©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Maternity Final Exam Questions with 100% Correct Answers
54. A 20-year-old woman tells the nurse that she performs breast self-examination
(BSE) on a regular basis. The nurse evaluates the woman's understanding of BSE and
ability to perform the technique correctly. Which actions by the woman indicate that she
needs further instruction regarding BSE? (Circle all that apply.)
A. Performs BSE every month on the first day of her menstrual cycle.
B. Observes the size of her breasts, direction of her nipples, and appearance of her
skin, including the presence of dimpling, when looking at her breasts in the mirror.
C. Lies down on a bed and puts a pillow under the shoulder of the breast she is going to
palpate. Then she places the arm on that side under her head.
D. Uses the tips of two fingers to palpate her breast.
E. Palpates her breast, using an overlapping circular pattern around her entire breast.
F. Palpates her breasts again, including up into her axillae, while taki - ✔️✔️Choices A
and D are correct; a woman should perform BSE every month at the end of
menstruation when the breasts are the least tender; she should use the finger- pads of
her three middle fingers for palpation.
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
55. When palpating the small breasts of a young, slender woman the nurse should:
A. Wear clean gloves
B. Lift the hands when moving from one segment of the breast to another
C. Use both hands
D. Follow a systematic, overlapping pattern - ✔️✔️Choice D is correct; clean gloves are
required only if open lesions are present and when compressing the nipple if discharge
is anticipated; fingers should not be lifted; two hands are used for women with large,
pendulous breasts.
56. A nurse instructed a female client regarding vulvar self-examination (VSE). Which
statement made by the client indicates that further instruction is needed?
A. "I will perform this examination at least once a month, especially if I change sexual
partners or am sexually active."
B. "I will become familiar with how my genitalia look and feel so that I will be able to
detect changes."
C. "I will use the examination to determine when I should get medications at the
pharmacy for infections."
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D. "I will wash my hands thoroughly before and after I examine myself." - ✔️✔️56. Choice
C is correct; self-examination should not be used for self-diagnosis but rather to detect
early changes, which would call for the guidance of a health care provider.
57. A women's health nurse practitioner is going to perform a pelvic examination on a
female client. Which nursing action would be least effective in enhancing the client's
comfort and relaxation during the examination?
A. Encourage the client to ask questions and express feelings and concerns before and
after the examination.
B. Ask the client questions as the examination is performed.
C. Allow the client to keep her shoes and socks on when placing her feet in the stirrups.
D. Instruct the client to place her hands over her diaphragm and take deep, slow
breaths. - ✔️✔️57. Choice B is correct; do not ask questions during the examination
because it may distract the client, inter- fering with relaxation measures she may be
using; offer explanations only as needed during the exami- nation.
58. When assessing women it is important for a nurse to keep in mind the possibility
that they are victims of violence. The nurse should:
A. Use an abuse assessment screen during the assessment of every woman
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
B. Recognize that abuse rarely occurs during pregnancy
C. Assess a woman's legs and back as the most commonly injured areas
D. Notify the woman's partner immediately if abuse is suspected - ✔️✔️58. Choice A is
correct; all women should be screened because abuse can happen to any woman;
abuse can begin or escalate during pregnancy; the most com- monly injured sites are
head, neck, chest, abdomen, breasts, and upper extremities. If abuse is suspected, the
nurse needs to assess further to encourage disclo- sure and then assist the woman to
take action and formulate a safety plan. Nurses should follow the laws of their state with
regard to reporting instances of abuse.
59. A 52-year-old woman asks the nurse practitioner about how often she should be
assessed for the common health problems that women of her age could experience.
The nurse recommends:
A. An endometrial biopsy every 3 to 4 years
B. A fecal occult blood test annually
C. A mammogram every other year
D. Bone mineral density testing annually - ✔️✔️59. Choice B is correct; bone mineral
density testing should be initiated at 65 years of age or older unless risk factors are
present; endometrial biopsies are not recommended on a routine basis for most women
4
WEST VIRGINIA UNIVERSIRTY-WV26506
Maternity Final Exam Questions with 100% Correct Answers
54. A 20-year-old woman tells the nurse that she performs breast self-examination
(BSE) on a regular basis. The nurse evaluates the woman's understanding of BSE and
ability to perform the technique correctly. Which actions by the woman indicate that she
needs further instruction regarding BSE? (Circle all that apply.)
