682 - Exam 1
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1. A 15-year-old girl has been ex- A) Endometriosis
periencing dysmenorrhea for
the past year. Over the past
6 months, she has been tak-
ing ibuprofen and oral con-
traceptives, with no improve-
ment. What underlying condi-
tion should be assessed for in
this client at this point?
a) Endometriosis
b) Mittelschmerz
c) Toxic shock syndrome
d) Amenorrhea
2. The nurse is taking a history D) number of sexual partners
from an adolescent girl with sus-
pected pelvic inflammatory dis-
ease
(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
3. A 16-year-old tells you she has D) Take over-the-counter ibuprofen for its prostaglandin
terrible dysmenorrhea. Which of action.
the following actions would be Explanation:
the best health teaching mea- An anti-inflammatory medication is most helpful in reducing
sure regarding this? the discomfort of dysmenorrhea.
, 682 - Exam 1
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a) Take acetaminophen begin-
ning with the first day of a men-
strual flow.
b) Drink a minimum of fluid if
having pain.
c) Use ice to help in reducing in-
flammation and pain.
d) Take over-the-counter ibupro-
fen for its prostaglandin action.
4. An adolescent girl and her care- B) Take the child to a private room and interview her regard-
giver present at the pediatri- ing her sexual history and partners
cian's office. The adolescent
complains of severe abdomi-
nal 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 care-
giver 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 regard-
ing her sexual history and part-
ners
c) Take the caregiver to a private
, 682 - Exam 1
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room and tell her that the child's
diagnosis can only come from
sexual activity
d) Contact the necessary author-
ities to report a suspected abuse
5. A nurse is assessing pregnant a client who had a myomectomy to remove fibroids
clients for the risk of placen-
ta previa. Which client faces the
greatest risk for this condition?
6. A pregnant patient with a his- The client delivers a full-term fetus at 39 weeks' gestation.
tory of premature cervical di-
latation undergoes cervical cer-
clage.
Which outcome indicates that
this procedure has been suc-
cessful?
7. A pregnant woman has arrived strong abdominal cramping
to the office reporting vaginal
bleeding. Which finding during
the assessment would lead the
nurse to suspect an inevitable
abortion?
8. A woman in labor suddenly re- premature separation of the placenta
ports sharp fundal pain accom-
panied by slight dark red vaginal
bleeding. The nurse should pre-
pare to assist with which situa-
tion?
, 682 - Exam 1
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9. A woman in week 35 of her preterm rupture of membranes followed by preterm birth
pregnancy with severe hydram-
nios is admitted to the hospital.
The nurse recognizes that which
concern is greatest regarding
this client?
10. After a regular prenatal visit, a "Placenta previa causes painless, bright red bleeding during
pregnant client asks the nurse pregnancy due to an abnormally implanted placenta that is
to describe the differences be- too close to or covers the cervix; abruptio placenta is asso-
tween abruptio placenta and ciated with dark red painful bleeding caused by premature
placenta previa. Which state- separation of the placenta from the wall of the uterus before
ment should the nurse include the end of labor."
in the teaching?
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 Braxton Hicks contractions usually decrease in intensity with
termed "practice contractions" walking.
and occur throughout pregnan-
cy.
When the woman's body is get-
ting ready to go into labor,
it begins to show anticipato-
ry signs of impending labor.
Among these signs are Braxton
Hicks contractions that are more
Study online at https://quizlet.com/_dqbvre
1. A 15-year-old girl has been ex- A) Endometriosis
periencing dysmenorrhea for
the past year. Over the past
6 months, she has been tak-
ing ibuprofen and oral con-
traceptives, with no improve-
ment. What underlying condi-
tion should be assessed for in
this client at this point?
a) Endometriosis
b) Mittelschmerz
c) Toxic shock syndrome
d) Amenorrhea
2. The nurse is taking a history D) number of sexual partners
from an adolescent girl with sus-
pected pelvic inflammatory dis-
ease
(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
3. A 16-year-old tells you she has D) Take over-the-counter ibuprofen for its prostaglandin
terrible dysmenorrhea. Which of action.
the following actions would be Explanation:
the best health teaching mea- An anti-inflammatory medication is most helpful in reducing
sure regarding this? the discomfort of dysmenorrhea.
, 682 - Exam 1
Study online at https://quizlet.com/_dqbvre
a) Take acetaminophen begin-
ning with the first day of a men-
strual flow.
b) Drink a minimum of fluid if
having pain.
c) Use ice to help in reducing in-
flammation and pain.
d) Take over-the-counter ibupro-
fen for its prostaglandin action.
4. An adolescent girl and her care- B) Take the child to a private room and interview her regard-
giver present at the pediatri- ing her sexual history and partners
cian's office. The adolescent
complains of severe abdomi-
nal 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 care-
giver 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 regard-
ing her sexual history and part-
ners
c) Take the caregiver to a private
, 682 - Exam 1
Study online at https://quizlet.com/_dqbvre
room and tell her that the child's
diagnosis can only come from
sexual activity
d) Contact the necessary author-
ities to report a suspected abuse
5. A nurse is assessing pregnant a client who had a myomectomy to remove fibroids
clients for the risk of placen-
ta previa. Which client faces the
greatest risk for this condition?
6. A pregnant patient with a his- The client delivers a full-term fetus at 39 weeks' gestation.
tory of premature cervical di-
latation undergoes cervical cer-
clage.
Which outcome indicates that
this procedure has been suc-
cessful?
7. A pregnant woman has arrived strong abdominal cramping
to the office reporting vaginal
bleeding. Which finding during
the assessment would lead the
nurse to suspect an inevitable
abortion?
8. A woman in labor suddenly re- premature separation of the placenta
ports sharp fundal pain accom-
panied by slight dark red vaginal
bleeding. The nurse should pre-
pare to assist with which situa-
tion?
, 682 - Exam 1
Study online at https://quizlet.com/_dqbvre
9. A woman in week 35 of her preterm rupture of membranes followed by preterm birth
pregnancy with severe hydram-
nios is admitted to the hospital.
The nurse recognizes that which
concern is greatest regarding
this client?
10. After a regular prenatal visit, a "Placenta previa causes painless, bright red bleeding during
pregnant client asks the nurse pregnancy due to an abnormally implanted placenta that is
to describe the differences be- too close to or covers the cervix; abruptio placenta is asso-
tween abruptio placenta and ciated with dark red painful bleeding caused by premature
placenta previa. Which state- separation of the placenta from the wall of the uterus before
ment should the nurse include the end of labor."
in the teaching?
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 Braxton Hicks contractions usually decrease in intensity with
termed "practice contractions" walking.
and occur throughout pregnan-
cy.
When the woman's body is get-
ting ready to go into labor,
it begins to show anticipato-
ry signs of impending labor.
Among these signs are Braxton
Hicks contractions that are more
