NURS 682 - EXAM 1
GRADED A+ WITH COMPLETE
QUESTIONS AND ANSWERS
1. A 15-Year-Old Girl Has Been Experiencing Dysmenorrhea For The Past Year. Over The Past
6 Months, She Has Been Taking Ibuprofen And Oral Contraceptives, With No
Improvement. What Underlying Condition Should Be Assessed For In This Client At This
Point?
A) Endometriosis
B) Mittelschmerz
C) Toxic Shock Syndrome
D) Amenorrhea
A) Endometriosis
2. The Nurse Is Taking A History From An Adolescent Girl With Suspected Pelvic
Inflammatory Disease
(Pid. What Data Will Be Most Helpful In Determining This Girl's Risk Factors For Pid?
A) Age At First Menses
B) Race
C) Age
D) Number Of Sexual Partners
D) Number Of Sexual Partners
, 3. A 16-Year-Old Tells You She Has Terrible Dysmenorrhea. Which Of The Following Actions
Would Be The Best Health Teaching Measure Regarding This?
A) Take Acetaminophen Beginning With The First Day Of A Menstrual Flow.
B) Drink A Minimum Of Fluid If Having Pain.
C) Use Ice To Help In Reducing Inflammation And Pain.
D) Take Over-The-Counter Ibuprofen For Its Prostaglandin Action.
D) Take Over-The-Counter Ibuprofen For Its Prostaglandin Action.
Explanation:
An Anti-Inflammatory Medication Is Most Helpful In Reducing The Discomfort Of
Dysmenorrhea.
4. An Adolescent Girl And Her Caregiver Present At The Pediatrician's Office. The
Adolescent Complains Of Severe Abdominal Pain. A Diagnosis Of Pelvic Inflammatory
Disease Is Made. The Nurse Notes In The Child's Chart That This Is The Third Time She
Has Been Treated For Pid. The Most Appropriate Action By The Nurse Would Be To
A) Talk To The Child And Caregiver Together And Explain That The Condition Is Often A Result Of
A Sexually Transmitted Disease And Discuss The Importance Of Safe Sex Practices
B) Take The Child To A Private Room And Interview Her Regarding Her Sexual History And
Partners
C) Take The Caregiver To A Private Room And Tell Her That The Child's Diagnosis Can Only Come
From Sexual Activity
D) Contact The Necessary Authorities To Report A Suspected Abuse
,B) Take The Child To A Private Room And Interview Her Regarding Her Sexual History And
Partners
5. A Nurse Is Assessing Pregnant Clients For The Risk Of Placenta Previa. Which Client Faces
The Greatest Risk For This Condition?
A Client Who Had A Myomectomy To Remove Fibroids
6. A Pregnant Patient With A History Of Premature Cervical Dilatation Undergoes Cervical
Cerclage.
Which Outcome Indicates That This Procedure Has Been Successful?
The Client Delivers A Full-Term Fetus At 39 Weeks' Gestation.
7. A Pregnant Woman Has Arrived To The Office Reporting Vaginal Bleeding. Which Finding
During The Assessment Would Lead The Nurse To Suspect An Inevitable Abortion?
Strong Abdominal Cramping
8. A Woman In Labor Suddenly Reports Sharp Fundal Pain Accompanied By Slight Dark Red
Vaginal Bleeding. The Nurse Should Prepare To Assist With Which Situation?
Premature Separation Of The Placenta
9. A Woman In Week 35 Of Her Pregnancy With Severe Hydramnios Is Admitted To The
Hospital. The Nurse Recognizes That Which Concern Is Greatest Regarding This Client?
Preterm Rupture Of Membranes Followed By Preterm Birth
, 10. After A Regular Prenatal Visit, A Pregnant Client Asks The Nurse To Describe The
Differences Between Abruptio Placenta And Placenta Previa. Which Statement Should
The Nurse Include In The Teaching?
"Placenta Previa Causes Painless, Bright Red Bleeding During Pregnancy Due To An Abnormally
Implanted Placenta That Is Too Close To Or Covers The Cervix; Abruptio Placenta Is Associated
With Dark Red Painful Bleeding Caused By Premature Separation Of The Placenta From The Wall
Of The Uterus Before The End Of Labor."
Placenta Previa Is A Condition Of Pregnancy In Which The Placenta Is Implanted Abnormally In
The Lower Part Of The Uterus And Is The Most Common Cause Of Painless Bright Red Bleeding
In The Third Trimester. Abruptio Placenta Is The Premature Separation Of A Normally Implanted
Placenta That Pulls Away From The Wall Of The Uterus Either During Pregnancy Or Before The
End Of Labor.
11. Braxton Hicks Contractions Are Termed "Practice Contractions" And Occur Throughout
Pregnancy.
When The Woman's Body Is Getting Ready To Go Into Labor, It Begins To Show Anticipatory
Signs Of Impending Labor. Among These Signs Are Braxton Hicks Contractions That Are More
Frequent And Stronger In Intensity.
What Differentiates Braxton Hicks Contractions From True Labor?
Braxton Hicks Contractions Usually Decrease In Intensity With Walking.
12. A Woman At 31 Weeks' Gestation Presents To The Emergency Department With Bright
Red Vaginal Bleeding, Reporting That The Onset Of The Bleeding Was Sudden And
Without Pain. Which Diagnostic Test Should The Nurse Prioritize?
