Unit 1 Custom Adaptive questions

What should teaching for patients with a sexually transmitted infection (STI) include?

- treatment of sexual partners - importance of retesting post treatment - cotton undergarments are preferred - sexual abstinence during communicable phase - use of condoms during and after treatment

Caloric increase during third semester for adult women who are of average weight

460

genital herpes is caused by

a viral infection

The resolution phase for a male is

after ejaculation when the penis gradually returns to its unstimulated, flaccid state.

FSH

begins the follicle maturation

If fertilization occurs, high levels of estrogen and progesterone continue to be secreted because of

continued activity of corpus luteum from stimulation by human chorionic gonadotropin (hCG).

In women, luteinizing hormone (LH) from the anterior pituitary

contributes to ovulation by stimulating follicles to complete maturation and undergo ovulation.

Secondary dysmenorrhea is associated with

dull, lower abdominal aching that radiates to the back and bloating.

Which hormone is crucial in maintaining the implanted egg at its site?

progesterone

Low follicle stimulating hormone levels

reduce estrogen levels.

Estrogen plays a vital role in

the development and maintenance of secondary sexual characteristics.

Pap culture/smear

used for detection of STI's

A nurse is planning to provide discharge teaching to the family of a client with acquired immunodeficiency syndrome (AIDS). Which statement should the nurse include in the teaching plan?

wash dishes in hot, soapy water A person cannot contract human immunodeficiency virus (HIV) by eating from dishes previously used by an individual with AIDS; routine care is adequate. Washing used dishes in hot, soapy water is sufficient care for dishes used by the AIDS client.

A client reports to a health clinic because a sexual partner recently was diagnosed as having gonorrhea. The health history reveals that the client has engaged in receptive anal intercourse. What should the nurse assess for in this client?

- Anal itching - Rectal bleeding - Painful defication

Sildenafil common side effects

- Flushing - Headache - Dyspepsia - Diarrhea - Hypotension Not to be taken with the following bc risk of cardiac collapse: - Antihypertensives - Nitrates

Normal breast exams findings

- symmetric without dimpling - Nipples are soft with no drainage, retraction or lesions noted. - No masses, tenderness, or lymphadenopathy (abnormal lymphnodes) is present.

How much blood is lost with each menstrual period.

Approximately 20 to 80 mL (which at most is only 1/3 cup)

Nitrofuratoin used during the fifth week of pregnancy places the neonate at risk for which condition? (Used for UTI's and other bacterial infection)

Cleft lip

Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a white blood cell (WBC) count of 17,000/mm 3. How should the nurse interpret this WBC count?

During the postpartum period, leukocytosis (WBC count of 15,000 to 20,000/mm 3) is expected and related to the physical exertion experienced during labor and birth. A count of 17,000/mm 3 does not constitute a drop in the WBC count, because the usual postpartum WBC count is between 15,000 and 20,000/mm 3.

The nurse explains the purpose of a nonstress test to a pregnant client who is at 39 weeks' gestation. This test is a way of evaluating the condition of the fetus by comparing the fetal heart rate with what?

In a healthy, well-oxygenated fetus the heart rate increases with fetal movement; there should be an acceleration of 15 beats with fetal movement.

During discharge teaching a client who just had a hysterectomy states, "After this surgery, I don't expect to be interested in sex anymore." What should the nurse consider before responding?

Many women incorrectly equate hysterectomy with loss of libido. The uterus is ofte believed necessary for a satisfying sex life. Sexuality after hysterectomy should not be diminished, particularly because the fear of pregnancy no longer exists. Although the estrogen level is reduced, libido is influenced by psychologic as well as hormonal factors.

Probable pregnancy symptoms

Objective changes assessed by an examiner For example: - Hegar sign (softening of lower uterine segment) - ballottement (finger is pressed against uterus, fetus retracts and then returns) - pregnancy tests When combined with the presumptive signs and symptoms, these changes strongly suggest pregnancy.

Positive pregnancy symptoms

Objective signs assessed by an examiner that can be attributed only to the presence of the fetus For example: - hearing fetal heart tones - visualizing the fetus - palpating fetal movements These are definitive signs that confirm pregnancy.

A 52-yr-old man with a primary infection of genital herpes was prescribed acyclovir (Zovirax) orally for 10 days. The patient returns to the clinic for a follow-up visit. Which finding indicates that treatment is effective?

