the decline in fertility rate after the age of 35 with the client. What is the primary reason that the nurse identifies for this occurrence?
a. Abnormalities of oocytes b. Endometriosis c. Infection
d. Metabolic disease - ANSWERS -a. Abnormalities of oocytes
A nurse is reviewing possible effects leading to infertility. Which finding, if present in both the male and female of a couple, should the nurse identify as having impact on a couple's fertility? a. History of hypertension. b. History of endocrine problems. c. Male and female are the same age, 35. d. Both partners have had children in their past marriage. -
ANSWERS -b. History of endocrine problems.
group of nurses are discussing female fertility. Which of the following should the nurses identify as having an impact? (Select all that apply.) Select all that apply. a. Cephalopelvic disproportion (CPD) b. Financial history c. A clinical diagnosis of anemia d. Uterine abnormality e. Partner relationship status
f. Bicornate uterus - ANSWERS -c. A clinical diagnosis of anemia