GRADED A+ WITH COMPLETE
QUESTIONS AND ANSWERS
1. A 15-Year-Old Girl Has Been Experiencing Dysmenorrhea For The Past Year. Over The Past
6 Months, She Has Been Taking Ibuprofen And Oral Contraceptives, With No
Improvement. What Underlying Condition Should Be Assessed For In This Client At This
Point?
A) Endometriosis
B) Mittelschmerz
C) Toxic Shock Syndrome
D) Amenorrhea
A) Endometriosis
2. The Nurse Is Taking A History From An Adolescent Girl With Suspected Pelvic
Inflammatory Disease
(Pid. What Data Will Be Most Helpful In Determining This Girl's Risk Factors For Pid?
A) Age At First Menses
B) Race
C) Age
D) Number Of Sexual Partners
D) Number Of Sexual Partners
, 3. A 16-Year-Old Tells You She Has Terrible Dysmenorrhea. Which Of The Following Actions
Would Be The Best Health Teaching Measure Regarding This?
A) Take Acetaminophen Beginning With The First Day Of A Menstrual Flow.
B) Drink A Minimum Of Fluid If Having Pain.
C) Use Ice To Help In Reducing Inflammation And Pain.
D) Take Over-The-Counter Ibuprofen For Its Prostaglandin Action.
D) Take Over-The-Counter Ibuprofen For Its Prostaglandin Action.
Explanation:
An Anti-Inflammatory Medication Is Most Helpful In Reducing The Discomfort Of
Dysmenorrhea.
4. An Adolescent Girl And Her Caregiver Present At The Pediatrician's Office. The
Adolescent Complains Of Severe Abdominal Pain. A Diagnosis Of Pelvic Inflammatory
Disease Is Made. The Nurse Notes In The Child's Chart That This Is The Third Time She
Has Been Treated For Pid. The Most Appropriate Action By The Nurse Would Be To
A) Talk To The Child And Caregiver Together And Explain That The Condition Is Often A Result Of
A Sexually Transmitted Disease And Discuss The Importance Of Safe Sex Practices
B) Take The Child To A Private Room And Interview Her Regarding Her Sexual History And
Partners
C) Take The Caregiver To A Private Room And Tell Her That The Child's Diagnosis Can Only Come
From Sexual Activity
D) Contact The Necessary Authorities To Report A Suspected Abuse
,B) Take The Child To A Private Room And Interview Her Regarding Her Sexual History And
Partners
5. A Nurse Is Assessing Pregnant Clients For The Risk Of Placenta Previa. Which Client Faces
The Greatest Risk For This Condition?
A Client Who Had A Myomectomy To Remove Fibroids
6. A Pregnant Patient With A History Of Premature Cervical Dilatation Undergoes Cervical
Cerclage.
Which Outcome Indicates That This Procedure Has Been Successful?
The Client Delivers A Full-Term Fetus At 39 Weeks' Gestation.
7. A Pregnant Woman Has Arrived To The Office Reporting Vaginal Bleeding. Which Finding
During The Assessment Would Lead The Nurse To Suspect An Inevitable Abortion?
Strong Abdominal Cramping
8. A Woman In Labor Suddenly Reports Sharp Fundal Pain Accompanied By Slight Dark Red
Vaginal Bleeding. The Nurse Should Prepare To Assist With Which Situation?
Premature Separation Of The Placenta
9. A Woman In Week 35 Of Her Pregnancy With Severe Hydramnios Is Admitted To The
Hospital. The Nurse Recognizes That Which Concern Is Greatest Regarding This Client?
Preterm Rupture Of Membranes Followed By Preterm Birth
, 10. After A Regular Prenatal Visit, A Pregnant Client Asks The Nurse To Describe The
Differences Between Abruptio Placenta And Placenta Previa. Which Statement Should
The Nurse Include In The Teaching?
"Placenta Previa Causes Painless, Bright Red Bleeding During Pregnancy Due To An Abnormally
Implanted Placenta That Is Too Close To Or Covers The Cervix; Abruptio Placenta Is Associated
With Dark Red Painful Bleeding Caused By Premature Separation Of The Placenta From The Wall
Of The Uterus Before The End Of Labor."
Placenta Previa Is A Condition Of Pregnancy In Which The Placenta Is Implanted Abnormally In
The Lower Part Of The Uterus And Is The Most Common Cause Of Painless Bright Red Bleeding
In The Third Trimester. Abruptio Placenta Is The Premature Separation Of A Normally Implanted
Placenta That Pulls Away From The Wall Of The Uterus Either During Pregnancy Or Before The
End Of Labor.
11. Braxton Hicks Contractions Are Termed "Practice Contractions" And Occur Throughout
Pregnancy.
When The Woman's Body Is Getting Ready To Go Into Labor, It Begins To Show Anticipatory
Signs Of Impending Labor. Among These Signs Are Braxton Hicks Contractions That Are More
Frequent And Stronger In Intensity.
What Differentiates Braxton Hicks Contractions From True Labor?
Braxton Hicks Contractions Usually Decrease In Intensity With Walking.
12. A Woman At 31 Weeks' Gestation Presents To The Emergency Department With Bright
Red Vaginal Bleeding, Reporting That The Onset Of The Bleeding Was Sudden And
Without Pain. Which Diagnostic Test Should The Nurse Prioritize?
