MOSBY S COMPREHENSIVE REVIEW OF NURSING FOR
THE NCLEX-RN EXAMINATION (20TH EDITION)
MATERNAL AND CHILD HEALTH NURSING
(chapter 28 QS 7 AS)
, Childbearing and Women’s Health Nursing
Review Questions with Answers 28
CHAPTER
and Rationales
QUESTIONS
Note: Thousands of additional practice questions are available
on the enclosed companion CD.
Nursing Care to Promote Childbearing 4. An effective mother does not experience ambivalence and
and Women’s Health anxiety about mothering.
5. Why is it important for a nurse to support the parents’ deci-
1. A woman arrives at the prenatal clinic stating that her preg- sion to abort a fetus with a birth defect even if the nurse is
nancy test is positive. She asks the nurse for information morally against abortion?
about an abortion. After verifying that the woman is at 8 1. Supporting them will eliminate feelings of guilt.
weeks’ gestation, the nurse counsels her that having an abor- 2. The parents are legally responsible for the decision.
tion is controversial and that many women have long-term 3. It is essential for maintenance of the family equilibrium.
guilt feelings after an abortion. Legally, the: 4. The nurse’s support will relieve the pressure caused by
1. nurse’s statements need not be based on current clinical this decision.
research. 6. During the postpartum period a client with heart disease
2. client has a right to receive correct, unbiased and type 2 diabetes asks a nurse, “Which contraceptives will
information. I be able to use to prevent pregnancy in the near future?”
3. nurse has a right to state feelings as long as they are How should the nurse respond?
identified as the nurse’s own. 1. “You may use oral contraceptives because they are almost
4. health care provider should be notified because this is completely effective in preventing a pregnancy.”
beyond the scope of nursing practice. 2. “You should use foam with a condom to prevent preg -
2. One day the family planning clinic is very busy, and the nancy because this is the safest method for women with
supervisor asks a nurse from the pediatric clinic who is your illnesses. ”
strongly opposed to any chemical or mechanical method of 3. “You will find that the intrauterine device is best for
birth control to work in the family planning clinic. What is you because it prevents a fertilized ovum from implant-
the most professional response that this nurse could give to ing in the uterus.”
the supervisor? 4. “You do not need to worry about becoming pregnant
1. “I will go, but it is against my beliefs.” in the near future because women with your illnesses
2. “I won’t do it because I do not believe in birth control.” usually become infertile.”
3. “I would prefer another assignment that is not contrary 7. A nurse is teaching a group of women about the side effects
to my beliefs.” of different types of contraceptives .What is the most fre-
4. “I will have to reinforce that the rhythm method is the quent side effect associated with the use of an intrauterine
method of choice.” device (IUD)?
3. The result of an amniocentesis performed at 16 weeks’ gesta- 1. A tubal pregnancy
tion reveals a fetus with Down syndrome. The client elects 2. A rupture of the uterus
to have the pregnancy terminated. What should the nurse 3. An expulsion of the device
conclude about an abortion at this stage of the pregnancy? 4. An excessive menstrual flow
1. The client is exhibiting emotional instability. 8. A client asks a nurse about the most common problem
2. There is a high risk for a postoperative infection. associated with the use of an intrauterine device (IUD).
3. Contraceptive counseling should be deferred to a later What should the nurse respond?
time. 1. Perforation of the uterus
4. An opportunity to express feelings about her decision 2. Spontaneous device expulsion
should be provided. 3. Discomfort associated with coitus
4. Which research-based knowledge guides a nurse regarding 4. Development of vaginal infections
the emotional factors of pregnancy? 9. A client seeking advice about contraception asks a nurse
1. A rejected pregnancy will result in a rejected infant. about how an intrauterine device (IUD) prevents pregnancy.
2. Ambivalence and anxiety about mothering are common. How should the nurse respond?
3. A mother’s love usually develops within the first week 1. “It covers the entrance to the cervical os.”
after birth. 2. “The openings to the fallopian tubes are blocked.”
▶ Denotes alternate format question. 579
Downloaded by Fridah Rex ()
, 580 CHAPTER 28 Childbearing and Women’s Health Nursing
3. “The sperm are prevented from reaching the vagina.” 17. A biphasic antiovulatory medication of combined progestin
4. “It produces a spermicidal intrauterine environment.” and estrogen is prescribed for a female client. What should
10. A nurse teaches women in the fertility clinic that after ovula- a nurse include when teaching about this oral
tion has occurred, the ovum is thought to remain viable for: contraceptive?
