Theories and Concepts test 3

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A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a silent killer? A) ovarian cancer B) cervical cancer C) endometrial cancer D) vaginal cancer

A 67-year-old caucasion female comes into the clinic and reports to the nurse that she has started her periods again after 15 years of menopause. After discussing the situation with her, the nurse recognizes that her symptoms are suspicious for: A) vaginal cancer B) endometrial cancer C) cervical cancer D) ovarian cancer

A 36-year-old client has decided to use medical management to treat her leiomyomas. After teaching her about the different drugs that may be used, the nurse determines that additional teaching is needed when the client identifies which drug as being used? A) tolterodine B) goserelin C) leuprolide D) nafarelin

A PCP prescribes intravenous tocolytic therapy for a woman in preterm labor. Which agent would the nurse expect to administer? A) magnesium sulfate B) nifedipine C) betamethasone D) indomethacin

A nurse is reading a journal article about PMS and the millions of women affected by it during their reproductive years. The nurse would expect to find approximately what percentage of women meeting the ACOG criteria for PMS? A) 75% B) 65% C) 55% D) 45%

A client with breast cancer is to receive immunotherapy. The nurse would expect the client to receive which drug? A) anastrozole B) trastuzumab C) raloxifene D) tamoxifen

A nurse is teaching a group of adolescent girls about the menstrual cycle. The nurse would integrate information about which hormones as being predominant during the cycle? Select all that apply. A) testosterone B) FSH C) LH D) prolactin E) GnRH

B C E

A nurse is assessing a client and suspects that the client may be experiencing PMDD. Applying the APA criteria, the nurse would most likely assess which symptoms? Select all that apply. A) focused thinking B) affective lability C) dysuria D) sleep difficulties E) diarrhea

B D E

A client who is receiving external beam radiation therapy as part of her treatment for breast cancer comes to the clinic for a follow up visit. The nurse determines that the client is experiencing side effects of the treatment based on which finding? Select all that apply. A) skin pallor at the site B) anorexia C) fever D) infection E) breast swelling

B E

A client is receiving chemo as part of her treatment plan for breast cancer. The nurse assesses the client and determines that the client may be experiencing myelosuppression based on which finding? A) nausea B) fatigue C) diarrhea D) fever

After a reproductive class at the local school, the public health nurse realizes more training is needed when the class identifies the layers of the uterus to include: A) endometrium B) perimetrium C) myometrium D) epimetrium

During a routine physical exam, the client is noted to have a Bartholin's cyst abcess. The nurse recognizes the need to obtain testing to rule out: A) fungal infection B) cancer C) UTI D) STI

In which woman would the nurse most likely expect to find fibrocystic breast changes? A) 15-yo B) 55-yo C) 25-yo D) 35-yo

What is the most common early symptom of a STI? A) menstrual cramping B) amenorrhea C) dysuria D) vaginal discharge

A nurse is evaluating the client to determine the possible cause of her secondary dysmenorrhea. When talking with the client, the client asks: "What would cause this condition?" When responding to the client, the nurse would integrate information about which condition as the most common etiology for secondary dysmenorrhea? A) perimenopause B) hormonal imbalance C) multigravidity D) endometriosis

A woman with cardiac disease has come to the office for prenatal counseling. According to the functional classification system developed by the Criteria Committee of the New York Heart Association, the woman would be cautioned against pregnancy based on which category? A) class I B) class II C) class III D) class IV

The nurse is providing care to a neonate whose mother abuses heroin. Which finding would the nurse expect to assess? A) hypotonicity B) easy consolability C) vigorous sucking D) sneezing

When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source? A) saturated fats B) protein C) unsaturated fats D) complex carbohydrates

A client is presenting with possible signs of menopause. The nurse recognizes that menopausal symptoms are related to: A) vasomotor activities B) psychiatric activities C) autonomic activities D) hypersecretion of hormones

A client with breast cancer is receiving chemotherapy. To counteract the myelosuppressive effects of chemotherapy, the nurse recognizes the client may also be prescribed which drug? A) filgrastim B) anastrozole C) letozole D) trastuzumab

After conducting a refresher class on possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common? A) CMV B) HPV C) RSV D) HIV

After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle? A) follicular phase B) ischemic phase C) secretory phase D) proliferative phase

At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment? A) I have to stop breast-feeding because of mastitis B) Breast-feeding every 4 hours appears to help C) I have been using a breast pump after feeding my baby D) I can use warm compresses to ease the discomfort

A woman's breast examination reveals a small mass. Which characteristics would lead the nurse to suspect that the mass is malignant? Select all that apply. A) painless B) hard on palpation C) rubbery feel D) mobile E) skin dimpling F) clearly delineated

A B E

A client has been admitted with abruptio placentae. She has lost 1,200 mL of blood, is normotensive, and ultrasound indicates approximately 30% separation. The nurse documents this as which classification of abruptio placentae? A) grade 1 B) grade 2 C) grade 3 D) grade 4

A nurse is reviewing an article on genotypes. The nurse demonstrates understanding of the information by identifying which designation as homozygous dominant? A) Bb B) BB C) XY D) XX

Which medications are appropriate to treat chlamydia trachomatis? Select all that apply. A) valacyclovir B) doxycycline C) ofloxacin D) acyclovir E) azithromycin

B C E

A nurse is reviewing the history and physical examination of a client diagnosed with secondary dysmenorrhea for possible associated causes. Which etiology would the nurse need to keep in mind as being the most common? A) hormonal imbalance B) multigravida status C) endometriosis D) perimenopause

The PCP has just informed the client that her breast biopsy is positive for carcinoma. One of the nurse's first responsibilities is to assist with: A) treatment B) telling the client her options C) education D) pschiatric issues

A nurse educator is describing prenatal care for clients at 15 weeks' gestation. What information would the nurse not include? A) fetal weight will have tripled B) quickening is detected C) the fetal head is dominant D) the fetus makes active movements

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understand that misoprostol works by: A) causing uterine contractions to expel the uterine contents B) blocking the action of progesterone on the endometrium C) dilating the cervix D) acting as a toxin to the trophoblastic tissue

It is important that couples who wish to practice natural forms of birth control understand that the mucus-secreting glands of the cervix can store live sperm for up to: A) 48 h B) 36 h C) 12 h D) 24 h

A pregnant woman is determined to be at high risk for gestational diabetes. At which time would the nurse expect the client to undergo rescreening? A) 28-32 weeks B) 24-28 weeks C) 20-24 weeks D) 16-20 weeks

A client has presented to the clinic reporting various symptoms indicating she may have fibroids in her uterus. Which client symptoms would the nurse expect? Select all that apply. A) diarrhea B) menorrhagia C) low back pain D) dyspareunia E) bloating

B C D E

A PCP prescribes oral tocolytic therapy for a woman with preterm labor. The nurse explains to the client about the drugs that may be used. The nurse determines that the client needs additional teaching when she states which drug might be used? A) indomethacin B) betamethasome C) magnesium sulfate D) nifedipine

A pregnant woman is being evaluated for HELLP. The nurse reviews the client's diagnostic test results. Which result would the nurse interpret as helping to confirm this diagnosis? A) elevated Hct B) elevated WBC C) elevated LDH D) elevated platelets

A pregnant woman with diabetes is having the hemoglobin A1C level drawn. Which result would require the nurse to revise the client's plan of care? A) 8.5% B) 7% C) 6.0% D) 5.5%

When reviewing the history of a woman diagnosed with endometrial cancer, the nurse would identify which factor as increasing the woman's risk? A) use of tamoxifen B) vaginal deliver of 4 children C) menarche at age 14 D) menopause at age 47

When teaching the client how to use a contraceptive sponge, the nurse must tell the client that leaving the sponge in place longer than 30 hours may lead to: A) STI B) TSS C) Cervical inflammation D) PID

When describing the external female reproductive organs, the nurse would include which areas? Select all that apply. A) vagina B) labia majora C) perineum D) fallopian tubes E) vestibule F) clitoris

B C E F

A nurse is conducting a presentation for a group of pregnant women about conditions that can occur during pregnancy and that place the women at high-risk. When discussing blood incompatibilities, which measure would the nurse explain as most effective in preventing isoimmunization during pregnancy? A) cerclage B) blood typing of mothers with type A or B blood C) RhoGAM administration to Rh- women D) amniocentesis

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission? A) giving vaginal birth B) sexual contact C) sharing contaminated needles D) kissing

The nurse is teaching a pregnant woman with iron deficiency anemia about her prescribed iron supplement. The nurse determines that the teaching was successful when the client states that she will take the supplement with: A) tea B) coffee C) citrus juice D) fiber-rich foods

A nurse is administering oxytocin to a woman in labor. The nurse monitors the infusion closely and notifies the health care provider if which condition occurs? A) uterine hypotonicity B) hypertension C) fetal distress D) water intoxication

A woman seen in the ER is diagnosed with primary syphilis. What finding is most likely? A) vesicles on the labia B) foul-smelling discharge C) vaginal bleeding D) chancres at the vaginal site

A client who has had a mastectomy is about to undergo breast reconstruction with augmentation. After teaching the client about the procedure, the nurse determines that the teaching was successful based on which client statement? A) I'll use the same technique for breast self-exam as before B) Once implanted, the implants are good for the rest of my life C) The implants will be placed directly under my skin D) My implants will feel softer than normal breast tissue

