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WorksheetsReproduction Concept
Total questions: 20
Worksheet time: 41mins
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent requires clarification?
A water-soluable lubricant should be used with condoms.
Spermicide is applied once when using a diaphragm
Oral contraceptives can improve a case of acne
A contraceptive patch is worn for a week
A nurse is instructing a client who has been prescribed oral contraceptives about danger signs. The nurse evaluates that the client understands the teaching regarding side effects when she states the need to report
Reduced menstrual flow or amenorrhea
Weight gain or breast tenderness
Chest pain or shortness of breath
Mild hypertension or headaches
A nurse in an obstetrical clinic is providing education about contraception to a 21 year old client. Which of the following statements by the client requesting information regarding an IUD indicates a need for additional teaching?
An IUD may increase my risk for an ectopic pregnancy
I will wait until I have a child before I can have an IUD
I might have irregular bleeding after I get an IUD
A change in the string length of my IUD is expected
A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone (Depro-Provera). Which of the following should be included in the teaching?
Weight loss can occur
You are protected against STIs
You should be taking calcium also
You should avoid taking antibiotics when using this contraceptive
Which of the following should the nurse include when teaching a client about potential disadvantage of the minipill? (Select all that apply)
Amenorrhea
Irregular vaginal bleeding
Increased appetite
Decreased libido
Ovarian cysts
A nurse in a clinic is caring for a group of female clients who are bring evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?
A client whose sister has alopecia
A client whose partner has von Willebrand disease
A client who has an allergy to sulfa
A client who had rubella 3 months ago
A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process?
You will need to see a genetic counselor as part of the assessment
It is usually the woman who is "having trouble," so the man doesn't have to be involved
The man is the easiest to assess, and the provider will usually begin there
Think about adopting first because there are many bobies that need good homes.
A nurse in the labor and delivery unit is caring for a client in labor and applies an external fetal monitor and tocotransducer. The FHR is around 140/min. Contractions are every 8 min and 30-40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dialted, 50% effaced, and the fetus is at a -2 station. Which of the following stages and phases of labor is this client experiencing?
The first stage, latent phase
The first stage, active phase
The first stage, transition phase
The second stage of labor
A nurse is providing care for a client who is in active labor. Her cervix is dilated to 5 cm, and her membranes are intact. Based on the use of external electronic fetal monitoring, the nurse notes an FHR of 115 to 125/min with occasional increases up to 150 to 155/min that last for 25 seconds, and have beat to beat variability of 20/min. There is no slowing of FHR from the baseline. The nurse should recognize that this client is exhibiting signs of which of the following? Select all that apply
Moderate FHR accelerations variability
FHR decelerations
Normal baseline FHR
Fetal tachycardia
FHR accelerations
A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take?
Assist the client into the left-lateral position
Apply a fetal scalp electrode
Insert an IV catheter
Perform a vaginal exam
A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?
Apply palms of both hands to sides of uterus
Palpate the fundus of the uterus
Grasp lower uterine segment between thumb and fingers
Stand facing client's feet with fingertips outlining cephalic prominence
A nurse is reviewing the electronic monitor tracing of a client who is in active labor. The nurse knows that a fetus receives more oxygen when which of the following appears on the tracing?
Peak of the uterine contraction
Moderate variability
FHR acceleration
Relaxation between uterine contractions
A nurse is caring for a client who is receiving oxytocin (Pitocin) for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin?
Frequency of every 2 min
Duration of 90 to 120 seconds
Intensity of 60 to 90 mm Hg
Resting tone of 15 mm Hg
A nurse is providing care for a client who is diagnosed with a marginal abruptio placenta. The nurse is aware that which of the following findings are risk factors for developing the condition? Select all that apply
Maternal hypertension
Blunt abdominal trauma
Cocaine use
Maternal age
Cigarette smoking
Which client is the best candidate for a vaginal birth after a caesarean (VBAC)?
Client who had an emergency caesarean section because of fetal distress during her last delivery and has a classic incision
Client who had a breech presentation in her last pregnancy, and this pregnancy is a vertex pregnancy
Client who dilated 6 cm in her last birth and failed to progress beyond this point despite 5 more hours of labor
Diabetic client whose last infant was over 10 lb (4.5 kg). This infant is larger, as seen on ultrasound
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
Hyperemesis gravidarum
Threatened abortion
Hydatidiform mole
Preterm labor
A 16 year old primigravid client admitted at 38 weeks' gestation with severe pre-eclampsia is given intravenous magnesium sulfate and lactated Ringer's solution. The nurse should obtain which information?
Urinary output every 8 hours
Deep tendon reflexes every 4 hours
Respiratory rate every hour
Blood pressure every 6 hours
A nurse is discussing preterm labor in a prenatal class. After class, a client asks the nurse to identify again the nursing strategies to prevent preterm labor. The client needs further instruction when she makes which statement?
" I need to stay hydrated all the time"
"Even dental infections can lead to preterm labor"
"I should include frequent rest breaks if I travel"
"Cutting back on my smoking will not help my baby"
The primary healthcare provider (HCP) prescribes intravenous magnesium sulfate for a primigravid client at 38 weeks gestation diagnosed with severe preeclampsia. Which medication would be most important for the nurse to have readily available?
Diazepam
Hydralazine
Calcium gluconate
Phenytoin
The primary healthcare provider (HCP) prescribes whole blood replacement for a multigravid client with abruptio placentae. Before administering the intravenous blood product, the nurse should first:
Validate client information and the blood product with another nurse
Check the vital signs before transfusing over 5 to 6 hours
Ask the client if she has ever had any allergies
Administer 100 ml of 5% dextrose solution intravenously
