OB - STI(ch 5), Newborn (ch. 18)

After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?

"It's okay to use petroleum jelly with a latex condom."

A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching? "The severity of future attacks will be much less after using this drug." "This drug will help reduce my risk for a recurrence after discontinuing it." "This drug will help to suppress any symptoms of the infection." "If I use this drug, I will be cured of the infection."

"This drug will help to suppress any symptoms of the infection."

New parents are getting ready to go home and have received information to help them learn how best to care for the new infant. Which statement indicates that they need additional teaching about how to soothe their newborn if he becomes upset? "We'll swaddle him snuggly to make him feel secure." "We'll lightly rub his back as we talk to him softly." "We'll hold off on feeding him for a while because he might be too full." "We'll turn the mobile on that's hanging above his head in his crib."

"We'll hold off on feeding him for a while because he might be too full."

The nurse records a newborn's Apgar score at birth. A normal 1-minute Apgar score is: 5 to 9. 7 to 10. 12 to 15. 1 to 2.

7 to 10.

The parents of a newborn male are questioning the nurse concerning the pros and cons of a circumcision. Which disadvantage should the nurse point out to these parents? Reduced risk of penile cancer Lower rate of urinary tract infections Fewer complications than if done later in life Anesthetic may not be effective during the procedure

Anesthetic may not be effective during the procedure

A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client? Using a sunscreen when outside Avoiding alcohol consumption Taking the drug on an empty stomach Reporting signs of an oral yeast infection

Avoiding alcohol consumption

The nurse has completed an assessment on a 1-day-old newborn. Which finding should the nurse prioritize? Temperature of 97.6°F Respiratory rate 42 Heart rate 158 Blood sugar 42 mg/dL

Blood sugar 42 mg/dL

A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply. Ensure the newborn's warmth. Provide warm water to drink. Observe respiratory status frequently. Provide oxygen supplementation. Massage the newborn's back.

Ensure the newborn's warmth. Observe respiratory status frequently. Provide oxygen supplementation.

Parents are taking home their second child. They also hve a 2-year-old at home. The nurse would anticipate which behavior by these parents? No questions of the nurse Only questions specific to breast-feeding General questions about different aspects of newborn care Confidence since they have another child already

General questions about different aspects of newborn care

A nurse is conducting an acquired immunodeficiency syndrome (AIDS) awareness program for women. Which instructions should the nurse include in the teaching plan to empower women to develop control over their lives in a practical manner so that they can prevent becoming infected with the human immunodeficiency virus (HIV)? Select all that apply. Give opportunities to practice negotiation techniques. Encourage women to use female condoms. Encourage women to lead a healthy lifestyle. Support youth-development activities to reduce sexual risk-taking. Encourage women to develop refusal skills.

Give opportunities to practice negotiation techniques. Encourage women to use female condoms. Encourage women to develop refusal skills.

The nurse is explaining to new parents the various injections their newborn will receive before being discharged home. Which injection should the nurse teach the parents about that will help decrease the incidence of hepatic disease later in life? Vitamin K Hep B HiB HBV immunoglobin

Hep B

The nurse is preparing the delivery room before the birth occurs. What supplies would the nurse have available to care for the newborn? Select all that apply. Identification bands Warmer bed Suction equipment Glucose water Ophthalmoscope

Identification bands Warmer bed Suction equipment

The nurse is caring for a newborn after the parents have spent time bonding. As the nurse performs the assessment and evidence-based care, which eye care will the nurse prioritize? Watch for signs of eye irritation. Instill 0.5% ophthalmic tetracycline. Instill 0.5% ophthalmic silver nitrate. Instill 0.5% ophthalmic erythromycin.

Instill 0.5% ophthalmic erythromycin.

What should a nurse consider when assessing older clients with a sexually transmitted infection (STI)? Older adults can still be sexually active. Older clients who are sexually active have less risk for STIs than other age groups. Older clients, because of their maturity, are rarely embarrassed to talk about STIs. Older clients know the ways to prevent STIs.

Older adults can still be sexually active.

Which statement is false regarding bathing the newborn? To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2 to 4 hours of birth. Mild soap should be used on the body and hair but not on the face. Bathing should not be done until the newborn is thermally stable. While bathing the newborn, the nurse should wear gloves.

To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2 to 4 hours of birth.

