Maternal-Newborn Ch 26 Wellness and health promotion

Which description would the nurse include when teaching a client about a scheduled colposcopy? "A gel will be applied to your abdomen and a microphone-like device will be moved over the area to identify problem areas." "A solution will be wiped on your cervix to identify any abnormal cells, which will be visualized with a magnifying instrument." "Scrapings of tissue will be obtained and placed on slides to be examined under the microscope." "After you receive anesthesia, a small device will be inserted into your abdomen near your belly button to obtain tissue samples."

"A solution will be wiped on your cervix to identify any abnormal cells, which will be visualized with a magnifying instrument."

A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. What is the nurse's best response? "Researchers have developed a vaccine to prevent human immunodeficiency virus." "There is a vaccine to prevent herpes simplex virus." "A vaccine has been approved vaccines to prevent the human papillomavirus." "At present there are no vaccines available to prevent STIs."

"A vaccine has been approved vaccines to prevent the human papillomavirus."

A client diagnosed with human papillomavirus (HPV) asks the nurse if she will be at risk for developing cervical cancer. The nurse best responds by making which statement? "Cervical cancer is typically caused by the herpes simplex virus, not the human papillomavirus (HPV)." "Certain strains of the human papillomavirus (HPV) have been associated with causing cervical cancer." "If you get the human papillomavirus (HPV) vaccine you will no longer be at risk for developing cervical cancer." "You will likely contract cervical cancer so frequent screening testing will be very important." "You will likely contract cervical cancer so frequent screening testing will be very important."

"Certain strains of the human papillomavirus (HPV) have been associated with causing cervical cancer."

The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. Which response by the nurse would be most appropriate? "Currently there is no reliable screening test for ovarian cancer." "A Papanicolau test is almost always helpful in identifying this type of cancer." "There's a blood test for a marker, CA-125, that if elevated indicates cancer." "A genetic test for two genes, if positive, will identify the ovarian cancer."

"Currently there is no reliable screening test for ovarian cancer."

The nurse instructs a pregnant patient on the need to increase foods containing folic acid. Which patient statement indicates that teaching has been effective? "Eating an extra orange a day is important." "I need to drink two glasses of milk each day." "I will add spinach to my salad every evening." "Cabbage and cauliflower are important for me to eat."

"I will add spinach to my salad every evening."

A 22-year-old female is 25 weeks pregnant. She explains that she is having difficulty getting an adequate amount of protein into her diet because she is a vegetarian. How can the nurse best counsel this patient? "Try to eat at least 5 servings of fish a week." "In addition to getting protein from eating dairy, eat complementary proteins such as beans and rice together, or beans and wheat together." "Eat more leafy greens such as spinach and romaine lettuce and more vegetable oils, almonds, and avocados." "For your baby's growth and development, you are going to have to start to eat poultry."

"In addition to getting protein from eating dairy, eat complementary proteins such as beans and rice together, or beans and wheat together."

After a discussion on the HPV vaccine with a mother and her 10-year-old daughter at a well-child visit, the nurse recognizes the discussion was successful when the mother makes which statement? "My daughter will need three injections over a 6-month period." "She will need one injection every 5 years." "One injection will give her a lifetime of protection." "She will need to get a total of two injections in the next 3 months."

"My daughter will need three injections over a 6-month period.

A 20-year-old female comes to the sexual health clinic for follow up related to a positive test for the human papillomavirus (HPV). The client asks the nurse, "Is there anything I can do to get rid of this?" What is the nurse's best response? "The lumps on your cervix can be cured by cryosurgery." "There is currently no medical treatment to cure HPV." "This can be cured with medications such as the recombinant human papillomavirus quadrivalent vaccine." "The health care provider will prescribe antibiotics to cure this infection."

"There is currently no medical treatment to cure HPV."

A 30-year-old woman asks the nurse if she should continue to have a Papanicolaou test every year. How should the nurse respond? "You can now start getting screened with a Papanicolaou test every 3 years." "You will need Papanicolau and human papillomavirus (HPV) tests every 2 years." "You will need to have a Papanicolaou test every 2 years until you are 50." "You are at low risk for cervical cancer so you will only need human papillomavirus (HPV) testing every year."

"You can now start getting screened with a Papanicolaou test every 3 years."

A nurse is conducting a class for a local woman's group about recommendations for a Papanicolau test. One of the participants asks, "At what age should a woman have her first test?" The nurse responds by stating that a woman should have her first Papanicolau test at which age? 18 21 25 28

21

An older woman comes to the clinic looking pale and malnourished. She states she has lost "a lot" of weight. What is most important for the nurse to assess in this client? Ability to chew and swallow Ability to obtain food Bowel habits Ability to prepare food

Ability to chew and swallow

Which of the following would you suggest to a pregnant woman who follows a vegetarian diet? Include at least one serving of meat daily. Anticipate needing a vitamin B12 supplement during pregnancy. Be careful not to eat more than four servings of fruit daily. Discontinue a vegetarian diet for the remainder of pregnancy.

