ADN 127 chs 3, 5, 19

a nurse is examining a female client and test the client's vaginal pH which finding would the nurse interpret as normal

4.5

a woman is receiving magnesium sulfate as part of her treatment for a severe preeclampsia the nurse is monitoring the woman's serum magnesium levels which level would the nurse identify as therapeutic

6.1 meq/l

a client with a 28-day cycle reports that she ovulated on May 10th the nurse would expect the client's next menses to begin on

May 24th

pregnant woman is admitted with premature rupture of the membranes the nurses assessing the women closely for possible infection which of the following would lead the nurse to suspect that the woman is developing an infection

abdominal tenderness elevated maternal pulse rate cloudy malodorous fluid

a nurse is assessing a client for possible risk factors for chlamydia and gonorrhea which of the following would the nurse identify

age under 25 years

a client with trichomoniasis is to receive Metronidazole (flagyl) the nurse instructs the client to avoid which of the following while taking this drug

alcohol

which of the following was a nurse have readily available for a client who is receiving magnesium sulfate to treat severe clampsia

calcium gluconate

a nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following

dark red vaginal bleeding rigid uterus absent fetal heart tones

when describing the ovarian cycle to a group of students which phase would the instructor include

luteal phase

after teaching a group of adolescent girls about female reproductive development the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first

menstrual period

a pregnant woman diagnosed with syphilis comes to the clinic for a visit the nurse discusses the risk of transmitting the infection to a newborn explaining that this infection is transmitted to the newborn through the

placenta

a woman comes to the clinic complaining that she has little sexual desire as part of the client's evaluation the nurse would anticipate the need to evaluate which hormone level

testosterone

the nurse reviews the CD4 cell count of a client who is HIV positive a result less than which of the following would indicate the nurse that the client has AIDS

200 cells/mm3

a group of nursing students are reviewing info about vaccines used to prevent STIs the students would expect to find info about which of the following

HPV HAV HBV

a woman with placenta previa is being treated with expectant management the woman and fetus are stable the nurse is assessing the women for possible discharge home which statement by the woman would suggest the nurse that home care might be inappropriate

I have a toddler and preschooler at home who need my attention

a nurse is teaching a woman with genital ulcers how to care for them which statement by the client indicates a need for additional teaching

I need to abstain from intercourse primarily when the lesions are present

after teaching a woman who has had an evacuation for a hydatidiform molar pregnancy about her condition which of the following statements indicates the nurses teaching was successful

I will be sure to avoid getting pregnant for at least one year

upon entering the room of a client who has had a spontaneous abortion the nurse observes the client crying which of the following responses by the nurse would be most appropriate

I'm sorry you lost your baby

and for teaching a class on sexually transmitted infections the instructor determines that the teaching was successful when the class identifies which statement as true

STIs can affect anyone if exposed to the infectious organism

a nurse is describing the structure and function of the reproductive system to an adolescent health class the nurse describes the secretion of the seminal vesicles as which of the following

alkaline

a nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students the instructor determines the teaching was successful when the students identify follicle stimulating hormone as being secreted by which of the following

anterior pituitary gland

it is determined that the client's blood RH is negative and our partners is positive to help prevent RH ioimmunization the nurse anticipates that the client will receive rhogam at which time

at 28 weeks gestation and again within 72 hours after delivery

assessment of a female reveals a thick white vaginal discharge she also reports intense itching and dyspareunia based on these findings the nurse would suspect that the client has

candidiasis

the nurse encourages a female client with human papilloma virus to receive continued follow-up care because she is at risk for

cervical cancer

a group of students are reviewing information about STIs the students demonstrate understanding of the information when they identify which of the following is the most common bacterial STI in the US

chlamydia

a client is diagnosed with gestational hypertension and receiving magnesium sulfate which finding with the nurse interpret as indicating a therapeutic level of medication

deep tendon reflexes 2+

the nurse is assessing a 13-year-old girl who has had her first menses which of the following events with the nurse expect to have occurred first

development of breast buds

a woman with hyperemesis gravidarium as the nurse about suggestions to minimize nausea and vomiting which suggestion would be most appropriate for the nurse to make

drink fluids in between meals rather than with meals

a client is diagnosed with pelvic inflammatory disease when reviewing the client's medical record which of the following would the nurse expect to find

dysmenorrhea dysuria lower abdominal tenderness discomfort with cervical motion

the nurse is reviewing the laboratory test results of a pregnant client which of the following findings would alert the nurse to development of hellp syndrome

elevated liver enzymes

after teaching a class on preventing pelvic inflammatory disease the instructor determines that the teaching was successful when the class identifies which of the following as an effective method

emphasizing the need for infected sexual partners to receive treatment

a nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes which of the following would the nurse expect to include as a possible precipitating factor for reccurrent outbreak

exposure to ultraviolet light use of corticosteroids emotional stress sexual intercourse

after teaching a group of students about female reproductive anatomy the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization

fallopian tubes

after teaching a group of nursing students about the possible causes of spontaneous abortion the instructor determines that the teaching was successful when students identify which of the following is the most common cause of first trimester abortions

fetal genetic abnormalities

which fighting with the nurse suspect to find in a client with bacterial vaginosis

fish like odor of discharge

when obtaining the health history from a client which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections

