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NUR 684 WOMENS HEALTH COMPREHENSIVE
EXAM 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ "Losing power seems important to you.". Answer: A client who underwent mastectomy because of breast cancer is now undergoing chemotherapy, which has caused hair loss. The client states, "I feel like I've lost my sense of power." What is the nurse's best response? ◉ Decrease caffeine intake. Answer: A 24-year-old client complains to the nurse in the women's health clinic that her breasts become tender before her menstrual period. What should the nurse recommend that the client do 1 week before an expected menses? ◉ Apply warm packs and massage my breasts before each feeding.". Answer: One statement by a breastfeeding mother that indicates that the nurse's teaching about stimulating the let-down reflex has been successful is "I will: ◉ Insist that her partner use a condom when having sex. Answer: A 16- year-old client has a steady boyfriend with whom she is having sexual relations. She asks the nurse how she can protect herself from contracting HIV. What should the nurse advise her to do?
◉ 6 hours. Answer: A nurse in a family planning clinic determines that a client understands the discussion about using a cervical cap with a spermicide when the client states that after intercourse, a cervical cap must be left in place for at least: ◉ Repeatedly drops abruptly to 90 beats/min unrelated to contractions. Answer: A fetal monitor is applied to a client in labor. The nurse should take action in response to a fetal heart rate that: ◉ Reddish streaks on the abdomen and breasts. Answer: At a routine monthly visit, while assessing a client who is in her 26th week of gestation, the nurse identifies the presence of striae gravidarum. The nurse describes this condition as: ◉ 25%. Answer: A couple seeking genetic counseling are heterozygous carriers of Tay-Sachs disease. They ask the nurse what the chances are that each of their children will inherit the disease. The nurse responds that the probability is: ◉ October 18. Answer: A client attending the prenatal clinic for the first time tells the nurse that her last menstrual period began on January 11 and that she suspects that she is pregnant. The client also states that she had one day of light spotting on February 7. What is the expected date of birth (EDB)?
◉ Metronidazole (Flagyl). Answer: A nurse is caring for a client who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the health care provider will most likely prescribe? ◉ "This must be a very hard experience for you to deal with.". Answer: A client undergoes dilation and curettage (D&C) after an early miscarriage (spontaneous abortion). The nurse finds her crying later in the day. What is the most appropriate statement by the nurse? ◉ "I must be careful when I have sex because herpes is a lifelong problem.". Answer: What statement helps the nurse determine that a woman with genital herpes (HSV-2) understands her self-care in regard to this infection? ◉ Kegel exercises. Answer: A pregnant couple is attending preparation- for-childbirth classes. Which exercise should the nurse teach the mother to increase the tone of the muscles of the pelvic floor? ◉ Cancer of the cervix. Answer: A client has just been told that she has cervical erosion. The nurse would expect to help explain that early treatment of the erosion can help prevent: ◉ Massage the uterus until firm. Answer: One hour postpartum a nurse evaluates the amount of vaginal bleeding and determines that a client's uterus has become relaxed and boggy. What should the nurse do next?
◉ To prevent social isolation. Answer: The healthcare provider of a woman who had a mastectomy has prescribed a Reach to Recovery visit. What does the nurse identify as the primary reason for the referral? ◉ October 28. Answer: At a client's first visit to the prenatal clinic, the nurse asks the client when she had her last menstrual period so the estimated date of birth (EDB) can be determined. The client responds, "January 21." According to Nägele's rule, what is the month and day of the client's EDB? ◉ Providing ice chips to a primigravida in early labor per order. Answer: Which action involving client needs may a nurse delegate to a nursing assistant? ◉ Having support persons use back massage techniques. Answer: The nurse is teaching a prenatal breathing and relaxation class. What does the nurse suggest to best ease back discomfort during labor? ◉ January 21 To use Nägele's rule to calculate the EDB, subtract 3 months and add 7 days to the date of the last menstrual period. Answer: A pregnant woman asks the nurse when she may expect her baby to be born. She tells the nurse that her last menstrual period began on April 14. According to Nägele's rule, what is the client's expected date of birth (EDB)?
◉ "This must be so difficult for you. Children are really important to you?". Answer: A 37-year-old woman is admitted to the unit with severe menorrhagia. During a conversation, the nurse learns that the client has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been undergoing hormone therapy in hopes of easing the symptoms and reducing fibroids' size, without success. The lab reports hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The client begins to sob and cries, "I don't know what to do — the doctor is recommending a hysterectomy, but I haven't had children yet!" What is the best response by the nurse? ◉ "We'll be monitoring your baby's condition continuously. Would you like to listen to the baby's heartbeat?". Answer: A client with severe preeclampsia who was admitted to the high-risk unit anxiously asks the nurse, "Will my baby be all right?" How should the nurse respond? ◉ Inactive influenza. Answer: A client making her first visit to the prenatal clinic asks which immunization can be administered safely to a pregnant woman. What should the nurse tell her? ◉ "Wash your hands before and after changing your sanitary napkins.". Answer: A nurse is giving discharge instructions to a new mother. What is the most important instruction to help prevent postpartum infection? ◉ Refer the client to a dietitian to help plan her daily menu. Answer: A nurse is counseling a pregnant client who is a vegetarian. What should the nurse plan to do to ensure optimal nutrition during the pregnancy?
