MATERNAL NEWBORN NURSING EXAM
QUESTIONS AND ANSWERS
1. Vasa previa is a condition when the fetal umbilical vessele implant into the
fetal membranes rather than the placenta - ANSWER Vasa previa
2. a bacterial infection that can be passed to a fetus during labor and delivery. It
is often an expected part of the vaginal flora for nonpregnant clients, and
present in some who are pregnant. It can cause pneumonia, respiratory
distress syndrome, sepsis, and meningitis, if transmitted to the neonate. -
ANSWER Group B streptococcus
3. Chlamydia is a bacterial infection caused by Chlamydia trachomatis and is
the most commonly reported STI in American women. - ANSWER
Chlamydia
4. bacterial infection that is primarily spread by genital-to-genital contact.
However, it also can be spread by anal-to-genital or oral-to-genital contact.
It can also be transmitted to a newborn during delivery. - ANSWER
Gonorrhea
5. STI caused by the bacterium Treponema pallidum. It can have long-term
complications if not adequately treated. - ANSWER Syphilis
6. the most common STI. Some types can cause genital warts (also known as
Condyloma acuminata) and cervical cancers. - ANSWER Human papilloma
virus
7. A bacterial infection most commonly caused by Haemophilus vaginalis or
Gardnerella vaginalis. It is the most common vaginal infection in females 14
to 49 years of age. It cannot be related to sexual activity. It is related
reduction in the lactobacilli in the vaginal flora. - ANSWER Bacterial
vaginosis
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,8. also known as vulvovaginal candidiasis (VVC) or yeast infection, is a fungal
infection most often caused by Candida albicans, but non-Candida albicans
infections are possible. - ANSWER Candidiasis
9. variable condition whereby expulsion of the products of conception occurs.
It is thought to be related to tissue changes and alterations in the length of
the cervix. - ANSWER Cervical insufficiency
10.A nurse in a health clinic is reviewing contraceptive use with a group of
clients. Which of the following client statements demonstrates
understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." - ANSWER A
11.A nurse is instructing a client who is taking an oral contraceptive about
manifestations to report to the provider. Which of the following
manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite - ANSWER C
12.A nurse in an obstetrical clinic is teaching a client about using an IUD for
contraception. Which of the following statements by the client indicates an
understanding of the teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after l've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is
removed."
D. "I will check to be sure the strings of the IUD are still present after my
periods." - ANSWER D
13.A nurse is teaching a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include?
(Select all that apply.)
A. Tinnitus
B. Irregular vaginal bleeding
C. Weight gain
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, D. Nausea
E. Gingival hyperplasia - ANSWER B C D
14.A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse
include in the teaching? (Select all that apply.)
A. "Weight fluctuations can occur."
B. "You are protected against STIS."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics." E. "Irregular vaginal spotting
can occur." - ANSWER A C E
15.A nurse in a clinic is caring for a group of female clients who are being
evaluated for infertility. Which f the following clients should the nurse
anticipate the provider will refer to a genetic counselor?
A. A client whose sister has alopecia
B. A client whose partner has von Willebrand disease
C. A client who has an allergy to sulfa
D. A client who had rubella 3 months ago - ANSWER B
16.A nurse is caring for a couple who is being evaluated for infertility. Which
of the following statements by the nurse indicates understanding of the
infertility assessment process?
A. "You will need to see a genetic counselor as part of the assessment."
B. "It is usually the female who is having trouble, so the male doesn't
have to be involved."
C. "The male is the easiest to assess, and the provider will usually begin
there."
D. "Think about adopting first because there are many babies that need
good homes." - ANSWER C
17.A nurse in an infertility clinic is providing care to clients who have been
unable to conceive for 18 months. Which of the following data should the
nurse assess? (Select all that apply.)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D. History of falls
E. Recent blood transfusions - ANSWER A B C
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