Mother Baby Unit 1 HESI

Which information would the nurse include as part of the teaching plan for an anxious client about to have her first routine Pap smear?

Information on how a Pap smear screens for precancerous and cancerous cells of the cervix

A client is scheduled for a laparoscopic bilateral tubal ligation. Which information would the nurse include in preoperative teaching?

'You will be admitted as a outpatient for same-day surgery'

The nurse teaches a client about side effects that necessitate discontinuation of oral contraceptives. Which statement made by the client indicates that the teaching was effective?

'I'll stop taking the pills if I have chest pain'

A client seeking advice regarding contraception asks the nurse to explain how an intrauterine device (IUD) prevents pregnancy. How would the nurse respond?

'It produces a spermicidal intrauterine environment'

A 28 year old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate?

'Oral contraceptives can cause thrombophlebitis'

Which instruction would the nurse include when teaching about the correct use of a female condom?

'Remove the condom before standing up'

The nurse is teaching a group of young adults about the calendar method of contraception. Which statement made by an adolescent indicates effective learning?

'This type of contraception requires a regular menstrual cycle'

To ensure breast health, the nurse teaches a client about prevention and detection practices. Which client statement indicates the need for further teaching?

'I will increase my daily meat consumption'

A couple has decided to use the basal body temperature method of natural family planning. Which time period would the nurse teach them is the most fertile period in the menstrual cycle?

72 hours before to 24 hours after ovulation

Which time in the menstrual cycle would the nurse recommend the client come in for intrauterine device (IUD) insertion?

Anytime in the cycle

A 26 year old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center and asks for an appointment for a mammogram. Which guidance would the nurse provide the client?

An appointment should be given for history, assessment, and indicated imaging

On a visit to the fertility clinic a couple requests fertility medications because, despite having a 28-day menstrual cycle and temperature readings that demonstrate an ovulatory patter, the woman has been unable to conceive. Which guidance would the nurse provide to this couple?

An examination of semen will be needed

Which information is essential for the nurse to explain to the client who has scheduled a vasectomy?

At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked

A 25 year old female client reports increased vaginal discharge, milky gray in color with a 'fishy' odor. A wet smear is performed and the presence of 'clue cells' confirmed. Which type of infection would the nurse suspect?

Bacterial vaginosis

Oral contraceptives are prescribed for a client who smokes heavily. Which major immediate risk to this client?

Blood clots

Which infection is characterized by vaginal itching and thick, white, cottage cheese-like discharge along with a laboratory finding of hyphae?

Candida albicans

As part of an infertility workup involving both partners, a male client is to have a semen analysis. Which instruction would the nurse give him?

Deliver the specimen to the laboratory within 2 hours of obtaining it

The primary health care provider has diagnosed the overweight client who is experiencing infertility with the condition polycystic ovarian syndrome (PCOS). Which intervention is the most important?

Discussing weight loss, exercise, and a balanced low-fat diet

A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider?

Dizziness Chest pain Calf tenderness

Which common side effect associated with the use of a copper intrauterine device (IUD) would the nurse discuss with the client during a teaching session?

Excessive menstrual flow

Which intervention would the nurse recommend when a client reports moodiness and anxiety a few days before her period?

Exercise three to four times a week in the luteal phase

Which nutrient would the nurse instruct the client to increase while on oral contraceptives?

Folic acid

Which preventive wellness recommendation will the nurse make to a male client who tests positive for the BRCA mutation after his mother and two sisters are found to carry the gene?

Get a baseline mammogram at 40 years Get breast self-examination training at 35 years Get a clinical breast examination every 6 months starting at 35 years

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancers of the vulva, cervix, and vagina in young girls and women?

HPV vaccine

A client asks the nurse about the most common side effects associated with the use of a copper intrauterine device (IUD). Which answer would the nurse provide?

Heavier menstrual periods

The nurse is counseling a 34 year old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion?

Hypertension

Which statements would the nurse include when teaching a client who is considering medroxyprogesterone injection as a form of hormonal birth control?

It lasts for 3 months It can cause nausea and vomiting Side effects include drowsiness or insomnia and depression The most severe undesirable effects are liver dysfunction and thromboembolic disorders

Which conclusion about the client's knowledge of condom use would the nurse draw during an acquired immunodeficiency syndrome (AIDS) education class when a client states, 'Petroleum jelly works great when I use condoms'?

Lack of knowledge related to correct condom application and use

The nurse is obtaining a health history from a client with endometriosis. Which consequence can occur as a result of this disorder?

Metrorrhagia Impaired fertility Bowel strictures Voiding difficulties

Which recommendation would the nurse provide to a client who is seeking birth control and reports difficulty remembering to take daily medications?

NuvaRing Depo Provera Ortho Evra Patch Nexplanon System Levonorgestrel T device

Which contraceptive method is 99% effective if used correctly?

Oral contraceptives

A client at the women's health clinic tells the nurse that she has endometriosis. Which factors associated with endometriosis would the nurse anticipate the client will report?

Rectal pressure Abdominal pain

A female client who is undergoing infertility testing is taught how to examine her cervical mucus. After listening to the instructions, the client says, 'That sounds gross. I don't think I can do it'. Which conclusion would the nurse make from this statement?

The client may be uncomfortable with performing manual examination of the genitals

Which information would the nurse include as part of the teaching plan for the client requesting information on different methods of contraception?

The rim of a condom must be held in place while the penis is withdrawn from the vagina

Which surgery is associated with permanent contraception?

Vasectomy Tubal ligation