Its About Women Health Quiz

75 Questions | By Deysirill | Last updated: Mar 22, 2022 | Total Attempts: 1133

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Nursing of a woman who is about to or has already given birth requires special care and attention. A nurse can give some information to the Mother that will help them through the process. The quiz below is best suited to test a nurse’s ability to do so. Give it a try!

Questions and Answers

1.

After delivering a full-term infant, a breastfeeding mother, who is preparing for discharge, asks a nurse if there is any type of contraceptive method that should be avoided while she is breastfeeding. Which contraceptive should the nurse advise the client to avoid?
- A.
  
  An intrauterine device (IUD).
- B.
  
  Diaphragm
- C.
  
  The progesterone-only mini pill
- D.
  
  The combined oral contraceptive (COC) pill
2.

A postpartum client, who is 24 hours post-vaginal birth and breastfeeding, asks a nurse when she can begin exercising to regain her prepregnancy body shape. Which response by the nurse is correct?
- A.
  
  “You should not exercise while you are breastfeeding.”
- B.
  
  “You will need to wait until after your 6-week postpartum checkup.”
- C.
  
  “Once your lochia has stopped you can begin exercising.”
- D.
  
  “Simple abdominal and pelvic exercises can begin right now.”
3.

A nurse walks into the room of a postpartum client and observes her looking in the mirror at her abdomen. The client says, “My stomach still looks like I’m pregnant!” The nurse explains that the abdominal muscles, which separate during pregnancy, will do which of the following?
- A.
  
  Regain tone within the first week after birth.
- B.
  
  Regain tone as the client loses the weight gained.
- C.
  
  Remain permanently separated giving the abdomen a slight bulge.
- D.
  
  Regain pre-pregnancy tone with exercise.
4.

A nurse has been given a report on a postpartum client that includes the information that the client suffered a fourth-degree perineal laceration during her vaginal birth. In response to this information, which intervention should the nurse add to the client’s plan of care?
- A.
  
  Decrease fluid intake to 1,000 mL every 24 hours.
- B.
  
  Limit ambulation to bathroom privileges only.
- C.
  
  Instruct the client on a high-fiber diet and administer stool softeners.
- D.
  
  Monitor the uterus for firmness every 2 hours.
5.

Twenty-four hours post–vaginal delivery, a postpartum client tells a nurse that she is concerned because she has not had a bowel movement since before delivery. In response to this information, the nurse should intervene by doing which of the following?
- A.
  
  Documenting the information in the client’s healthcare records.
- B.
  
  Assessing the client’s bowel sounds
- C.
  
  Administering a laxative that has been ordered on an as needed basis
- D.
  
  Notifying the health-care practitioner immediately
6.

Although the nurse has massaged the uterus every 15 minutes, the uterus remains flaccid and the patient continues to pass large clots. The nurse recognizes these signs as indicating:
- A.
  
  Uterine hypoplasia
- B.
  
  Uterine dysfunction
- C.
  
  Uterine atony
- D.
  
  Uterine dystocia.
7.

A newly postpartum client is going into hypovolemic shock as a result of uterine inversion. Which initial order should the nurse expect to implement to restore fluid volume?
- A.
  
  Increase the IV infusion rate
- B.
  
  Administer oxygen at 3 to 4L/min via nasal cannula
- C.
  
  Monitor heart rate every five minutes
- D.
  
  Administer an oxytoxic drug via IV
8.

A type 1 diabetic gravida has developed polyhydramnios. The client should be taught to report which of the following?
- A.
  
  Marked fatigue.
- B.
  
  Reduced urinary output.
- C.
  
  Uterine contractions.
- D.
  
  Puerperal rash.
9.

While assisting with the vaginal delivery of a fullterm newborn, a nurse observes that, in spite of the fact that the client did not have an episiotomy or a perineal laceration, her perineum and labia are edematous. To promote comfort and decrease the edema, which intervention is most appropriate?
- A.
  
  Applying an ice pack to the perineum
- B.
  
  Applying a warm pack
- C.
  
  Providing the client with a plastic donut cushion to be used when sitting
- D.
  
  Teaching the client to relax her buttocks before sitting in a chair
10.

Which assessment finding would lead a nurse to suspect that a client with a puerperal infection has developed peritonitis?
- A.
  
  Burning on urination
- B.
  
  Edema of the area.
- C.
  
  Rigid abdomen.
- D.
  
  Site tenderness.
11.

A postpartum client is being discharged to home with a streptococcal puerperal infection. The client is taking antibiotics but asks a nurse what precautions she should take at home to prevent spreading the infection to her husband, newborn, and toddler. Which is the best response by the nurse?
- A.
  
  “You need to perform hand hygiene before caring for your children and after toileting and perineal care.”
- B.
  
  “Your husband should provide all of the care for both children until your infection is gone.”
- C.
  
  “No precautions are necessary since you are taking antibiotics.”
- D.
  
  “You should wear a mask when caring for your newborn and toddler.”
12.

While assessing a postpartum client who is 10 hours post-vaginal delivery, a nurse notes a perineal pad that is totally saturated with lochia. To determine the significance of this finding, which question should the nurse ask the client first?
- A.
  