◉ Asking the client, "How many servings of dairy do you generally consume each day?". Answer: The clinic nurse is reviewing the dietary intake of a 16-year-old who is 12 weeks pregnant. What is the nurse's next action? ◉ Explain why regular pelvic examinations and Pap smears of vaginal secretions will be necessary in the future. Answer: When discussing future health management with a client who has had a total hysterectomy, the nurse advises regular physical examinations. The client agrees and adds, "It won't be so hard to go now that I won't need the pelvic examination and Pap smear." How should the nurse respond? ◉ Pinkish brown. Answer: The nurse in the postpartum unit is teaching self-care to a group of new mothers. What color does the nurse teach them that the lochial discharge will be on the fourth postpartum day? ◉ Assisting a client who is recovering from an abdominal hysterectomy to the bathroom. Answer: Which client care activity may a nurse safely delegate to a nursing assistant? ◉ Domestic abuse. Answer: A client at 16 weeks' gestation arrives at the prenatal clinic for a routine visit. During the examination the nurse notes bruises on the client's face and abdomen. There are no bruises on her legs and arms. Further assessment is required to confirm:
◉ "Have you talked to your wife about your concerns?". Answer: A postpartum client is scheduled to have a tubal ligation. She has asked that her husband not be told about the procedure because she has told him that she is having exploratory surgery. The client's husband asks the nurse why his wife needs to have exploratory surgery. How should the nurse respond? ◉ 38 The nurse should administer 38 gtt/min. Solve the problem with the following formula: Total milliliters to be infused × drop factor (drops per milliliter delivered by infusion set) Total time in minutes 150 mL × 15 gtt/mL 60 minutes 2250 ÷ 60 = 37.5; round 37.5 up to 38 gtt/min. A delivery rate of 15 gtt/min is too few drops per minute, as is a rate of 25 gtt/mL. A rate of 42 gtt/mL is too many drops per minute. Answer: A client with stage 4 ovarian cancer is admitted for dehydration. The client is to receive an intravenous bolus of 500 mL D5W for 1 hour, after which the rate is to be changed to 150 mL/hr. The drop factor is 15 gtt/mL. At what rate, in drops per minute, should the nurse regulate the IV after delivery of the 500-mL bolus?
◉ Before breakfast with orange juice. Answer: A nurse is counseling a pregnant client with iron-deficiency anemia about when and how to take supplemental iron. What time of day and with what drink is iron absorption most efficient? ◉ "You seem shocked by the way you look now.". Answer: When a client who had a mastectomy sees her incision for the first time, she exclaims, "I look horrible! Will it ever look better?" What is the nurse's best response? ◉ With food. Answer: A client is admitted in preterm labor. After intravenous tocolytic medications are administered, contractions cease and she is discharged. She is to receive oral terbutaline (Brethine) 5 mg every 6 hours at home. When should the nurse advise the client to take the medication? ◉ Dark amber urine. Answer: A client who has just had a cesarean birth is receiving IV fluids and has an indwelling catheter. The client's fluid intake will need to be increased when the nurse identifies: ◉ "This must be very difficult for you with this added pressure.". Answer: After 5 years of unprotected intercourse, a childless couple comes to the fertility clinic. The husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. What is the nurse's best response to this comment?
instructions for avoiding the thromboembolic phenomena that may occur as a complication. What should these instructions include? ◉ Asking whether something is troubling the client and whether she'd like to talk about it. Answer: A client who is to undergo dilation and curettage, and conization of the cervix for cancer appears tense and anxious. What is the best approach for the nurse to support the client emotionally? ◉ Blood pressure. Answer: After the client gives birth her vital signs are temperature 99.3° F (37.4° C); pulse 80 beats/min, regular and strong; respirations 16/min, slow and even; and blood pressure 148/92 mm Hg. Which vital sign should the nurse check more frequently? ◉ Pain with menses. Answer: A 37-year-old client with endometriosis visits the women's health clinic because she has dysmenorrhea and dyspareunia. What is a description of dysmenorrhea? ◉ Easing the pain of the client's menstruation. Answer: A woman visits the clinic because she has dysmenorrhea. What goal should the nurse identify for this client? ◉ "I feel washed out; there isn't much left.". Answer: After a mastectomy or a hysterectomy a client may feel incomplete as a woman. What statement should alert the nurse to this feeling in a client who has undergone total hysterectomy?