Anticipate needing a vitamin B12 supplement during pregnancy

A nurse is teaching a group of pregnant women about the importance of good nutrition during pregnancy. After describing the B vitamins, the nurse determines that the teaching was effective when the group states which food as the best source of vitamin B12? Carrots Beef Bread Lemons

Beef

A young adult woman is admitted to the hospital with symptoms of anorexia nervosa. What information should the nurse obtain in determining the client's psychological status? Body perception Desire to gain weight Previous psychological trauma Family history

Body perception

A pregnant patient tells the nurse that saturated fats are avoided by using vegetable oil. What additional information about vegetable oil can the nurse use to reinforce this patient's decision? Aids in fluid balance Contains linoleic acid Stimulates kidney function Has a high-potassium content

Contains linoleic acid

An experienced nurse has just read that women have a one-in-three lifetime risk of developing cancer and becomes concerned that she has provided enough education. What should this nurse do to help prevent deaths from cancer? Select all that apply. Focus on screening There is nothing she can do Provide education to all women Tell the primary care providers to do a better job Tell women about early symptoms

Focus on screening Provide education to all women Tell women about early symptoms

The nurse is teaching a community group the benefits of exercise. What positive benefits of exercise does the nurse teach the menopausal age women in the group? Select all that apply. Increased bone density Helps prevent falls Improved sleep quality Lower risk of hip fracture Reduced depression

Increased bone density Helps prevent falls Improved sleep quality Lower risk of hip fracture Reduced depression

Why is a Papanicolau test done at the first prenatal visit? It predicts whether cervical cancer will occur. It helps to date the pregnancy. It detects if uterine cancer is present. It identifies abnormal cervical cells.

It identifies abnormal cervical cells.

A woman comes to the emergency department and the nurse suspects the woman is a victim of intimate partner violence (IPV). How is screening for IPV different from other secondary prevention screenings? It is considered diagnostic. It is no different than other screenings. It helps to formulate a plan of care. It assists the woman to talk about the problem.

It is considered diagnostic.

A nurse is educating a 25-year-old client with a family history of cervical cancer. Which test should the nurse inform the client about to detect cervical cancer at an early stage? Papanicolaou test blood tests for mutations in the BRCA genes CA-125 blood test transvaginal ultrasound

Papanicolaou test

The nurse is taking a diet history from a client. The client has identified the foods eaten in the last 24 hours. What should the nurse assess next? Portion sizes Amount of calories Which foods were fried Number of sodas

Portion sizes

A nurse is preparing a woman for a Papanicolau test. The nurse has already washed her hands and gathered all necessary equipment (maintaining sterility). What is the next step in the procedure? Provide support to the client as the provider obtains the sample. Drape the client with a sheet, leaving the perineal area exposed. Transfer the specimen to a container or a slide. Position the client in stirrups or foot pedals so that her knees fall outward.

Position the client in stirrups or foot pedals so that her knees fall outward.

A woman is being seen in the gynecologist's office for her annual well-woman exam. As the nurse is preparing the woman for the exam, the woman suddenly becomes anxious and tearful. The nurse suspects this behavior could be attributed to sexual assault. What should the nurse do first? Provide reassurance Have the woman confirm the suspicion Notify the gynecologist Refer the woman to a counselor

Provide reassurance

The nurse is helping a young mother with a toddler improve the daily diet for the family. What is one way the nurse could teach the mother to improve the daily intake of complex carbohydrates? Provide whole fruit instead of juice. Use sugar free cookies for snacks. Increase the servings of potatoes. Decrease the servings of green vegetables.

Provide whole fruit instead of juice

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Papanicolau test. How could the nurse best educate the client before her procedure to make sure results are not affected? Make sure the appointment is 5 days after the last menses. Refrain from sexual intercourse 48 hours before testing to ensure clear results. It is safe to use tampons 72 hours before testing. The client may douche at least 48 hours before testing.

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

The nurse is teaching a cancer prevention class to adult women. What exceptions to cervical screening does the nurse teach these women? Select all that apply. Screening may end at age 65. Screening may end after having a hysterectomy with cervix removal. Women with a history of cervical cancer should be screened for 30 years. Screening for cervical cancer and HPV should happen every 3 years. Screening should start at age 20.

Screening may end at age 65. Screening may end after having a hysterectomy with cervix removal.

Which of the following would you advise a woman about breast self-examination during pregnancy? There is no reason to continue this during pregnancy. Self-exams are nonproductive during pregnancy. She should choose a date each month to do this. She should do it weekly, because she no longer has menstrual periods.

