Exam 2

The prenatal nurse assesses a client's risk factors for postpartum depression during the prenatal period. Which of these clients should the nurse consider to be at risk for postpartum depression?

A client who is a primipara with a history of anxiety and lack of a supportive relationship

Simple lifestyle changes can effectively increase fertility. The nurse could recommend these changes to a couple: SELECT ALL THAT APPLY

A well-balanced diet for both partners, Men avoiding daily hot baths, and Modest weight loss of 5-10% for the overweight client

Injectable progestins such as medroxyprogesterone (Depo-Provera) would be an ideal contraceptive choice for which of the following clients?

A woman who has difficulty remembering to take oral contraceptives daily

The client has just had an intrauterine device (IUD) inserted. Which set of symptoms suggesting a problem with this contraceptive device should the nurse include in the patient teaching?

Abdominal pain, late period, fever, chills

Combination birth control pills prevent pregnancy by what method(s): SELECT ALL THAT APPLY

Altering the endometrium, Altering the cervical mucous, and Inhibiting ovulation

A woman gave birth to a baby boy 12 hours ago. Where would the nurse expect to locate the fundus of this woman's uterus?

At the level of the umbilicus

Upon vaginal examination of a 28 year old female, the nurse documents the following findings: profuse, thin grayish-white vaginal discharge with a "fishy" odor; patient complaints of pruritis. Based on thise findings, the nurse suspects that the woman has:

Bacterial vaginosis

Methylergonovine (Methergine) is prescribed for a client who is experiencing heavy bleading 2 hours after delivery. Prior to administration of the mediction, it is important for the nurse to check what?

Blood pressure

Despite the nurse's attempt to massage a boggy fundus, a client who is postpartum continues to pass several large clots in the presence of bright red lochia. The fundus remains boggy, and fundal massage and oxytocin are not successful. What medication should the nurse expect to be prescribed next?

Caboprost (Hemabate)

Bacterial infections of the female reproductive tract are dangerous primarily because these infections:

Can lead to pelvic inflammatory disease (PID)

Which statement most accurately describes HELLP syndrome?

Characterized by hemolysis, elevated liver enzymes, and low platelets

A woman was recently treated for toxic shock syndrome (TSS). Based on this history, the nurse advises her to avoid which type of contraceptive?

Diaphragms

A postpartum client received carboprost tromethamine (Hemabate) for postpartum hemorrhage immediately following delivery two hours ago. The client's most recent vital signs are T 98.7, P-76, R-16 with a blood pressure of 126/80. The uterus is firm and midline. The client complains of mild to moderate cramping and bleeding is minimal. What nursing intervention should be performed next based on the assessment.

Document the findings and continue to monitor the client.

Which of the follwoing identifies the basal body temperature (BBT) change characteristic of the time of ovulation?

Falls slightly prior to ovulation, then rises during ovulation

TRUE/FALSE: Rubella infection is noted to be teratogenic during pregnancy, therefore a pregnant female should receive the rubella vaccine during pregnancy.

False

This assistive reproductive technique requires the woman to have at least one normal uterine tube. The ova and sperm are transferred into the tube permitting natural fertilization. Which technique is this?

Gamete intrafallopian transfer (GIFT)

Exposure to toxoplasmosis is most likely to occur from which of the following?

Handling or consuming raw meat

A client comes to the clinic complaining of difficulty urinating, genital tingling, and painful rupture of blister-like vesicles on the penis. The most likely diagnosis for this client would be:

Herpes

Which of the following sexually transmitted infections is preventable by vaccine administration?

Human papillomavirus

The nurse is educating a group of adolescent women regarding sexually transmitted infections. The nurse knows that learning was achieved when a group member states that the most common sign/symptom of sexually transmitted infections is which of the following?

Lack of signs or symptoms

A woman gave birth to a healthy baby boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?

Lochia serosa

A client with a history of pelvic inflammatory disease is 10 weeks pregnant and being evaluated for a possible ectopic pregnancy. Which of the following symptoms would the nurse expect to find upon examination?

Lower abdominal pain and shoulder pain

Which of the following is NOT a factor associated with infertility?

