MATERNITY FINAL EXAM
QUESTIONS AND ANSWERS
LATEST UPDATE 2025/2026 100%
VERIFIED
Maternity Final Exam
54. A 20-Year-Old Woman Tells The Nurse That She Performs Breast Self-Examination (BSE) On A
Regular Basis. The Nurse Evaluates The Woman's Understanding Of BSE And Ability To Perform The
Technique Correctly. Which Actions By The Woman Indicate That She Needs Further Instruction
Regarding BSE? (Circle All That Apply.)
A. Performs BSE Every Month On The First Day Of Her Menstrual Cycle.
B. Observes The Size Of Her Breasts, Direction Of Her Nipples, And Appearance Of Her Skin, Including
The Presence Of Dimpling, When Looking At Her Breasts In The Mirror.
C. Lies Down On A Bed And Puts A Pillow Under The Shoulder Of The Breast She Is Going To Palpate.
Then She Places The Arm On That Side Under Her Head.
D. Uses The Tips Of Two Fingers To Palpate Her Breast.
E. Palpates Her Breast, Using An Overlapping Circular Pattern Around Her Entire Breast.
F. Palpates Her Breasts Again, Including Up Into Her Axillae, While Taki - ✔✔Answer Choices A And D
Are Correct; A Woman Should Perform BSE Every Month At The End Of Menstruation When The Breasts
Are The Least Tender; She Should Use The Finger- Pads Of Her Three Middle Fingers For Palpation.
,55. When Palpating The Small Breasts Of A Young, Slender Woman The Nurse Should:
A. Wear Clean Gloves
B. Lift The Hands When Moving From One Segment Of The Breast To Another
C. Use Both Hands
D. Follow A Systematic, Overlapping Pattern - ✔✔Answer Choice D Is Correct; Clean Gloves Are
Required Only If Open Lesions Are Present And When Compressing The Nipple If Discharge Is
Anticipated; Fingers Should Not Be Lifted; Two Hands Are Used For Women With Large, Pendulous
Breasts.
56. A Nurse Instructed A Female Client Regarding Vulvar Self-Examination (VSE). Which Statement
Made By The Client Indicates That Further Instruction Is Needed?
A. "I Will Perform This Examination At Least Once A Month, Especially If I Change Sexual Partners Or
Am Sexually Active."
B. "I Will Become Familiar With How My Genitalia Look And Feel So That I Will Be Able To Detect Changes."
,C. "I Will Use The Examination To Determine When I Should Get Medications At The Pharmacy
For Infections."
D. "I Will Wash My Hands Thoroughly Before And After I Examine Myself." - ✔✔Answer 56. Choice C Is
Correct; Self-Examination Should Not Be Used For Self-Diagnosis But Rather To Detect Early Changes,
Which Would Call For The Guidance Of A Health Care Provider.
57. A Women's Health Nurse Practitioner Is Going To Perform A Pelvic Examination On A Female
Client. Which Nursing Action Would Be Least Effective In Enhancing The Client's Comfort And
Relaxation During The Examination?
A. Encourage The Client To Ask Questions And Express Feelings And Concerns Before And After
The Examination.
B. Ask The Client Questions As The Examination Is Performed.
C. Allow The Client To Keep Her Shoes And Socks On When Placing Her Feet In The Stirrups.
D. Instruct The Client To Place Her Hands Over Her Diaphragm And Take Deep, Slow Breaths. - ✔✔Answer
57. Choice B Is Correct; Do Not Ask Questions During The Examination Because It May Distract The
Client, Inter- Fering With Relaxation Measures She May Be Using; Offer Explanations Only As Needed
During The Exami- Nation.
58. When Assessing Women It Is Important For A Nurse To Keep In Mind The Possibility That They
Are Victims Of Violence. The Nurse Should:
A. Use An Abuse Assessment Screen During The Assessment Of Every Woman
B. Recognize That Abuse Rarely Occurs During Pregnancy
C. Assess A Woman's Legs And Back As The Most Commonly Injured Areas
D. Notify The Woman's Partner Immediately If Abuse Is Suspected - ✔✔Answer 58. Choice A Is Correct;
All Women Should Be Screened Because Abuse Can Happen To Any Woman; Abuse Can Begin Or
Escalate During Pregnancy; The Most Com- Monly Injured Sites Are Head, Neck, Chest, Abdomen,
Breasts, And Upper Extremities. If Abuse Is Suspected, The Nurse Needs To Assess Further To Encourage
Disclo- Sure And Then Assist The Woman To Take Action And Formulate A Safety Plan. Nurses Should
Follow The Laws Of Their State With Regard To Reporting Instances Of Abuse.