A client who is 30 weeks' gestation has recently been diagnosed with polyhydramnios. What would be a priority nursing action? A) blood sugar monitoring B) assessment for vaginal bleeding C) weight assessment D) blood pressures qh

A nurse is conducting an in-service program for a group of oncology nurses. The nurse explains that which nursing intervention is most important when assisting clients who are diagnosed with any form of carcinoma? A) offering emotional support B) being an advocate C) being the case manager D) offering extensive information

A nurse is counseling a couple who report that they are both carriers for a condition. The medical history reveals neither of them have symptoms of the condition. In the event this couple conceives a child, what is the likelihood they will have a child who will have the disorder? A) 25% B) 50% C) 75% D) 100%

After conducting a class for college students about cervical cancer prevention, the nurse determines that the class understands that steps can be taken to prevent cervical cancer based on which statement? A) more than 90% of squamous cervical cancers contain HPV DNA B) proper use of OCs will help decrease the chance of developing cancer C) using a condom in as good way to decrease the chance of developing cancer D) STIs will not cause cancer

A nurse is reviewing the medical record of a client. Which information would the nurse identify as indicating emotional abuse? Select all that apply. A) calling the victim names B) threatening to hit the victim C) forcing the victim to perform a degrading act D) throwing things at a victim E) controlling how the family's money is spent F) not allowing the victim to seek care for an injury

A B C

A nurse is teaching a couple who has chosen condoms as their means of contraception. The nurse determines that the teaching was successful when the couple makes which statements? Select all that apply. A) We will use a new condom each time we have sex B) The penis needs to be erect before putting on the condom C) We'll keep the condom in it's wrapper until we're ready to use it D) We should remove the condom after intercourse once the penis is no longer erect E) The condom should fit tightly from the tip to the end

A B C

When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply. A) being a 52-year-old female B) high-fat dietary intake C) menarche at age 11 D) BRCA-1 gene E) failing to breast-feed infants

A C D

A client at 33 weeks' gestation is calling the office with various reports and is very concerned. The nurse recognizes which reports as indicating the client is potentially going into preterm labor? Select all that apply. A) low, dull backache B) irregular contractions C) achiness in the thighs D) GI upset (N/V/D) E) general sense of discomfort

A C D E

The nurse is providing care to a client with abnormal uterine bleeding. Treatment with medications has been unsuccessful, and surgical intervention is being considered. The nurse identifies which technique as being the last resort? A) uterine artery embolization B) hysterectomy C) dilation and curretage D) endometrial ablation

The nurse is providing care to a neonate. Review of the maternal history reveals that the mother is suspected of abusing heroin. The nurse would be alert for which finding when assessing the neonate? A) easy consolability B) hypertonicity C) vigorous sucking D) low, feeble cry

While interviewing a client, the client tells the nurse, "Our budget is tight. My husband controls how all the money is spent. And he won't let me get a job either." The nurse suspects that the client may be experiencing which type of abuse? A) sexual B) financial C) physical D) emotional

A pregnant woman with sickle cell anemia comes to the emergency department in crisis. Which finding would the nurse expect? Select all that apply. A) pallor B) fever C) joint pain D) increased skin turgor E) fatigue

B C

A 19-year-old nulliparous is in early labor with erratic contractions. An assessment notes that she is remaining at 3 cm. There is also a concern that the uterus is not fully relaxing between contractions. The nurse suspects which complication? A) ruptured uterus B) precipitate labor C) reduced oxygen to the fetus D) cephalopelvic disproportion

A mother is expressing frustration of not being able to breastfeed her infant. A potential cause would be the lack of the hormone: A) estrogen B) oxytocin C) prolactin D) Leuteinizing hormone

A women with a recent incomplete abortion is to receive therapeutic misoprostol. The nurse understands that the rationale for administering this drug is to: A) suppress the immune response to prevent isoimmunization B) alleviate strong uterine cramping C) ensure passage of all the products of conception D) halt the progression of the abortion

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Applying the guidelines from the American Cancer Society, the nurse would emphasize which recommendation? A) clinical breast examinations q2y for women over 30 B) breast self-examination at least yearly for women over 20 C) yearly mammograms for women over 40 D) mammograms every 3 years for women between the ages of 20 and 39

The community health nurse is teaching STIs to a high school health class. The nurse determines that the teaching was successful when the group identifies what as a potential cause for intellectual disability in the newborn? A) chlamydia B) trichomoniasis C) herpes type II D) HPV

The health care provider has determined that the source of dystocia for a woman is related to the fetus size. The nurse understands that macrosomia would indicate the fetus would weight: A) 4500 g or more B) 3500 g or more C) 4000 g or more D) 3000 g or more

The nurse considers the contraceptive class at the college dormitory to be effective when the students understand that the effectiveness of oral contraceptives (OCs) can be decreased if they take: A) vitamin supplements B) cold remedies C) antibiotics D) antihistamines

The nurse discusses measures to prevent infection of the reproductive tract with a client. The nurse determines that the client has understood the information when the client identifies which component as helping to protect against vaginal infection? A) rugae B) menstrual flow C) acidic environment D) ovulation

The nurse recognizes that documenting accurate blood pressures is vital in the diagnosing of preeclampsia and eclampsia. The nurse suspects preeclampsia based on which finding? A) BP of 140/90 mmHg on three occasions after 20 weeks' gestation B) BP of 140/90 mmHg on three ocasions 3 hours apart C) BP of 140/90 mmHg on two occasions 6 hours apart D) BP of 140/90 mmHg on two occasions after 28 weeks gestation

The nurse, while teaching a group of pregnant women about the production of breast milk, describes colostrum and compares it with mature breast milk. Which information about colostrum would the nurse include in the description? A) Limited protein content B) Its high sugar content C) High maternal antibody content D) Its low mineral content

When assessing a women with dysmenorrhea, the nurse would expect the client to report which symptom? A) abnormally long, heavy menstrual periods B) dysphoria C) intermittent sharp suprapubic pain D) chronic pelvic pain

A nurse is assessing a female client. Which factors would the nurse identify as increasing a woman's risk for pelvic organ prolapse? Select all that apply. A) older age for first birth B) infant birth weight less than 4500 grams C) obesity D) birth trauma E) straining with chronic constipation

C D E

A nurse working with abused women recognizes that one of the best interventions is to: A) send the victim directly to a shelter for her safety B) file charges against the abuser immediately C) confront the abuser D) strengthen the woman's sense of control over her life

A pregnant client has a history of asthma. After reviewing the possible medications that may be prescribed during her pregnancy to control her asthma, the nurse determines additional teaching is needed when the client identifies which drug as being used? A) albuterol B) budesonide C) salmeterol D) misoprostol

The nurse is assessing a woman who has a forceps-assisted birth for complications. Which condition would the nurse assess in the fetus? A) perineal hematoma B) infection of episiotomy C) cervical lacerations D) caput succedaneum

A client is to have a vaginal hysterectomy to repair her stage IV uterine prolapse. The nurse realizes she needs more education when she states: A) I'm not going home with a Foley catheter in place B) My husband is not crazy about the six weeks of pelvic rest C) The leg bag will be covered by my clothes, once I am home D) I have already picked up the stool softeners

A client is trying to understand how she could have cervical cancer if all her previous Pap smears were negative. When responding to the client, the nurse integrates understanding that false-negative rates of the conventional pap smear occur at which rate? A) 20% B) 10% C) 15% D) 5%

A client presents to the office reporting severe lower abdominal pain. Ultrasound reveals an ovarian cyst. The client asks, "Is the cyst benign?" The nurse responds, explaining that ovarian cysts are benign approximately how often? A) 90% of the time B) 50% of the time C) 30% of the time D) 70% of the time

A woman is undergoing testing which provides a picture-like analysis of the number, form, and size of the woman's chromosomes. The nurse identifies this as: A) karyotyping B) phenotype C) genotype D) genome

The nurse is assisting a woman in scheduling an appointment for a pap smear. The woman's last menstrual period was May 2. Which date would be most appropriate for the appointment? A) may 17 B) may 7 C) may 9 D) may 30

A nurse is conducting a class and is describing the spermatic cord. Which structures would the nurse identify as being involved? Select all that apply. A) vas deferens B) urethra C) seminal vesicles D) nerves E) blood vessels

A D E

A nurse is presenting an in-service program about complications that can arise during labor. The nurse determines that the teaching was successful when the group identifies which findings as suggesting an amniotic fluid embolism? Select all that apply. A) hypotension B) acute, continuous abdominal pain C) sudden onset of fetal distress D) tachycardia E) sudden onset of respiratory distress

A D E

A concern for any rape victim is the chance of becoming pregnant. The nurse assisting a client who is a victim of rape would expect the client to receive emergency contraception within which time frame after the rape to ensure maximum effectiveness? A) 48 h B) 12 h C) 24 h D) 36 h

A nurse is describing the use of RhoGAM as the therapy of choice for isoimmunization in Rh- women and for other conditions to a group of nurses working at a women's health clinic. The nurse determines that additional teaching is needed when the group idnetifies which situation as an indication for RhoGAM? A) maternal trauma B) STIs C) amniocentesis D) molar pregnancy

