NUR 410 maternity

As a class project a group of student nurses are developing a care plan for clients being screened for cervical cancer. When teaching clients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?

human papillomavirus (HPV)

What is the most common viral infection?

human papillomavirus (HPV)

The nurse is teaching a client ways to improve the diet. The nurse teaches the client that it us important to limit simple carbohydrates in the diet because these types of foods produce:

increased blood glucose.

A client who is in her sixth week of gestation is being seen for a routine prenatal care visit. The client asks the nurse about changes in her eating habits that she should make during her pregnancy. The client informs the nurse that she is a vegetarian. The nurse knows that she has to monitor the client for which risks arising from her vegetarian diet? Select all that apply.

iron-deficiency anemia decreased mineral absorption low gestational weight gain

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 vegetable-fruit diet adequate fluid intake

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

A client has an abnormal Papanicolau test result that is classified as ASC-US. Based on the nurse's understanding of this classification, the nurse would expect which procedure?

repeat Papanicolau test in 4 to 6 months

A nurse is assisting with the collection of a Papanicolau test. When collecting the specimen, which action is done first?

spreading of the labia

A nurse is conducting an in-service program for a group of nurses about cervical cancer. The nurse determines that the teaching was successful when the group identifies which area as most commonly involved?

squamous-columnar junction

The nurse educates the vegetarian client about which nutritional need during pregnancy?

taking a B12 supplement

A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?

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

A woman is to have a Papanicolau test. When teaching the woman about this test, the nurse would emphasize which instruction to the client?

"Do not douche for 48 hours before the test."

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?

"There is currently no medical treatment to cure HPV.

A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolau test?

21

Vitamin B12 deficiency is most likely to be found in which patient?

A vegan

A female client is found to carry the breast cancer susceptibility genes 1 and 2 (BRCA 1 and 2). The nurse would teach this client that routine screenings would include which tests? Select all that apply.

Annual breast MRI starting at age 25 Clinical breast exam every year

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

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 Provide education to all women Tell women about early symptoms

Why is a Papanicolaou test done at the first prenatal visit?

It identifies abnormal cervical cells.

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

The nurse tells the client that cervical cancer's incidence and mortality rates have greatly decreased in the past several decades. This can be attributed to which factor?

Papanicolau tests

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

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?

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

Which of the following would you advise a woman about breast self-examination during pregnancy?

She should choose a date each month to do this.

As part of a cancer-screening program, a nurse is teaching women how to conduct monthly breast self-exams. Which area does the nurse advise them is most often missed in this exam?

The armpit

A young woman has been referred for a colposcopy by the health care provider. The nurse is educating the woman on the procedure. Which information about the colposcopy should the nurse provide?

The results of the Papanicolau test were abnormal; therefore, this procedure must be done.

A woman who professes to be a strict vegetarian voices concerns about her ability to meet the nutritional needs of her fetus. Which concerns should be addressed in this session?

The supplementation of Vitamin B12 should be addressed.

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?

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

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 21 or within 3 years of first sexual intercourse

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 who have genital warts