NR327- Maternity CJE Study Guide
Questions and Answers
Question 1
A nurse is teaching a client about genetic testing for breast cancer. Which statement
by the nurse best describes the purpose of this testing?
A. "It determines how advanced the breast cancer is."
B. "It checks hormone levels that may affect cancer growth."
C. "It identifies mutations in the BRCA1 and BRCA2 genes that increase cancer risk."
D. "It confirms whether chemotherapy is necessary."
Correct Answer
C. "It identifies mutations in the BRCA1 and BRCA2 genes that increase cancer risk."
Rationale: Genetic testing for breast cancer focuses on identifying mutations in
BRCA1 and BRCA2, which are associated with increased risk for hereditary breast
and ovarian cancers. Multigene panels may also be used to check for mutations in
additional genes.
Question 2
A 28-year-old woman who previously had regular menstrual cycles reports not having
a period for the last 4 months. She is not pregnant. The nurse recognizes this as:
A. Normal variation
B. Primary amenorrhea
C. Secondary amenorrhea
D. Early menopause
Correct Answer
C. Secondary amenorrhea
Rationale: Secondary amenorrhea occurs in women who have previously
menstruated but then stop having periods for 3 or more months. This is distinct
from primary amenorrhea, which is defined by a lack of menarche by age 15.
Page 1 of 12
, Question 3
A newly pregnant client has a BMI of 17.5. Which weight gain range is most
appropriate for this client?
A. 5-9 lbs
B. 15-25 lbs
C. 28-40 lbs
D. 25-35 lbs
Correct Answer
C. 28-40 lbs
Rationale: A BMI less than 18.5 is considered underweight, with a recommended
pregnancy weight gain of 28-40 lbs.
Question 4
A nurse is teaching a group of pregnant clients about appropriate weight gain during
pregnancy. Which client should be advised to gain 25-35 pounds during pregnancy?
A. A client with a BMI of 17.5
B. A client with a BMI of 24.0
C. A client with a BMI of 29.5
D. A client with a BMI of 31.0
Correct Answer
B. A client with a BMI of 24.0
Rationale: A BMI of 18.5-24.9 is considered normal, and the recommended weight
gain is 25-35 lbs.
Page 2 of 12
Questions and Answers
Question 1
A nurse is teaching a client about genetic testing for breast cancer. Which statement
by the nurse best describes the purpose of this testing?
A. "It determines how advanced the breast cancer is."
B. "It checks hormone levels that may affect cancer growth."
C. "It identifies mutations in the BRCA1 and BRCA2 genes that increase cancer risk."
D. "It confirms whether chemotherapy is necessary."
Correct Answer
C. "It identifies mutations in the BRCA1 and BRCA2 genes that increase cancer risk."
Rationale: Genetic testing for breast cancer focuses on identifying mutations in
BRCA1 and BRCA2, which are associated with increased risk for hereditary breast
and ovarian cancers. Multigene panels may also be used to check for mutations in
additional genes.
Question 2
A 28-year-old woman who previously had regular menstrual cycles reports not having
a period for the last 4 months. She is not pregnant. The nurse recognizes this as:
A. Normal variation
B. Primary amenorrhea
C. Secondary amenorrhea
D. Early menopause
Correct Answer
C. Secondary amenorrhea
Rationale: Secondary amenorrhea occurs in women who have previously
menstruated but then stop having periods for 3 or more months. This is distinct
from primary amenorrhea, which is defined by a lack of menarche by age 15.
Page 1 of 12
, Question 3
A newly pregnant client has a BMI of 17.5. Which weight gain range is most
appropriate for this client?
A. 5-9 lbs
B. 15-25 lbs
C. 28-40 lbs
D. 25-35 lbs
Correct Answer
C. 28-40 lbs
Rationale: A BMI less than 18.5 is considered underweight, with a recommended
pregnancy weight gain of 28-40 lbs.
Question 4
A nurse is teaching a group of pregnant clients about appropriate weight gain during
pregnancy. Which client should be advised to gain 25-35 pounds during pregnancy?
A. A client with a BMI of 17.5
B. A client with a BMI of 24.0
C. A client with a BMI of 29.5
D. A client with a BMI of 31.0
Correct Answer
B. A client with a BMI of 24.0
Rationale: A BMI of 18.5-24.9 is considered normal, and the recommended weight
gain is 25-35 lbs.
Page 2 of 12
