1.

During labour, station +1 indicates that the

presenting part is?

a)High in the false pelvis

b)On the perineum
c)Slightly below the ischial spine
d)Slightly above the ischial spine

Correct answer: Slightly below the ischial spine

2. Oral contraceptives are prescribed for a

client. What side effect should the nurse
inform the client might occur?

a)Cervicitis
b)Ovarian cysts
c)Breakthrough bleeding
d)Fibrocystic breast disease

Correct answer: Breakthrough bleeding

3. Menorrhagia means?

a)Excessive bleeding during menstruation

b)Bleeding between menstrual periods
c)Painful menstruation
d)Irregular menstruation

Correct answer: Excessive bleeding during

menstruation
4. A histogram (hysterosalpingography [HSG]) is
performed to determine whether there is a tubal
obstruction. The nurse concludes that infertility
caused by a defect in the tube
is most often related to a:

a)tubal injury.
b)past infection.
c)fibroid tumor.
d)congenital anomaly.

Correct answer: past infection.

5. The nurse, collecting data on the reproductive

system from a female patient, is told that the patient
has a vaginal discharge that is cottage cheese-like in
appearance. The nurse recognizes this as a common
sign of?

a)Pelvic inflammatory disease

b)Trichomonas vaginalis
c)Atrophic vaginitis
d)Candida albicans infections

Correct answer: Candida albicans infections

6. Following hysterectomy, the nurse assessing for

abnormal bleeding would?

a)Record the number of perineal pads used

b)Assess the vital signs every 8 hours
c)Place the patient’s bed in a high Fowler’s position
d)Apply an abdominal binder

Correct answer:Record the number of perineal pads

used

7. The nurse instructing a client on breast self

examination, explains to the patient that the best-
time of the month to perform a breast self
examination is?

a)Before the menstrual period

b)During the menstrual period
c)After the menstrual period
d)On the first day of the month

Correct answer: After the menstrual period

8. A nurse is teaching a group of women about the
side effects of different types of contraceptives.
What is the most frequent side effect associated
with the use of an intrauterine device (IUD)?

a)A tubal pregnancy

b)A rupture of the uterus
c)An expulsion of the device
d)An excessive menstrual flow

Correct answer: An excessive menstrual flow

9. A client asks a nurse about the most common

problem associated with the use of an intrauterine
device (IUD). What should the nurse respond?

a)Perforation of the uterus

b)Spontaneous device expulsion
c)Discomfort associated with coitus
d)Development of vaginal infections

Correct answer:Spontaneous device expulsion

10. A nurse is teaching clients to determine the

time of ovulation by taking the basal
temperature. What change is expected to occur
in the basal temperature during ovulation?

a)Slight drop and then rises

b)Sudden rise and then drops
c)Marked rise and remains high
d)Marked drop and remains lower

Correct answer: Slight drop and then rises

11. Soft issue x-ray of the breast is?

a)Mammoplasty
b)Mammography
c)Mastopexy
d)Cholangiography
Correct answer: Mammography
12. What is important for a nurse to discuss with a
client who just had a vasectomy?

a)Recanalization of the vas deferens is impossible.

b)Unprotected coitus is safe within 1 week to 10
days.
c)Some impotency is to be expected for several
weeks.
d)There must be 15 ejaculations to clear the tract of
sperm.

Correct answer: There must be 15 ejaculations to

clear the tract of sperm.

13. A nurse teaches a client that a postcoital test to

evaluate fertility should be performed:

a)1 week after ovulation.

b)immediately after menses.
c)just before the next menstrual period.
d)within 1 to 2 days of presumed ovulation.

Correct answer: within 1 to 2 days of presumed

ovulation.

14. A young man who is being treated for infertility

is to have a semen analysis. The nurse explains that
this test will?

a)Determine if he has a sexually transmitted

infections
b)Evaluate for genetic problems
c)Determine if there any urethral obstructions
d)Assess sperm microscopically for number and
motility

Correct answer: Assess sperm microscopically for

number and motility
15. A nurse is counselling a couple in the fertility clinic.
Which aspect of the protocol is the most stressful for the
couple?

a)Planning when to have intercourse

b)Obtaining the necessary specimens
c)Visiting the fertility clinic frequently
d)Taking daily basal body temperatures

Correct answer: Planning when to have intercourse

16. A nurse at the fertility clinic is counseling a couple

about the tests that will be needed to determine the cause
of their infertility. Which test should the nurse describe
that will evaluate the woman’s organs of reproduction?

a)Biopsy
b)Cystogram
c)Culdoscopy
d)Hysterosalpingogram

Correct answer: Hysterosalpingogram

17. A client who has a diagnosis of endometriosis is

concerned about the side effect of hot flashes from her
prescribed medication. She tells the nurse that her mother
found them very uncomfortable during her menopause.
Which medication causes this side effect?

a)Estrogen
b)Leuprolide
c)Diclofenac
d)Ergonovine

Correct answer: Leuprolide

18. At 6 weeks’ gestation a client is diagnosed with

gonorrhoea. What medication does a
nurse expect the health care provider to prescribe?
a)Ceftriaxone
b)Levofloxacin
c)Sulfasalazine
d)Trimethoprim/sulfamethoxazole

Correct answer: Ceftriaxone