CJE - Maternal Child Nursing
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update.
A 19-year-old client with multiple sex partners is being counseled about the
hepatitis B vaccination. During the counseling sessions, which of the following
should the nurse advise the client to receive?
1. Hepatitis B immunoglobulin before receiving the vaccine.
2. Vaccine booster every 10 years.
3. Complete series of three intramuscular injections.
4. Vaccine as soon as she becomes 21.
3. Complete series of three intramuscular injections.
Rationale:
The immune globulin is not administered before giving the vaccine. The vaccine
is administered in a series of three injections. Booster shots are not
recommended for otherwise healthy people with noncompromised immune
systems. To be immunized against hepatitis B, a three-injection vaccine series is
administered. The vaccine can be administered at any age.
TEST-TAKING HINT: The current recommendation by the Centers for Disease
Control and Prevention (CDC) is that the hepatitis B vaccine series be started
,during the neonatal period before discharge from the hospital (Schillie et al.,
2018). The second and third shots are administered 1 month and 6 months
after the first shot, respectively. For adults who have not received the vaccine
in infancy the series can be administered at any age.
A postpartum client has decided to use medroxyprogesterone acetate as her
contraceptive method. What should the nurse advise the client regarding this
medication?
1. Take the pill at the same time each day.
2. Refrain from breastfeeding while using the method.
3. Expect to have no periods as long as she takes the medicine.
4. Consider switching to another birth control method in a year or so.
4. Consider switching to another birth control method in a year or so.
Rationale:
Medroxyprogesterone acetate (Depo-Provera) is either administered via
intramuscular or subcutaneous injection every 3 months.
Medroxyprogesterone acetate is a progesterone-based contraceptive. It is safe
for use and should not adversely affect the ability to breastfeed. Both
amenorrhea and menorrhagia are side effects of the medication. The client
should be advised to notify her healthcare practitioner regarding any significant
menstrual pattern changes. Many women who use medroxyprogesterone
acetate for over 2 years have been found to suffer from loss of bone density.
Some of the changes in bone density may be irreversible.
TEST-TAKING HINT: There is a black box recommendation on the
medroxyprogesterone acetate label. A black box warning is placed on some
prescription medications that have been found to have significant side effects.
In the case of medroxyprogesterone acetate, the black box warning is related
to an increased risk of OSTEOPOROSIS if use of this medication is prolonged.
The Food and Drug Administration (FDA) has the power to require
pharmaceutical companies to include a black box on a medication that,
although approved for use, carries risks when taken.
,The nurse is administering medroxyprogesterone acetate to a postpartum
client. Which of the following data must the nurse consider before
administering the medication?
1. The patch must be replaced at the same time each week.
2. The client must be taught to use sunscreen whenever in the sunlight.
3. The medicine is contraindicated if the woman has lung or esophageal cancer.
4. The client must use an alternate form of birth control for the first two
months.
2. The client must be taught to use sunscreen whenever in the sunlight.
Rationale:
Medroxyprogesterone acetate (Depo-Provera) is administered via
intramuscular injection or subcutaneously every 3 months. The client should
use sunscreen while receiving medroxyprogesterone acetate for birth control.
The medication is contraindicated for use by women who have breast cancer or
who are pregnant. It is not contraindicated for use by those suffering from lung
or esophageal cancer. After the first injection, it is often recommended that the
client use an alternate form of birth control for at least a week, but not for 2
months. The client should know that medroxyprogesterone acetate will not
protect her from sexually transmitted infections.
TEST-TAKING HINT: Women can develop dark patches on their skin when using
medroxyprogesterone acetate. The patches often become darker in women
who are in the sun without protection. It is strongly recommended that women
who use medroxyprogesterone acetate use sunscreen whenever they are
exposed to the sun.
Which statement by the client indicates that she understands the teaching
provided about the intrauterine device (IUD)?
1. "The IUD can remain in place for a year or more."
2. "I will not menstruate while the IUD is in."
3. "Pain during intercourse is a common side effect."
4. "The device will reduce my chances of getting infected."
, 1. "The IUD can remain in place for a year or more."
Rationale:
IUDs can remain in place for extended periods of time. The client should expect
to menstruate regularly while the IUD is in place. If dyspareunia (pain during
intercourse) occurs, the client should contact her healthcare practitioner.
Women who have IUDs in place are at slightly higher risk of developing pelvic
infections.
TEST-TAKING HINT: Women who have multiple sex partners or who have had a
recent history of a sexually transmitted infection should be considered at
highest risk for infection. The risk for all women is most pronounced during the
20 days immediately following IUD insertion.
A client has been diagnosed with pubic lice. Which of the following
signs/symptoms would the nurse expect to see?
1. Macular rash on the labia.
2. Pruritus.
3. Hyperthermia.
4. Foul-smelling discharge.
2. Pruritus.
Rationale:
A macular rash is not indicative of pubic lice. Pruritus is, by far, the most
common symptom of pubic lice. Hyperthermia is not commonly seen with an
infestation of pubic lice. Foul-smelling discharge is not commonly seen with an
infestation of pubic lice.
TEST-TAKING HINT: Pubic lice, not to be confused with head lice, are commonly
called crabs. They are insects, usually sexually transmitted, that invade the
pubic hair. Although they are not the same as head lice, the pubic infestation is
treated with the same pediculicidal (medication capable of killing lice)
shampoos.
