Women’s Health Nurse Practitioner Exam Prep - Question List

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76.

Your patient is 33 weeks pregnant.  She has painless, bright red vaginal bleeding. The vital signs were obtained and the external monitor has been applied. What of the following is a sensible next action of the nurse practitioner?

  1. Develop a nursing care plan for an emergency caesarean delivery.
  2. Place the client on her left side.
  3. Perform vaginal examination.
  4. Insert a urinary catheter.
  5. All of the above
77.

Your regular wellness patient, a 26-year-old female, comes to the clinic for her second pre-natal examination. On physical assessment, bluish discoloration of the mucus membranes of the cervix, vagina, and vulva is noted. This probable sign of pregnancy is called:

  1. Goodell’s sign
  2. Hegar’s sign
  3. Chadwick’s sign
  4. Ballottement
  5. None of the above
78.

A 26 year old woman had a normal vaginal delivery some days ago. She reports a high fever and foul-smelling vaginal discharge. Of the following, which is is the most urgent to investigate?

  1. Preterm labor
  2. Anxiety
  3. Yeast infection
  4. Puerperal sepsis
  5. All of the above
79. A 30 year-old, postpartum female had a home delivery seven days ago. Since delivery, she has developed not only a high fever and foul-smelling vaginal discharge, but also a rapid pulse, low blood pressure, and generalized abdominal pain. Which of the following is the probable diagnosis?
  1. Puerperal pyrexia
  2. Puerperal sepsis
  3. Urinary tract infection
  4. Renal failure
80. A woman came in her sixth day of puerperium complains of foul-smelling vaginal discharge and a rise in temperature above normal. How will you manage her?
  1. Adequate fluid and calorie intake
  2. Antibiotic administration
  3. Reduction of temperature
  4. All of the above

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