  “Have you passed any clots?”
- B.
  
  “When was the last time you changed your peri pad?”
- C.
  
  “Are you having uterine cramping?”
- D.
  
  “Are you having any difficulty emptying your bladder?”
13.

What is the correct way to elicit Babinski's reflex on a newborn?
- A.
  
  Stroke the lateral sole on the side of the small toe toward and across the ball of the foot.
- B.
  
  Place a finger in each hand.
- C.
  
  Place a nipple in the neonate's mouth.
- D.
  
  Run a finger down the neonate's back.
14.

When palpating a neonate's anterior fontanel, which finding should the nurse consider normal?
- A.
  
  Bulging.
- B.
  
  Complete closure.
- C.
  
  Softness.
- D.
  
  Depression.
15.

A Caucasian postpartum client asks a nurse if the stretch marks (striae gravidarum) on her abdomen will ever go away. Which response by the nurse is most accurate?
- A.
  
  “Your stretch marks may become lighter in color if you keep that area of your skin hydrated.”
- B.
  
  “Your stretch marks should totally disappear over the next month.”
- C.
  
  “Your stretch marks will fade to pale white over the next 3 to 6 months.”
- D.
  
  “Your stretch marks will always appear raised and reddened.”
16.

A nurse is reviewing the record of a 15-hour-old newborn before beginning a physical assessment. The nurse notes the following labor history: “Mother positive for group B streptococcal (GBS) infection at 37 weeks gestation. Membranes ruptured at home 14 hours before mother presented to the hospital at 40 weeks gestation. Precipitous labor, no antibiotic given.” Considering this information, the nurse should observe the infant closely for:
- A.
  
  Pink stains in the diaper.
- B.
  
  Temperature instability.
- C.
  
  Meconium stools.
- D.
  
  Development of erythema toxicum.
17.

A patient G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2F. Which of the following is the appropriate nursing intervention at this time?
- A.
  
  Encourage intake of water and other fluids.
- B.
  
  Request an infectious disease consult from the doctor.
- C.
  
  Notify the doctor to get an order for acetaminophen.
- D.
  
  Provide the woman with cool compresses.
18.

A primiparous client, who is bottle feeding her infant, asks a nurse when she can expect to start having her menstrual cycle again. Which response by the nurse is most accurate?
- A.
  
  “Most women who bottle feed their infants can expect their periods to return within 6 to 10 weeks after birth.”
- B.
  
  “You will notice a change in your vaginal discharge from pink to white; once that happens your period should return within a week.”
- C.
  
  “Your period should return a few days after your lochial discharge stops.”
- D.
  
  “Bottle feeding will delay the return of a normal menstrual cycle until 6 months post-birth.”
19.

When assessing a client's lochia on the fifth postpartum day, what would a nurse expect to find?
- A.
  
  Lochia alba.
- B.
  
  Lochia rubra.
- C.
  
  Lochia serosa.
- D.
  
  Absence of lochia.
20.

Which observation of a client should lead a nurse to be concerned about the client’s attachment to her male infant?
- A.
  
  Repeatedly telling her husband that she wanted a girl
- B.
  
  Calling the baby by name
- C.
  
  Asking the licensed practical nurse (LPN) about how to change her infant’s diaper
- D.
  
  Comparing her baby’s nose to her brother’s nose
21.

Two hours after delivery, a mother, who is bottle feeding, tells a nurse that she experienced “terrible pain when my milk came in with my last baby.” The client asks if there is a way this can be prevented from happening after this birthing experience. Which response by the nurse is most appropriate?
- A.
  
  “Engorgement usually occurs immediately after birth, so if you don’t have it yet you probably won’t develop it.”
- B.
  
  “Development of engorgement is familial; if you had it with your last pregnancy there probably is no way to avoid it with this birth.”
- C.
  
  “Once you have recovered from the birth I will help you bind your breasts.”
- D.
  
  “You should put on a supportive bra as soon as possible and wear it continuously for the next 1 to 2 weeks.”
22.

During postpartum care, the nurse should:
- A.
  
  Take the client's temperature rectally after delivery.
- B.
  
  Be aware that the client's temperature may be lower than normal.
- C.
  
  Monitor vital signs every 4 hours after delivery.
- D.
  
  Suspect postpartum infection with any elevation in temperature above 100.4F after the first 24 hours.
23.

An abnormal direct Coombs test on a neonate indicates:
- A.
  
  Hypoxia.
- B.
  
  Jaundice.
- C.
  
  Anemia.
- D.
  
  Red blood cell destruction.
24.

A common complication of fundal palpation and massage is:
- A.
  
  Soft, boggy uterus.
- B.
  
  A postpartum hemorrhage.
- C.
  
  Pain.
- D.
  
  Premature uterine contractions.
25.

Which placental anomaly is the placenta deeply attached to the uterus?
- A.
  
  Battledore placenta
- B.
  
  Placenta circumvallata
- C.
  
  Placenta accreta
- D.
  
  Placenta succenturiata