A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? one or more flat, wartlike papules in the genital area that are sensitive to touch a painless genital ulcer that appeared about 3 weeks after unprotected sex copper-colored macules on the palms and soles that appeared after a brief fever patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas

a painless genital ulcer that appeared about 3 weeks after unprotected sex

A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs as needing to be reported? Select all that apply. approximately eight wet diapers a day general fussiness abdominal distention temperature of 38.3° C (101° F) or higher refuse feeding

abdominal distention temperature of 38.3° C (101° F) or higher refuse feeding

A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? an azole antifungal agent a quinolone antibiotic a penicillin antibiotic an antiviral agent

an azole antifungal agent

The nurse is admitting a 10-pound (4.5-kg) newborn to the nursery. What is important for the nurse to monitor during the transition period? heart rate temperature blood sugar Apgar score

blood sugar

The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include? chlamydia genital herpes gonorrhea syphilis

chlamydia

In which clients is it most important to understand the importance of an annual Papanicolaou test? clients infected with the human papillomavirus (HPV) clients with a history of recurrent candidiasis clients with a pregnancy before age 20 clients with a long history of hormonal contraceptive use

clients infected with the human papillomavirus (HPV)

Clients who have had PID are prone to which complication? ectopic pregnancy multiple gestation ovarian cancer inguinal lymphadenopathy

ectopic pregnancy

When developing a program for STI prevention, which action would need to be done first? interfering with the mode of transmission educating on how to promote sexual health increasing the availability of resources getting individuals to change their behaviors

educating on how to promote sexual health

While assessing a newborn, the nurse notes that half the body appears red while the other half appears pale. The nurse interprets this finding as: harlequin sign. Mongolian spots. stork bites. erythema toxic.

harlequin sign.

The AGPAR score is based on which 5 parameters? heart rate, breaths per minute, irritability, reflexes, and color heart rate, respiratory effort, temperature, tone, and color heart rate, breaths per minute, irritability, tone, and color heart rate, muscle tone, reflex irritability, respiratory effort, and color

heart rate, muscle tone, reflex irritability, respiratory effort, and color

A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata? herpes virus Haemophilus ducreyi bacillus Treponema pallidum human papillomavirus

human papillomavirus

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis? trauma to the bladder spontaneous abortion being postmenopausal irritation of vaginal walls

irritation of vaginal walls

The nurse measures a newborn's temperature immediately after birth and finds it to be 99°F (37.2°C). An hour later, it has dropped several degrees. The nurse understands that this heat loss can be explained in part by which factor in the newborn? continual kicking constriction of blood vessels continual crying lack of subcutaneous fat

lack of subcutaneous fat

Which medications are appropriate to treat vaginal candidiasis? Select all that apply. miconazole gentamicin azithromycin penicillin G benzathine fluconazole

miconazole fluconazole

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer:

penicillin G.

The Ballard scoring system evaluates newborns on which two factors? physical maturity and neuromuscular maturity skin maturity and reflex maturity tone maturity and extremities maturity body maturity and cranial nerve maturity

physical maturity and neuromuscular maturity

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? candidasis gonorrhea Gardnerella vaginalis vaginitis trichomoniasis

trichomoniasis

After completing a class for new parents, the nurse notes the session is successful when the class recognizes the newborn should be bathed how often? once a week two or three times per week every other day once a day

two or three times per week

A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply. "Transmission is through contact of infected mucous membranes." "The virus remains quiet until a stressful event occurs to reactivate it." "Many recognize they have the infection and seek treatment immediately." "Your baby is protected from this infection by the placenta." "Infections may be transmitted by individuals unaware that they have it."

"Transmission is through contact of infected mucous membranes." "The virus remains quiet until a stressful event occurs to reactivate it." "Infections may be transmitted by individuals unaware that they have it."

The mother of a formula-fed newborn asks how she will know if her newborn is receiving enough formula during feedings. Which response by the nurse is correct? "Your newborn should finish a bottle in less than 15 minutes." "If your newborn is wetting three to four diapers and producing several stools a day, enough formula is likely being consumed." "A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight." "Your newborn should be taking about 2 oz of formula for every pound of body weight during each feeding."

"A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct? "STIs can't be transmitted through oral sexual intercourse." "Gonorrhea and syphilis are an infection seen only in men." "At least antibiotics will cure a sexually transmitted infection." "Human papillomavirus is the cause of essentially all cases of cervical cancer."

