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1. The nurse at the Women's Health Center is scheduled to see four clients. Which client
does the nurse need to schedule for a Pap test?
A) A 22-year-old who never had a Pap test
B) A 17-year-old who is sexually active abirb.com/test
C) A 27-year-old who had a Pap test 2 years ago
D) A 35-year-old who had a hysterectomy following childbirth
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2. A young woman is given a prescription of emergency contraception. Which statement is

the best explanation of how emergency contraception works?
A) It stops fertilization. abirb.com/test

B) It prevents implantation.
C) It aborts an established pregnancy.
D) It causes the embryo to die. abirb.com/test

3. A 25-year-old client is having her first Pap test. During the procedure, the health care
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provider observes genital warts. What follow-up testing will the nurse include in the
client's discharge teaching?
A) Have an annual Pap test.
B) Use a non-hormone contraceptive to prevent pregnancy. abirb.com/test
C) Advise that her sexual partner should get the HPV vaccine.
D) Apply topical acyclovir to the lesion for 21 days.
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4. The nurse is teaching a group of women about sexually transmitted infections (STIs).
Which behavior should the nurse teach the women to lower their risk for acquiring an
STI? abirb.com/test
A) Use barrier methods of contraception.
B) Use a long-lasting contraceptive implant.
C) Use an intrauterine device (IUD) for contraception.
D) Use oral contraceptives with estrogen and progestin.abirb.com/test

5. A 22-year-old woman had her first Pap smear 1 year ago.abirb.com/test

The client presents to the
clinic to be screened for sexually transmitted infections. The client has no specific
symptoms or known exposures and does not use any drugs. She has been sexually active
with one male partner; the relationship ended about 3 months ago. Which screening test
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are appropriate for this client? Select all that apply.
A) Gonorrhea
B) Chlamydia
C) Syphilis abirb.com/test
D) Hepatitis C
E) Human papillomavirus
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6. The nurse is providing care for a group of clients. Which clients need to be screened for
hepatitis C virus? Select all that apply.
A) Woman with a history of IV drug use
B) Client who received a blood transfusion in 1984 abirb.com/test
C) Woman who has not received routine vaccinations
D) Client who is HIV positive
E) A woman born in 1956 abirb.com/test

7. The nurse inserts nitrazine paper into a pool of fluid in the client's vagina. The result is
shown in the image (left side). What is the nurse's interpretation of this result?
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A) Membranes are ruptured

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B) Membranes are intact
C) Pooled fluid is positive for group B streptococcus
D) Test is ambiguous
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8. During transition of care report, the nurse recognizes which characteristics of a woman's
labor that increase her risk for developing chorioamnionitis? Select all that apply.
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A) Long labor
B) Frequent vaginal examinations
C) Meconium-stained amniotic fluid
D) Acceleration of the fetal heart rate abirb.com/test
E) Baseline FHR 136

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9. A client at 38 weeks' gestation was admitted 8 hours ago with ruptured membranes. The
nurse reviews the below client chart, showing status over the past 2 hours. What is the
nurse's evaluation of the client's condition?
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A) Evidence of chorioamnionitis
B) Evidence of umbilical cord prolapse
C) Evidence of placental insufficiency
D) Evidence of inadequate labor abirb.com/test

10. A client in labor has an oral temperature of 102 °F (38.9 °C). In addition to maternal
temperature, what other assessment finding by the nurse abirb.com/test
can be used to make the
diagnosis of chorioamnionitis? Select all that apply.
A) Maternal heart rate 122 bpm
3
(17 × 109/L)
B) Maternal white blood cell (WBC) count 17,000/mmabirb.com/test
C) Fetal heart rate 178 bpm
D) Meconium-stained amniotic fluid
E) Fetal accelerations
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11. A client with no prenatal care arrives at labor and delivery with the baby crowning. An
8 lb (3.6 kg) baby is born. The neonatal nurse is at the birth. Which findings would alert
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the nurse that this baby is at risk for early onset group B streptococcus (GBS) infection
acquired before birth? Select all that apply.
A) Unanticipated low Apgar scores requiring resuscitation
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B) Maternal admission temperature greater than 100.4 °F (38 °C)
C) Presence of vernix on the skin
D) Evidence of acute infection on placental inspection
E) Hyperbilirubinemia at birth abirb.com/test

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12. A client experienced rupture of membranes at 36 weeks' gestation. She is admitted to
labor and delivery and an oxytocin infusion is started to induce labor. What actions does
the nurse anticipate will be part of the plan of care? Select all that apply.
A) Administering penicillin G every 4 hours until birthabirb.com/test
B) Using external fetal monitoring
C) Placing an internal contraction monitor
D) Performing hourly vaginal examinations abirb.com/test
E) Taking maternal temperature every 4 hours

