Maternitas DIII 1.

An antenatal G2, T1, P0, A0, L0, client is discussing her postpartum plans for birth control with her health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options? a. Satisfaction with prior methods. b. Preference of sexual partner c. Breast-or bottle-feeding plan. d. History of clothing disease. 2. A 20-years old nullingravid client expresses a desire to learn more about the symptothermal method of family planning. Which of the following would the nurse include in the teaching plan? a. This method has a 50% failure rate during the first year of use. b. Couples must abstain from coitus for 5 days after the menses. c. Cervical mucus is carefully monitored for changes. d. The male partner uses condoms for significant effectiveness. 3. A 22-year old nullingravid client tells the nurse that she and her husband have been considering using condoms for family planning. Which the following instructions would the nurse include about the use of condoms as a method for family planning? a. Using a spermicide with the condoms offers added protection againts pregnancy. b. Natural skin condoms protect againts sexually transmitted diseases. c. The typical failure rate for couples using condoms is about 25%.

d. Condoms users commonly report penile gland sensitivity. 4. A 22-year client old client tells the nurse that she and her husband are trying to conceive a baby. When teaching the client about reducing the incidence of neural tube defects in newborns, the nurse would emphasize the need for intake of which of the following nutrients? a. Iron. b. Folic acid c. Calcium d. Magnesium 5. A-39 year old mutigravid client asks the nurse for information about female sterilization with a tubal ligation. Which of the following clients statements indicates effective teaching? a. my fallopian tubes will be tied off through a small abdominal incision. b. Reversal of a tubal ligation is easily done, with a pregnancy success rate if 80% c. after this procedure. I must abstain from intercourse for at least 3 weeks. d. Both of my ovaries will be removed during the tubal ligation procedures. 6. A couple visiting the infertility clinic for the first time asks the nurses, what causes infertility in a woman?. Which of the following would the nurse include in the response as one of the most common factors? a. Absence of an ovary b. Overproduction of prolactin c. Anovulation d. Immunologic factors

7. The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notification of the provider and a further plan of care? a. Primigravida who reports fetal movement 6 times in 2 hours. b. Multigravida who had a positive oxytocin challenge test c. Primigravida whose infant has a biophysical profile of 9 d. Multigravida whose infant has a reactive nonstress test. 8. Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. Identify the psychosocial aspect of pregnancy the nurse will incorporate into the plan of care as she educates this client about the changes that occur in the first trimester. a. Differentiating the self from the fetus. b. Enjoying the role of nurturer c. Preparing for the reality of parenthood. d. Experiencing ambivalence about pregnancy 9. A-30 year old multigravid client has missed three periods and now visits the prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy test, and changes in the pigmentation on her face and abdomen. These assessment findings reflect this women experiencing a cluster of which sign of pregnancy a. Positive b. Probable c. Presumptive

d. Diagnostic 10. After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which of the following hormones is produced by the placenta? a. Estrogen b. Progesteron c. Human chorionic gonadotropin (hCG) d. testosterone