1. 1 to 6 hours. 1. Report irregular vaginal bleeding.
2. 12 to 18 hours. 2. Restrict sexual activity temporarily.
3. 24 to 36 hours. 3. Have regular bimonthly Pap smears.
4. 48 to 72 hours. 4. Increase the dietary intake of calcium.
11. A nurse is teaching clients to determine the time of 18. A nurse is giving discharge instructions to a client who had
ovulation by taking the basal temperature. What change an aspiration abortion by suction curettage. What should
is expected to occur in the basal temperature during the client be told?
ovulation? 1. Avoid showering for 2 days.
1. Slight drop and then rises 2. Tampons may be used after 1 day.
2. Sudden rise and then drops 3. Sexual intercourse should be delayed for 3 weeks.
3. Marked rise and remains high 4. Report bleeding that requires a pad change every 2 hours.
4. Marked drop and remains lower 19. A client at 10 weeks’ gestation elects to have an induced
12. Oral contraceptives are prescribed for a client. What side abortion. After receiving oral mifepristone (Mifeprex), she
effect should the nurse inform the client might occur? returns to the clinic 2 days later to have misoprostol (Cytotec)
1. Cervicitis inserted vaginally. For when should the nurse schedule a
2. Ovarian cysts follow-up visit?
3. Breakthrough bleeding 1. 4 hours after the procedure
4. Fibrocystic breast disease 2. 2 weeks after the procedure
13. What is important for a nurse to discuss with a client who 3. 4 to 8 days after the procedure
just had a vasectomy? 4. 8 to 24 hours after the procedure
1. Recanalization of the vas deferens is impossible. 20. A couple indicate that they do not want any more children.
2. Unprotected coitus is safe within 1 week to 10 days. The woman is scheduled for a laparoscopic bilateral tubal
3. Some impotency is to be expected for several weeks. ligation. What should the nurse include in preoperative
4. There must be 15 ejaculations to clear the tract of sperm. teaching?
14. The school nurse is discussing issues concerning premarital 1. “Menstruation will stop after the surgery.”
sex with a group of adolescents taking a health education 2. “Birth control will be needed until your follow-up visit.”
course. The students are asked to write an essay on what they 3. “You will be admitted as an outpatient for same-day
have learned about preventing pregnancy. Which comment surgery.”
alerts the nurse to have a private discussion with the student? 4. “You can have the operation reversed if you decide to
1. “I can’t get pregnant if I have sex during my period.” have more children.”
2. “The pill may prevent me from getting pregnant, but I 21. One of the responsibilities of a nurse in a fertility specialist’s
can still get an STI.” office is to provide health teaching to the client in relation
3. “I won’t get pregnant if I swim in a pool where a boy to timing of intercourse. Which instruction addresses the
has just masturbated.” best time to achieve a pregnancy?
4. “A condom will not always protect me from getting 1. Midway between periods
pregnant, but it can protect me from getting an STI.” 2. Immediately after menses end
15. Contraceptives that have estrogen-like and/or progesterone- 3. 14 days before the next period is expected
▶ like compounds are prepared in a variety of forms. Which 4. 14 days after the beginning of the last period
contraceptives should a nurse identify as having a hormonal 22. A nurse teaches a client that a postcoital test to evaluate
component? Select all that apply. fertility should be performed:
1. Oral agents 1. 1 week after ovulation.
2. Diaphragms 2. immediately after menses.
3. Cervical caps 3. just before the next menstrual period.
4. Female condoms 4. within 1 to 2 days of presumed ovulation.
5. Foam spermicides 23. A histogram (hysterosalpingography [HSG]) is performed
6. Transdermal agents to determine whether there is a tubal obstruction. The nurse
16. A nurse explains that the efficiency of the basal body concludes that infertility caused by a defect in the tube is
temperature method of contraception depends on fluctua- most often related to a:
tion of the basal body temperature. What factor will alter 1. tubal injury.
its effectiveness? 2. past infection.