The nurse asks the class to identify the location of sperm production. The class is correct when they identify the: A) spermatic cord B) seminiferous tubules C) seminal vesicles D) vas deferens

When describing STIs to a group of adolescents, the nurse identifies which STIs as curable? Select all that apply. A) condylomata acuminata B) gonorrhea C) trichomoniasis D) chlamydia E) herpes type II virus

B C D

A pregnant 36-year-old woman has presented to the ER with vaginal bleeding. While reviewing the client's history, the nurse suspects placenta previa when which risk factors are found in her record? Select all that apply. A) hypotension B) smoking C) infertility treatment D) advancing maternal age E) previous induced surgical abortion

B C D E

A woman is to receive tolterodine as part of her treatment plan for urge incontinence. The nurse instructs the woman to be alert for the possibility of which side effects? Select all that apply. A) diarrhea B) nausea C) dry mouth D) dizziness E) blurred vision

B C D E

At a prenatal class, the nurse educator describes the function of the placenta. What information would the nurse likely include? Select all that apply. A) The placenta ensures that the fetus is protected from all teratogens B) The placenta makes hormones to control the way the fetus is supplied with nutrients and oxygen C) The placenta removes the waste products that the fetus produces D) The placenta stimulates the mother to bring more food to the placenta E) The placenta produces hormones that ready fetal organs for life outside the uterus F) The placenta acts as a barrier between the mother and fetus

B C D E

Which medications are appropriate to treat vaginal candidiasis? Select all that apply. A) gentamicin B) fluconazole C) penicillin G benzathine D) miconazole E) azithromycin

B D

A new mother who is breast-feeding her newborn comes to the clinic reporting sore breasts. Assessment reveals mastitis. Which instruction would the nurse most likely include when teaching the client about this disorder? A) Wear a supportive bra at night when in bed B) Stop breast-feeding the newborn for the next several days C) Massage the breasts before and during breast-feeding D) Limit the amount of fluids ingested for the next week

A nurse is assessing a victim of rape. The victim tells the nurse, "It felt like I was outside my body looking down and watching the whole thing." The nurse suspects that the client received which substance? A) diazepam B) rohypnol C) gamma hdroxybutyrate D) ketamine

A nurse is conducting an in-service for a group of perinatal nurses. After teaching the group about autosomal dominant and recessive inheritance patterns, the nurse determines that the group needs additional teaching when they identify which condition as an example of an autosomal dominant disorder? A) neurofibromatosis B) achondroplasia C) Tay-Sachs disease D) Huntington disease

A nurse is conducting an in-service program about different female reproductive tract cancers. The nurse explains that of the reproductive tract cancers, which type is the most common? A) vulvar B) ovarian C) endometrial D) cervical

A nurse is providing care to a multiparous client. The client has a history of cesarean births. The nurse anticipates the need to closely monitor the client for which condition? A) placenta abruption B) preeclampsia C) placenta accreta D) oligohydramnios

A woman is to undergo labor induction. The nurse determines that the woman requires cervical ripening if her Bishop score is: A) 6 B) 9 C) 5 D) 7

A client at a preconception screening meeting indicates to the nurse that she is a carrier of muscular dystrophy. Which statement made by the client indicates an understanding of the implications? A) There is a good chance my future children will all be affected. B) There are more affected females than males C) If I have a male child he will not be affected D) If I have a female child there is a 25% chance she will be a carrier

A client is to receive brachytherapy as part of her treatment plan for breast cancer. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client identifies which condition as a possible side effect? A) redness around the catheter B) infection C) fever D) inflammation

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time? A) five days after the first day of the menstrual cycle B) six days before the onset of menstruation C) midway between the normal menstrual cycle D) three days before, and three days after ovulation

A nurse has just finished a presentation about intimate partner violence at a local group meeting. The nurse determines that more teaching is needed based on which group statement? A) That was interesting. It's scary because it can happen anywhere, even here B) Drugs and alcohol can really make the situation much worse C) I've heard getting pregnant can make the situation worse D) It's only women that get hurt. Men are the ones doing all the hurting

A nurse is conducting a discussion group at a local women's health center about violence and women. The nurse would include that women are at a higher risk for violence at which time? A) on paydays B) if they leave the abuser C) during winter D) during pregnancy

A nurse is preparing a discussion for a group of women at the clinic. When describing vaginal cancer, the nurse would most likely integrate which statement into the discussion? A) adenocarcinomas are the most common cell type B) squamous cell cancers develop rapidly and spread late C) squamous cell carcinomas are more common in women in their 40s D) pulmonary metastasis is common with adenocarcinomas of the vagina

A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation? A) abuse primarily affects young, unmarried women B) until the 1990s, society tended to legitimize a man's control over a woman C) children who witness abuse of a parent are less likely to become batterers D) abuse in homosexual relationships may go unreported for fear of harassment

A nurse is providing care to a couple who have experienced intrauterine fetal demise. Which action would be least effective in assisting a couple at this time? A) assist the family in making arrangements for their stillborn infant B) give the parents a lock of the infant's hair C) allow the couple to spend as much time as they want with their stillborn infant D) avoid any discussion of the situation with the couple

A nurse is teaching a group of pregnant women about bleeding that can occur early in pregnancy. The nurse determines that additional teaching is needed when the group identifies which condition as a common cause? A) ectopic pregnancy B) GTD C) spontaneous abortion D) placenta previa

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction? A) cease breastfeeding to prevent transmission to the infant B) limit fluid intake to minimize swelling C) avoid the use of a supportive bra to prevent pressure on the inflamed breast D) apply warm compresses to the affected breast

Which finding would lead the nurse to suspect that the fetus of a woman in labor is in hypertonic uterine dysfunction? A) fetal buttocks as the presenting part B) complaints of severe back pain C) lack of cervical dilation past 2 cm D) contractions most forceful in the middle of the uterus rather than the fundus

Which finding would the nurse most likely expect in a woman with endometrial polyps? A) grayish-white mass B) vaginal discharge C) abnormal vaginal bleeding D) metrorrhagia

Which hormone would the nurse explain as being primarily responsible for maturation of the ovarian follicle? A) estrogen B) GRH C) LH D) FSH

A client who is a rape survivor has appeared to cope very well. However, at a routine visit several months later, she is describing nightmares and flashbacks. The nurse would suspect which condition? A) PTSD B) continued recovery C) crisis avoidance D) overwhelming guilt

A nurse is engaged in primary prevention activities for HPV. The nurse would be most likely involved with which activity? A) administering HPV vaccine B) teaching about the importance of regular Pap smears C) encouraging treatment for genital warts D) educating about HPV testing in women over age 30

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: A) hydatidiform mole B) hydramnios C) ectopic pregnancy D) placenta accrete

A woman receiving an oxytocin infusion for labor induction develops contractions that occur every minute and last 75 seconds. Uterine resting tone remains at 20 mmHg. Which action would be most appropriate? A) stop the infusion immediately B) slow the oxytocin infusion to the initial rate C) continue to monitor contractions and fetal heart rate D) notify the birth attendant

A young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity? A) breast-feeding B) handling the infant with open sores C) cesarean delivery D) future pregnancies

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions? A) I've been having bleeding off and on that's irregular and sometimes heavy. B) My periods have been unusually long and heavy lately with a lot of bleeding C) I get sharp pain in my lower abdomen usually starting soon after my period comes D) I get really irritable and moody about a week before my period

CMV infection can result in different congenital anomalies. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur with which type of transmission of CMV? A) in utero transmission B) after birth transmission C) during birth transmission D) with any transmission

After teaching a woman how to perform kegel exercises, the woman states the steps below. Which steps would the nurse determine as reflecting correct components of kegel exercises? Select all that apply. A) Tighten the pubococcygeus muscle for a count of 3, then relax B) Contract and relax the pubococcygeus muscle rapidly 10 times C) Try to bring up the entire pelvic floor and hold it 10 times D) Stop and start urinary flow to identify pubococcygeus muscle E) Repeat these exercises at least 15 times a day F) Squeeze the rectal muscle as if trying to prevent the passage of flatus

A B D F

When assessing a woman, the nurse would suspect cervical cancer because of which findings? Select all that apply. A) dysuria B) pain with vaginal examination C) malodorous vaginal discharge D) postmenopausal bright red bleeding E) vaginal bleeding after sex

A C E

A client is returning with a third vaginal infection within a six-month period. During the health assessment, the nurse should ask about the client's use of which products? Select all that apply. A) deoderants B) herbs C) yogurt D) douches

A D

A nurse is preparing a client for discharge following an abdominal hysterectomy for fibroids. After providing discharge teaching, the nurse determines that the teaching was successful based on which client statement? A) I can resume using tampons in about 3 weeks B) I should shower rather than take a tub bath C) I should limit my intake of foods that are high in fiber for about 2 weeks D) I don't have any restrictions on what I can lift or carry

A nurse is preparing a teaching plan for a woman who is planning to become pregnant. Which hormone secreted by the corpus luteum would the nurse include in the discussion when describing how the endometrium is prepped for egg implantation? A) testosterone B) progesterone C) estrogen D) luteinizing hormone

A client presents to the office, upset, after finding a small lump in her breast. The nurse tries to reassure her that the lump does not automatically indicate cancer based on the understanding that what percentage of breast lumps discovered are caused by benign breast disorders? A) 70% B) 60% C) 80% D) 90%