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update.
A 19-year-old client with multiple sex partners is being counseled about the
hepatitis B vaccination. During the counseling sessions, which of the following
should the nurse advise the client to receive?
1. Hepatitis B immunoglobulin before receiving the vaccine.
2. Vaccine booster every 10 years.
3. Complete series of three intramuscular injections.
4. Vaccine as soon as she becomes 21.
3. Complete series of three intramuscular injections.
Rationale:
The immune globulin is not administered before giving the vaccine. The vaccine
is administered in a series of three injections. Booster shots are not
recommended for otherwise healthy people with noncompromised immune
systems. To be immunized against hepatitis B, a three-injection vaccine series is
administered. The vaccine can be administered at any age.
TEST-TAKING HINT: The current recommendation by the Centers for Disease
Control and Prevention (CDC) is that the hepatitis B vaccine series be started
,during the neonatal period before discharge from the hospital (Schillie et al.,
2018). The second and third shots are administered 1 month and 6 months
after the first shot, respectively. For adults who have not received the vaccine
in infancy the series can be administered at any age.
A postpartum client has decided to use medroxyprogesterone acetate as her
contraceptive method. What should the nurse advise the client regarding this
medication?
1. Take the pill at the same time each day.
2. Refrain from breastfeeding while using the method.
3. Expect to have no periods as long as she takes the medicine.
4. Consider switching to another birth control method in a year or so.
4. Consider switching to another birth control method in a year or so.
Rationale:
Medroxyprogesterone acetate (Depo-Provera) is either administered via
intramuscular or subcutaneous injection every 3 months.
Medroxyprogesterone acetate is a progesterone-based contraceptive. It is safe
for use and should not adversely affect the ability to breastfeed. Both
amenorrhea and menorrhagia are side effects of the medication. The client
should be advised to notify her healthcare practitioner regarding any significant
menstrual pattern changes. Many women who use medroxyprogesterone
acetate for over 2 years have been found to suffer from loss of bone density.
Some of the changes in bone density may be irreversible.
TEST-TAKING HINT: There is a black box recommendation on the
medroxyprogesterone acetate label. A black box warning is placed on some
prescription medications that have been found to have significant side effects.
In the case of medroxyprogesterone acetate, the black box warning is related
to an increased risk of OSTEOPOROSIS if use of this medication is prolonged.
The Food and Drug Administration (FDA) has the power to require
pharmaceutical companies to include a black box on a medication that,
although approved for use, carries risks when taken.
,The nurse is administering medroxyprogesterone acetate to a postpartum
client. Which of the following data must the nurse consider before
administering the medication?
1. The patch must be replaced at the same time each week.
2. The client must be taught to use sunscreen whenever in the sunlight.
3. The medicine is contraindicated if the woman has lung or esophageal cancer.
4. The client must use an alternate form of birth control for the first two
months.
2. The client must be taught to use sunscreen whenever in the sunlight.
Rationale:
Medroxyprogesterone acetate (Depo-Provera) is administered via
intramuscular injection or subcutaneously every 3 months. The client should
use sunscreen while receiving medroxyprogesterone acetate for birth control.
The medication is contraindicated for use by women who have breast cancer or
who are pregnant. It is not contraindicated for use by those suffering from lung
or esophageal cancer. After the first injection, it is often recommended that the
client use an alternate form of birth control for at least a week, but not for 2
months. The client should know that medroxyprogesterone acetate will not
protect her from sexually transmitted infections.
TEST-TAKING HINT: Women can develop dark patches on their skin when using
medroxyprogesterone acetate. The patches often become darker in women
who are in the sun without protection. It is strongly recommended that women
who use medroxyprogesterone acetate use sunscreen whenever they are
exposed to the sun.
Which statement by the client indicates that she understands the teaching
provided about the intrauterine device (IUD)?
1. "The IUD can remain in place for a year or more."
2. "I will not menstruate while the IUD is in."
3. "Pain during intercourse is a common side effect."
4. "The device will reduce my chances of getting infected."
, 1. "The IUD can remain in place for a year or more."
Rationale:
IUDs can remain in place for extended periods of time. The client should expect
to menstruate regularly while the IUD is in place. If dyspareunia (pain during
intercourse) occurs, the client should contact her healthcare practitioner.
Women who have IUDs in place are at slightly higher risk of developing pelvic
infections.
TEST-TAKING HINT: Women who have multiple sex partners or who have had a
recent history of a sexually transmitted infection should be considered at
highest risk for infection. The risk for all women is most pronounced during the
20 days immediately following IUD insertion.
A client has been diagnosed with pubic lice. Which of the following
signs/symptoms would the nurse expect to see?
1. Macular rash on the labia.
2. Pruritus.
3. Hyperthermia.
4. Foul-smelling discharge.
2. Pruritus.
Rationale:
A macular rash is not indicative of pubic lice. Pruritus is, by far, the most
common symptom of pubic lice. Hyperthermia is not commonly seen with an
infestation of pubic lice. Foul-smelling discharge is not commonly seen with an
infestation of pubic lice.
TEST-TAKING HINT: Pubic lice, not to be confused with head lice, are commonly
called crabs. They are insects, usually sexually transmitted, that invade the
pubic hair. Although they are not the same as head lice, the pubic infestation is
treated with the same pediculicidal (medication capable of killing lice)
shampoos.
