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    Exam Review

    1. The newborn you are caring for has developed early onset sepsis shortly after birth. He is ordered gentamicin 5 mg/kg qh. With a weight of 7 Ib, how many mg would you give for one dose?
      Correct Answer:15.875 mg
    2. Which cycle is responsible for changes happening in the uterus?
      A)
      Luteal cycle.
      B)
      Ovarian cycle.
      C)
      Follicular cycle.
      D)
      Endometrial cycle.
    3. Which of the following changes would occur at the same time as menstruation?
      A)
      High LH levels.
      B)
      High progesterone levels.
      C)
      Low testosterone levels.
      D)
      Low estrogen and progesterone levels.
    4. A woman taking combined oral contraceptive (COC) pills as her birth control method of choice should notify her healthcare provider immediately if she notes:
      A)
      Breast tenderness and swelling.
      B)
      Swelling and pain in one of her legs.
      C)
      Weight gain.
      D)
      Mood swings.
    Page 1 of 10

    Exam Review

    1. A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs), also known as natural family planning methods. What is the nurse's most appropriate reply?
      A)
      They are not very effective, and it is very likely you will get pregnant.
      B)
      They can be effective for many couples, but they require motivation, bodily awareness, and recordkeeping.
      C)
      These methods work better for women with irregular cycles.
      D)
      You would be much safer taking the pill. Then you will not have to worry.
    2. With regard to the use of IUDs (intrauterine devices), nurses should be aware that:
      A)
      IUDs offer protection against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV).
      B)
      IUDs containing copper (Paragard) can provide an emergency contraception option if inserted within a few days of unprotected intercourse.
      C)
      IUDs lower a woman's risk for pelvic inflammatory disease.
      D)
      All IUDs provide protection from pregnancy for eight years.
    3. A new mother is considering her contraceptive options. She is married, wants more children in a few years, and is breastfeeding. Which of the following would be appropriate for her?
      A)
      Essure procedure to place small springs in the fallopian tubes.
      B)
      NuvaRing.
      C)
      Mirena progestin IUD.
      D)
      Combined oral contraceptive pills.
    4. In vitro fertilization (IVF) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. What is the nurse's most appropriate response?
      A)
      Do not worry about the technical stuff; that is what we are here for.
      B)
      A donor embryo will be transferred into your wife's uterus.
      C)
      Donor sperm will be used to inseminate your wife.
      D)
      IVF is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the lab with your sperm, and transferring the embryo to her uterus.
    Page 2 of 10

    Exam Review

    1. A woman is using fertility awareness methods (natural family planning) to help her identify when she is most fertile. Which of the following would indicate ovulation is near?
      A)
      Dark, cloudy urine.
      B)
      Breast tenderness.
      C)
      Cervical mucus that is thin and stretchy.
      D)
      A consistently low body temperature.
    2. A woman comes to the clinic for artificial insemination (AI) or intrauterine insemination (IUI). The nurse explains that this procedure includes:
      A)
      Removing her eggs to be fertilized in the laboratory.
      B)
      Assessing the genetic material of the embryo.
      C)
      Putting dye in the uterus to visualize the fallopian tubes.
      D)
      Depositing sperm from her partner or donor into her uterus.
    3. A patient starting infertility treatment is having her fallopian tubes checked for patency. What test will she need to have performed?
      A)
      Pap smear.
      B)
      Hysterosalpingography.
      C)
      Exploratory laparoscopy.
      D)
      Hysteroscopy.
    4. The nurse is counseling a patient over the phone about the benefits of using ovulation predictor kits (OPKs) when trying to conceive. The nurse explains that OPKs detect, at the time of ovulation, a spike in which of the following hormones?
      A)
      Follicle-stimulating hormone (FSH).
      B)
      Human chorionic gonadotropin (hCG).
      C)
      Progesterone.
      D)
      Luteinizing hormone (LH).
    Page 3 of 10

