Elsevier Questions Sexuality and Reproduction Lesson 1

The school nurse would teach the students that the ovum is no longer viable at which time interval after ovulation? A. 12 hours B. 24 hours C. 48 hours D. 72 hours

B. 24 hours

A client seeking advice regarding contraception asks the nurse to explain how an IUD prevents pregnancy. How would the nurse respond? A. "It covers the entrance to the cervical os." B. "The openings to the fallopian tubes are blocked." C. "The sperm are kept from reaching the vagina." D. "It produces a spermicidal intrauterine environment."

D. "It produces a spermicidal intrauterine environment."

Which method is a barrier type of contraception? Select all that apply. A. Condom B. Diaphragm C. Lea's shield D. Spermicidal foam E. Coitus interruptus

A. Condom B. Diaphragm C. Lea's shield

The nurse understands which medication is used as an ovulation stimulant, but may cause multiple pregnancies? A. Oxytocin B. Clomiphene C. Dinoprostone D. Methylergonovine

B. Clomiphene

Which medication of choice would be prescribed for a client who is diagnosed with chlamydia? A. Imiquimod B. Ceftriaxone C. Azithromycin D. Benzathine penicillin

C. Azithromycin

Which factor can affect the accuracy of the temperature as an indicator of hormonal changes and fertility when using the basal body temperature method of contraception? A. Stress B. Length of abstinence C. Age of those involved D. Frequency of intercourse

A. Stress

An adolescent reports scrotal pain, redness, dysuria, and fever. Which condition is the client most likely experiencing? A. Varicocele B. Epididymitis C. Testicular torsion D. Testicular cancer

B. Epididymitis

Which part of the female reproductive system secretes androgens? A. Uterus B. Ovaries C. Fallopian tube D. Ovarian follicle

B. Ovaries

Which risk of adolescent pregnancy would the community nurse teach? A. Risk for premature birth B. Risk for having a large baby C. Risk for chromosomal defects D. Risk for increased weight gain

A. Risk for premature birth

A full term client in active labor arrives to the birthing unit with a recent history of a chlamydial infection. She reports not taking all of her prescribed medication because she "felt better." Which would the nurse anticipate as part of the care plan? A. Administration of antibiotics before delivery B. Administration of antiviral medication before delivery C. Administration of epidural before delivery D. Administration of oxytocin before delivery

A. Administration of antibiotics before delivery

Which population would the nurse include in a community education session on sexually transmitted infections? Select all that apply. A. Adolescents B. Homosexual men C. Transgender clients D. Multiple sex partners E. IV drug users

A. Adolescents B. Homosexual men C. Transgender clients D. Multiple sex partners E. IV drug users

A client who just had a c-section is receiving IV fluids and has an indwelling catheter. Which finding would indicate a need for an increase in the client's fluid intake? A. Dark amber urine B. Urinary suppression C. Tinges on blood in urine D. Cloudiness of the urine

A. Dark amber urine

Which iron rich foods would the nurse encourage the client with mild anemia in early pregnancy to eat? Select all that apply. A. Dark leafy green vegetables B. Legumes C. Dried fruits D. Yogurt E. Ground beef patty

A. Dark leafy green vegetables B. Legumes C. Dried fruits D. Yogurt E. Ground beef patty

At which point during a human pregnancy does the embryo become a fetus? A. During the 8th week of pregnancy B. At the end of the 2nd week of pregnancy C. When the fertilized egg becomes implanted D. When the products of conception are seen on ultrasound

A. During the 8th week of pregnancy

A young pregnant adolescent is diagnosed with an ectopic pregnancy. Which risk factors contribute to ectopic pregnancy? Select all that apply. A. Habit of smoking B. Irregular menses C. Use of contraceptive pill D. Damage to the fallopian tubes E. History of pelvic inflammatory disease

A. Habit of smoking D. Damage to the fallopian tubes E. History of pelvic inflammatory disease

For which complication would a client who has had a spontaneous abortion be assessed for? A. Hemorrhage B. Dehydration C. Hypertension D. Subinvolution

A. Hemorrhage

Which hormone is crucial for ovulation and complete maturation of the ovarian follicles? A. Luteinizing hormone ( LH) B. Follicle-stimulating hormone (FSH) C. Gonadotropin-releasing hormone D. Human chronic gonadotropin hormone (hCG)

