Test Prep for Nursing Exam about Obstetric Nursing (36-40)

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36. Several female patients want to have Papanicolaou examination. Who among these patients should the nurse advise not to have the examination? The patient who states

a) the first day of my menstruation came this morning and I am bleeding profusely
b) I am 21 years old, and have not had any sex at all
c) I had the test 3 months ago and it was positive
d) I have herpes simplex virus (HSV) and had sex 2 weeks ago

37. A mother who has just delivered a term baby, wants to delay breastfeeding for 3 days. What is the best interpretation of this mother's behavior?

a) she has knowledge deficit regarding breastfeeding
b) she doesn't want to breastfeed her child
c) she doesn't want to have bonding with her child
d) she doesn't want to accept her responsibility of caring for her child

38. A primigravid client at 8 weeks gestation tells the nurse that since having had sexual relations with a new partner 2 weeks ago, she has noticed flu-like symptoms, enlarged lymph nodes, and clusters of vesicles on her vagina. The nurse refers the client to a physician because the nurse suspects which of the following sexually transmitted diseases.

a) gonorrhea
b) chlamydia trachomatis
c) syphilis
d) herpes genitalis

39. A middle-aged woman has just returned from the recovery room after a right mastectomy. A top priority in planning her care is to minimize the pain she is experiencing.

a) risk for ineffective airway clearance
b) alteration in comfort
c) potential for injury
d) alteration in nutrition

40. A patient who is on her 39 weeks gestation comes to the hospital accopmpanied by her husband. She tells the nurse she thinks she is in labor. Which of the following questions should the nurse ask to help confirm if the patient is in true labor?

a) do your contractions feel like severe menstrual cramps?
b) do you feel pressure in your legs
c) do you feel as if you can breathe easier?
d) does your pain increase in intensity when you are moving around?



ANSWERS AND RATIONALE

36) B
- papanicolaou examination is done in all sexually active women at any age. If the woman is not sexually active, baseline examination is at age 40.

37) A
- the mother needs to know that breastfeeding is best started as soon as possible to stimulate milk production and to promote bonding between the mother and the child.

38) D
- herpes genitalis is characterized by clusters of vesicles in the vaginal area. Trachomatis infection is often asymptomatic in women, but symptoms may include yellowish discharge and dysuria. Some women have no symptoms of gonorrhea. Others may experience vaginal itching and a thick purulent vaginal discharge. Syphilis is characterized by painless chanchroid.

39) B
- comfort is being free from pain. Alteration in comfort indicates presence of pain.

40) D
- in true labor, pain is intensified by walking. In false labor, pain is relieved by walking.

Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (41-45) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.