A pregnant client has tested positive for hep B virus. When discussing the situation with the client, the nurse explains that her infant should be vaccinated with an initial HBV vaccine dose at which time? A) within 24 hours of birth B) within 28 hours of birth C) within 12 hours of birth D) within 36 hours of birth

A pregnant woman has been admitted to the hospital due to severe preeclampsia. Which measure will be important for the nurse to include in the care plan? A) admit the client to the middle of the ICU where she can be constantly monitored B) institute NPO status C) institute and maintain seizure precautions D) plan for immediate induction of labor

On a follow-up visit, a woman who was a victim of rape states that she has joined a rape survivor advocacy group. The nurse interprets this as indicating that the woman is in which phase of rape recovery? A) reorganization B) disorganization C) denial D) integration and recovery

The client is anxious about her prolonged pregnancy. She informs the nurse she has been doing research on the internet and has read about certain herbs that can help to induce labor. Which response from the nurse would be appropriate? A) Personally, I would use them, but I cannot tell you to B) There is no scientific evidence they work. You will just complicate your situation more C) Why would you do something as stupid as that? D) Please talk to your PCP first to ensure it is safe

The clinical nurse specialist is conducting a program for a group of nurses working at the prenatal clinic. When describing the preembryonic stage of fetal development, the nurse describes the events of this stage. Place the events in their proper sequence as the nurse would describe them. 1. implantation 2. formation of the zygote 3. formation of the morula 4. cleavage 5. formation of blastocyst

2 4 3 5 1

A woman is to receive penicillin G 3,000,000 units IM q6h as syphilis treatment. The medication is available as 1,500,000 units/mL. How many mL will be adminstered in 24 hours? Record your answer using a whole number ____

8 mL

A client comes to the clinic reporting neck and back pain. Her partner appears anxious and overprotective. The nurse suspects possible abuse. How might the nurse handle this examination? A) Isolate the client to ensure privacy before questioning about possible abuse B) Ask the client questions about abuse in front of her partner C) Ignore the partner's actions D) Question the partner about his or her actions

A client has been admitted to the unit for tocolytic therapy. Which medication would the nurse be least likely to administer? A) corticosteroids B) nifedipine C) indomethacin D) magnesium sulfate

A nurse is providing care to a victim of intimate partner violence. When approaching this client, the nurse must ensure to avoid which type of behavior? A) critical B) nonjudgmental C) suspicious D) frustrated

A young client desires to know her risk of developing breast carcinoma. She has a positive family history of breast carcinoma. The nurse would suggest that she should undergo which diagnostic test? A) BRCA-1 genetic marker B) digital mammography C) fine-needle biopsy D) DNA ploidy status

A client has been diagnosed with cervical cancer during her second trimester of pregnancy. She decides to delay treatment until after the baby is born. The nurse prepares her for birth by explaining the birth will most likely be: A) induced at 37 weeks B) via cesarean section C) vaginally D) per her choice

A woman with severe preeclampsia is receiving magnesium sulfate. The woman's serum magnesium level is 9 mEq/L. Which finding would the nurse most likely note? A) serum magnesium level of 6.5 mEq/L B) diminished reflexes C) elevated liver enzymes D) seizures

To properly assist a victim of abuse, which action would be most appropriate for the nurse to do? A) summarize the details of the incident B) discuss the details with the victim C) document the details D) confront the abuser about the details

When assessing a client, a nurse determines that the client has a rectocele based on which finding? A) protrusion of the bladder wall through the anterior vaginal wall B) downward movement of the uterus through the pelvic floor and into the vagina C) sagging of the rectum, which pushes against or into the posterior vaginal wall D) bulging of the small intestine through the posterior vaginal wall

When assessing a woman with pelvic organ prolapse, the nurse notes the uterus is approximately 1 cm below the hymenal ring. The nurse documents this finding as which stage of prolapse? A) stage III B) stage 0 C) stage II D) stage I

When teaching a woman diagnosed with genital ulcers, the nurse would include which measure? A) drying lesions with a hair dryer set on high B) refraining from using condoms during sexual intercourse C) washing hands with soap and water after touching lesions D) applying ice packs to the area for comfort

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? A) HIV B) syphilis C) Candida albicans D) gonorrhea

When teaching a group of young adult women about the cycle of violence, the nurse would describe which behavior as eventually disappearing as the violence becomes accelerated over time? A) loss of control B) excessive hostility and friction C) denial of the seriousness of injuries D) apologies for the pain and abuse

When teaching the woman about dietary and lifestyle changes to assist with pelvic organ prolapse, the nurse would include which measure? A) eating more refined, processed foods B) limiting fiber intake to less than 25 grams daily C) engaging in isometric exercise D) drinking at least 64 ounces of fluid per day

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? A) painful ejaculation B) hematuria C) erectile dysfunction D) dysurea

Which measure would the nurse include in the plan of care for a woman with PROM if her fetus's lungs are mature? A) observation for signs of infection B) administration of corticosteroids C) reduction in physical activity level D) labor induction

A woman has presented to the ER with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured? A) referred shoulder pain B) breast tenderness C) nausea D) vaginal spotting

A nurse is preparing a presentation for a client who is considering contraception. When discussing oral contraceptives, the nurse would identify which advantages? Select all that apply. A) reduction in risk for osteoporosis B) lowered risk of migraine headaches C) shortening of the menstrual period D) decreased risk of breast cancer E) reduction in severe cramping

A C E

A client has just been diagnosed with ovarian cancer. The nurse understands that among women, this type of cancer ranks as: A) fifth most common B) ninth most common C) seventh most common D) third most common

A client has presented to the clinic for testing to evaluate her for an ovarian cyst. Which test would the nurse anticipate being done first? A) ultrasound B) pregnancy test C) lipid levels D) chlamdia test

A client is diagnosed with endometriosis. As part of the teaching plan, the nurse is explaining the condition, including the ways that the diagnosis would be confirmed. The nurse determines that the teaching was successful when the client states that which test would confirm the diagnosis? A) pap smear B) pelvic laparoscopy C) pelvic ultrasound D) bimanual exam

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: A) doxycycline B) penicillin G C) metronidazole D) miconazole

A nurse is conducting a program for a local women's group about breast cancer. When describing the age groups affected, the nurse would identify women in which age range as having the highest risk? A) 40's B) 30's C) 50's D) 60's

A woman asks the nurse at a genetic counseling class what test would be the least invasive for Down syndrome. Which information would the nurse most likely include? A) amniocentisis testing is the least invasive B) maternal serum sampling is presently that best option C) chorionic villus sampling is the least invasive D) fetal nuchal translucency test is the best option

A client is admitted to the unit in preterm labor. In preparing the client for this therapy, the nurse anticipates that the client's pregnancy may be prolonged for how long when this therapy is used? A) 2-7 days B) 1-5 days C) 6-10 days D) 4-8 days

A client is scheduled to have a screening mammogram. When teaching the woman about this test, the nurse should include which instruction? A) Don't use deodorant that day because it may interfere with the X-ray image B) Schedule the procedure just before your menses C) You can leave your necklace on, but you'll need to take off your watch and earrings D) You'll need to take a narcotic analgesic for any discomfort afterwards

A nurse is working with a couple who is dealing with infertility. Which aspect would be most important for the nurse to consider? A) culture B) emotional limits C) insurance restrictions D) family budget

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? A) diminished reflexes B) elevated liver enzymes C) serum magnesium level of 6.5 mEq/L D) seizures

The nurse has educated a client about confidentiality. Explaining that which mandate against confidentiality requires that some injuries, complaints, and/or situations must be reported? A) laws B) ethical considerations C) office policies D) HIPAA regulation

A nurse is preparing a presentation about risk reduction for breast cancer incorporating the recommendations from the American Institute for Cancer Research. Which recommendation would the nurse most likely include? Select all that apply. A) limit the use of salt B) limit the intake of processed foods C) limit the intake of complex carbs D) consume at least five servings of fruits/vegetables daily E) restrict red meat intake to approximately 4 ounces daily

A B D

When caring for an abused woman, the nurse uses the ABCDES framework to provide interventions. Which components are part of this framework? Select all that apply. A) maintenance of confidentiality of the information reported B) expression of the belief that there may be a reason for the violence C) clear documentation of the nurse's perception of the abuse D) plan of action and resources for safety for when the woman decides to leave E) reassurance that the woman is not alone in this situation F) education about the cycle of violence and its escalation

A D E F

A client presents at the clinic and is interested in obtaining emergency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because: A) ECs are more effective than regular birth control B) ECs simply prevent embryo creation and uterine implantation from occurring in the first place C) ECs can help prevent STIs D) ECs can induce an abortion of a recently implanted embryo

A client was in labor for more than 36 hours and now presents with complaints of urine leaking from her vagina. On examination the nurse would be inspecting for: A) urge incontinence fistula B) urethrovaginal fistula C) vesicovaginal fistula D) rectovaginal fistula

A group of nursing students is reviewing information about chromosomal abnormalities. The students demonstrate understanding of this information when they identify what as a common mechanism leading to an abnormal chromosome number? A) duplication B) nondisjunction C) translocation D) deletion

A high-risk pregnant client is determined to have gestational hypertension. The nurse suspects that the client has developed severe preeclampsia based on which finding? A) proteinuria of 300 mg per 24 hours B) blurred vision C) blood pressure of 150/100 mmHg D) mild facial edema