1. Presence of stress 3. fibroid tumor.
2. Length of abstinence 4. congenital anomaly.
3. Age of those involved 24. A nurse is counseling a couple in the fertility clinic. Which
4. Frequency of intercourse aspect of the protocol is the most stressful for the couple?
Downloaded by Fridah Rex ()
THE NCLEX-RN EXAMINATION (20TH EDITION)
MATERNAL AND CHILD HEALTH NURSING
(chapter 28 QS 7 AS)
, Childbearing and Women’s Health Nursing
Review Questions with Answers 28
CHAPTER
and Rationales
QUESTIONS
Note: Thousands of additional practice questions are available
on the enclosed companion CD.
Nursing Care to Promote Childbearing 4. An effective mother does not experience ambivalence and
and Women’s Health anxiety about mothering.
5. Why is it important for a nurse to support the parents’ deci-
1. A woman arrives at the prenatal clinic stating that her preg- sion to abort a fetus with a birth defect even if the nurse is
nancy test is positive. She asks the nurse for information morally against abortion?
about an abortion. After verifying that the woman is at 8 1. Supporting them will eliminate feelings of guilt.
weeks’ gestation, the nurse counsels her that having an abor- 2. The parents are legally responsible for the decision.
tion is controversial and that many women have long-term 3. It is essential for maintenance of the family equilibrium.
guilt feelings after an abortion. Legally, the: 4. The nurse’s support will relieve the pressure caused by
1. nurse’s statements need not be based on current clinical this decision.
research. 6. During the postpartum period a client with heart disease
2. client has a right to receive correct, unbiased and type 2 diabetes asks a nurse, “Which contraceptives will
information. I be able to use to prevent pregnancy in the near future?”
3. nurse has a right to state feelings as long as they are How should the nurse respond?
identified as the nurse’s own. 1. “You may use oral contraceptives because they are almost
4. health care provider should be notified because this is completely effective in preventing a pregnancy.”
beyond the scope of nursing practice. 2. “You should use foam with a condom to prevent preg -
2. One day the family planning clinic is very busy, and the nancy because this is the safest method for women with
supervisor asks a nurse from the pediatric clinic who is your illnesses. ”
strongly opposed to any chemical or mechanical method of 3. “You will find that the intrauterine device is best for
birth control to work in the family planning clinic. What is you because it prevents a fertilized ovum from implant-
the most professional response that this nurse could give to ing in the uterus.”
the supervisor? 4. “You do not need to worry about becoming pregnant
1. “I will go, but it is against my beliefs.” in the near future because women with your illnesses
2. “I won’t do it because I do not believe in birth control.” usually become infertile.”
3. “I would prefer another assignment that is not contrary 7. A nurse is teaching a group of women about the side effects
to my beliefs.” of different types of contraceptives .What is the most fre-
4. “I will have to reinforce that the rhythm method is the quent side effect associated with the use of an intrauterine
method of choice.” device (IUD)?
3. The result of an amniocentesis performed at 16 weeks’ gesta- 1. A tubal pregnancy
tion reveals a fetus with Down syndrome. The client elects 2. A rupture of the uterus
to have the pregnancy terminated. What should the nurse 3. An expulsion of the device
conclude about an abortion at this stage of the pregnancy? 4. An excessive menstrual flow
1. The client is exhibiting emotional instability. 8. A client asks a nurse about the most common problem
2. There is a high risk for a postoperative infection. associated with the use of an intrauterine device (IUD).
3. Contraceptive counseling should be deferred to a later What should the nurse respond?
time. 1. Perforation of the uterus
4. An opportunity to express feelings about her decision 2. Spontaneous device expulsion
should be provided. 3. Discomfort associated with coitus
4. Which research-based knowledge guides a nurse regarding 4. Development of vaginal infections
the emotional factors of pregnancy? 9. A client seeking advice about contraception asks a nurse
1. A rejected pregnancy will result in a rejected infant. about how an intrauterine device (IUD) prevents pregnancy.
2. Ambivalence and anxiety about mothering are common. How should the nurse respond?
3. A mother’s love usually develops within the first week 1. “It covers the entrance to the cervical os.”
after birth. 2. “The openings to the fallopian tubes are blocked.”
▶ Denotes alternate format question. 579
Downloaded by Fridah Rex ()
, 580 CHAPTER 28 Childbearing and Women’s Health Nursing
3. “The sperm are prevented from reaching the vagina.” 17. A biphasic antiovulatory medication of combined progestin
4. “It produces a spermicidal intrauterine environment.” and estrogen is prescribed for a female client. What should
10. A nurse teaches women in the fertility clinic that after ovula- a nurse include when teaching about this oral
tion has occurred, the ovum is thought to remain viable for: contraceptive?
