SITUATION: Mr.

Badge Majid and his wife, Jessica came into the clinic with their concerns for family
nursing. You are the nurse assigned to care for them.

1. Which of the following family planning methods requires assessment of the quality of cervical
mucus throughout the menstrual cycle?
a. Rhythm method
b. Coitus Interruptus
c. Billings method
d. Basal body temperature

ANSWER: C. The Billings method requires assessment of cervical mucus, which is minimal and not
stretchy until ovulation occurs. At the time of ovulation, the cervical mucus is present in greater
amounts, is stretchy and is more favorable to penetration by sperm.

2. Badge is considering vasectomy as one of their choices for family planning. He asks the nurse
about the effectiveness of the procedure. Vasectomy is considered 100% effective after:
a. Approximately 2 weeks
b. Approximately 4 weeks
c. Two consecutive sperms counts show zero sperm.
d. Six consecutive sperm counts show zero sperm.

ANSWER: C. A vasectomy is considered 100% effective after two consecutive sperm counts show zero
sperm. Some sperm remain in the proximal vas deferens after vasectomy; it may take up to several
months to clear the proximal ducts of the sperm, requiring 2 sperms counts to show zero sperm.

3. Jessica asks you if she can be a good candidate for using an IUD. Using the knowledge about IUD,
you know that she is the best candidate for using an IUD if she is:
a. A woman who had a failure with IUD once
b. A mother of two with no history of PID
c. A mother of one has a history of severe dysmenorrhea
d. A 35-year old woman with recent PID

ANSWER: B. An IUD is an optimal contraceptive for a woman who has no history of PID, dysmenorrhea,
or previous IUD failures.

4. A 20-year old woman suddenly arrives at the clinic seeking emergency contraception 48 hours
after she had unprotected sexual intercourse. You correctly respond by saying:
a. “Come right in so we can get you started.”
b. “You must wait 72 hours before the pill will work.”
c. “You need to wait until you have missed your period.”
d. “The pills must be started the morning after the intercourse.”

ANSWER: A. The first dose of hormones must be taken 72 hours of sexual intercourse. And then 12 hours
after.

5. Which of the following hormones affect the basal body temperature of the woman?
a. Progesterone
 b. Estrogen
c. Androgen
d. Testosterone

SITUATION: A woman undergoes a lot changes during pregnancy. The following questions refer to of
physiologic and psychologic changes during pregnancy.

6. Nausea and vomiting are common during pregnancy because of:

a. Increased progesterone levels
b. Decreased progesterone levels
c. Increased estrogen levels
d. Decreased estrogen levels

ANSWER: C. Nausea and vomiting may occur as a systemic reaction to increased levels of estrogen.

7. To help patient relieve nausea during pregnancy, it is best that she does all of the following
except:
a. Before getting out of bed in the morning, eat a high-carbohydrate food such as crackers.
b. Eat large infrequent meals rather small frequent ones.
c. Avoid greasy and highly seasoned foods.
d. Delay breakfast until nausea passes.

8. Which change in the respiratory function during pregnancy is considered normal?

a. Increased tidal volume
b. Increased expiratory volume
c. Decreased respiratory capacity
d. Decreased oxygen consumption

ANSWER: A. A pregnant woman breathes more deeply, which increases the tidal volume of gas moving in
and out of the respiratory tract with each breath.

9. Which condition is common in the second trimester of pregnancy?

a. Mastitis
b. Metabolic acidosis
c. Physiologic anemia
d. Respiratory acidosis

ANSWER: C. Hemoglobin and hematocrit values decrease during pregnancy and the increase in plasma
volume exceeds the increase in red blood cell production.

10. Which cardiac condition is normal during pregnancy?

a. Cardiac tamponade
b. Heart failure
c. Endocarditis
d. Systolic murmur
ANSWER: D. Systolic murmurs are heard in up to 90% of pregnant patients, and the murmurs disappear
soon after birth.

SITUATION: Midz is a nurse in MLBB Hospital assigned to take care of children with cardiovascular
disorders.

11. Which of the following disorders leads to cyanosis from deoxygenated blood entering the
systemic arterial circulation?
a. Patent ductus arteriosus
b. Tetralogy of Fallot
c. Pulmonic stenosis
d. Atrial septal defect

12. While assessing a child with coarctation of the aorta, Midz would expect to find which of the
following?
a. Absent or diminished femoral pulses
b. Cyanotic episodes
c. Squatting posture
d. Severe cyanosis at birth

13. A child with cardiac failure is receiving digoxin. Which of the following would Midz expect to see
as a cardinal sign of digoxin toxicity?
a. Respiratory depression
b. Extreme bradycardia
c. Constipation
d. Headache

14. Which of the following nursing diagnoses is the least appropriate for a child suffering from
Tetralogy of Fallot?
a. Altered tissue perfusion
b. Activity intolerance
c. Decreased cardiac output
d. Fluid volume deficit
15. When developing a teaching plan for the parents of a child with pulmonic stenosis, Midz would
keep in mind that this disorder involves which of the following?
a. Return of the blood flow to the heart without entry into the left atrium
b. Obstruction of blood flow from the right ventricle
c. Obstruction of blood flow from the left ventricle
d. A single vessel arising from both ventricles

SITUATION: Assessment is an essential part of the nursing process, much more on the obstetric patients.
Aryan is a nurse assigned to in a clinic assessing pregnant patients.
 16. A pregnant client came inside and Aryan is to assess for ballottement. To make this
determination, Aryan does which of the following?
a. Assesses the cervix for thinning
b. Auscultates for fetal heart sounds
c. Palpates the abdomen for fetal movement
d. Initiates a gentle upward tap on the cervix

ANSWER: D. Ballottement is a technique of palpating a floating structure by bouncing it gently and

feeling it rebound. In the technique used to palpate the fetus, the examiner places a finger in the vagina
and taps gently upward, causing the fetus to rise. The fetus then sinks, and the examiner feels a gentle
tap on the finger. (