Female Reproductive Disorders NCLEX Questions

Extract:

Question 1 of 5

The Gravida 7 Para 6 client delivered a 9-pound 4-ounce infant two (2) hours ago. Which intervention is priority for the nurse to implement?

Correct Answer: A

Rationale: Fundal assessment every hour post-delivery prevents postpartum hemorrhage, a life-threatening risk in high-parity clients with large infants. Voiding, birth control, and breastfeeding are secondary.

Question 2 of 5

The client diagnosed with gestational diabetes delivered a 10-pound 5-ounce infant. Which is priority for the nursery nurse to monitor?

A. Failure to latch on to the breast during feeding. B. Jaundice and clay-colored stools. C. Parchment-like skin and lack of lanugo. D. Low blood glucose readings.

Correct Answer: D

Rationale: Macrosomic infants from gestational diabetes are at risk for hypoglycemia; monitoring blood glucose is priority. Latching issues, jaundice, and skin changes are secondary.

Question 3 of 5

Which nursing task could be delegated to the unlicensed assistive personnel (UAP) for the client who had a total vaginal hysterectomy?

A. Observe the color and amount of drainage on the client's perineal pad. B. Maintain a current intake and output for the client each shift. C. Provide the client with a plan of pharmacological pain management. D. Prepare the client for her discharge scheduled for the next day.

Correct Answer: B

Rationale: Maintaining intake and output is within UAP scope, involving measurement and recording. Observing drainage requires assessment, pain management involves nursing judgment, and discharge preparation includes teaching, all inappropriate for delegation.

Question 4 of 5

The client diagnosed with ovarian cancer is prescribed radiation therapy for regional control of the disease. Which statement indicates the client requires further teaching?

A. I will not wash the marks off my abdomen.' B. I will have a treatment every day for six (6) weeks.' C. Nausea caused by radiation therapy cannot be controlled.' D. I need to drink a nutritional shake if I don’t feel like eating.'

Correct Answer: C

Rationale: Nausea from radiation can be managed with antiemetics; this statement indicates a misconception. Preserving marks, daily treatments, and nutritional shakes are correct.

Question 5 of 5

Which could be a complication of cryotherapy surgery for cancer of the prostate?

A. The urethra could become scarred and cause retention. B. The client could have ejaculation difficulties and be impotent. C. Bone marrow suppression could occur from the chemotherapy. D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.

Correct Answer: A

Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.

Female Reproductive Disorders NCLEX Questions | Nurselytic

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