Male partner under the age of 50

A client at 29 weeks gestation is being treated with magnesium sulfate for preeclampsia. The nurse recognizes the client may be experiencing toxic levels of magnesium sulfate if the assessment reveals which of the findings: SELECT ALL THAT APPLY

Maternal respirations of 10 breaths per minute and Absent patellar reflexes

A nurse is counseling a 22 year old female on contraceptive options. Which factors are important to consider when selecting a form of contraception: SELECT ALL THAT APPLY

Medical history, Cost of the contraceptive agents, Religious beliefs regarding certain methods, Future plans for having children, and Protection against STIs

A client who is 10 weeks' gestation who has been having severe nausea for the past 3 weeks. She tells a nurse that she cannot eat anything. She has been diagnosed with hyperemesis gravidarum. The nurse knows that she is at risk for developing which complication?

Metabolic acidosis with dehydration

A 23-year old client who is gravida 3, para 2 delivered a baby by vacuum-assisted vaginal delivery 2 days ago. As part of the discharge teaching, for which conditions should a nurse instruct the client to call her healthcare provider? (SELECT ALL THAT APPLY)

Pain in her calf with walking., Pain that is not well controlled by prescription pain medication, Foul-smelling lochia, and Lochia rubra that is soaking a pad in an hour.

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Palpate and massage the fundus

A woman presents to the OB ED at 39+4 weeks gestation complaining of severe abdominal pain and no fetal movement for the past 8 hours. Her vital signs are: blood pressure 90/60, pulse 110, respirations 22. Her abdomen is rigid and tender on palpation. The nurse is concerned about what potential problem?

Placental abruption

When a client is admitted to the birthing unit with BP of 150/90 mmHg, 3+ proteinuria, and edema of the hands and face, the nurse should ask the client about:

Right upper quadrant pain, headache, visual changes

The two primary risk factors for sexually transmitted diseases are:

Sexual behaviors and inadequate preventative health behaviors

A nurse observes that 15-year-old mother seems to ignore her newborn. An intervention that the nurse can use to facilitate mother-infant attachement to this client is to:

Show the mother how the baby initiates interaction and help her initiate care

Lack of detection and treatment of syphilis can lead to:

Systemic disease

A nurse at a Women's Health clinic is caring for a client who underwent an elective first trimester abortion. The nurse is educating the client on potential complications and when to call after dishcarge. The nurse's education needs to include

Temperature over 100.4

What is the primary reason why a woman who is older than 35 years may have difficulty achieving pregnancy?

The ovaries are affected by the aging process

TORCH infections are concerning if contracted during pregnancy. TORCH is an acronymn for which infections?

Toxoplasmosis; Other infections; Rubella; Cytomegalovirus; Herpes

Which of the following is considered to be a long-acting reversible contraceptive (LARC) that is found to be highly effective?

Transdermal implant

Health issues such as nutritional problems, endocrine disorders, genetic disorders, psychological disorders, and STIs impact fertility of men as well as women.

True

When assessing a client's episiotomy several hours after delivery, the nurse finds that there is edema with severe ecchymosis, and the client is complaining of severe perineal and rectal pressure. The fundus is firm and there is scant lochia. The vital signs are T 99 F, P 108, R 20, BP 105/60. The assessment most likely indicates which complication:

Vaginal hematoma

A female client undergoing evaluation for infertility is scheduled to have a hysterosalpingogram. In this procedure the health care provider will be able to determine which of the following?

Whether or not the fallopian tubes are obstructed

During the postpartum period, a client with heart disease and hypertension asks about the best method of contraception for her to use to prevent pregnancy in the near future. The nurse should respond with which of the following statements:

You should use a barrier method such as a condom because this is the safest way to prevent pregnancy in a woman with your history

A woman gave birth to a 7-pound, 3-ounce baby boy 2 hours ago. The nurse determines that the woman's bladder is distended because her fundus is now 2 cm above the umbilicus and offset to the right of the midline. In the immediate postpartum period, the most serious consequence likely to occur from bladder distension is:

excessive uterine bleeding

Which of the following data would alert the nurse to the possible presence of deep vein thrombosis in a postpartal patient?

muscle pain, swelling, warmth

A nurse is providing discharge teaching for a non-lactating client. Which of the following instructions should the nurse include in the self-care education for this client?

"Wear a supportive bra continuously for the first 72 hours."

A newly married couple plans to use natural family planning. It is important for them to know how long an ovum can live after ovulation. The nurse knows that teaching is effective when the couple responds that an ovum is considered fertile for:

24 hours

A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection?

A client who does not wash their hands between perineal care and breastfeeding.

The nurse is preparing educational materials at a family planning clinic. Which of the following clients would be the most appropriate to use emergency contraception?

A client who had a condom break during intercourse yesterday in the middle of her cycle