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

The primipara tells the nurse, "My baby jumps every time I pick her up. Is she afraid that I will drop her?" Which response by the nurse would be best? "Yes, she is afraid you will drop her." "No, it is the tonic neck reflex. It signifies handedness." "No, it is the Moro reflex. This reflex simulates the action of warding off an attacker." "No, it is the blink reflex. It is meant to protect the eyes."

"No, it is the Moro reflex. This reflex simulates the action of warding off an attacker."

A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority? Adults aged 21 to 30 years are at greater risk of contracting an STI. Adolescents and young adults are the largest age group diagnosed with an STI. College students are more likely to engage in risky sexual behaviors leading to an STI. More single mothers are diagnosed with an STI causing sterility.

Adolescents and young adults are the largest age group diagnosed with an STI.

A breastfeeding mother wants to know how to help her 2-week-old newborn gain the weight lost after birth. Which action should the nurse suggest as the best method to accomplish this goal? Add cereal to the newborn's feedings twice a day. Weigh the infant daily to ensure that she is gaining 1.5 to 2 ounces (42.5 to 57 grams) per day. Breastfeed the infant every 2 to 4 hours on demand. Recommend that the mother pump her breast milk and measure it before feeding.

Breastfeed the infant every 2 to 4 hours on demand.

The nurse is teaching a couple about the pros and cons of circumcision for their infant son. The nurse knows teaching has been effective when the couple can identify which contraindications to circumcision? Select all that apply. Congenital genitourinary disorder Preterm infant Bleeding disorder Active infection Difficult intravenous access

Congenital genitourinary disorder Preterm infant Bleeding disorder Active infection

The nurse is preparing discharge instructions for the parents of a male newborn who is to be circumcised before discharge. Which instruction should the nurse prioritize? Cleanse the glans daily with alcohol. Cover the glans generously with petroleum jelly. Soak the penis daily in warm water. Notify the primary care provider if it appears red and sore.

Cover the glans generously with petroleum jelly.

The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and hard palate. The nurse documents this finding as: vernix caseosa. milia. Epstein's pearls. thrush.

Epstein's pearls.

The newborn has been placed in skin-to-skin contact with his mother. A blanket covers all of his body except his head. His hair is still wet with amniotic fluid, etc. What is the most likely type of heat loss this baby may experience? Convective Evaporative Conductive Radiating

Evaporative

A new mother calls her pediatrician's office concerned about her 2-week-old infant "crying all the time." When the nurse explores further, the mother reports that the infant cries at least 2 hours each day, usually in the afternoons. What recommendations would the nurse not make to this mother? Swaddling the infant before returning to the crib Feeding the infant more formula whenever she begins to fuss Rocking and talking to the infant Gently patting or stroking the infant's back

Feeding the infant more formula whenever she begins to fuss

Which instruction should be given to a woman newly diagnosed with genital herpes? Limit stress and emotional upset as much as possible. Use a water-soluble lubricant for relief of pruritus. Obtain a Papanicolaou test every 3 years. Have your partner use a condom when lesions are present.

Limit stress and emotional upset as much as possible.

On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document this as: acrocyanosis. poor oxygenation. cold stress. potential for respiratory distress.

acrocyanosis.

A nurse is conducting an assessment of a client who is suspected of having pelvic inflammatory disease. Which finding would the nurse identify as mandatory for the diagnosis to be made? Select all that apply. adnexal tenderness oral temperature above 101 degrees F (38.3 degrees C) mucopurulent vaginal discharge cervical motion tenderness lower abdominal tenderness

adnexal tenderness cervical motion tenderness lower abdominal tenderness

As a part of the newborn assessment, the nurse examines the infant's skin. Which nursing observation would warrant further investigation? fine red rash noted over the chest and back small pink or red patches on the baby's eyelids and back of the neck blue or purplish splotches on buttocks bright red, raised bumpy area noted above the right eye

bright red, raised bumpy area noted above the right eye

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 with fibrocystic breast disease clients who have genital warts

clients who have genital warts

While examining a newborn, a nurse observes salmon patches on the nape of the neck and on the eyelids. Which is the most likely cause of these skin abnormalities? concentration of immature blood vessels bruising from the birth process an immature autoregulation of blood flow an allergic reaction to the soap used for the first bath