A nurse is conducting an orientation program at a local women's health clinic for a group of newly hired nurses. The nurse is reviewing the structure and function of the female reproductive system with the group. The nurse determines that the teaching was successful when the group identifies which structure as the half-moon-shaped area behind the vaginal opening? A) introitus B) fourchette C) prepuse D) hymen

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as: A) adrenarche, age 11 B) menarche, age 11 C) mesis, age 11 D) thelarche, age 11

A G3, P2 woman arrives at the birthing center stating that she has been in labor for the past 18 hours. To rule out a potential protracted disorder the nurse is aware that which criterion for cervical dilation would be used? A) 1.25 cm/h B) 1.0 cm/h C) 1.5 cm/h D) 1.75 cm/h

Part of the assessment of the first prenatal visit includes screening for rubella antibodies. The nurse determines that a client with which titer shows evidence of immunity against rubella? A) 1:4 B) 1:6 C) 1:8 D) 1:0

A nurse is describing the cycle of violence to a group of women at a community clinic. The nurse determines that the women have understood the information when they identify which phase as usually lasting the longest? A) tension buildling B) explosion of violence C) acute battering D) honeymoon

In preparing a class for a group of pregnant couples, the nurse includes information about smoking and possible complications associated with it. Which complications would the nurse most likely include? Select all that apply. A) spontaneous abortion B) abruptio placenta C) maternal hypertension D) high birth weight E) PROM

A B C

A mother presents to the clinic with her 15-year-old daughter complaining of amenorrhea. The girl's menarche was at age 12. Which findings might the nurse identify as indicating the cause? Select all that apply. A) emotional distress B) hypothyroidism C) lack of exercise D) pregnancy E) extreme rapid weight gain

A B D E

A woman who immigrated here from a 3rd world country presents to the clinic to find out if she is pregnant. Which S/S would the nurse assess as possible indicators that she might have an active case of tuberculosis as well? Select all that apply. A) anorexia B) weight gain C) fatigue D) night sweats E) hemoptysis

A C D E

When describing to parents at a genetic counseling session the probability of their newborn inheriting cystic fibrosis, the nurse would include which statement? Select all that apply. A) There is a 50% chance of inheriting one normal gene and one abnormal gene B) Cystic fibrosis is a multifactorial inherited disorder mainly caused by the environment C) Cystic fibrosis is an inherited disorder where two abnormal genes are needed D) Cystic fibrosis is an X-linked inheritance when the male is a carrier E) Children of two carriers of the disorder have a 25% chance of inheriting two normal genes

A C E

A nurse is teaching a client about the reproductive system and the hormones involved. The nurse would include which structures as the source of these hormones? Select all that apply. A) hypothalamus B) placenta C) uterus D) pituitary E) ovaries

A D E

A nurse is working with a community group to foster early detection of breast cancer. Which component would the group most likely address? Select all that apply. A) mammography B) nutritional intake C) breast cancer awareness D) breast self-examination E) clinical breast examination

A D E

During pregnancy a woman's blood volume increases to accommodate the growing fetus to the point that vital signs may remain within normal range without showing signs of shock until the woman has lost what percentage of her blood volume? A) 50% B) 40% C) 30% D) 20%

A client who is at 15 weeks' gestation is attending prenatal classes and asks the nurse, "What changes in development has my baby made?" Which statements would the nurse include in the response? Select all that apply. A) The increase in weight of your baby has stopped now B) You will be able to detect quickening C) Your baby's lungs are ready for life outside the uterus D) Soft hair covers your baby's head E) Your baby makes sucking motions now with its mouth

B D E

The nurse plays a major role in assessing the progress of labor. The nurse integrates understanding of the typical rule for monitoring labor progress. Which finding would the nurse correlate with this rule? A) fetus descends 2 cm/h B) fetus descends 1 cm/h C) cervix dilates 2 cm/h D) cervix dilates 1 cm/h

A mother brings her 10-year-old daughter to the clinic for a routine visit. The mother tells the nurse that she has noticed her daughter beginning to develop and asks the nurse about when her daughter may begin menstruating. The nurse understands that many factors are involved in determining the age at which menstruation begins. Which factor would the nurse include in the response as most important? A) genetics B) cultural practices C) weight D) nutrition

When developing a plan of care for a pregnant woman who is HIV+ and in labor, the nurse recognizes that which measure is essential? A) using standard precautions B) helping her choose a newborn feeding method C) educating her about family planning D) preparing the woman for cesarean birth

A nurse is explaining to a client that pessaries have been used through the ages as a nonsurgical means of treating pelvic organ prolapse. The nurse describes the pessaries of today as being primarily constructed of: A) metal B) porcelain C) rubber D) silicone

When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which of the following? A) dependence B) trust C) autonomy D) self-identity

The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her? A) medroxyprogesterone acetate B) norelgestromin/ethinyl estradiol C) etonogestrel D) levonorgestrel/ethinyl estradiol

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis? A) engaging in daily weight-bearing exercise B) drinking at least 1 glass of wine per day C) limiting intake of cholesterol and saturated fats D) decreasing vitamin D intake

The nurse is putting together information for a client to help her understand that urinary incontinence is a treatable condition. The nurse realizes a commonly believed misconception is that urinary incontinence is: A) a hygiene problem B) treatable C) a medical condition D) always happens after multiple births

A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs: A) In the vagina B) In the fallopian tubes C) In the uterus D) In the ovaries

A nurse working with older adult clients recognizes a common report contributing to multiple pelvic organ issues. This common report would most likely be: A) diarrhea B) constipation C) pelvic pain D) urinary incontinence

A pregnant woman with diabetes is having her glycosylated hemoglobin level evaluated. The nurse determines that the woman's glucose is under control and continues the woman's plan of care based on which result? A) 8.5% B) 6.5% C) 8.0% D) 7.5%

When assessing a client with symptoms of PMS, he nurse uses the ACDHO tool. The nurse questions the client about which symptom when addressing the "C" in the tool? A) crying B) cravings C) constipation D) cramping

A 26-year-old female, G1, P0, presents to the ER reporting regular uterine contractions. Examination reveals that her cervix is beginning to efface. The client is in her 36th week of gestation. The nurse interprets the findings as suggesting which condition is occurring? A) normal labor B) dystocia C) preterm labor D) precipitate labor

A 27-year-old lactating client presents with the complaint of a solid, painless lump in her left breast. On examination, the nurse notes that the lump is mobile and slightly tender to pressure. The nurse suspects this is: A) malignant mass B) mastitis C) a fibroadenoma D) an inflamed milk duct

A client is entering her 42nd week of gestation and is being prepared for induction of labor. The nurse recognizes that the fetus is at risk for which condition? A) infection B) hemorrhage C) macrosomia D) dystocia

The nurse is educating a female client about lifetime risk for developing cancer. The nurse determines that the teaching was successful when the woman states that regardless of her risk factor, her chances for developing cancer are: A) 1 in 7 B) 1 in 5 C) 1 in 3 D) 1 in 9

While discussing a client's injuries with her, the nurse recognizes several risk factors that could indicate partner violence. Which factors might the nurse identify? Select all that apply. A) older adult B) good paying job C) apparent poverty D) depression E) young age F) talk of heavy weekend drinking

C D E F

A nurse is preparing for a small group discussion on pelvic organ prolapse. Which suggestions of lifestyle changes could the nurse include in the discussion? Select all that apply. A) Maintain current weight B) Urinate frequently C) Increase fluid intake D) Encourage jogging three times a week E) Increase dietary fiber

C E

A nurse assessing a client in labor and suspects hypotonic uterine dysfunction. Which intervention would the nurse most likely expect to include in the plan of care for this client? A) providing a comfortable environment with dim lighting B) preparing the woman for an amniotomy C) encouraging the woman to assume a hands-and-knees position D) administering oxytocin

To help detect potential disease processes in the breasts, the nurse develops educational programs focusing on: A) breast self-examination B) need for clinical examination C) need for mammography D) breast awareness

A nurse is working at a cancer treatment center and is developing programs for specific ethnic groups related to breast cancer. The nurse would most likely target which ethnic group because it has the highest breast cancer mortality rate in the US? A) African American B) Native American C) Hispanic D) Caucasian

While assessing a woman who underwent a female circumcision for cultural reasons when she was 9 years old, the nurse observes that the prepuce and a portion of the clitoris have been removed. The nurse identifies this as which type of female genital mutilation procedure? A) type I B) type II C) type III D) type IV

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. A) high vegetable/fruit diet B) regular exercise C) high-impact aerobics D) low-fat diet E) adequate fluid intake

A B D E

A young couple have presented to the office with concerns of possible infertility. A physical examination and complete history of the woman reveals type 2 diabetes mellitus, obesity, sleep apnea, and hypertension. The nurse would suspect: A) irregular menses B) PCOS C) hormonal imbalance D) leiomyomas

After teaching a woman who has chose the vaginal ring as her method of contraception, the nurse determines that the client need additional teaching when she makes which statement? A) I don't have to worry so much about the exact placement B) I will insert a new ring at the same time and day of every week C) Once I remove the ring, I'll discard it D) I'll compress the ring, inserting it as far back as possible

