OB Final Prep Questions With Complete Solutions
16 y/o Susie presents to the clinic, wanting a pregnancy test.
What questions would be appropriate for the professional nurse
to ask Susie prior to completing the pregnancy test?
Select one or more:
a. Are you excited that you might be pregnant?
b. What is the first day of your last menstrual period?
c. Does your mother know you are wanting a pregnancy test?
d. Have you been using birth control?
e. Have you done a home pregnancy test? Correct Answers b.
What is the first day of your last menstrual period?
d. Have you been using birth control?
e. Have you done a home pregnancy test?
16 year old Emily lives in Blackfoot, ID. She has a boyfriend
but does not want to have a baby for at least 10 years. She wants
an effective, easy birth control method and denies medical
problems. She has periods every 4-6 weeks. The nurse would
recommend which of the following methods to Emily? (Select
all that apply).
Select one or more:
a. the implant
b. hormonal IUD
c. bilateral tubal ligation
d. natural family planning Correct Answers a. the implant
b. hormonal IUD
18 year old Ellen has a positive pregnancy test and cries when
she sees the result. Per her LMP, the nurse determines she is
,approx 7 weeks pregnant. She asks the nurse what should she
do. Which of the following is the nurse's best initial response?
Select one:
a. I think adoption would be your best choice at this time.
b. Here is a list of clinics that provide abortions. My sister liked
this one best.
c. Let's discuss your three options.
d. You need to decide what obstetrician you want to see for
prenatal care. Correct Answers c. Let's discuss your three
options
23 y/o Amy delivered a baby 2 months ago and presents to the
clinic with complaint of stool coming out of her vagina for the
past week. The nurse suspects recto-vaginal fistula. What is the
next most appropriate question the nurse should ask Amy?
Select one:
a. "Did you deliver your baby vaginally?"
b. "How big was your baby?"
c. "Are you sure it is stool?"
d. "How long has this been going on?" Correct Answers a.
"Did you deliver your baby vaginally?"
The patient's symptoms are consistent with an anal fistula,
which may be caused by vaginal childbirth and subsequent
injury to the surrounding anal tissues.
25 year old Susan (G0000) is thinking about getting pregnant in
this next year, but wants an effective method right now. She
currently uses condoms. She denies medical problems. Which of
the following birth control methods are most appropriate for the
nurse to discuss with Susan?
,a. Oral contraceptive pills
b. The implant
c. Continue condoms
d. Birth control patch
e. Copper IUD (Paraguard) Correct Answers a. Oral
contraceptive pills
c. Continue condoms
d. Birth control patch
25 year old Susan (G0000) is thinking about getting pregnant
this next year, but wants an effective method right now. She
currently uses condoms. She denies medical problems. Which of
the following birth control methods are most appropriate for the
nurse to discuss with Susan? (Select all that apply).
Select one or more:
a. Oral contraceptive pills
b. the birth control patch
c. Condoms (continue)
d. The implant
e. Copper IUD (Paragard) Correct Answers a. Oral
contraceptive pills
b. the birth control patch
c. Condoms (continue)
Long-acting contraception is not the best choice for a woman
who desires pregnancy within one year. More appropriate
methods include birth control pills and the patch, and the vaginal
ring as they are not long acting and are reversible once the
woman stops using them. Condoms are short acting with no
hormones.
, 47 y/o Sallie is interested in HRT for her hot flushes and vaginal
dryness. She has high blood pressure and her LMP was 3
months ago. She asks the nurse what can she use? What is the
nurse's best response?
Select one:
a. "You cannot take HRT since your blood pressure is high."
b. "All women should take the bio-identical estrogen and
progesterone pills."
c. "You need to be on the birth control pill for your symptoms
and contraception."
d. "It would be best to talk to the health care provider to
determine what type of HRT might be best for you." Correct
Answers d. "It would be best to talk to the health care provider
to determine what type of HRT might be best for you."
It is beyond the nurse's scope of practice to tell the patient what
HRT she should use. It is best to refer her to her health care
provider.
54 y/o Janice has a history of blood clots in her legs when she
used birth control pills. Her hot flashes are "driving me crazy".
What
alternative comfort measures might be appropriate for Janice?
(Select all that apply).
Select one or more:
a. Avoid triggers that bring about hot flashes
b. Take an compound estrogen pill once a week.
c. Wear layered clothing
d. Avoid heavy blankets at night Correct Answers a. Avoid
triggers that bring about hot flashes
c. Wear layered clothing
16 y/o Susie presents to the clinic, wanting a pregnancy test.