◉ By ensuring that the client is Rh negative and the neonate is Rh positive. Answer: How should a nurse prepare to administer Rho(D) immune globulin (RhoGAM) to a postpartum client? ◉ "My mother can't believe that babies are supposed to sleep on their backs, not their stomachs.". Answer: A nurse is teaching a prenatal class about infant safety. After the class several of the students are heard discussing what they have learned. The nurse determines that the teaching has been effective when one of the future parents states: ◉ Maintaining bed rest. Answer: A nurse is caring for a client with vaginal bleeding caused by placenta previa. What is the best nursing intervention to delay the birth of the fetus? ◉ "This is vernix. It helps protect the baby while he's in the uterus.". Answer: A client at 37 weeks' gestation gives birth to a healthy boy. While inspecting her newborn in the birthing room, the client becomes concerned and asks, "What's this sticky white stuff all over him?" How should the nurse respond? ◉ "I'll be here if you want to talk.". Answer: After a client has a spontaneous abortion at 12 weeks' gestation, the nurse notes that she and her partner are visibly upset. The partner has tears in his eyes, and the client is sobbing quietly with her face turned to the wall. At this time, what is the nurse's most therapeutic statement?
◉ "On the next day take one pill in the morning and one before bedtime.". Answer: A client asks the nurse what she should do if she forgets to take the pill one day. How should the nurse respond? ◉ Whether an earlier tuberculin test's result was positive. Answer: A client is to undergo a tuberculin test as part of her prenatal workup. Before administering the test, what information about the client should the nurse obtain? ◉ Salpingectomy. Answer: A nurse is preparing a client with a ruptured tubal pregnancy for immediate surgery. What type of surgery should the informed consent include? ◉ Expect shoulder pain for 12 to 24 hours. Answer: A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? ◉ When she leans forward to place her breast in the infant's mouth. Answer: What client behavior indicates to the nurse that a woman needs further teaching about breastfeeding her newborn? ◉ Palpating each breast while in the sitting position. Answer: The nurse presents a program on breast self-examination. After a return demonstration the nurse concludes that she needs to review certain
aspects of the teaching program. Which behavior by one of the students supports this conclusion? ◉ "My breasts are so tender right before my period that I hate doing it.". Answer: A nurse is teaching a woman how to perform breast self- examination. Which statement indicates that the client needs further education? ◉ 21st day of the cycle. Answer: A 30-year-old client with a 35-day menstrual cycle is trying to become pregnant. The nurse counsels the client and her partner about the optimal timing of intercourse during the cycle. The nurse determines that the counseling has been effective when the couple state that they should have intercourse on the: ◉ Fundus at the umbilicus. Answer: A primigravida, unsure of the date of her last menstrual period, is told by the nurse that she appears to be at 22 weeks' gestation. What data support this conclusion? ◉ An expected response to the process of labor and birth. Answer: Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? ◉ Evaluating the lochia to identify the complication of hemorrhage. Answer: What is the priority nursing intervention during the 2 hours after a cesarean birth?
◉ "There is a 1-in-4 chance of having a child with the disorder.". Answer: A genetic counselor is working with a couple, each of whom is a carrier of an autosomal recessive disorder. Which statement indicates that the couple has understood the teaching about this disorder? ◉ Explaining the procedure and maintaining eye contact while touching the client gently. Answer: What is the best nursing intervention to achieve the cooperation of an extremely anxious pregnant client during her first pelvic examination? ◉ Giving birth to a baby weighing 9 lb 8 oz. Answer: The nurse is caring for a group of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage? ◉ Compress the nipples to check for discharge. Answer: What should the nurse teach a client about performing breast self-examination? ◉ Whole-grain cereals and nuts. Answer: A client attending a prenatal class about nutrition tells the nurse that she is a strict vegetarian (vegan). What should the nurse encourage the client to eat that includes all the essential amino acids? ◉ Massage the uterus. Answer: Thirty minutes after a client gives birth, the nurse palpates the client's uterus. It is relaxed and the lochia is excessive. What is the nurse's initial action?
◉ Eat a high-fiber diet with increased fluid intake. Answer: A client had a fourth-degree perineal laceration during the birth of her neonate. What should the nurse recommend to protect the area from additional trauma? ◉ Notifying the surgeon that the client needs more information. Answer: A female client is scheduled for a hysterectomy. While discussing the preoperative preparations, the nurse determines that the client's understanding of the surgery is inadequate. What is the next nursing intervention? ◉ Ova can be harvested and frozen for future use. Answer: A female client with Hodgkin's disease is to start chemotherapy. She and her husband have been trying to have a child and are quite concerned when they learn that sterility may result. On what information should the nurse base the reply? ◉ "That is an expected occurrence; the increased hormones are responsible for the congestion.". Answer: A pregnant client tells the nurse that she thinks she has developed an allergy because her nose is often very congested and she has difficulty breathing. How should the nurse reply? ◉ It acts as an anticonvulsant. Answer: A pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. What does the nurse identify as the main reason that this medication is administered?