59. A 52-Year-Old Woman Asks The Nurse Practitioner About How Often She Should Be Assessed For
The Common Health Problems That Women Of Her Age Could Experience. The Nurse Recommends:
, A. An Endometrial Biopsy Every 3 To 4 Years
B. A Fecal Occult Blood Test Annually
C. A Mammogram Every Other Year
D. Bone Mineral Density Testing Annually - ✔✔Answer 59. Choice B Is Correct; Bone Mineral Density
Testing Should Be Initiated At 65 Years Of Age Or Older Unless Risk Factors Are Present; Endometrial
Biopsies Are Not Recommended On A Routine Basis For Most Women But Women At Risk For
Endometrial Cancer Should Have One Done At Menopause; Mammograms Should Be Done Annually
For Women 50 Years Of Age And Older.
60. Which Statement Is Most Accurate Regarding Persons Who Should Participate In
Preconception Counseling?
A. All Women And Their Partners As They Make Decisions About Their Reproductive Future,
Including Becoming Parents
B. Women Older Than 40 Years Of Age Who Wish To Become Pregnant
C. Sexually Active Women Who Do Not Use Birth Control
D. Women With Chronic Illnesses Such As Diabetes Who Are Planning To Get Pregnant - ✔✔Answer
60. Choice A Is Correct; All Women—Not Just Specific Groups—Should Participate In Preconception
Care Approximately 1 Year Before Planning To Become Pregnant.
61. To Enhance The Accuracy Of The Pap Test, The Nurse Should Instruct The Woman To:
A. Schedule The Test Just Prior To The Onset Of Menses
B. Stop Taking Birth Control Pills For 2 Days Before The Test
C. Avoid Intercourse For 24 To 48 Hours Before The Test
D. Douche With A Specially Prepared Antiseptic Solution On The Night Before The Test" - ✔✔Answer
61. Choice C Is Correct; Women Should Not Use Vaginal Medications Or Douche For 24 To 48 Hours
Before The Test; Oral Contraceptives Can Continue; The Best Time For The Test Is Midcycle.
CH 6 - ✔✔Answer
QUESTIONS AND ANSWERS
LATEST UPDATE 2025/2026 100%
VERIFIED
Maternity Final Exam
54. A 20-Year-Old Woman Tells The Nurse That She Performs Breast Self-Examination (BSE) On A
Regular Basis. The Nurse Evaluates The Woman's Understanding Of BSE And Ability To Perform The
Technique Correctly. Which Actions By The Woman Indicate That She Needs Further Instruction
Regarding BSE? (Circle All That Apply.)
A. Performs BSE Every Month On The First Day Of Her Menstrual Cycle.
B. Observes The Size Of Her Breasts, Direction Of Her Nipples, And Appearance Of Her Skin, Including
The Presence Of Dimpling, When Looking At Her Breasts In The Mirror.
C. Lies Down On A Bed And Puts A Pillow Under The Shoulder Of The Breast She Is Going To Palpate.
Then She Places The Arm On That Side Under Her Head.
D. Uses The Tips Of Two Fingers To Palpate Her Breast.
E. Palpates Her Breast, Using An Overlapping Circular Pattern Around Her Entire Breast.
F. Palpates Her Breasts Again, Including Up Into Her Axillae, While Taki - ✔✔Answer Choices A And D
Are Correct; A Woman Should Perform BSE Every Month At The End Of Menstruation When The Breasts
Are The Least Tender; She Should Use The Finger- Pads Of Her Three Middle Fingers For Palpation.
,55. When Palpating The Small Breasts Of A Young, Slender Woman The Nurse Should:
A. Wear Clean Gloves
B. Lift The Hands When Moving From One Segment Of The Breast To Another
C. Use Both Hands
D. Follow A Systematic, Overlapping Pattern - ✔✔Answer Choice D Is Correct; Clean Gloves Are
Required Only If Open Lesions Are Present And When Compressing The Nipple If Discharge Is
Anticipated; Fingers Should Not Be Lifted; Two Hands Are Used For Women With Large, Pendulous
Breasts.
56. A Nurse Instructed A Female Client Regarding Vulvar Self-Examination (VSE). Which Statement
Made By The Client Indicates That Further Instruction Is Needed?
A. "I Will Perform This Examination At Least Once A Month, Especially If I Change Sexual Partners Or
Am Sexually Active."