When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would explain that which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain? A) foramen ovale B) ductus venosus C) umbilical vein D) ductus arteriosus

A nurse is conducting a class on gestational diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is needed when the class identifies which complication as affecting the neonate? A) hyperglycemia B) hypoglycemia C) birth trauma D) macrosomia

A nurse is developing a plan of care for a woman who is a victim of abuse. Which action would be most appropriate for the nurse to include in the plan? A) allow the woman to participate in her care B) make decisions for the woman C) provide an overview of the procedures to be done D) take the lead in providing the interventions quickly

A nurse is teaching a 42-week nulliparous pregnant woman about labor induction which is being recommended by her health care provider. The nurse determines that the woman needs additional teaching when she identifies which assessment as being done before induction? A) leopold position B) amniotic fluid studies C) fetal dating D) bishop scoring

A nurse working in an inner city health clinic has experienced success by utilizing the SAVE model to evaluate clients for possible abuse. Which action would be least appropriate for the nurse to address? A) validating what the client has said B) asking for evidence of the abuse C) screening all clients for violence D) educating the client concerning the community resources available

The nurse is reviewing the history and physical exam of a woman who has come to the clinic for a routine physical. Which factor would the nurse identify as increasing the client's risk for breast cancer? A) history of ovarian cancer B) menarche at age 14 C) Asian race D) 39 years of age

The nurse is working with a client who has been diagnosed with urge incontinence related to detrusor muscle contractions. Part of the educational material suggesting lifestyle changes should include information that which situation increases muscular contractions? A) smoking B) sudden weight loss C) diarrhea D) decreasing water intake

The nurse provides client education regarding the uterine corpus. Which part may fluctuate with changes of hormonal levels in the absence of pregnancy? A) endometrium B) perimetrium C) myometrium D) epimetrium

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding? A) slight vaginal bleeding B) cervical dilation C) strong abdominal cramping D) passage of fetal tissue

When describing the characteristics of the amniotic fluid to a pregnant woman, the nurse would include which information? A) the amount gradually fluctuates during pregnancy B) it is usually an acidic fluid C) it is composed primarily of organic substances D) it limits fetal movement in utero

A postmenopausal woman's pelvic organ prolapse is being treated with a pessary. Which action would be most important for the nurse to do? A) advise the woman to use a lubricant when inserting it B) ensure that she has a prescription for an estrogen cream preparation C) have the woman make a follow-up appointment in about 6-12 months D) teach the woman to remove the pessary twice a week for cleaning

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

A nurse is assessing a client diagnosed with mild preeclampsia. The nurse suspects that the client has developed severe preeclampsia based on which finding? A) mild facial edema B) mild pitting edema C) urine output of less than 400 mL/24 hours D) proteinuria of 300 mg/24 hours

A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? A) low platelet count B) elevated liver enzymes C) hemolysis D) elevated lipoproteins

As part of a local college awareness program, a nurse is interviewing several of the participants about their views on rape. Which statement would lead the nurse to determine that teaching about rape is necessary? A) Women who are raped may require several years to recover emotionally and physically B) What a woman wears has no effect on whether or not she will be raped C) Most victims of rape never report the episode to the police or tell anyone about it D) A woman can avoid being raped. If she doesn't want it to happen, then it won't

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion? A) strong abdominal cramping B) closed cervical os C) slight vaginal bleeding D) no passage of fetal tissue

A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection? A) toxoplasmosis B) cytomegalovirus C) herpes simplex virus D) parvovirus B19

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's medical record, the nurse would expect which finding? A) sudden dark vaginal bleeding B) fHR within normal range C) soft, relaxed uterus on palpation D) absence of pain

A woman is scheduled to undergo a modified radial mastectomy. Which information would the nurse include when describing this surgery to the client? A) removal of breast tissue, axillary nodes, and some chest muscles B) sparing of the pectoral muscles and axillary lymph nodes C) wide excision of teh tumor along with a 1 cm margin

A young refugee has come to the clinic for medical care. On examination, the nurse discovers she underwent female genital cutting as a young girl. The nurse recognizes this is primarily based on: A) her culture B) her religion C) her choice D) punishment

A nurse is preparing a presentation for a local community women's group about menopause. When describing the body system changes that occur, the nurse would include which changes? Select all that apply. A) decreased bone density B) moist, supple skin C) hot flashes D) increased abdominal fat E) decreased waist size F) vaginal dryness

A C D F

A woman with diabetes is in labor. To reduce the likelihood of neonatal hypoglycemia, the nurse monitors the client's blood glucose level closely with the goal to maintain which level? A) below 115 mg/dL B) below 110 mg/dL C) below 120 mg/dL D) below 105 mg/dL

A nurse educator is describing the structures of the fetal heart to a pregnant client. What information would the nurse likely include in the description? Select all that apply. A) The ductus arteriosus connects the main pulmonary vein to the vena cava B) The ductus arteriosus connects the main pulmonary artery to the aorta C) The ductus venosus connects the umbilical vein to the inferior vena cava D) The foramen ovale is an anatomic opening between the right and left ventricles E) The foramen ovale is an anatomic opening between the right and left atrium

B C E

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? A) firm, rigid uterus on palpation B) absence of pain C) FHR within normal range D) bright red vaginal bleeding

A victim of rape is prescribed emergency contraception. After teaching the client about this therapy, the nurse determines that the teaching was effective based on which client statement? A) It contains high doses of a typical birth control pill B) I need to take 3 doses over the next several days C) I can wait until tomorrow morning to start taking it D) The medication will cause me to have an abortion

A woman experiencing menopausal symptoms asks the nurse about herbal remedies for managing her symptoms. Which response by the nurse would be most appropriate? A) "most of the information about herbal therapies is based on reports by those who have used them, not scientific studies" B) "your symptoms are not severe enough to warrant any treatment or therapy" C) "you should avoid herbal remedies and ask your primary care provider for HRT" D) "herbal remedies have been proven quite reliable in alleviating the symptoms of menopause."

A young woman is seen in the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely, because it often correlates with this diagnosis? A) gonorrhea B) CNS disorder C) anemia disorder D) liver disease

It is important that a nurse recognizes there are cultural differences that will have an influence on the care of the client. Some cultures practice female circumcision, which involves the removal of the: A) clitoris B) fourchette C) labia minora D) hymen

The client has heard of extended oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens? A) 84 active; 7 placebo B) 70 active; 6 placebo C) 42 active; 4 placebo D) 56 active; 5 placebo

When establishing a rapport with the client, it is important that a nurse remain nonjudgmental, be alert for subtle clues of abuse, and avoid classifying the client as: A) chronic complainer B) accident-prone C) hypochondriac D) attention-seeking

Which statement made by parents at a genetic counseling session indicate understanding of the risks to their child for the disorder of dwarfism? A) There is a 25% chance our newborn may be affected by the disorder if we are carriers B) Our child would be affected only if both parents are carriers of the disorder C) There is a 50% chance our newborn may be affected by the disorder if we are carriers D) It will only affect the male-male offspring

A nurse is interviewing a client at a preconception counselling session. Which questions would be included during assessment? Select all that apply. A) What was the cause and age of death for any deceased family members? B) Are there any female family members with a history of miscarriages? C) Have any family members been diagnosed with an affective disorder? D) Were there pregnancies occurring between the ages of 18-30? E) Do any family members have post-secondary education?

A B C

When describing polycystic ovarian syndrome (PCOS) to a client, which areas would the nurse need to address? Select all that apply. A) anovulation B) elevated androgen levels C) decreased levels of LH D) follicular hyperplasia E) hyperinsulinemia

A B E

A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client's amenorrhea? Select all that apply. A) reduced subcutaneous fat B) evidence of secondary sex characteristics C) hypotension D) bradycardia E) hyperthermia

A C D

A nurse is conducting a class for a group of young women at a women's health center on risk reduction for ovarian cancer. Which information would the nurse most likely include as a risk reduction strategy? Select all that apply. A) avoidance of feminine hygiene spray use B) avoidance of oral contraceptive use C) breast-feeding D) bilateral tubal ligation E) pregnancy before age 30

A C D E

A nurse is counseling a client preconception and describes pregnancy risk factors for genetic disorders. What risk factors would the nurse include? Select all that apply. A) An incestuous relationship resulting in pregnancy B) The mother has a history of hypothyroidism C) The pregnant mother has been exposed to teratogens D) A pregnant client who is 35 years old E) The partner of a pregnant client is 53 years old

A C D E

The nurse educator describes the key changes that happen to the newborn's heart and lungs at birth. Which information would the nurse likely include? Select all that apply. A) The ductus arteriosus closes in response to the increase in oxygen levels with the first breaths B) The ductus arteriosus opens in response to the oxygen levels after the first breaths C) The ductus venosus closes with the clamping of the umbilical cord D) With the newborn's first breaths, the lungs inflate, increasing blood flow to the lungs E) The foramen ovale closes within 1-2 hours after birth and permanently by 6 months F) The foramen ovale is functionally closed within 1-2 hours after birth

A C D E

A woman, who is 18 weeks' gestation, is at a follow-up appointment regarding the positive test results of alpha-fetoprotein testing. Which would the nurse suspect with the positive test result? A) hemophilia B) down syndrome C) myelomeningocele D) fetal infection

