1 An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with her

health care provider. In analyzing the available choices, which of the following factors has the greatest
impact on her birth control options?

1. Satisfaction with prior methods.

2. Preference of sexual partner.

3. Breast- or bottle-feeding plan.

4. Desire for another child in 2 years.

2 After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination,
which of the following client statements indicates that the teaching has been successful?

1. “I should perform breast self-examination on the day my menstrual flow begins.”

2. “It's important that I perform breast self-examination on the same day each month.”

3. “If I notice that one of my breasts is much smaller than the other, I shouldn't worry.”

4. “If there is discharge from my nipples, I should call my health care provider.”1

3 Which of the following would be important to include in the teaching plan for the client who wants
more information on ovulation and fertility management?

1. The ovum survives for 96 hours after ovulation, making conception possible during this time.

2. The basal body temperature falls at least 0.2°F (0.17°C) after ovulation has occurred.

3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual
cycle.

4. Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus1
4 Which of the following instructions about activities during menstruation would the nurse include when
counseling an adolescent who has just begun to menstruate?

1. Take a mild analgesic if needed for menstrual pain.

2. Avoid cold foods if menstrual pain persists.

3. Stop exercise while menstruating.

4. Avoid sexual intercourse while menstruating2

5 A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of
family planning. Which of the following would the nurse include in the teaching plan?

1. This method has a 50% failure rate during the first year of use.

2. Couples must abstain from coitus for 5 days after the menses.

3. Cervical mucus is carefully monitored for changes.

4. The male partner uses condoms for significant effectiveness.

6 Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would
assess the client for signs and symptoms of which of the following?

1. Anemia.

2. Hypertension.

3. Dysmenorrhea.

4. Acne vulgaris2

7 After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse
determines that further instruction is needed when the client states which of the following as an
adverse effect?
1. Weight gain.

2. Nausea.

3. Headache.

4. Ovarian cancer3

8 A 22-year-old nulligravid client tells the nurse that she and her husband have3been considering using
condoms for family planning. Which of the following instructions should the nurse include about the use
of condoms as a method for family planning?

1. Using a spermicide with the condom offers added protection against pregnancy.

2. Natural skin condoms protect against sexually transmitted diseases.

3. The typical failure rate for couples using condoms is about 25%.

4. Condom users commonly report penile gland sensitivity.

9 A 23-year-old nulliparous client visiting the clinic for a routine examination tells the nurse that she
desires to use the basal body temperature method for family planning. The nurse should instruct the
client to do which of the following?

1. Check the cervical mucus to see if it is thick and sparse.

2. Take her temperature at the same time every morning before getting out of bed.

3. Document ovulation when her temperature decreases at least 1°F (0.56°C).

4. Avoid coitus for 10 days after a slight rise in temperature3

10 A 30-year-old multigravid client has missed three periods and now visits the prenatal clinic because
she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy
test, and changes in the pigmentation on her face and abdomen. These assessment findings reflect this
woman is experiencing a cluster of which signs of pregnancy?
1. Positive.

2. Probable.

3. Presumptive.

4. Diagnostic.

11 Examination of a primigravid client having increased vaginal secretions since becoming pregnant
reveals clear, highly acidic vaginal secretions. The client denies any perineal itching or burning. The
nurse interprets these findings as a response related to which of the following?

1. A decrease in vaginal glycogen stores.

2. Development of a sexually transmitted disease.

3. Prevention of expulsion of the cervical mucus plug.

4. Control of the growth of pathologic bacteria.

12 When measuring the fundal height of a primigravid client at 20 weeks' gestation,4the nurse will
locate the fundal height at which of the following points?

1. Halfway between the client's symphysis pubis and umbilicus.

2. At about the level of the client's umbilicus.

3. Between the client's umbilicus and xiphoid process.

4. Near the client's xiphoid process and compressing the diaphragm.4

13 The nurse instructs a primigravid client about the importance of sufficient vitamin A in her diet. The
nurse knows that the instructions have been effective when the client indicates that she should include
which of the following in her diet?
1. Buttermilk and cheese.

2. Strawberries and broccoli.

3. Egg yolks and squash.

4. Oranges and tomatoes.

14 An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion
about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further
instruction when she responds with which of the following?

1. “I can meet two goals when I drink milk, lots of iron and meeting my calcium needs at the same time.”

2. “Drinking coffee, tea, and sodas decreases the absorption of iron.”

3. “I can increase the absorption of iron by drinking orange juice when I eat.”

4. “Cream of wheat and molasses are excellent sources of iron.”

15 The nurse instructs a primigravid client to increase her intake of foods high in magnesium because of
its role with which of the following?

1. Prevention of demineralization of the mother's bones.

2. Synthesis of proteins, nucleic acids, and fats.

3. Amino acid metabolism.

4. Synthesis of neural pathways in the fetus.5

16:When performing Leopold's maneuvers, which of the following would the nurse ask the client to do
to ensure optimal comfort and accuracy?
1. Breathe deeply for 1 minute.

2. Empty her bladder.

3. Drink a full glass of water.

4. Lie on her left side.

17 Which of the following statements by the nurse would be most appropriate when responding to a
primigravid client who asks, “What should I do about this brown discoloration across my nose and
cheeks?”

1. “This usually disappears after childbirth.”

2. “It is a sign of skin melanoma.”

3. “The discoloration is due to dilated capillaries.”

4. “It will fade if you use a prescribed cream.”6

18 After the nurse reviews the primary health care provider's explanation of amniocentesis with a
multigravid client, which of the following indicates that the client understands a serious risk of the
procedure?

1. Premature rupture of the membranes.

2. Possible premature labor.

3. Fetal limb malformations.

4. Fetal organ malformations6

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