    Exam Review

    1. A 45-year-old married woman asks the nurse about sterilization procedures. Which of the following is an appropriate answer?
      A)
      "Sterilization is permanent. You must be sure you do not want more children before you consider it.”.
      B)
      "I think you should wait. You're almost at menopause, and then you won't have to worry anyway.”.
      C)
      "I had it done, and I regretted it, so you best be sure that is what you want.”.
      D)
      "You should make your husband get sterilized.”
    2. A nurse is teaching a newly pregnant patient about how oxygen and nutrients reach her developing baby. Which of the following responses by the patient indicates a need for further teaching?
      A)
      "I share oxygen and nutrients with my baby through a process called diffusion. Our blood does not come into contact, but it is close enough that these materials can easily pass from me to the baby.”.
      B)
      "I am able to give my baby the oxygen I breathe and the nutrients from the food that I eat. These substances are in my blood and travel to an area that acts as a border between my blood and the baby's blood. The oxygen and nutrients can easily travel through this border, which is called the chorionic villi.”.
      C)
      "The baby and I do not share blood. I supply the baby with nutrients and the baby gets rid of wastes and carbon dioxide by passing these materials back to me, but our blood does not mix.”.
      D)
      "The baby and I share blood. Whatever oxygen I breathe in and whatever food that I eat gets to the baby through our shared blood in the placenta and umbilical cord.”.
    3. A woman calls the nurse triage line at the OB clinic. She explains that she usually has a 28-day menstrual cycle but that she started bleeding today, a week early, on day 21. The nurse asks the patient if she has had recent intercourse, to which the patient replies, "Yes, seven days ago.”. The nurse asks this because she knows:
      A)
      The patient likely has a pelvic infection.
      B)
      The patient may be experiencing implantation bleeding, which can occur 6-10 days following ovulation and fertilization and occurs as a result of the blastocyst burrowing into the endometrium.
      C)
      The patient may be experiencing secondary amenorrhea, or bleeding between periods.
      D)
      The patient may be experiencing primary amenorrhea, or bleeding between periods.
    4. The nurse is reviewing the functions of the placenta with her patient during an initial prenatal visit. The patient is eight weeks pregnant. The nurse recognizes a need for further teaching when the patient makes which of the following statements?
      A)
      "The placenta produces four essential hormones that help to maintain the pregnancy and support the developing fetus.”.
      B)
      "The hormones that my placenta makes are called estrogen, progesterone, hCG (human chorionic gonadotropin), and hCS (human chorionic somatomammotropin) or hPL (human placental lactogen).”.
      C)
      "Because I am only eight weeks pregnant, the placenta has not yet begun to develop. The placenta will begin to develop at 12 weeks.”.
      D)
      "The placenta plays an important role in the pregnancy by allowing me to share oxygen and nutrients with the baby while at the same time also removing carbon dioxide and wastes from the baby's system.”.
    Page 4 of 10

    Exam Review

    1. Semen analysis is a common diagnostic procedure related to infertility. In instructing a male patient regarding this test, the nurse would tell him to:
      A)
      Ensure that the specimen arrives at the laboratory within three days of ejaculation.
      B)
      Obtain the specimen after a period of abstinence from ejaculation for 2-5 days.
      C)
      Transport the specimen in a container packed with ice.
      D)
      Obtain the specimen first thing in the morning.
    2. Which statement is true about the term contraceptive failure rate?
      A)
      It refers to the minimum level that must be achieved to receive a government license.
      B)
      It increases over time as couples become more careless.
      C)
      It varies from couple to couple, depending on the method and the users.
      D)
      It refers to the number of users expected to have an accidental pregnancy over a five-year span.
    3. While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the woman's recent menstrual cycles. Which statement made by the patient would prompt the nurse to collect additional information?
      A)
      I use tampons.
      B)
      The length of my menstrual cycle varies from 26 to 29 days.
      C)
      My flow is very heavy and soaks more than a pad or tampon in one hour.
      D)
      My menstrual flow lasts 5-6 days.
    4. Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?
      A)
      Human papillomavirus (HPV).
      B)
      Cytomegalovirus (CMV).
      C)
      Herpes simplex virus type 2 (HSV-2).
      D)
      Human immunodeficiency virus (HIV).
    Page 5 of 10

    Exam Review

    1. The nurse explains to her patient that the symptoms of endometriosis can include which of the following? Select all that apply.
      A)
      Pelvic pain.
      B)
      Nothing at all (asymptomatic).
      C)
      Food cravings.
      D)
      Painful menstruation.
    2. While charting, what term would the nurse use to describe her patient's absence of menses?
      A)
      Abnormal uterine bleeding (AUB).
      B)
      Amenorrhea.
      C)
      Oligomenorrhea.
      D)
      Dysmenorrhea.
    3. Which of the following patient statements about the method of action of emergency contraception (Plan B) indicates a need for further teaching by the nurse?
      A)
      Plan B works by preventing conception and pregnancy.
      B)
      Plan B works by causing therapeutic abortion (TAB) of the developing fetus.
      C)
      Plan B works by preventing ovulation.
      D)
      Plan B works by inhibiting follicular development.
    4. The nurse is explaining normal female anatomy to a patient in the outpatient setting. She explains that the muscular, tubelike structure that spans from the vulva to the uterus is the:
      A)
      Vagina.
      B)
      Fallopian/uterine tube.
      C)
      Cervix.
      D)
      Fundus.
    Page 6 of 10