A. Luteinizing hormone ( LH)

Which preferred medication of choice would be prescribed for the treatment of syphilis in a pregnant adolescent? A. Penicillin g B. Doxycycline C. Tetracycline D. Erythromycin

A. Penicillin g

On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks gestation will most likely report for the first time? A. Quickening B. Palpitations C. Pedal edema D. Vaginal spotting

A. Quickening

Which recommendation would be best for the nurse to make to a sexually active teen who indicates that she keeps forgetting to take her birth control pill? A. Switch the teen to a long acting reversible contraceptive B. Encourage the teen to download a daily reminder app on a phone C. Enroll the teen in a monthly reminder program through a clinic D. Provide counseling and education regarding the importance of taking the pill consistently

A. Switch the teen to a long acting reversible contraceptive

Which surgery is associated with permanent contraception? Select all that apply. A. Vasectomy B. Cryosurgery C. Mastectomy D. Varicocelectomy E. Tubal ligation

A. Vasectomy E. Tubal ligation

A pregnant client with iron deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption, the nurse would suggest the client to eat foods high in which substance? A. Vitamin C B. Fat content C. Water content D. Vitamin B complex

A. Vitamin C

Which client statement indicates the need for further teaching regarding safe sexual practices related to their diagnosis of AIDS? A. "I should use a dental dam during oral sex." B. "I can participate in anal intercourse safely without using condoms." C. "I should ask my partner to use a female condom while engaging in sexual activity." D. I should use condoms even while receiving highly active antiretroviral therapy."

B. "I can participate in anal intercourse safely without using condoms."

A client who is pregnant with twins is scheduled for a c-section. Which information would the nurse give the client? A. "We'll give you an enema before the surgery." B. "We'll be encouraging you to ambulate early after surgery." C. You'll be discharged from the hospital in a week." D. "You should take sponge baths until the incision is heal."

B. "We'll be encouraging you to ambulate early after surgery."

When assessing a female client with suspected primary syphilis, which manifestation would the nurse expect to find? A. Flat, wartlike plaques around the vagina and anus B. An indurated painless nodule on the vulva that is draining C. Glistening patches in the mouth covered with a yellow exudate D. A maculopapular rash on the palms of the hands and the soles of the feet

B. An indurated painless nodule on the vulva that is draining

A client is admitted in active labor at 39 weeks gestation. During the initial examination, the nurse identifies red, blister like lesions on the edges of the client's vaginal orifice. Which is the priority nursing action? A. Administer IV antibiotic B. Prepare for an urgent c-section C. Obtain a culture swab of the lesions for testing D. Document the presence of lesions

B. Prepare for an urgent c-section

Which age related finding would a nurse expect when performing a male reproductive system assessment of an older adult client? A. Asymmetrical testes B. Reduced size of testes C. Absence of pubic hair D. Foreskin that is difficult to retract

B. Reduced size of testes

Which time period would the nurse teach the health education class that fertilization of the ovum by the sperm occurs? A. As the ovum leaves the ovary B. When 1 sperm penetrates the wall of the ovum C. When the ovum reaches the endometrium of the uterus D. As 1 sperm prevents the ovum from moving along the tube

B. When 1 sperm penetrates the wall of the ovum

At 12 weeks gestation a client with a history of several spontaneous abortions says to the nurse, "Every day I wonder whether I'll be able have this baby." How would the nurse respond? A. "I can understand why you're worried; however, you'll have other chances in the future to get pregnant." B. "You're getting the best of care. Please tell me about the problems with your previous pregnancies." C. "It's understandable for you to be worried that you won't be able to carry this pregnancy to term. You've had a difficult time." D. "Your pregnancy has lasted past the time when most early spontaneous abortions occur. I think you'll be able to continue the pregnancy."

C. "It's understandable for you to be worried that you won't be able to carry this pregnancy to term. You've had a difficult time."

After an incomplete abortion, a client asks the nurse to tell her again what is meant by an "incomplete abortion." Which response by the nurse is appropriate? A. "I don't think you should focus on this anymore." B. "It's when the fetus dies but is retained in the uterus for at least 2 months." C. "It's when parts of the pregnancy tissues are expelled and parts remain in the uterus." D. "I think it's best for you to ask your primary care provider for the answer to that question."

