OB Final Exam| COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+|
2025/2026 LATEST UPDATE
Which of the following is not a component of early detection?
a.Breast self-exam
b.BRCA gene detection
c.Clinical breast exam
d.Mammography b.BRCA gene detection
A nurse practitioner is performing a clinical breast exam and notes a mass. Which findings
would lead the nurse practitioner to suspect that the mass is benign? SATA
a. absence of nipple retraction
b. skin dimpling
c. firmness on palpation
d. irregularly shaped
e. clearly delineated margins a. absence of nipple retraction
c. firmness on palpation
e. clearly delineated margins
,Rationale: Benign breast masses are usually firm and rubbery with clearly delineated margins
and no nipple retraction. Malignant breast masses often are hard on palpation and irregularly
shaped with skin dimpling.
Which of the following is the strongest risk factor for breast cancer?
a.Advancing age and being female
b.High number of children
c.Genetic mutations in BRCA1 and BRCA2 genes
d.Family history of colon cancer a.Advancing age and being female
Rationale:
The incidence of breast cancer increases with aging, especially over age 50. Only 1% of breast
cancers occur in men.
B is incorrect: bearing children interrupts the menstrual cycle and decreases a woman's risk of
breast cancer.
C is incorrect: only 7% of women have a genetic mutation resulting in breast cancer, whereas in
the remaining 93% it is a sporadic occurrence.
D is incorrect: colon cancer is not a risk factor for breast cancer.
,The nurse is providing education to a primigravida with type 2 diabetes. Which of the following
will be anticipated in the plan of care?
a) decrease insulin doses as pregnancy progresses
b) frequent ultrasounds to assess fetal growth
c) delivery by cesarean section
d) folic acid supplementation beginning after first trimester b) frequent ultrasounds to
assess fetal growth
A pregnant patient with diabetes at 9 weeks' gestation has a glycosylated hemoglobin (HbA1c)
level of 13% (Ref range 4-5.6%). At this time the nurse should be most concerned about which
possible fetal outcome?
a) preterm birth
b) congenital anomalies
c) abruptio placentae
d) stillbirth b) congenital anomalies
Rationale:
A HbA1c level of 13% indicates poor glucose control. This, in conjunction with the woman being
in the first trimester, increases the risk for congenital anomalies.
, Elevated glucose levels are not associated with incompetent cervix, placenta previa, or abruptio
placentae.
The nurse is providing education to a patient with newly diagnosed gestational diabetes about
potential complications of pregnancy. Which of the following would be including in teaching?
Select 3 that apply
a) neonatal hyperbilirubinemia
b) fetal macrosomia
c) respiratory distress of the newborn
d) newborn diabetes a) neonatal hyperbilirubinemia
b) fetal macrosomia
c) respiratory distress of the newborn
A nurse is conducting a review course on tocolytic therapy for perinatal nurses. After teaching
the group, the nurse determines that teaching was successful when they identify which drugs
as being used for tocolysis for preterm labor? Select 3 that apply
a) misoprostol
b) indomethacin
c) magnesium sulfate
d) nifedipine
e) dinoprostone b) indomethacin
2025/2026 LATEST UPDATE
Which of the following is not a component of early detection?
a.Breast self-exam
b.BRCA gene detection
c.Clinical breast exam
d.Mammography b.BRCA gene detection
A nurse practitioner is performing a clinical breast exam and notes a mass. Which findings
would lead the nurse practitioner to suspect that the mass is benign? SATA
a. absence of nipple retraction
b. skin dimpling
c. firmness on palpation
d. irregularly shaped
e. clearly delineated margins a. absence of nipple retraction
c. firmness on palpation
e. clearly delineated margins
,Rationale: Benign breast masses are usually firm and rubbery with clearly delineated margins
and no nipple retraction. Malignant breast masses often are hard on palpation and irregularly
shaped with skin dimpling.
Which of the following is the strongest risk factor for breast cancer?
a.Advancing age and being female
b.High number of children
c.Genetic mutations in BRCA1 and BRCA2 genes
d.Family history of colon cancer a.Advancing age and being female
Rationale:
The incidence of breast cancer increases with aging, especially over age 50. Only 1% of breast
cancers occur in men.
B is incorrect: bearing children interrupts the menstrual cycle and decreases a woman's risk of
breast cancer.
C is incorrect: only 7% of women have a genetic mutation resulting in breast cancer, whereas in
the remaining 93% it is a sporadic occurrence.
D is incorrect: colon cancer is not a risk factor for breast cancer.
,The nurse is providing education to a primigravida with type 2 diabetes. Which of the following
will be anticipated in the plan of care?
a) decrease insulin doses as pregnancy progresses
b) frequent ultrasounds to assess fetal growth
c) delivery by cesarean section
d) folic acid supplementation beginning after first trimester b) frequent ultrasounds to
assess fetal growth
A pregnant patient with diabetes at 9 weeks' gestation has a glycosylated hemoglobin (HbA1c)
level of 13% (Ref range 4-5.6%). At this time the nurse should be most concerned about which
possible fetal outcome?
a) preterm birth
b) congenital anomalies
c) abruptio placentae
d) stillbirth b) congenital anomalies
Rationale:
A HbA1c level of 13% indicates poor glucose control. This, in conjunction with the woman being
in the first trimester, increases the risk for congenital anomalies.
, Elevated glucose levels are not associated with incompetent cervix, placenta previa, or abruptio
placentae.
The nurse is providing education to a patient with newly diagnosed gestational diabetes about
potential complications of pregnancy. Which of the following would be including in teaching?
Select 3 that apply
a) neonatal hyperbilirubinemia
b) fetal macrosomia
c) respiratory distress of the newborn
d) newborn diabetes a) neonatal hyperbilirubinemia
b) fetal macrosomia
c) respiratory distress of the newborn
A nurse is conducting a review course on tocolytic therapy for perinatal nurses. After teaching
the group, the nurse determines that teaching was successful when they identify which drugs
as being used for tocolysis for preterm labor? Select 3 that apply
a) misoprostol
b) indomethacin
c) magnesium sulfate
d) nifedipine
e) dinoprostone b) indomethacin
