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OB Evenings Pre-Lecture Quiz No 1

Total questions: 25

Worksheet time: 19mins

Name
Class
Date
1.

An urban area has been reported to have a high perinatal mortality rate. The nurse explains that this statistic refers to:

a)

maternal and infant deaths per 100,000 live births per

year.

b)

deaths of fetuses weighing more than 500 g per 10,000 births per year

c)

deaths of infants up to 1 year of age per 1000 live births per year.

d)

fetal and neonatal deaths per 1000 live births per year

2.

The nurse reminds family members that the philosophy of family-centered care is to give them control over their health care decisions. This control is called:

a)

empowerment

b)

insight

c)

regulation

d)

organization.

3.

The nurse who is able to adapt health care practices to meet needs of various cultures is said to be culturally:

a)

aware

b)

sensitive

c)

competent

d)

adaptive

4.

A new nurse is applying the nursing process in the care of a client who is newly admitted to the facility. Which of the following principles should the nurse use as a guideline for selecting interventions?

a)

The intervention should be psychoeducational and consistent with the care plan data

b)

The intervention should be evidence based and used to establish the plan of care and to implement that care

c)

The intervention should be behavioral and consistent with the care plan data.

d)

The intervention should be biological and consistent with the care plan data.

5.

The nurse is being orientated to maternity unit. Further education is needed when the nurse identifies which of the following as the duties of a doula?

a)

. Emotional support of the patient.

b)

Educational support for woman and family.

c)

Physical support of the patient.

d)

Communicate updates to the provider.

6.

A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement?

a)

Advise the woman to see an obstetrician, not a midwife.

b)

Refer the woman to a social worker.

c)

Perform a nutrition assessment.

d)

Explain to the woman the importance of keeping her prenatal care appointments

7.

The parish nurse is preparing a presentation on women's health for her church. Which of the following would the nurse include as the most significant cause of mortality in women?

a)

Breast cancer

b)

Cervical cancer

c)

Cardiovascular disease

d)

Childbirth complications

8.

The nurse recognizes which of the following as the focus of community-based nursing?

a)

Providing services to heal community health

b)

Maintaining and improving the health of the community

c)

Promoting and maintaining the health of individuals and communties.

d)

Providing services to determine the status of public health.

9.

When describing the ovarian cycle to a group of nursing students, which phase would the instructor include?

a)

Luteal phase

b)

Proliferative phase

c)

Menstrual phase

d)

Secretory phase

10.

The nurse is presenting a class on sexual health to a group of men in the community center. What would the nurse include about the excitement phase of sexual response?

a)

The vas deferens thicken and expand.

b)

Blood flow to the penis increases resulting in a erection.

c)

The glans of the penis becomes purple in color.

d)

Semen is completely ejaculated from the body

11.

The nurse reminds family members that the philosophy of family-centered care is to give them control over their health care decisions. This control is called:

a)

empowerment

b)

insight

c)

regulation

d)

organization.

12.

The nurse is educating students on how the body regulates sperm production and development. What information should the nurse include to explain how the body reacts to maintain scrotal temperature during cold conditions?

a)

Cremaster muscles relax

b)

Frequency of urination increases

c)

Scrotum is pulled closer to the body

d)

Increased blood flow to the genitals

13.

A woman comes to the GYN clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular with her last one being two months ago. "I've also been difficulty sleeping, waking up at night feeling really hot and sweating." The nurse recongizes these findings as:

a)

Menarche

b)

Perimenopause

c)

Menopause

d)

Pregnancy

14.

What is the purpose of the rise of progesterone released by the corpus leteum during the secretory phase of the menstrual cycle?

a)

To regenerate the endometrium to begin the menstrual cycle

b)

To prepare and maintain the endometrium for implantation of an ovum

c)

To increase elasticity of cervical mucus

d)

To decrease blood flow to the endometrium before menstruation

15.

The nurse recognizes that the two primary functions of the ovary are:

a)

Normal female development and sex hormone release

b)

Ovulation and internal pelvic support

c)

Sexual response and ovulation

d)

Ovulation and hormone production

16.

What is the purpose of the rise of progesterone released by the corpus leteum during the secretory phase of the menstrual cycle?

a)

To regenerate the endometrium to begin the menstrual cycle

b)

To prepare and maintain the endometrium for implantation of an ovum

c)

To increase elasticity of cervical mucus

d)

To decrease blood flow to the endometrium before menstruation

17.

The nurse is interviewing a couple who has come into the clinic trying to concieve for the last three months. They ask the nurse what is the best time to have intercourse to increase their chances on concieving. The nurse should educate the couple the best time to try to conceive is:

a)

"One week after ovulation."

b)

"One or two days before ovulation."

c)

"Anytime after ovulation."

d)

"Anytime the week prior to ovulation."

18.

The nurse is reviewing the anatomy of the uterine wall and recognizes that it is relatively thick and composed of three layers consisting of: (Select all that apply)

a)

Endometrium

b)

Fundus

c)

Myometrium

d)

Ectometrium

e)

Perimetrium

19.

While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following?

a)

Use of essential oils to stimulate the sense of smell to balance the mind and body

b)

. Application of pressure to specific points to allow self-healing

c)

Use of deep massage of areas on the foot or hand to rebalance body parts

d)

Participation in chanting and praying to promote healing

20.

The provider explains the need for an amniocentesis, but the patient declines the procedure. The nurse supports the patient’s right to make this decision, demonstrating an understanding of which ethical principle?

a)

Autonomy

b)

Beneficence

c)

Nonmaleficence

d)

Justice

21.

What is the nurse’s responsibility in regard to informed consent?

a)

Answer the patient’s questions about the procedure

b)

Explain what the provider will be doing during the procedure

c)

Ensure that the consent is signed by the provider and the patient prior to the procedure

d)

Telling the patient all of the risks associated with the procedure

22.

A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is upset because her parents want her to have an abortion but she does not. What should the nurse ask to find out the emancipation status of the patient?

a)

“Do you have a job?”

b)

“Do you have a lawyer?”

c)

"Are you married?"

d)

“Have you graduated high school?”

23.

The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to a heroin addiction. Which interventions will be effective in meeting the nurse’s ethical obligation to the unborn fetus? (Select all that apply.)

a)

Reporting the patient’s heroin use to the police

b)

Teaching the patient about the impacts to babies born to heroin addicts

c)

Providing referrals to community resources for drug treatment

d)

Discussing the option of abortion because the mother will be unable to care for the child

e)

Determining whether the patient has family support during her pregnancy

24.

What developments in the early 20th century encouraged women to seek hospitalization for childbirth? Select all that apply.

a)

Use of specialized obstetric instruments

b)

Use of anesthesia

c)

Physicians’ closer relationships with hospitals

d)

Focus on family-centered care

e)

Insurance coverage

25.

A case manager is working with a mother diagnosed with the human immunodeficiency virus. The nurse assists the client with helping find pharmacies to get medication, referrals to special services and transportation to appointments. Which type of community based nursing is the nurse performing?

a)

Preventative care

b)

Primary prevention

c)

Secondary prevention

d)

Tertiary prevention