C. "It's when parts of the pregnancy tissues are expelled and parts remain in the uterus."

Which response would the nurse provide to a client who asks if contraception is needed while she is breast feeding? A. "As long as you aren't having periods, you won't need a contraceptive." B. "It would be best to delay sexual relations until you have your first period." C. "You should use contraceptives because ovulation may occur at any time without a period." D. "Breast feeding suppresses ovulation, so you don't need to worry about pregnancy."

C. "You should use contraceptives because ovulation may occur at any time without a period."

A 16-year-old comes to a community health center because of the fear of having contracted herpes. The teenager is upset and shares this information with the community health nurse. Which response should the nurse provide? A. " Let me get a brief health history now." B. "Try not to worry until you know whether you have herpes." C. "You sound worried. Let me make arrangements to have you examined." D. "Herpes has received too much attention in the media; let's be realistic."

C. "You sound worried. Let me make arrangements to have you examined."

When do warning signs of a tubal pregnancy tend to appear? A. At 16 weeks gestation B. Immediately after implantation C. About 6 weeks into pregnancy D. Toward the end of the second trimester

C. About 6 weeks into pregnancy

Which test helps identify reproductive tract fibroids, tumors, and fistulas? A. Mammography B. Ultrasonography C. Hysterosalpingography D. Computed tomography

C. Hysterosalpingography

A client comes to the emergency room reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of abortion is this client experiencing? A. Missed B. Complete C. Inevitable D. Threatened

C. Inevitable

A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of which property of the causative agent of syphilis? A. It is immobilized by body contact B. It is chelated by wood and plastic C. It is inactivated when exposed to a dry environment D. It is destroyed when exposed to a warm environment

C. It is inactivated when exposed to a dry environment

A young pregnant adolescent is diagnosed as having bacterial vaginosis. Which complications related to bacterial vaginosis may occur? Select all that apply. A. Neonatal sepsis B. Cervical dysplasia C. Preterm labor D. Intraamniotic infection E. Post partum endometritis

C. Preterm labor D. Intraamniotic infection E. Post partum endometritis

Why is gonorrhea particularly troublesome for a female client? A. The medication is expensive B. The infection is difficult to treat with antibiotics C. Symptoms are often overlooked D. Treatment has many adverse effects

C. Symptoms are often overlooked

Which sign or symptom would lead the nurse to suspect that a client is experiencing a tubal pregnancy? A. A painful, tender area in the epigastric region after meals B. Lower abdominal cramping of 1 week's duration with constipation C. Leukorrhea or dysuria occurring a few days after the first missed menstrual period D. A sharp pain in the lower right or the lower left side of the abdomen, radiating to the shoulder

D. A sharp pain in the lower right or the lower left side of the abdomen, radiating to the shoulder

Which preexisting condition is an indication for a c-section? A. Gonorrhea B. Chlamydia C. Chronic hepatitis D. Active genital herpes

D. Active genital herpes

Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization? A. Inhibin B. Testosterone C. Follicle-stimulating hormone (FSH) D. Human chorionic gonadotropin (hCG)

D. Human chorionic gonadotropin (hCG)

An adolescent woman who has become sexually active asks the nurse, "What's the most effective way to prevent pregnancy?" Which method of preventing pregnancy should the nurse tell her is most effective? A. Birth control pills B. Spermicidal foam C. Condoms D. IUD

D. IUD

Which method of contraception may provide adolescents with the longest duration of protection? A. Nuva ring B. Levonorgestrel implant (Nexplanon) C. Spermicidal suppositories D. Levonorgestrel intrauterine system (IUD)

D. Levonorgestrel intrauterine system (IUD)

Which nursing action would a nurse take to confirm a tentative diagnosis of gonorrhea when obtaining the health history of a 16-year-old boy with a complaint of a thick urethral discharged? A. Assessing the temperature for fever B. Collecting a urine sample for urinalysis C. Drawing a CBC D. Obtaining a urethral specimen for a culture

D. Obtaining a urethral specimen for a culture

Cramping and vaginal spotting at 12 weeks gestation with an audible fetal heart rate and a close cervix is characteristic of which problem? A. Missed abortion B. Inevitable abortion C. Incomplete abortion D. Threatened abortion

D. Threatened abortion