What questions would be appropriate for the professional nurse
to ask Susie prior to completing the pregnancy test?
Select one or more:
a. Are you excited that you might be pregnant?
b. What is the first day of your last menstrual period?
c. Does your mother know you are wanting a pregnancy test?
d. Have you been using birth control?
e. Have you done a home pregnancy test? Correct Answers b.
What is the first day of your last menstrual period?
d. Have you been using birth control?
e. Have you done a home pregnancy test?
16 year old Emily lives in Blackfoot, ID. She has a boyfriend
but does not want to have a baby for at least 10 years. She wants
an effective, easy birth control method and denies medical
problems. She has periods every 4-6 weeks. The nurse would
recommend which of the following methods to Emily? (Select
all that apply).
Select one or more:
a. the implant
b. hormonal IUD
c. bilateral tubal ligation
d. natural family planning Correct Answers a. the implant
b. hormonal IUD
18 year old Ellen has a positive pregnancy test and cries when
she sees the result. Per her LMP, the nurse determines she is
,approx 7 weeks pregnant. She asks the nurse what should she
do. Which of the following is the nurse's best initial response?
Select one:
a. I think adoption would be your best choice at this time.
b. Here is a list of clinics that provide abortions. My sister liked
this one best.
c. Let's discuss your three options.
d. You need to decide what obstetrician you want to see for
prenatal care. Correct Answers c. Let's discuss your three
options
23 y/o Amy delivered a baby 2 months ago and presents to the
clinic with complaint of stool coming out of her vagina for the
past week. The nurse suspects recto-vaginal fistula. What is the
next most appropriate question the nurse should ask Amy?
Select one:
a. "Did you deliver your baby vaginally?"
b. "How big was your baby?"
c. "Are you sure it is stool?"
d. "How long has this been going on?" Correct Answers a.
"Did you deliver your baby vaginally?"
The patient's symptoms are consistent with an anal fistula,
which may be caused by vaginal childbirth and subsequent
injury to the surrounding anal tissues.
25 year old Susan (G0000) is thinking about getting pregnant in
this next year, but wants an effective method right now. She
currently uses condoms. She denies medical problems. Which of
the following birth control methods are most appropriate for the
nurse to discuss with Susan?
,a. Oral contraceptive pills
b. The implant
c. Continue condoms
d. Birth control patch
e. Copper IUD (Paraguard) Correct Answers a. Oral
contraceptive pills
c. Continue condoms
d. Birth control patch
25 year old Susan (G0000) is thinking about getting pregnant
this next year, but wants an effective method right now. She
currently uses condoms. She denies medical problems. Which of
the following birth control methods are most appropriate for the
nurse to discuss with Susan? (Select all that apply).
Select one or more:
a. Oral contraceptive pills
b. the birth control patch
c. Condoms (continue)
d. The implant
e. Copper IUD (Paragard) Correct Answers a. Oral
contraceptive pills
b. the birth control patch
c. Condoms (continue)
Long-acting contraception is not the best choice for a woman
who desires pregnancy within one year. More appropriate
methods include birth control pills and the patch, and the vaginal
ring as they are not long acting and are reversible once the
woman stops using them. Condoms are short acting with no
hormones.
, 47 y/o Sallie is interested in HRT for her hot flushes and vaginal
dryness. She has high blood pressure and her LMP was 3
months ago. She asks the nurse what can she use? What is the
nurse's best response?
Select one:
a. "You cannot take HRT since your blood pressure is high."
b. "All women should take the bio-identical estrogen and
progesterone pills."
c. "You need to be on the birth control pill for your symptoms
and contraception."
d. "It would be best to talk to the health care provider to
determine what type of HRT might be best for you." Correct
Answers d. "It would be best to talk to the health care provider
to determine what type of HRT might be best for you."
It is beyond the nurse's scope of practice to tell the patient what
HRT she should use. It is best to refer her to her health care
provider.
54 y/o Janice has a history of blood clots in her legs when she
used birth control pills. Her hot flashes are "driving me crazy".
What
alternative comfort measures might be appropriate for Janice?
(Select all that apply).
Select one or more:
a. Avoid triggers that bring about hot flashes
b. Take an compound estrogen pill once a week.
c. Wear layered clothing
d. Avoid heavy blankets at night Correct Answers a. Avoid
triggers that bring about hot flashes
c. Wear layered clothing
