Maternity Final Exam Questions and
answers latest update 2025/2026 100%
verified
Maternity final exam
2025/2026
STUVIA
[Company address]
,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 - ✔✔answer 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.
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 - ✔✔answer 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."
D. "I will wash my hands thoroughly before and after I examine myself." - ✔✔answer 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. - ✔✔answer
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
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 - ✔✔answer 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 - ✔✔answer 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 but women at risk for endometrial
cancer should have one done at menopause; mammograms should be done annually for women 50
years of age and older.
60. Which statement is most accurate regarding persons who should participate in preconception
counseling?
A. All women and their partners as they make decisions about their reproductive future, including
becoming parents
B. Women older than 40 years of age who wish to become pregnant
C. Sexually active women who do not use birth control
D. Women with chronic illnesses such as diabetes who are planning to get pregnant - ✔✔answer 60.
Choice A is correct; all women—not just specific groups—should participate in preconception care
approximately 1 year before planning to become pregnant.
61. To enhance the accuracy of the Pap test, the nurse should instruct the woman to:
A. Schedule the test just prior to the onset of menses
B. Stop taking birth control pills for 2 days before the test
C. Avoid intercourse for 24 to 48 hours before the test
D. Douche with a specially prepared antiseptic solution on the night before the test" - ✔✔answer 61.
Choice C is correct; women should not use vaginal medications or douche for 24 to 48 hours before the
test; oral contraceptives can continue; the best time for the test is midcycle.
CH 6 - ✔✔answer
answers latest update 2025/2026 100%
verified
Maternity final exam
2025/2026
STUVIA
[Company address]
,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 - ✔✔answer 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.
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 - ✔✔answer 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."
D. "I will wash my hands thoroughly before and after I examine myself." - ✔✔answer 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. - ✔✔answer
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
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 - ✔✔answer 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 - ✔✔answer 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 but women at risk for endometrial
cancer should have one done at menopause; mammograms should be done annually for women 50
years of age and older.
60. Which statement is most accurate regarding persons who should participate in preconception
counseling?
A. All women and their partners as they make decisions about their reproductive future, including
becoming parents
B. Women older than 40 years of age who wish to become pregnant
C. Sexually active women who do not use birth control
D. Women with chronic illnesses such as diabetes who are planning to get pregnant - ✔✔answer 60.
Choice A is correct; all women—not just specific groups—should participate in preconception care
approximately 1 year before planning to become pregnant.
61. To enhance the accuracy of the Pap test, the nurse should instruct the woman to:
A. Schedule the test just prior to the onset of menses
B. Stop taking birth control pills for 2 days before the test
C. Avoid intercourse for 24 to 48 hours before the test
D. Douche with a specially prepared antiseptic solution on the night before the test" - ✔✔answer 61.
Choice C is correct; women should not use vaginal medications or douche for 24 to 48 hours before the
test; oral contraceptives can continue; the best time for the test is midcycle.
CH 6 - ✔✔answer