concentration of immature blood vessels

On an Apgar evaluation, how is reflex irritability tested? tightly flexing the infant's trunk and then releasing it dorsiflexing a foot against pressure resistance flicking the soles of the feet and observing the response raising the infant's head and letting it fall back

flicking the soles of the feet and observing the response

A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis? liver disease central nervous system disorder gonorrhea anemic disorder

gonorrhea

The nurse is documenting assessment of infant reflexes. She strokes the side of the infant's face, and the baby turns toward the stroke. What reflex has the nurse elicited? sucking tonic neck rooting Moro

rooting

A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition? trichomoniasis bacterial vaginosis vulvovaginal candidiasis chlamydia

vulvovaginal candidiasis

A nurse is providing care to a client with pediculosis pubis. Which information would the nurse include when teaching the client about this condition? "Remove the nits with a fine-toothed comb." "Your partner doesn't need treatment at this time." "Take the antibiotic until you feel better." "Wash your bed linens in bleach and cold water."

"Remove the nits with a fine-toothed comb."

A client has been recently diagnosed with genital herpes and asks, "Why am I having so many recurring outbreaks of the infection?" What is the nurse's best response? "This is the expected course of the infection." "Stress-reducing strategies may help prevent the outbreaks." "Your body is responding to the bacterial infection." "The antibiotic medication requires adjusting."

"Stress-reducing strategies may help prevent the outbreaks."

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." "The health care provider will prescribe antibiotics to cure this infection." "This can be cured with medications such as the recombinant human papillomavirus quadrivalent vaccine." "The lumps on your cervix can be cured by cryosurgery."

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

The nurse is teaching a prenatal class illustrating the steps that are used to keep families safe. The nurse determines the session is successful when the parents correctly choose which precaution to follow after the birth of their infant? Provide a list of approved visitors who came spend time with the infant. Check the identification badge of any health care worker before releasing baby from room. Check the name on the baby's identification bracelet. Send a family member to accompany the infant when leaving the room.

Check the identification badge of any health care worker before releasing baby from room.

A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include? Arrange for follow-up visits to her health care provider. Discuss the necessity of completing the antibiotic therapy. Refer the client to the women's sexual health clinic. Provide the client with brochures on sexually transmitted disease prevention.

Discuss the necessity of completing the antibiotic therapy.

What are small unopened or plugged sebaceous glands that occur in a newborn's mouth and gums? Epstein's pearls milia stork bites Mongolian spots

Epstein's pearls

A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) discovers that there is a very high incidence of hepatitis B in the community. Which measure should the nurse take to ensure the prevention of the disease? Educate teenagers to delay onset of sexual activity. Instruct people to get vaccinated for hepatitis B. Educate about risks of injecting drugs. Ensure that the drinking water is disease free.

Instruct people to get vaccinated for hepatitis B.

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response? It is recommended to formula-feed your newborn as it is transmitted through your breast milk." "It is not transmitted to your newborn as it is protected in the uterus." "It is only transmitted through the birth canal so a cesarean birth will be scheduled." "The risk of your newborn being infected with HIV infection is about 1%."

It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

The newborn should have the neurologic status evaluated to determine its maturity and to identify any potential problems. The nurse tests the newborn's Babinski reflex. Which response would the nurse interpret as normal for the newborn? Infant's toes curl over the nurse's finger. Toes fan out when sole of foot is stroked. Infant makes stepping motion. Infant throws arms outward and flexes knees.

Toes fan out when sole of foot is stroked.

When examining a newborn's eyes, the nurse would expect which assessment? produces tears when he cries follows your finger a full 180 degrees follows a light to the midline has a white rather than a red reflex

follows a light to the midline

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? gonorrhea syphilis chlamydia genital herpes

genital herpes

A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider most likely prescribe? penicillin G clotrimazole acyclovir metronidazole

metronidazole

A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection? viral culture of vesicular fluid treponemal testing IgG/IgM antibody testing Papinicolaou smear

viral culture of vesicular fluid

The nurse is preparing to administer the vitamin K injection to a newborn. Which action would be correct for this client? Injecting 1cc of medication Using a 21-gauge needle Injecting the medication into the vastus lateralis Injecting at a 45-degree angle

Injecting the medication into the vastus lateralis

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? "A vaccine has been approved to prevent the human papillomavirus." "There is a vaccine to prevent herpes simplex virus." "At present there are no vaccines available to prevent STIs." "Researchers have developed a vaccine to prevent human immunodeficiency virus."

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