NCLEX Qs

Ok, the topics I am focusing on today are right up my alley! Fertility, Contraception & Fetal Development. Maybe this birth related blog will get slightly back on track - if only for today.

Here we go:
1) The client has been scheduled to have a hysterosalpingogram. Which of the following questions does the nurse need to ask?
a. Do you have any metal implants?
b. When was the last time you had intercourse?
c. When was the first day of your last menstrual cycle?
d. What was your age at menarche?

2) Which of the following statements made by the client scheduled for in vitro fertilization would indicate the need for additional teaching?
a. The egg retrieval procedure may be uncomfortable, but medication will be available for me.
b. The fertilized eggs will be implanted into my uterus 2 to 3 days after the egg retrieval.
c. I will need to limit my activities the day of the egg retrieval and the day of implantation.
d. I will have eight embryos implanted to maximize my chance of carrying a baby to term.

3) When reviewing the assessment data of the client, which of the following would lead the nuse to recommend a method of contraception other than oral contraceptives?
a. Family history of ovarian cancer
b. Type 1 diabetic
c. History of iron-deficiency anemia
d. Fibrocystic beast disease

4) A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and shortness of breath. The nurse should instruct the client to do which of the following:
a. Stop taking the pills and use a non-hormonal contraceptive method.
b. Eat smaller meals more frequently to prevent gastric distention.
c. Wait for the physician to return a telephone call to the client.
d. Go to the nearest emergency room to be evaluated.

5) A couple visits the genetic counseling clinic regarding a family history of cystic fibrosis, an autosomal recessive disorder. They ask the nurse, "What are the chances that we will have a child with cystic fibrosis if we are both carriers?" Which response by the nurse is best?
a. It would be better not to have children because they will all have cystic fibrosis.
b. The disorder occurs at random and there s no way to calculate the risk.
c. There is a 50% chance that you will have a child with cystic fibrosis.
d. There is a 25% chance that you will have a child with cystic fibrosis.

6) After delivery, the nurse examines the umbilical cord. The nurse records the presence of a normal umbilical cord by documenting that the umbilical cord has which of the following?
a. One artery and two veins.
b. Two arteries and one vein.
c. Two arteries and two veins.
d. One artery and one vein.
Answers: 1) c. 2) d 3) b 4) d 5) d 6) b 7)