B. "I Will Become Familiar With How My Genitalia Look And Feel So That I Will Be Able To Detect Changes."
,C. "I Will Use The Examination To Determine When I Should Get Medications At The Pharmacy
For Infections."
D. "I Will Wash My Hands Thoroughly Before And After I Examine Myself." - ✔✔Answer 56. Choice C Is
Correct; Self-Examination Should Not Be Used For Self-Diagnosis But Rather To Detect Early Changes,
Which Would Call For The Guidance Of A Health Care Provider.
57. A Women's Health Nurse Practitioner Is Going To Perform A Pelvic Examination On A Female
Client. Which Nursing Action Would Be Least Effective In Enhancing The Client's Comfort And
Relaxation During The Examination?
A. Encourage The Client To Ask Questions And Express Feelings And Concerns Before And After
The Examination.
B. Ask The Client Questions As The Examination Is Performed.
C. Allow The Client To Keep Her Shoes And Socks On When Placing Her Feet In The Stirrups.
D. Instruct The Client To Place Her Hands Over Her Diaphragm And Take Deep, Slow Breaths. - ✔✔Answer
57. Choice B Is Correct; Do Not Ask Questions During The Examination Because It May Distract The
Client, Inter- Fering With Relaxation Measures She May Be Using; Offer Explanations Only As Needed
During The Exami- Nation.
58. When Assessing Women It Is Important For A Nurse To Keep In Mind The Possibility That They
Are Victims Of Violence. The Nurse Should:
A. Use An Abuse Assessment Screen During The Assessment Of Every Woman
B. Recognize That Abuse Rarely Occurs During Pregnancy
C. Assess A Woman's Legs And Back As The Most Commonly Injured Areas
D. Notify The Woman's Partner Immediately If Abuse Is Suspected - ✔✔Answer 58. Choice A Is Correct;
All Women Should Be Screened Because Abuse Can Happen To Any Woman; Abuse Can Begin Or
Escalate During Pregnancy; The Most Com- Monly Injured Sites Are Head, Neck, Chest, Abdomen,
Breasts, And Upper Extremities. If Abuse Is Suspected, The Nurse Needs To Assess Further To Encourage
Disclo- Sure And Then Assist The Woman To Take Action And Formulate A Safety Plan. Nurses Should
Follow The Laws Of Their State With Regard To Reporting Instances Of Abuse.
59. A 52-Year-Old Woman Asks The Nurse Practitioner About How Often She Should Be Assessed For
The Common Health Problems That Women Of Her Age Could Experience. The Nurse Recommends:
, A. An Endometrial Biopsy Every 3 To 4 Years
B. A Fecal Occult Blood Test Annually
C. A Mammogram Every Other Year
D. Bone Mineral Density Testing Annually - ✔✔Answer 59. Choice B Is Correct; Bone Mineral Density
Testing Should Be Initiated At 65 Years Of Age Or Older Unless Risk Factors Are Present; Endometrial
Biopsies Are Not Recommended On A Routine Basis For Most Women But Women At Risk For
Endometrial Cancer Should Have One Done At Menopause; Mammograms Should Be Done Annually
For Women 50 Years Of Age And Older.
60. Which Statement Is Most Accurate Regarding Persons Who Should Participate In
Preconception Counseling?
A. All Women And Their Partners As They Make Decisions About Their Reproductive Future,
Including Becoming Parents
B. Women Older Than 40 Years Of Age Who Wish To Become Pregnant
C. Sexually Active Women Who Do Not Use Birth Control
D. Women With Chronic Illnesses Such As Diabetes Who Are Planning To Get Pregnant - ✔✔Answer
60. Choice A Is Correct; All Women—Not Just Specific Groups—Should Participate In Preconception
Care Approximately 1 Year Before Planning To Become Pregnant.
61. To Enhance The Accuracy Of The Pap Test, The Nurse Should Instruct The Woman To:
A. Schedule The Test Just Prior To The Onset Of Menses
B. Stop Taking Birth Control Pills For 2 Days Before The Test
C. Avoid Intercourse For 24 To 48 Hours Before The Test
D. Douche With A Specially Prepared Antiseptic Solution On The Night Before The Test" - ✔✔Answer
61. Choice C Is Correct; Women Should Not Use Vaginal Medications Or Douche For 24 To 48 Hours
Before The Test; Oral Contraceptives Can Continue; The Best Time For The Test Is Midcycle.
CH 6 - ✔✔Answer
