Maternity/OB: Women's health Adaptive Quiz

Which clinical finding confirms progression to tertiary syphilis in a patient? 1. Skin rash 2. Warts on the vulva 3. Aortic aneurysm 4. External chancre

Aortic aneurysm. P. 267

The nurse is providing patient education for toxic shock syndrome. Which statement would the nurse include? 1. "If at all possible avoid the use of tampons." 2. "Avoid the use of superabsorbent tampons." 3. "Immediately change your tampon when you awaken." 4. "It is preferable that you use tampons only if necessary."

"Avoid the use of superabsorbent tampons." P. 265

Alendronate (Fosamax) is prescribed to a patient with osteoporosis. Which instruction would the nurse provide to the patient to ensure safe drug administration? 1. "Rest following medication dosing." 2. "Eat food rich in fiber with the medication." 3. "Eat foods rich in calcium with the medication." 4. "Drink 8 ounces of plain water with the medication."

"Drink 8 ounces of plain water with the medication." P. 280

The nurse is instructing a patient about the use of tampons. Which statement made by the patient indicates the need for an additional teaching? 1. "I can use tampons while sleeping." 2. "I should change tampons after every 4 hours." 3. "I should avoid the use of superabsorbent tampons." 4. "I should wash my hands before and after inserting the tampon."

"I can use tampons while sleeping." P. 265

A patient tells the nurse she is using complementary therapy to help with menopausal symptoms. Which statement made by the patient indicates further teaching is required? 1. "I take a ginseng supplement for headaches." 2. "I take black cohosh to help increase my estrogen." 3. "I take a soy supplement to help with hot flashes." 4. "I take yam root because it is a natural progesterone."

"I take black cohosh to help increase my estrogen." P. 280

The nurse has provided patient teaching for Kegel exercises. Which statement made by the patient indicates further teaching is required? 1. "I will perform Kegel exercises five times per day in cycles of 10." 2. "I will contract my muscles like I am trying to stop my urine flow." 3. "I will use the Kegel exercise to prevent discomfort during intercourse." 4. "I will make sure I empty my bladder every few hours while I am awake."

"I will use the Kegel exercises to prevent discomfort during intercourse." P. 281

A pregnant woman with trichomonas asks the nurse if the prescribed treatment will treat her unborn baby as well. Which response would the nurse provide? 1. "Your unborn baby is not affected." 2. "Your baby will be treated after delivery." 3. "Your prescription will also treat your unborn baby." 4. "You will receive treatment again when you are in labor."

"Your unborn baby is not affected." P. 266

The nurse is preparing to administer azithromycin ophthalmological ointment to a neonate for prophylactic treatment for which sexually transmitted infections? Select all that apply. 1. Syphillis 2. Chlamydia 3. Gonorrhea 4. Trichomonas 5. Bacterial vaginosis

2 & 3 -Chlamydia -Gonorrhea P. 266-267

Which patient symptoms are associated with premenstrual? Select all that apply. 1. Anxiety 2. Irritability 3. Depression 4. Spasmodic pain 5. Painful sexual intercourse

1, 2, 3 -Anxiety -Irritability -Depression P. 263

Which symptoms associated with the use of a diaphragm would the nurse instruct the patient to report to the health care provider? Select all that apply. 1. Fever 2. Urinary frequency 3. Burning with urination 4. Irregular menstrual cycles 5. Increased vaginal discharge

1, 2, 3 -Fever -Urinary frequency -Burning with urination. 273

Which instruction would the nurse include when teaching about the improper use of condoms? Select all that apply. 1. Avoid storing condoms in a wallet. 2. Check the expiration date on the condom. 3. Unroll the condom before applying it to the penis. 4. Do not allow the penis to lose the erection while in the vagina 5. Do not leave space between the penis and the tip of the condom.

1, 2, 4 -Avoid storing the condoms in a wallet. -Check the expiration date on the condom. -Do not allow the penis to lose the erection while in the vagina. P. 276

Which nursing intervention would the nurse use for a perimenopausal patient experiencing hot flashes to relieve the patient's discomfort? Select all that apply. 1. Advise the patient to avoid coffee 2. Instruct the patient to reduce fluid intake. 3. Advise the patient to avoid a vitamin E-rich diet. 4. Suggest that the patient wear layered cotton clothes. 5. Encourage the patient to explore relaxing activities.

1, 4, 5 -Advise the patient to avoid coffee. -Suggest that the patient wear layered cotton clothes. -Encourage the patient to explore relaxing activities. P. 280

Arrange the steps to perform breast self-examination before a mirror in the correct order. 1. Note any change on the skin or nipple. 2. Squeeze each nipple to identify any discharge. 3. Inspect the breasts with arms at the sides and over the head. 4. Note any change in the shape or appearance of the breasts.