five different sexual partners

which assessment finding would lead the nurse to suspect infection as the cause of a client's prom

foul odor

which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a hydatidiform mole

fundal height measurement of 18 cm

which of the following's findings with the nurse interpret as suggesting a diagnosis of gestational trophoblastic disease

gestational hypertension hyperemesis gravidarum absence of fhr

a woman gives birth to a healthy newborn as part of the newborn care the nurse and steals erythromycin ophthalmic ointment as a preventative measure related to which STI

gonorrhea

in a woman who is suspected of having ruptured ectopic pregnancy the nurse would expect to assess for which of the following as a priority

hemorrhage

when developing a teaching plan for community group about HIV infection which group would the nurse identify as an emerging risk group for HIV infection

heterosexual women

while assessing a pregnant woman the nurse suspects that the client may be at risk for hydramino's based on which of the following

history of diabetes complaints of shortness of breath difficulty obtaining fetal heart rate

a nurse is assessing a pregnant woman with gestational hypertension which of the following would lead the nurse to suspect that the client has developed severe preeclampsia

hyperreflexia

the nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy for treatment of HIV the goal of this therapy is to

improve survival rates

a mother brings for 12-year-old daughter in for a well visit checkout during the visit the nurse discussing the use of prophylactic HPV vaccine for the daughter the mother agrees and the daughter receives her first dose the nurse schedules the daughter for the next dose which would be given at which time

in 2 months

a nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for self which statement by the women indicates a need for additional teaching

it's okay for my husband and me to have sexual intercourse

a woman comes to the clinic complaining of a vaginal discharge the nurse suspects that the client has an infection when gathering additional information which of the following with the nurse be least likely to identify as placing the client at a risk for infection

last menstrual period about 5 days ago

the nurse is explaining the events that led up to ovulation which hormone would the nurse identify as being primarily responsible for ovulation

luteinizing hormone

when describing the hormones involved in the menstrual cycle a nurse identifies which hormone is responsible for initiating the cycle

luteinizing hormone

the healthcare provider orders pge2 for a woman to help evacuate the uterus following a spontaneous abortion which of the following would be most important for the nurse to do

maintain the client for hour after administration

a nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology which of the following would the nurse include as an external female reproductive organ select all that apply

mons pubis labia clitoris

after reviewing a client's history which factor would the nurse identify as placing her at risk for gestational hypertension

mother had gestational hypertension during pregnancy

when describing the male sexual response to a group of students the instructor determines that the teaching was successful when they identify emission as which of the following

movement of sperm from the testes and fluid into the urethras

a client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success which of the following with the nurse expect to include any client plan of care

nothing by mouth

a woman with gestational hypertension experiences of seizure which of the following would be the priority

oxygenation

the nurse is preparing an outline for a class on the physiology of the male sexual response which event would the nurse identify as occurring first

penile vasodilation

a woman comes to the clinic for evaluation during the visit the woman tells the nurse that are menstrual cycles have become a regular I've also been waking up at night feeling really hot and sweating the nurse interprets these findings as which of the following

perimenopause

the nurse developing a plan of care for women who is pregnant with twins the nurse includes interventions focusing on which of the following because of the women's increased risk

preeclampsia

after teaching a group of pregnant women about breastfeeding the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth

prolactin

when describing the menstrual cycle to a group of young women the nurse explains that estrogen levels are highest during which phase of the endometrial cycle

proliferative

a nurse at a local community clinic is developing a program to address STIs prevention which of the following with the nurse least likely include in the program

recommending screening for symptomatic individuals

which instructions would the nurse include when teaching a woman with pediculosis pubis

remove the nits with fine tooth comb

which of the following data on a client's health history would the nurse identify as contributing to the client's risk for ectopic pregnancy

reoccurrent pelvic infections

after teaching a group of adolescents about HIV the nurse asks them to identify the major means by which adolescence are exposed to the virus the nurse determines that the teaching was successful when the group identifies which of the following

sexual intercourse

a woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure which of the following would lead the nurse to suspect that the client is having an adverse effect associated with this drug

tachycardia

the nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the type of sperm production which structure if identified by the group would indicate the nurse that the teaching was successful

testes

a woman who is HIV positive is receiving harrt and is having difficulty with compliance to promote adherence which of the following areas would be most important to assess initially

the women's beliefs and education

a client with genital herpes simplex infection asks the nurse will I ever be cured of this infection which response by the nurse would be most appropriate

there is no cure but drug therapy helps to reduce symptoms and reoccurrences

a woman comes to the clinic complaining of vaginal discharge the nurse suspects trichomoniasis based on which of the following

urinary frequency yellow green discharge

a nursing student is reviewing an article about preterm premature rupture of membranes which of the following would the student expect to find as Factor placing a woman at high risk for this condition

urinary tract infection low socioeconomic status smoking

which female reproductive tract structure would the nurse described to a group of young women as containing rugae that enabled it to dilate during labor and birth

vagina

the nurse is creating a diagram that illustrates the components of the male reproductive system which structure would be inappropriate for the nurse to include as a accessory gland

vas deferens

a group of nursing students are reviewing information about the male reproductive structures the students demonstrate understanding of the information when they identify which of the following ads accessory organs

vas deferens bulbourethral glands prostate gland