She should choose a date each month to do this

A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client? Client may feel pain in the vaginal area during the examination. The test is conducted because of abnormal results in a Papanicolau test. Intercourse should be avoided for at least 1 week afterward. Client may experience pain during urination for a week following the test.

The test is conducted because of abnormal results in a Papanicolau test.

A nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity? administering HPV vaccine teaching about the importance of regular Papanicolau test educating about HPV testing in women over age 30 encouraging treatment for genital warts

administering HPV vaccine

A nurse will be speaking at a local high school about women's health. The nurse is planning to talk about sexually transmitted infections (STIs) as well as routine checks, along with guidelines for Papanicolau testing. What should the nurse include in the Papanicolau test guidelines about when to have a first test? at the age of 16 2 years after first sexual intercourse at the age of 21 or within 3 years of first sexual intercourse at the age of 18 or within 2 years of first sexual intercourse

at the age of 21 or within 3 years of first sexual intercourse

Working at the college health care clinic, the nurse recognizes the importance of educating students that the human papillomavirus has been confirmed to be the cause of essentially all cases of which type of cancer? cervical uterine ovarian vaginal

cervical

The nurse is teaching about an iron supplement that client is going to take every day. The nurse teaches the client to take the iron supplement with which type of fluid? citrus juice ice water low-fat milk hot tea

citrus juice

A client with a family history of cervical cancer is to undergo a Papanicolau test. During the client education, what group should the nurse include as at risk for cervical cancer? clients with irregular menstrual cycles clients who have not had babies clients who have genital warts clients with fibrocystic breast disease

clients who have genital warts

A nurse is providing education to a client who is 8 weeks' pregnant. The client stated she does not like milk. What is a source of calcium that the nurse can recommend to the client? dark, leafy green vegetables deep red or orange vegetables white bread and rice meat, poultry, and fish

dark, leafy green vegetables

A client presents for her annual Papanicolau test. She wants to know about the risk factors that are associated with cervical cancer. Which risk factor for cervical cancer should the nurse inform the client about? early age at first intercourse obesity (at least 50 lb [22.7 kg] overweight) hypertension infertility

early age at first intercourse

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis? decreasing vitamin D intake drinking at least 1 glass of wine per day engaging in daily weight-bearing exercise limiting intake of cholesterol and saturated fats

engaging in daily weight-bearing exercise

A 30-year-old female is attending a health fair for women. The nurse at the fair is reviewing risk factors for cervical cancer. Which important risk factor should the nurse include at the fair? one life partner first intercourse after age 25 exposure to diethylstilbestrol (DES) in utero protected sexual intercourse

exposure to diethylstilbestrol (DES) in utero

The nurse is planning a diet for a client who is at risk for cardiovascular disease. Which type of complete protein would the nurse teach the client to eat on a regular basis to reduce this risk? Fish Nuts Beans Pork

fish

After teaching a local woman's community group about cervical cancer, the nurse understands that teaching has been successful when the group identifies which condition as a risk factor for cervical cancer? chronic vulvitis vulvar dermatosis genital herpes obesity and menopause

genital herpes

A nurse is conducting a health promotion program, encouraging lifestyle changes to help clients prevent various benign and treatable conditions. Which suggestions would the nurse most likely include? Select all that apply. low-fat diet regular exercise high-impact aerobics high vegetable-fruit diet adequate fluid intake

high vegetable-fruit diet adequate fluid intake low-fat diet regular exercise

What is the most common viral infection? human papillomavirus (HPV) gonorrhea chlamydia trichomoniasis

human papillomavirus (HPV)

The nurse is teaching a premenopausal client about dietary and lifestyle modifications that can reduce the risk factors for developing pelvic organ prolapse (POP). The nurse is describing which type of prevention? primary secondary tertiary none of the above

primary

A nurse is assisting with the collection of a Papanicolau test. When collecting the specimen, which action is done first? insertion of the speculum swabbing of the endocervix spreading of the labia insertion of the cytobrush

spreading of the labia

The nurse educates the vegetarian client about which nutritional need during pregnancy? taking a B12 supplement limiting the intake of fiber supplementing the diet with vitamins A and C avoiding high intake of dark green vegetables.

taking a B12 supplement

A client has been diagnosed with cervical cancer during her second trimester of pregnancy. She decides to delay treatment until after the baby is born. The nurse prepare her for birth by explaining the birth will most likely be: via cesarean section. vaginally. per her choice. induced at 37 weeks.

via cesarean section.

How often should women diagnosed with human papillomavirus (HPV) have Papanicolau testing? Yearly Every 6 months Every 2 years Every 3 years

yearly