3, 4, 1, 2 -Inspect the breasts with arms at the sides and over the head. -Note any change in the shape or appearance of the breasts. -Note any change on the skin or nipple. -Squeeze each nipple to identify any discharge. P. 260-261

The health care provider prescribes estrogen vaginal cream to a patient who reports physical discomfort related to menopause. Which instruction would the nurse give to relieve discomfort in the patient? 1. Increase intake of milk products. 2. Take caffeinated products regularly. 3. Mix the cream in petroleum gel before applying. 4. Apply the cream before going to the bed.

Apply the cream before going to the bed. P. 280

Which menstrual disorder is associated with bulimia nervosa? 1. Metrorrhagia 2. Amenorrhea 3. Menorrhagia 4. Dysmenorrhea

Amenorrhea. P. 262

Which method is used to predict ovulation based on changes in the cervical mucus during menstruation? 1. Rhythm method 2. Billings method 3. Marquette method 4. Basal body temperature method

Billings method. P. 270

Which method of preventing pregnancy can be used after unprotected sexual intercourse? 1. Emergency contraception 2. Progesterone-only pills 3. Combination oral contraceptives 4. Estrogen-estradiol pills

Emergency contraception. P. 276

Which condition is characterized by the presence of tissue that resembles the endometrium but is outside the uterus? 1. Vulvodynia 2. Dyspareunia 3. Uterine dysplasia 4. Endometriosis

Endometriosis. **Vulvodynia: Chronic vulvar pain without an identifiable cause. **Dyspareunia: Difficult or painful sexual intercourse. **Uterine dysplasia: Abnormal cell growth that occurs on the surface lining of the cervix or endocervical canal, or the opening between the uterus and the vagina. P. 263

Oral contraceptives should be taken with caution by patients with which disorder? 1. Heart disease 2. Type 2 diabetes 3. Hyperthyroidism 4. Impaired renal function

Heart disease. P. 271

A patient who uses an intrauterine device for contraception reports painful menses, pain in the lower abdomen, and vomiting. Which medication would be beneficial for the patient's symptoms? 1. Ibuprofen (Advil) 2. Fluconazole (Diflucan) 3. Nystatin (Mycostatin) 4. Clotrimazole (Gyne-Lotrimin)

Ibuprofen (Advil). P. 263

The nurse is preparing to instruct an adult female how to perform a vulvar self-examination. Which direction should the nurse include? 1. Observe for bleeding 2. Examine for discharge 3. Note any strong odor 4. Inspect the mons pubis

Inspect the mons pubis. P. 261

Which action would ginseng have if used by a woman experiencing menopausal symptoms? 1. It relieves hot flashes. 2. It stabilizes estrogen levels 3. It reduces luteinizing hormone. 4. It provides a progesterone effect.

It relieves hot flashes. P. 279

A patient with a 28-day menstrual cycle reports the first day of her last menstrual period was June 1. Based on the rhythm method, on which date would the nurse expect the patient to ovulate? Record your answer with a whole number. June ___________.

June 14. P. 270

Which statement best describes natural family planning? 1. Natural family planning is considered the safest, most effective method of birth control. 2. Natural family planning relies on recognizing the body's signs and symptoms of fertility. 3. Natural family planning allows the couple to choose any birth control method, but they must practice it consistently. 4. Natural family planning is a flexible method of birth control.

Natural family planning relies on recognizing the body's signs and symptoms of fertility. P. 269

A patient is following natural family planning based on the basal body temperature (BBT) method. During menstruation, the patient's body temperature is 36.5°C. Two weeks after menstruation, the patient's body temperature is 37.1°C. Which condition is present in the patient? 1. The patient has amenorrhea 2. Ovulation is about to occur 3. Ovulation has already occurred 4. The patient has dysmenorrhea

Ovulation has already occurred. P. 269-270

Which factor can interfere with the accuracy of spinnbarkeit of the cervical mucus? 1. Intake of alcohol. 2. Presence of jet lag 3. Use of electric blankets 4. Presence of vaginal infection

Presence of vaginal infection. P. 270

A young woman has been taking oral contraceptives for 6 months and learns she is pregnant. Which factor is most likely to have decreased the effectiveness of the oral contraceptives? 1. Change in sleep pattern 2. Recent 10 pound weight loss 3. Feelings of excessive stress 4. Recent antibiotic usage

Recent antibiotic usage. P. 272

Which bacteria has strains that could cause the rare and potentially fatal disorder known as toxic shock syndrome (TSS)? 1. Treponema pallidum 2. Candida albicans 3. Staphylococcus aureus 4. B-Hemolytic Streptococcus

Staphylococcus aureus. **This organism produces toxins that can cause shock, coagulation defects, and tissue damage if they enter the bloodstream. P. 264