SEXUALITY

The nurse is caring for a client in her third trimester who is scheduled for an amniocentesis. What should the nurse do to prepare the client for this test? 1 Instruct her to void immediately before the test. 2 Tell her to assume the high Fowler position before the test. 3 Encourage her to drink three glasses of water before the test. 4 Advise her to take nothing by mouth for several hours before the test.

1 Instruct her to void immediately before the test.

What statement by a male client during a yearly physical examination indicates to a nurse that the client may have a sexual arousal disorder? 1 "I have no interest in sex." 2 "I don't get hard during sex anymore." 3 "I climax almost before we even get started." 4 "It takes forever before I finally have an orgasm."

2 "I don't get hard during sex anymore."

During which period of pregnancy do teratogens act in an "all-or-nothing" fashion? 1 Fetal period 2 Presomite period 3 Embryonic period 4 32nd week of the gestational period

Correct2 Presomite period

The nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the first time. She states that she is 5 months pregnant. Which positive sign of pregnancy should the nurse evaluate in this client? 1 Quickening 2 Enlarged abdomen 3 Cervical color change 4 Audible fetal heartbeat

Correct4 Audible fetal heartbeat

A nurse is speaking with a client who was sexually abused as a child. The client does not know what constitutes inappropriate touch by another person. What issue will have to be addressed with this client? 1 Increased libido 2 Phobic behavior 3 Boundary violations 4 Excessive aggression

Boundary violations

A young pregnant adolescent is diagnosed as having bacterial vaginosis. What further complications related to bacterial vaginosis may occur during pregnancy? Select all that apply. 1 Neonatal sepsis 2 Cervical dysplasia 3 Preterm labor and birth 4 Intraamniotic infection 5 Postpartum endometritis

Correct3 Preterm labor and birth Correct4 Intraamniotic infection Correct5 Postpartum endometritis

A nursing team holds a conference to develop goals for the care of a withdrawn, shy male client with low self-esteem who is afraid to talk to members of the opposite sex. Which objective should be given priority and documented in the client's plan of care? 1 "The client will increase his self-esteem." 2 "The client will understand his sexual disorder." 3 "The client will examine his feelings toward women." 4 "The client will increase his knowledge of sexual function."

Correct1 "The client will increase his self-esteem."

Which drug can be prescribed for the elective termination of a pregnancy? 1 Mifeprex 2 Raloxifene 3 Methylergonovine 4 Clomiphene

Mifeprex

A pregnant woman asks the nurse when she may expect her baby to be born. She tells the nurse that her last menstrual period began on April 14. According to Nägele's rule, what is the client's expected date of birth (EDB)? 1 February 1 2 January 7 3 January 21 4 February 7

January 21

Naegele's rule

The rule estimates the expected date of delivery (EDD) by adding one year, subtracting three months, and adding seven days to the first day of a woman's last menstrual period (LMP).

Which structure indicated in the figure is the primary reproductive organ of the female?

ovary

Which structures are included in the external genitalia in males? Select all that apply. 1 Penis 2 Testes 3 Scrotum 4 Urethra 5 Seminal vesicles

penis, scrotum

feeling of fetal movement

quickening

What is the most commonly reported sexually transmitted infection (STI)? 1 Syphilis 2 Chlamydia 3 Gonorrhea 4 Herpes simplex

Chlamydia

A nurse is planning to provide discharge teaching to the family of a client with acquired immunodeficiency syndrome (AIDS). Which statement should the nurse include in the teaching plan? 1 "Wash used dishes in hot, soapy water." 2 "Let dishes soak in hot water for 24 hours before washing." 3 "You should boil the client's dishes for 30 minutes after use." 4 "Have the client eat from paper plates so they can be discarded."

Correct1 "Wash used dishes in hot, soapy water."

Which hormone is crucial for ovulation and complete maturation of a client's ovarian follicles? 1 Luteinizing hormone 2 Follicle stimulating hormone 3 Gonadotropin releasing hormone 4 Human chorionic gonadotropin hormone

Correct1 Luteinizing hormone

Which sexually transmitted infection (STI) is caused by Treponema pallidum? 1 Syphilis 2 Gonorrhea 3 Genital warts 4 Vulvovaginitis

Correct1 Syphilis

At what age, the pubertal growth spurt reaches its peak in males? 1 12 years 2 14 years 3 16 years 4 18 years

Correct2 14 years

Before a client with syphilis can be treated, what should be determined? 1 Portal of entry 2 Size of chancre 3 Existence of allergies 4 Names of sexual contacts

Correct3 Existence of allergies

Which statement is true for attachment in the newborn? 1 Attachment occurs for the first 28 days. 2 Attachment begins in the first week of birth. 3 Attachment is the overlapping of soft skull bones. 4 Attachment is the interaction between parent and child.

Correct4 Attachment is the interaction between parent and child.

The nurse is caring for an assignment of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage? 1 Breastfeeding in the birthing room 2 Receiving a pudendal block for the birth 3 Having a third stage of labor that lasts 10 minutes 4 Giving birth to a baby weighing 9 lb 8 oz (4309 g)

Correct4 Giving birth to a baby weighing 9 lb 8 oz (4309 g)

While a client is being given intravenous magnesium sulfate therapy for preeclampsia, it is essential for the nurse to monitor the client's deep tendon reflexes. What reason does the nurse give to the client to explain why this is done? 1 Reveals her level of consciousness 2 Reveals the mobility of the extremities 3 Reveals the response to painful stimuli 4 Identifies the potential for respiratory depression

Correct4 Identifies the potential for respiratory depression

A nurse in the clinic is obtaining a health history of a 16-year-old boy with a complaint of a thick urethral discharge. What is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea? 1 Assessing the temperature for fever 2 Collecting a urine sample for a urinalysis 3 Drawing blood for a complete blood count 4 Obtaining a urethral specimen for a culture

Correct4 Obtaining a urethral specimen for a culture

On a routine prenatal visit, what is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? 1 Quickening 2 Palpitations 3 Pedal edema 4 Vaginal spotting

Quickening

A drug is administered to a client in her third trimester of pregnancy. Which statement regarding the drug administration is correct? 1 All drugs should not be given to the pregnant client. 2 The dose of a drug should not be altered for a pregnant client. 3 The dose of a drug should be increased for pregnant clients. 4 The dose of a drug should be decreased for pregnant clients.

The dose of a drug should be increased for pregnant clients.

A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation? 1 Inhibin 2 Estrogen 3 Prolactin 4 Progesterone

prolactin