A young couple is exploring their contraceptive options and are curious about using an IUD. The nurse explains that their are two types, one that uses hormones and one that uses: A) potassium B) copper C) magnesium D) silicone

After an examination, a client has been determined to have an unruptured ectopic pregnancy. Which medication would the nurse anticipate being prescribed? A) oxytocin B) methotrexate C) promethazine D) ondansetron

After conducting an in-service program on breast cancer for a group of staff nurses, the leader determines that additional discussion is needed when the group identifies which aspect as influencing the staging of the cancer? A) tumor size B) tumor location C) extent of metastasis D) lymph node involvement

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies which action as the primary function of the ovaries? A) implanting a fertilized ovum B) secreting estrogen and progesterone C) secreting mucus that supplies lubrication for intercourse D) carrying the ovum to the endometrium

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? A) I don't have to check under my arm if I don't feel any breast lumps B) I'll do the check about a week after my period C) I'll feel my breasts using my thumb and index finger D) I will check my breasts every other week

As part of a review class for perinatal nurses, the nurse is explaining the lab and diagnostic tests that can be conducted to evaluate a woman's risk for preterm labor. The nurse determines that additional teaching is needed when the group identifies which test as being used? A) transvaginal ultrasound B) blood chemistry levels C) salivary estriol levels D) fetal fibronectin testing

At a health education class for teenagers, the nurse discusses the STI chlamydia trachomatis. Which information would the nurse most likely include? A) The new vaccine Gardisil will prevent the infection B) This infection is the most common infections cause of infertility C) Antiviral drug regimes will cure this infection D) This infection is lifelong as it cannot be treated with medication

In a postmenopausal woman with abnormal vaginal bleeding, which diagnostic test would the nurse expect the primary care provider to order to determine whether an endometrial biopsy is needed? A) CA-125 B) transvaginal ultrasound C) pap smear D) mammogram

Over the past 20 weeks, the following blood pressure readings are documented for a pregnant client with chronic hypertension: week 16 - 124/86 mmHg; week 20 - 138/90 mmHg; week 24 - 140/92 mmHg; and week 28 - 142/94 mmHg. The nurse interprets these findings as indicating which classification of her blood pressure: A) severe hypertensive B) mild hypertensive C) prehypertensive D) normotensive

Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with PROM has completed how many weeks of gestation? A) less than 36 weeks B) less than 37 weeks C) less than 35 weeks D) less than 38 weeks

The client arrives in the office and reports that her feet and legs are swelling. During a client evaluation, the nurse notes that she can elicit a 4-mm skin depression that disappear in 10-15 seconds. The nurse correctly documents this finding as: A) 1+ pitting edema B) 2+ pitting edema C) 3+ pitting edema D) 4+ pitting edema

The nurse has just finished a presentation about intimate partner violence at a local group meeting and realizes more teaching is needed when one person comments: A) I've heard getting pregnant can make the situation worse B) That was interesting, but it will never happen here. It only happens on the poor side of town C) It's not just men against women anymore, but can be anyone against whomever they are intimate with D) Drugs and alcohol can really make the situation much worse

The nurse is counseling a couple who are concerned about vitamin D-resistant rickets because a member of the father's family has this disorder. Which statement by the couple indicates that more teaching is necessary? A) If the father has the gene, then his daughter will have rickets B) If the father doesn't have the gene, then his daughter won't have rickets C) If the father has the gene, then his son will not have rickets D) If the mother has the gene, then there is a 50% chance her son will have rickets

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease: A) is limited to the ovary B) involves one or both ovaries and extends into the pelvis C) has spread to the lymph nodes and other organs within the abdomen D) has metastasized to distant sites

The nurse works at a cancer treatment center working with clients with a diagnosis of vaginal cancer. The nurse understands that these clients have what percent chance of being diagnosed with another form of cancer? A) 70% B) 80% C) 50% D) 60%

The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method? A) symptothermal method B) coitus interruptus method C) cervical mucus ovulation method D) basal body temperature method

When preparing a teaching plan for a female adolescent with a STI, the nurse plans to address the fact that the adolescent is at increased risk for cervial cancer. Which STI would the adolescent most likely have? A) chlamydia B) genital warts C) syphilis D) genital herpes

When the nurse is assisting the parents in the grieving process after the death of their neonate, what is the nurse's most important action? A) leave the parents alone B) keep the communication lines open C) contact a grief counselor D) remove the infant quickly

A nurse is educating a client about STIs. The client would learn that which medications are appropriate to treat chlamydia? Select all that apply. A) Acyclovir B) Azithromycin C) Ceftriaxone D) Doxycycline E) Metronidazole

B C D

A nurse is reviewing the history and physical of a client diagnosed with PCOS. Which factors would the nurse most likely find? Select all that apply. A) metrorrhagia B) obstructive sleep apnea C) obesity D) virilization E) T1 diabetes

B C D

The nurse is assisting a woman who is a victim of intimate partner violence in preparing a plan for leaving the relationship. Which instructions would the nurse include? Select all that apply. A) Get some phone cards that you can use to make the necessary calls B) Set up a specific plan for leaving and then practice it C) Take the deed to the house or your apartment lease with you D) Be sure to have some type of identification, like a photo ID or driver's license E) Don't worry about your clothes; just get yourself out right away

B C D

The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? Select all that apply. A) corn B) broccoli C) raisins D) peanut butter E) potatoes F) yogurt

B C D

The nurse is preparing the plan of care for a woman hospitalized for hyperemesis gravidarum. Which interventions would the nurse most likely include? Select all that apply. A) preparing the woman for insertion of a feeding tube B) obtaining baseline blood electrolyte levels C) adminsitering antiemetic agents D) manitaining NPO status for the first day or two E) monitoring intake and output

B C D E

A client has presented to the clinic reporting "things not feeling right down there." After discussing the situation with her, the nurse has identified which factors that suggest the woman has a high risk for pelvic organ prolapse? Select all that apply. A) infant birth weight less than 4500 grams B) straining with chronic constipation C) obesity D) older age for first birth E) birth trauma

B C E

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

B C E

At a sexual health workshop for older teenagers, the nurse discusses HPV. Which statements made by the participants lead the nurse to believe teaching was successful? Select all that apply. A) There currently is no treatment, cure, or vaccine for HPV B) The HPV vaccines will help prevent cervical cancer C) Women between the ages of 13 and 26 can receive the vaccination series D) The vaccine that is available is not advised for our age group E) By getting the HPV vaccine, this infection can be prevented F) The HPV vaccine can be given to girls and boys as young as 9 years old

B C E F

A community health nurse is conducting a class on STIs. She states that "STIs are discriminatory." What would the nurse most likely use to support this statement? A) After only a single exposure, women are 2x as likely as men to acquire STIs B) All individuals are susceptible if exposed to the infectious organism C) Women are diagnosed with two thirds of the new cases of STIs annually D) Women are equally diagnosed over men as they will seek treatment first E) Certain infections can be transmitted to the newborn

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? A) Acyclovir B) Clotrimazole C) Metronidazole D) Penicillin G

A nurse is a guest speaker for a health class at a local all-boys high school. The nurse is reviewing the information about the male reproductive system. When describing the role of the scrotum as the "climate control system" for the testes, the nurse would include a description of: A) vas deferens B) prepuce C) cremaster muscles D) testes

A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition? A) late maternal age B) isoimmunization C) diabetes D) hypertension

A nurse is conducting a teaching program for a group of young adult women about the structures of the female reproductive system. After describing the internal structures, the nurse determines that the teaching was successful when the group identifies which structure as the neck of the uterus? A) introitus B) fourchette C) cervix D) clitoris

A nurse is teaching a preconception class discussing the process of conception. Which information would the nurse likely include? A) conception occurs when the sperm travels through the vagina to unite with the ovum B) conception occurs when a zygote travels through the vagina to meet the sperm C) conception occurs when an ovum passes into a fallopian tube to unite with sperm D) conception occurs when an ovum passes into the uterus to unite with sperm

A woman at 15 weeks' gestation asks the nurse what the fetus looks like. Which response by the nurse would be most accurate? A) the fetus is covered with a white, greasy film called vernix B) the fetus is about 15 inches in length C) fingernails and toenails are present D) rhythmic breathing movements are occurring

A woman with SLE is interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if she is symptom-free or in remission for how long before getting pregnant? A) 12 months B) 9 months C) 6 months D) 3 months

Certain pharmaceuticals can be used to attain cervical ripening in women who need assistance in cervical ripening. They have also often continued into labor without further agents to stimulate uterine contractions. The nurse is aware that the FDA has approved the use of which medication as a cervical ripening agent? A) magnesium sulfate B) oxytocin C) dinoprostone D) misoprostol

The nurse is assessing a woman who is a victim of intimate partner violence and recognizes a belief that is common among victims of abuse. Which belief would the nurse most likely identify? A) the woman can leave at any time B) the situation will never get better C) the woman is inadequate in some way D) the woman recognizes she is a victim

The nurse is counseling a couple who are concerned that their children might inherit sickle cell disease. Which response from the couple indicates a need for further teaching? A) If both parents have the gene, there is a 25% chance of the children having the disorder. B) Even if the children do not get the disease they can still be carriers of the gene C) The father cannot pass the disorder on to his son or the mother to her daughter D) The disorder can be passed on to the children only if both parents have the gene