13. A client at 39 weeks' gestation is admitted in active labor. The client had a positive
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group B streptococcal swab at 36 weeks' gestation and has no allergies. Which

medications will be administered to this client?
A) Penicillin G abirb.com/test
B) Gentamicin
C) Vancomycin
D) Clindamycin
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14. While caring for a client in early labor with preterm premature rupture of membranes
(PPROM), the nurse observes a foul odor. What actions abirb.com/test
would the nurse implement?
Select all that apply.
A) Assess maternal temperature
B) Evaluate for uterine tenderness
C) Assess fetal heart rate abirb.com/test

D) Bathe the client

E) Contact the health care provider
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15. A woman at 40 weeks' gestation arrives at labor and delivery in active labor. She says
she has been "wetting her pants" for the past week, but has had no contractions. During
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the assessment the nurse notes the woman's abdomen is tender on palpation and the
vaginal discharge has a foul odor. The woman's admission vital signs are: T 101 °F
(38.3 °C), HR 100, RR 18, BP 110/68. The nurse alerts the neonatal team of the
impending birth of a baby with which condition? abirb.com/test
A) Early onset sepsis
B) Transient tachypnea of the newborn
C) Surfactant insufficiency
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D) Pulmonary edema

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16. A woman at 38 weeks' gestation arrived at labor and delivery in active labor. She says
she has been "wetting her pants" for the past week, but the contractions just started
about 2 hours ago. At birth, a newborn weighing 8 lb (3.6 kg) presents with tachypnea,
nasal flaring, grunting subcostal retractions, and pallor. What laboratory test should the
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nurse anticipate performing on this infant? Select all that apply.
A) Complete blood count (CBC) with differential and platelet count
B) Chest x-ray abirb.com/test
C) Blood culture
D) Lumbar puncture
E) Surfactant analysis
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17. A woman arrived at labor and delivery in active labor. She says she has been "wetting
her pants" for the past week, but the contractions just started about 2 hours ago. At birth,
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a newborn weighing 8 lb (3.6 kg) presents with tachypnea, nasal flaring, grunting
subcostal retractions, and pallor. What treatment should the nurse anticipate will be
ordered for this infant?
A) Start antibiotics immediately after obtaining labs. abirb.com/test
B) Start antibiotics if blood cultures are positive
C) Start antibiotics if cerebrospinal fluid is positive for group B streptococcus (GBS)
D) Start antibiotics if white blood cell count is greater than 10,000/ µL (10 × 109/L)
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18. A client who is positive for group B streptococcus (GBS) comes to labor and delivery in
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active labor with rupture of the membranes. She is started on penicillin intravenously.
Labor progresses and she gives birth after only 3 hours. Infant weighs 7 lb, 4 oz (4.25
kg) and has Apgar scores of 8 and 9. Which actions are included in the plan of care for
this baby? Select all that apply. abirb.com/test
A) Draw complete blood count (CBC) at birth.
B) Observe in hospital for 48 hours.
C) Obtain blood culture at birth.
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D) Delay blood cultures until 24 hours after birth.
E) Start on antibiotics at birth.

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19. A client who is positive for group B streptococcus (GBS) comes to labor and delivery in
active labor with rupture of the membranes at 36 weeks' gestation. She is started on
penicillin intravenously. Labor progresses and she gives birth after only 3 hours. The
infant weighs 5 lb, 4 oz (3.4 kg) and has Apgar scores ofabirb.com/test
5 and 7. Which actions are
included in the plan of care for this baby? Select all that apply.
A) Complete blood count (CBC) with differential and platelet count at birth
B) Start on antibiotics at birth. abirb.com/test
C) Obtain blood culture at birth.
D) Repeat complete blood count (CBC) with differential and platelet count at 6 to 12
hours after birth.
E) Obtain bilirubin level. abirb.com/test

20. A client comes to the clinic after having unprotected intercourse and wants emergency
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contraception. The nurse interviews the client to determine when the unprotected
intercourse occurred. To be effective, emergency contraception needs to be used within
what time frame after unprotected intercourse.
A) 6 hours abirb.com/test

B) 5 days
C) 7 days
D) 10 days abirb.com/test

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Answer Key
1. A
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2. A
3. A
4. A
5. A, B, C abirb.com/test
6. A, B, E
7. A
8. A, B, C
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9. A
10. A, B, C
11. A, B, D
12. A, B abirb.com/test
13. A
14. A, B, C, E
15. A
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16. A
17. A
18. A, B, C
19. A, B, C, D abirb.com/test
20. B

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