1. 1 to 6 hours. 1. Report irregular vaginal bleeding.
2. 12 to 18 hours. 2. Restrict sexual activity temporarily.
3. 24 to 36 hours. 3. Have regular bimonthly Pap smears.
4. 48 to 72 hours. 4. Increase the dietary intake of calcium.
11. A nurse is teaching clients to determine the time of 18. A nurse is giving discharge instructions to a client who had
ovulation by taking the basal temperature. What change an aspiration abortion by suction curettage. What should
is expected to occur in the basal temperature during the client be told?
ovulation? 1. Avoid showering for 2 days.
1. Slight drop and then rises 2. Tampons may be used after 1 day.
2. Sudden rise and then drops 3. Sexual intercourse should be delayed for 3 weeks.
3. Marked rise and remains high 4. Report bleeding that requires a pad change every 2 hours.
4. Marked drop and remains lower 19. A client at 10 weeks’ gestation elects to have an induced
12. Oral contraceptives are prescribed for a client. What side abortion. After receiving oral mifepristone (Mifeprex), she
effect should the nurse inform the client might occur? returns to the clinic 2 days later to have misoprostol (Cytotec)
1. Cervicitis inserted vaginally. For when should the nurse schedule a
2. Ovarian cysts follow-up visit?
3. Breakthrough bleeding 1. 4 hours after the procedure
4. Fibrocystic breast disease 2. 2 weeks after the procedure
13. What is important for a nurse to discuss with a client who 3. 4 to 8 days after the procedure
just had a vasectomy? 4. 8 to 24 hours after the procedure
1. Recanalization of the vas deferens is impossible. 20. A couple indicate that they do not want any more children.
2. Unprotected coitus is safe within 1 week to 10 days. The woman is scheduled for a laparoscopic bilateral tubal
3. Some impotency is to be expected for several weeks. ligation. What should the nurse include in preoperative
4. There must be 15 ejaculations to clear the tract of sperm. teaching?
14. The school nurse is discussing issues concerning premarital 1. “Menstruation will stop after the surgery.”
sex with a group of adolescents taking a health education 2. “Birth control will be needed until your follow-up visit.”
course. The students are asked to write an essay on what they 3. “You will be admitted as an outpatient for same-day
have learned about preventing pregnancy. Which comment surgery.”
alerts the nurse to have a private discussion with the student? 4. “You can have the operation reversed if you decide to
1. “I can’t get pregnant if I have sex during my period.” have more children.”
2. “The pill may prevent me from getting pregnant, but I 21. One of the responsibilities of a nurse in a fertility specialist’s
can still get an STI.” office is to provide health teaching to the client in relation
3. “I won’t get pregnant if I swim in a pool where a boy to timing of intercourse. Which instruction addresses the
has just masturbated.” best time to achieve a pregnancy?
4. “A condom will not always protect me from getting 1. Midway between periods
pregnant, but it can protect me from getting an STI.” 2. Immediately after menses end
15. Contraceptives that have estrogen-like and/or progesterone- 3. 14 days before the next period is expected
▶ like compounds are prepared in a variety of forms. Which 4. 14 days after the beginning of the last period
contraceptives should a nurse identify as having a hormonal 22. A nurse teaches a client that a postcoital test to evaluate
component? Select all that apply. fertility should be performed:
1. Oral agents 1. 1 week after ovulation.
2. Diaphragms 2. immediately after menses.
3. Cervical caps 3. just before the next menstrual period.
4. Female condoms 4. within 1 to 2 days of presumed ovulation.
5. Foam spermicides 23. A histogram (hysterosalpingography [HSG]) is performed
6. Transdermal agents to determine whether there is a tubal obstruction. The nurse
16. A nurse explains that the efficiency of the basal body concludes that infertility caused by a defect in the tube is
temperature method of contraception depends on fluctua- most often related to a:
tion of the basal body temperature. What factor will alter 1. tubal injury.
its effectiveness? 2. past infection.
1. Presence of stress 3. fibroid tumor.
2. Length of abstinence 4. congenital anomaly.
3. Age of those involved 24. A nurse is counseling a couple in the fertility clinic. Which
4. Frequency of intercourse aspect of the protocol is the most stressful for the couple?
Downloaded by Fridah Rex ()