A pregnant woman has just presented to the emergency department with various reports and in distress. Which finding would lead the nurse to suspect that she is experiencing an amniotic fluid embolism? Select all that apply. A) acute, continuous abdominal pain B) sudden onset of fetal distress C) sudden onset of respiratory distress D) hypotension E) tachycardia

C D E

The nurse is developing a presentation for a group of young adult women about PMS. The nurse would include which possible treatment options? Select all that apply. A) antipsychotics B) decrease in water intake C) vitamin/mineral supplements D) reduction of caffeine intake E) NSAIDs F) diuretic therapy

C D E F

A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the US? A) pregnancy category X medications B) maternal drug addiction C) genetic anomalies D) fetal alcohol spectrum disorder

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele? A) sagging of the rectum, pushing against or into the posterior vaginal wall B) downward movement of the uterus through the pelvic floor and into the vagina C) bulging of the small intestine through the posterior vaginal wall D) protrusion of the bladder wall through the anterior vaginal wall

A nurse is conducting a seminar for a local women's group on decreasing the risk factors for cancer. Which guidance would the nurse most likely include? A) cut back on smoking B) drink at least one alcoholic beverage each day C) wait until after age 30 to have their first child D) choose a low-fat, high-vegetable diet

A nurse is creating a fact sheet for clients at a women's health center about cervical cancer. Which information would be most important for the nurse to include? A) early detection with a colposcopy improves the chances of survival B) it is 10 times more common in women affected with HIV or AIDS C) it rarely develops in women over 60 D) highest incidence of cervical cancer is in women 40-49 years of age

A nurse is reviewing the medical record of a pregnant client diagnosed with placenta previa. The physical exam reveals that the placenta is implanted near the internal os but does not reach it. The nurse interprets this as which type of placenta previa? A) partial B) marginal C) total D) low-lying

A nurse is reviewing the medical record of a woman who has given birth vaginally. The record reveals that the client required a right mediolateral episiotomy during birth. When assessing the client, the nurse would inspect which area to evaluate the status of the episiotomy? A) labia B) clitoris C) vestibule D) perineum

A nurse is working as part of a community group focusing efforts on preventing isoimmunization during pregnancy at the local women's health clinic. Which measure would the group encourage? A) blood typing of mothers with type A or B blood B) cerclage C) amniocentesis D) RhoGAM administration to RH- women

A pregnant woman with chronic hypertension comes to the clinic for evaluation. The last several blood pressure readings were gradually increasing. On today's visit her blood pressure is 166/100 mmHg. The health care provider prescribes an antihypertensive agent. The nurse anticipates which agent as being most commonly prescribed? A) labetalol B) atenolol C) nifedipine D) methyldopa

A woman is experiencing dystocia that appears related to psyche problems. Which intervention would be most appropriate for the nurse to initiate? A) administering oxytocin B) encouraging the women to change positions frequently C) preparing the woman for an amniotomy D) providing a comfortable environment with dim lighting

A woman is to undergo chorionic villus sampling as part of a risk assessment for genetic disorders. What statement would the nurse include when describing this test to the woman? A) A small amount of amniotic fluid will be withdrawn and collected for analysis B) A needle will be inserted directly into your fetus' umbilical vessel to collect blood for testing C) An intravaginal ultrasound measures fluid in the space between the skin and spine D) A small piece of tissue from the fetal placenta will be removed and analyzed

A woman opts to use a diaphragm for contraception. Which instruction would be most important for the nurse to provide? A) keep the diaphragm in place for no more than 4 hours after intercourse B) wet the diaphragm with water first before inserting it C) replace the diaphragm every 6 months D) have your diaphragm refitted if you lose 10 pounds or more

A woman seen in the emergency walk-in clinic, is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other STI diseases. What is the nurse's best response? A) This STI is an infection that will cause itching in the genital area B) This STI is an infection that will result in the formation of genital warts C) This STI is an infection that results in ulcers in the genital area D) This STI is characterized by an infection of your cervix

A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect? A) halts the progression of the abortion B) suppresses the immune response to prevent isoimmunization C) alleviates strong uterine cramping D) ensures passage of all the products of conception

After assessing a client's progress of labor, the nurse suspects the fetus is in a persistent occiput posterior position. Which finding would lead the nurse to suspect this condition? A) fetal buttocks as the presenting part B) contractions most forceful in the middle of the uterus rather than the fundus C) lack of cervical dilation past 2 cm D) reports of severe back pain

After teaching a class on the various structures formed by the embryonic membranes, the nurse determines that the teaching was successful when the class identifies which structure as being formed by the mesoderm? A) lungs B) stomach C) ears D) bones

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? A) Latex condoms are the best protection from STIs B) Condoms should be stored in a cool, dry place C) Condoms should be applied before any genital contact D) It's okay to use petroleum jelly with a latex condom

At a prenatal checkup with a client at 7 weeks' gestation, the nurse would identify what as a normal finding? A) Gender identity is determined with ultrasound B) Quickening is detected by the mother C) The fetus would have a startle reflex D) Fetal heart sounds are heard

During examination of clients, the nurse will question women concerning their LMP. This indicates: A) the last day of their last menstrual period B) the level of menstrual pain C) the length of their menstrual periods D) the first day of their last menstrual period

The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate? A) obtain an order for pregnancy test to rule out ectopic pregnancy B) obtain an order for CBC and PT blood test C) prepare her for an ultrasound to check internal pelvic structures D) tell the client to learn to live with it

The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms? A) HPV B) syphilis C) herpes simplex II D) trichomoniasis

The nurse is assessing a couple who has come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility? A) age of 25 years B) dysmenorrhea C) patent fallopian tubes D) endometriosus

The nurse is caring for a 14-year-old girl who fears she might have a STI. What would the nurse expect to assess if the adolescent has trichomoniasis? A) urinary incontinence B) flu-like symptoms C) lesions on the vulva D) green vaginal discharge

The nurse is conducting a class on rape prevention for a group of young adult women and is describing the various types of date rape drugs. Which drug would the nurse describe as causing a separation in perception and sensation? A) gamma hydroxybutyrate (GHB) B) rohypnol C) diazepam D) ketamine

The nurse is teaching a class to a group of couples who are planning a pregnancy and reviewing the reproductive tract structures involved. When describing the components of semen, the nurse identifies the seminal vesicles and which other structure as responsible for providing most of the volume of semen? A) penile mucous glands B) bulbourethral glands C) vas deferens D) prostate gland

The nurse is teaching a group of middle school students about STIs. Which statement by the students indicates a need for additional teaching about condom use? A) Latex condoms provide the best protection against STIs B) Don't store condoms in your wallet C) Putting the condom on just before insertion defeats the purpose D) Put the condom on just before orgasm

The nurse is working with a young couple who are trying to conceive. The nurse recognizes that the clients understand the basics of the reproductive cycle when they identify that ovulation usually occurs at which day during a 28-day cycle? A) 10 B) 16 C) 20 D) 14

The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility? A) electrocauterization B) dilation and curettage C) laparoscopy D) myomectomy

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

While performing a clinical breast examination on a client, the nurse inspects the breasts with the client in various positions. Place the positions in their proper sequence from first to last. All options must be used. 1. arms raised over the head 2. arms resting at the sides 3. hands placed on the hips 4. hands on hips while standing

2 3 1 4

A pregnant woman determined to be at high risk for gestational diabetes is undergoing a 1-hour glucose challenge test. The nurse schedules the client for a 3-hour glucose tolerance test based on which result? A) 146 mg/dL B) 134 mg/dL C) 126 mg/dL D) 118 mg/dL

A client has arrived to the birthing center in labor, requesting a VBAC. The nurse knows that she would be a good candidate after reading the client's previous history based on which finding? A) has previous lower abdominal incision B) had prior transfundal uterine surgery C) had prior classic uterine incision D) has contracted pelvis

A client has been diagnosed with in situ breast carcinoma. The nurse explains that this means: A) it is noninvasive and has not extended beyond the point of origin B) the cancer has moved into the surrounding tissues C) the cancer is located strictly in the ductal system D) the cancer has spread to the lymph system

A client has come to the office for a prenatal visit during her 22nd week of gestation. On exam, it is noted that her blood pressure has increased to 138/90 mmHg. Her urine is negative for proteinuria. The nurse recognizes which factor as a potential cause? A) gestational hypertension B) HELLP C) preeclampsia D) chronic hypertension

After teaching a review class to a group of perinatal nurses about various methods for cervical ripening, the nurse determines that the teaching was successful when the group identifies which method as surgical? A) prostaglandin B) amniotomy C) laminaria D) breast stimulation

The nurse is working with a perpetrator of abuse. The nurse educates the perpetrator that the behavior can be changed with intervention based on the understanding that it is: A) caused by a psychiatric condition B) a learned behavior C) an inherited behavior D) caused by a disease

A nurse is explaining to a pregnant client about the various events associated with pregnancy and its progression. Which placental hormone would the nurse identify as playing a key role in stimulating myometrial contractility? A) relaxin B) estrogen C) progesterone D) human chorionic gonadotropin

The nurse, while teaching a group of pregnant women about the production of breast milk describes colostrum and compares it with mature breast milk. Which characteristic would the nurse identify as associated with colostrum? A) low maternal antibody content B) low protein count C) high sugar content D) high mineral count

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