Olds Maternal-Newborn nursing ch 3 Exam
questions and answers Graded A+
The clinic nurse is returning phone calls. Which call should the nurse return first?
1. The call from a 22-year-old reporting that she has menstrual cramps and
vomiting every month
2. The call from a 17-year-old asking whether there is a problem with using one
tampon for a whole day
3. The call from a 46-year-old mother of a teen wondering if her daughter should
be on birth control
4. The call from a 34-year-old requesting information on douching after
intercourse - Answer: 2
Explanation: 2. Using a single tampon for an entire day can lead to toxic shock
syndrome, a potentially life-threatening condition. This client needs education on
the danger of using one tampon longer than 3-6 hours.
The nurse who is taking a sexual history from a client should do which of the
following?
1. Ask questions that the client can answer with "yes" or "no."
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire and review it after the
client leaves.
4. Try not to make much direct eye contact. - Answer: 2
Explanation: 2. Open-ended questions are often useful in eliciting information.
The nurse is taking a history on a new client in the clinic. She determines from
talking with the client that she is recently divorced, is dating, and has had sex with
,various men. The nurse would be concerned about and would provide some
education on what issues?
1. The ethics of dating and having sex with more than one man
2. The client having some kind of permanent birth control done, so she does not
become pregnant
3. Education about sexual activity and sexually transmitted infections
4. Referral to a psychologist or counselor for follow-up on the multiple dating -
Answer: 3
Explanation: 3. Education about sexual activity and sexually transmitted infections
is correct, since it has been determined that the client is having sex with multiple
partners.
The nurse is taking a history of a new client in the clinic. Histories tend to be
lengthy, and the sexual part can be difficult for the client. The nurse should use
what technique to make it easier for the client?
1. Let the client fill out a paper copy, so she does not have to talk about intimate
matters.
2. Skip the sexual part until the next time the client comes into the clinic.
3. Start with the easier medical and surgical questions, and develop a feeling of
trust with the client.
4. Leave the sexual part of the history for the doctor to ask about.
Answer: 3 - Explanation: 3. Starting with easy-to-answer questions and
then going to the sexual ones helps, as client might be at ease by then.
The nurse working in a women's clinic is training a recent graduate of nursing
school who has been hired. The experienced nurse explains that nurses caring for
women of all ages must be which of the following?
Note: Credit will be given only if all correct and no incorrect choices are selected.
, Select all that apply.
1. Aware of their own feelings
2. Judgmental when discussing sexuality
3. Aware of personal values and attitudes
4. Minimally knowledgeable about reproduction
5. Willing to discuss sexuality only one-on-one - Answer: 1, 3
Explanation: 1. Nurses must be aware of their own feelings.
3. Nurses must develop an awareness of their own values and attitudes about
sexuality so that they can be more sensitive and objective when they encounter
the values and beliefs of others.
A client asks her nurse, "Is it okay for me to take a tub bath during the heavy part
of my menstruation?" What is the nurse's correct response?
1. "Tub baths are contraindicated during menstruation."
2. "You should shower and douche daily instead."
3. "Either a bath or a shower is fine at that time."
4. "You should bathe and use a feminine deodorant spray during menstruation." -
Explanation: 3. Bathing, whether it is a tub bath or a shower, is as
important (if not more so) during menses as at any other time.
) Which client would the nurse document as exhibiting signs and symptoms of
primary dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for 4 years, but has had no menses in 4
months
3. 19-year-old, regular menses for 5 years that have suddenly become painful
questions and answers Graded A+
The clinic nurse is returning phone calls. Which call should the nurse return first?
1. The call from a 22-year-old reporting that she has menstrual cramps and
vomiting every month
2. The call from a 17-year-old asking whether there is a problem with using one
tampon for a whole day
3. The call from a 46-year-old mother of a teen wondering if her daughter should
be on birth control
4. The call from a 34-year-old requesting information on douching after
intercourse - Answer: 2
Explanation: 2. Using a single tampon for an entire day can lead to toxic shock
syndrome, a potentially life-threatening condition. This client needs education on
the danger of using one tampon longer than 3-6 hours.
The nurse who is taking a sexual history from a client should do which of the
following?
1. Ask questions that the client can answer with "yes" or "no."
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire and review it after the
client leaves.
4. Try not to make much direct eye contact. - Answer: 2
Explanation: 2. Open-ended questions are often useful in eliciting information.
The nurse is taking a history on a new client in the clinic. She determines from
talking with the client that she is recently divorced, is dating, and has had sex with
,various men. The nurse would be concerned about and would provide some
education on what issues?
1. The ethics of dating and having sex with more than one man
2. The client having some kind of permanent birth control done, so she does not
become pregnant
3. Education about sexual activity and sexually transmitted infections
4. Referral to a psychologist or counselor for follow-up on the multiple dating -
Answer: 3
Explanation: 3. Education about sexual activity and sexually transmitted infections
is correct, since it has been determined that the client is having sex with multiple
partners.
The nurse is taking a history of a new client in the clinic. Histories tend to be
lengthy, and the sexual part can be difficult for the client. The nurse should use
what technique to make it easier for the client?
1. Let the client fill out a paper copy, so she does not have to talk about intimate
matters.
2. Skip the sexual part until the next time the client comes into the clinic.
3. Start with the easier medical and surgical questions, and develop a feeling of
trust with the client.
4. Leave the sexual part of the history for the doctor to ask about.
Answer: 3 - Explanation: 3. Starting with easy-to-answer questions and
then going to the sexual ones helps, as client might be at ease by then.
The nurse working in a women's clinic is training a recent graduate of nursing
school who has been hired. The experienced nurse explains that nurses caring for
women of all ages must be which of the following?
Note: Credit will be given only if all correct and no incorrect choices are selected.
, Select all that apply.
1. Aware of their own feelings
2. Judgmental when discussing sexuality
3. Aware of personal values and attitudes
4. Minimally knowledgeable about reproduction
5. Willing to discuss sexuality only one-on-one - Answer: 1, 3
Explanation: 1. Nurses must be aware of their own feelings.
3. Nurses must develop an awareness of their own values and attitudes about
sexuality so that they can be more sensitive and objective when they encounter
the values and beliefs of others.
A client asks her nurse, "Is it okay for me to take a tub bath during the heavy part
of my menstruation?" What is the nurse's correct response?
1. "Tub baths are contraindicated during menstruation."
2. "You should shower and douche daily instead."
3. "Either a bath or a shower is fine at that time."
4. "You should bathe and use a feminine deodorant spray during menstruation." -
Explanation: 3. Bathing, whether it is a tub bath or a shower, is as
important (if not more so) during menses as at any other time.
) Which client would the nurse document as exhibiting signs and symptoms of
primary dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for 4 years, but has had no menses in 4
months
3. 19-year-old, regular menses for 5 years that have suddenly become painful