A. Performs BSE every month on the first day of her menstrual cycle.
B. Observes the size of her breasts, direction of her nipples, and appearance of her
skin, including the presence of dimpling, when looking at her breasts in the mirror.
C. Lies down on a bed and puts a pillow under the shoulder of the breast she is going to
palpate. Then she places the arm on that side under her head.
D. Uses the tips of two fingers to palpate her breast.
E. Palpates her breast, using an overlapping circular pattern around her entire breast.
F. Palpates her breasts again, including up into her axillae, while taki - ✔️✔️Choices A
and D are correct; a woman should perform BSE every month at the end of
menstruation when the breasts are the least tender; she should use the finger- pads of
her three middle fingers for palpation.
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
55. When palpating the small breasts of a young, slender woman the nurse should:
A. Wear clean gloves
B. Lift the hands when moving from one segment of the breast to another
C. Use both hands
D. Follow a systematic, overlapping pattern - ✔️✔️Choice D is correct; clean gloves are
required only if open lesions are present and when compressing the nipple if discharge
is anticipated; fingers should not be lifted; two hands are used for women with large,
pendulous breasts.
56. A nurse instructed a female client regarding vulvar self-examination (VSE). Which
statement made by the client indicates that further instruction is needed?
A. "I will perform this examination at least once a month, especially if I change sexual
partners or am sexually active."
B. "I will become familiar with how my genitalia look and feel so that I will be able to
detect changes."
C. "I will use the examination to determine when I should get medications at the
pharmacy for infections."
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D. "I will wash my hands thoroughly before and after I examine myself." - ✔️✔️56. Choice
C is correct; self-examination should not be used for self-diagnosis but rather to detect
early changes, which would call for the guidance of a health care provider.
57. A women's health nurse practitioner is going to perform a pelvic examination on a
female client. Which nursing action would be least effective in enhancing the client's
comfort and relaxation during the examination?
A. Encourage the client to ask questions and express feelings and concerns before and
after the examination.
B. Ask the client questions as the examination is performed.
C. Allow the client to keep her shoes and socks on when placing her feet in the stirrups.
D. Instruct the client to place her hands over her diaphragm and take deep, slow
breaths. - ✔️✔️57. Choice B is correct; do not ask questions during the examination
because it may distract the client, inter- fering with relaxation measures she may be
using; offer explanations only as needed during the exami- nation.
58. When assessing women it is important for a nurse to keep in mind the possibility
that they are victims of violence. The nurse should:
A. Use an abuse assessment screen during the assessment of every woman
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
B. Recognize that abuse rarely occurs during pregnancy
C. Assess a woman's legs and back as the most commonly injured areas
D. Notify the woman's partner immediately if abuse is suspected - ✔️✔️58. Choice A is
correct; all women should be screened because abuse can happen to any woman;
abuse can begin or escalate during pregnancy; the most com- monly injured sites are
head, neck, chest, abdomen, breasts, and upper extremities. If abuse is suspected, the
nurse needs to assess further to encourage disclo- sure and then assist the woman to
take action and formulate a safety plan. Nurses should follow the laws of their state with
regard to reporting instances of abuse.
59. A 52-year-old woman asks the nurse practitioner about how often she should be
assessed for the common health problems that women of her age could experience.
The nurse recommends:
A. An endometrial biopsy every 3 to 4 years
B. A fecal occult blood test annually
C. A mammogram every other year
D. Bone mineral density testing annually - ✔️✔️59. Choice B is correct; bone mineral
density testing should be initiated at 65 years of age or older unless risk factors are
present; endometrial biopsies are not recommended on a routine basis for most women
4
