What should be your first concern when a client has missed a period (menses) in over a month? Pregnancy
What is the difference between primary amenorrhea and secondary amenorrhea? Primary amenorrhea: Having no period at all Secondary amenorrhea: Stopped having a period for some reason
Can you thi...
NUR 353 Exam 1 Practice Questions and
Solutions
What should be your first concern when a client has missed a period (menses) in over a
month? ✅Pregnancy
What is the difference between primary amenorrhea and secondary amenorrhea?
✅Primary amenorrhea: Having no period at all
Secondary amenorrhea: Stopped having a period for some reason
Can you think of other reasons besides pregnancy for a late period? ✅Stress,
Malnutrition, Medications, ectopic pregnancy, mittelschmerz (ovulation pain)
What is an ectopic pregnancy? ✅pregnancy that occurs outside of the uterus
The _______ is the area that dilates and ____ (thins out) during the labor process
✅uterine cervix; effaces
How many phases does the endometrial cycle have? ✅4 phases
What are examples of the PRESUMPTIVE signs of pregnancy? ✅Breast changes,
amenorrhea, quickening, fatigue, N/V
What are examples of PROBABLE signs of pregnancy? ✅Hegar's sign, positive
pregnancy test, ballottement, chadwick's sign, Goodell's sign
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with
a client. Which of the following statements by the newly licensed nurse requires
intervention by the nurse?
- "Fertilization takes place in the outer third of the fallopian tube."
- "Implantation occurs between 2 and 3 weeks after conception."
- "Sperm remain viable in the woman's reproductive tract for 2 to 3 days."
- "Bleeding or spotting can accompany implantation." ✅"Implantation occurs between 2
and 3 weeks after conception."
(This statement requires clarification because implantation occurs between 6 to 10 days
following conception.)
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of
gestation. Which of the following manifestations should the nurse expect to identify as
consistent with the diagnosis?
- Severe nausea and vomiting
- Large amount of vaginal bleeding
,- Unilateral, cramp-like abdominal pain
- Uterine enlargement greater than expected for gestational age ✅Unilateral, cramp-
like abdominal pain
(An ectopic pregnancy is one in which the fertilized egg implants in tissue outside of the
uterus and the placenta and fetus begin to develop in this area. The most common site
is within a fallopian tube; however, ectopic pregnancies can occur in the ovary, the
abdomen, and in the cervix.)
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the
client's blood work, the nurse notices she does not have immunity to rubella. Which of
the following times should the nurse understand is recommended for rubella
immunization?
- Shortly after giving birth
- In the third trimester
- Immediately
- During her next attempt to get pregnant ✅Shortly after giving birth
(The rubella immunization should be offered to the client following birth, preferably prior
to discharge from the hospital. This prevents the client from contracting rubella during
the current or subsequent pregnancies, which would put her fetus at risk for rubella
syndrome.)
A nurse is instructing a female client about how to check basal temperature in order to
determine if the client is ovulating. The nurse should instruct the client to check her
temperature at which of the following times?
- Every morning before arising
- On days 13 to 17 of her menstrual cycle
- 1 hour following intercourse
- Before going to bed every night ✅Every morning before arising
(To measure basal temperature, the client must take her temperature every morning at
the same exact time before getting out of bed. The client must try not to move too much,
as any activity can raise the body temperature slightly.)
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a
consequence of a sexually transmitted infection, and will need intravenous antibiotic
therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell
them I have this kind of an infection." Which of the following responses should the nurse
make?
- "Give your parents a chance; they'll understand."
- "If you want me to, I can tell your parents for you."
- "You seem scared to talk to your parents."
- "Your parents will have to be told why you are being admitted." ✅"You seem scared
to talk to your parents."
, (This is an open-ended therapeutic statement that focuses on the adolescent's concern
and allows for further exploration of the client's fear of telling her parents that she is
sexually active.)
A nurse is completing a health history for a client who is at 6 weeks of gestation. The
client informs the nurse that she smokes one pack of cigarettes per day. The nurse
should advise the client that smoking places the client's newborn at risk for which of the
following complications?
- Hearing loss
- Intrauterine growth restriction
- Type 1 diabetes mellitus
- Congenital heart defects ✅Intrauterine growth restriction
(Clients who smoke place their newborns and themselves at risk for diverse
complications, including fetal intrauterine growth restriction, placental abruption,
placenta previa, preterm delivery, and fetal death.)
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs.
To reduce the risk of giving birth to a newborn who has a neural tube defect, which of
the following information should the nurse include in the teaching?
- Limit alcohol consumption.
- Increase intake of iron-rich foods.
- Consume foods fortified with folic acid or high in folate
- Avoid foods containing aspartame. ✅Consume foods fortified with folic acid or high in
folate
(Increased consumption of folic acid (preferably in the form of folate) in the 3 months
prior to conception, as well as throughout the pregnancy, reduces the incidence of
neural tube defects in the developing fetus.)
A nurse is teaching a group of clients who are in their first trimester about exercise
during pregnancy. Which of the following statements should the nurse include in the
teaching?
- "Refrain from exercises that include stretching."
- "Moderate exercise improves circulation."
- "It is recommended to increase your weight-bearing exercises."
- "It is recommended to rest for 30 minutes before each new exercise." ✅"Moderate
exercise improves circulation."
(Improving circulation is just one of the many benefits of moderate exercise during
pregnancy. It enhances well-being, promotes rest and relaxation, and improves muscle
tone.)
A nurse is establishing health promotion goals for a female client who smokes
cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should
the nurse include?
- The client will list foods that are high in calcium, which should be avoided.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
