OB/GYN   TEST

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MULTIPLE CHOICE:   Select the one correct answer.  
1. A pregnant client develops thrombophlebitis of the left leg and is admitted to the hospital for bed rest and anticoagulant therapy. The anticoagulant the nurse should expect to administer is:
A. Heparin
B. Dicumarol
C. Diphenadione (Dipaxin)
D. Warfarin (Coumadin sodium)

2. A client undergoing treatment for infertility, is diagnosed as having endometriosis. The nurse is aware that one of the drugs that may be used to treat this condition is:
A. Relaxin (Releasin)
B. Leuprolide (Lupron)
C. Ergonovine (Ergotyrate)
D. Esterified estrogen (Climestrone)

3. A 16 year old is 30 weeks pregnant, begins to experience contractions every 5 to 7 minutes. She is admitted to the hospital with suspected preterm labor. It is determined that the client’s baby would be at severe risk if delivered because of lung immaturity. The client is receiving terbutaline sulfate (Brethine) to halt lavor, without adequate response. The nurse should expect the health care provider to order:
A. 1 minute
B. 2 minutes
C. 3 minutes
D. 4 minutes
E. 5 minutes

2. A blood pressure reading of 80 / 30 would be categorized as?
A. Bradycardia
B. Hypotensive
C. Hypertensive
D. none of the above

3. A patient’s height is measured at 68 inches.   This equals?
A. 5'  3"
B. 5'  4"
C. 5'  5"
D. 5'  6"
D. 5'  8"

4. The time of ovulation can be determined by taking the basal temperature. During ovulation the basal temperature:
A. Drops markedly
B. Drops slightly and then rises
C. Rises suddenly and then falls
D. Rises markedly and remains high

5. A young couple has been using oral contraceptives to delay pregnancy. When the wife misses her regular menstrual period, she decides to find out if she is pregnant. She tells the nurse that pregnancy may have occurred because she missed taking her contraceptive pills for 1 week because of the flu. The nurse’s best response would be:
A. “Contraceptive pills are very unpredictable anyhow. You probably would have become pregnant even if you had taken them regularly as prescribed”
B. “Don’t think about that now. It’s too late to worry anyhow. First find out whether you really are pregnant. If you are, you may want to consider having an abortion.”
C. “You may well be correct; one of the reasons for prescribing an exact schedule is that the effect of contraceptive drugs depends on the regularity with which they are taken.”
D. That” the trouble with using contraceptive pills. People become too careless and don’t use proper restraint. If you had used the rhythm method. This probably would not have happened.”

6. The nurse would suspect an ectopic pregnancy if the client complained of:
A. An adherent painful ovarian mass
B. Lower abdominal cramping for a long period of time
C. Leukorrhea and dysuria a few days after the first missed period
D. Sharp lower right or left abdominal pain radiating to the shoulder

7. A client ask the nurse why menstruation ceases once pregnancy occurs. The nurse’s best response would be that this occurs because of the:
A. “Reduction in the secretion of hormones by the ovaries.”
B. ”Production of estrogen and progesterone by the ovaries.”
C. “Secretion of luteinizing hormone produced by the pituitary.”
D. “Secretion of follicle-stimulating hormone produced by the pituitary.”

8. A manifestation of cancer of the cervix that should have brought the client to the gynecologist is:
A. Abdominal heaviness
B. Foul-smelling discharge
C. Pressure on the bladder
D. Bloody spotting after intercourse

9. A client expresses concern abut having a hysterectomy at age 45 because she has heard from friends that she will undergo severe symptoms of menopause after surgery. The most appropriate response for the nurse would be:
A. “This is something that does occur in older women on occasion, but you don’t have to worry about it.”
B.“It’s too bad you did not discuss this with your doctor. I really can’t give you any kind of information about this.”
C. “You are correct. This happens following this type of surgery. Your friend probably had a similar diagnosis.”
D. “Some women occasionally experience exaggerate symptoms of menopause if in addition to their uterus, their ovaries are removed.”

10. Following a mastectomy, the nurse should position the client’s arm on the affected side:
A. In adduction supported by sandbags
B. In abduction surrounded by sandbags
C. With the hand higher than the arm on pillows
D. Lower than the level of the right atrium on pillows