Primary genital herpes is a viral disorder caused by the herpes simplex virus. Genital herpes results in painful, vesicular lesions. The lesions rupture, form crusts, and heal in 17 to 21 days.

The primary healthcare provider suspects pituitary gland dysfunction in a female client. Which diagnostic test would the primary healthcare provider suggest to the client?

Prolactin test

syphillis is caused by

Treponema pallidum bacteria primary stage causes chancres secondary stages include: flu-like symptoms of fever, sore throat, headaches, fatigue, rash, and generalized adenopathy.

A client reports an absence of menstruation to the nurse. Which condition does the nurse suspect?

amenorhhea

Testosterone is important for

bone strength and development of muscle mass.

What is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers?

chlamydia

A Pap test is a

cytologic study used to detect abnormal cells.

Blood tests, NAATs, cultures, and smears are frequently used to

detect the presence of STIs and vaginitis.

The Papanicolaou (Pap) test

detects malignancies, particularly cervical cancer.

The orgasmic phase for a male is when

ejaculation occurs from contraction of the penile and urethral musculature propelling the sperm outward through the meatus.

Common side effect/affter effect of stroke, cardiovascular disease, and antihypertension medication

erectile dysfunction

The Sims-Huhner test is used to

evaluate the hostility of the cervix for passage of sperm from the vagina into the uterus.

Prepuce

foreskin

Estradiol is tested to determine

functioning of the ovaries.

A female adolescent reports excessive hair growth in the pubic region and under the arms. What may be responsible for these changes?

high levels of estrogen

prolactin test

is used to determine if the client does or does not have any pituitary gland dysfunction.

Meromelia

lack of one or more limbs; this condition is seen during the initial four weeks of gestation.

Breast enlargement along with change in pubic hair to adult type sexual hair covering the mons pubis and labia majora occurs during

mid-puberty stage.

Progesterone is secreted by the corpus luteum during early pregnancy and low levels of progesterone are associated with

miscarriage and ectopic pregnancy.

Serum progesterone, prolactin, and estradiol can help in

ovarian function assessment, particularly for amenorrhea.

Dysmenorrhea is

painful menstruation associated with abdominal cramps.

Endometriosis is characterized by

pelvic pain, dyspareunia, diarrhea, pain with defecation, and constipation.

The excitement phase for a male is manifest by

penile erection in response to sexual stimulation.

A prolactin assay will detect

pituitary dysfunction that can cause amenorrhea.

(FSH) production by the anterior pituitary

stimulates growth and maturity of ovarian follicles. The mature follicle produces estrogen, which in turn suppresses the release of FSH.

In men, FSH

stimulates seminiferous tubules to produce sperm.

The plateau phase for a male is when

the erection is maintained, and there is a slight increase in vasocongestion and testicle size, and the glans penis may become more reddish-purple.

Menarche is

the first episode of menstrual bleeding, indicating that a female has reached puberty. **This usually occurs at 12 to 13 years of age but may range from 9 to 16 years of age.

First menstrual period is considered

the hallmark of late puberty in young girls.

Estrogen is essential

to the development and maintenance of: - secondary sex characteristics - proliferative phase of menstrual cycle immediately after menstruation - pregnancy uterine changes.

A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What should the nurse include in patient teaching?

treatment necessitates abstinence from 1. sexual activity (to prevent infection of partners) 2. alcohol (to avoid urethral irritation).

The history and physical of a 29-yr-old female patient are indicative of human papillomavirus (HPV) infection. What treatment option should be discussed with the patient?

wart removal options

The length of a menstrual cycle

may be from 21 to 35 days, with the average length being 28 days.

Caloric increase during first trimester for adult women who are of average weight

none

epididymis is

the internal structure that promotes transportation of the sperm.

When taking a sexual health history, the nurse should begin with

the least sensitive area of questioning and then move to more sensitive areas.

Estrogen and progesterone are produced by

the ovaries.

In men, LH is responsible for

the production of testosterone.

Inhibin regulates

the release of follicle-stimulating hormone (FSH) and gonadotropin-releasing hormone (GnRH).

Physiologic leukorrhea (increased normal vaginal discharge) marks

the uterine development early in puberty.

How does exercise help relieve menstrual discomfort in adolescents?

- increased vasodilation --> decrease in ischemia - reduces congestion in the pelvis --> minimizes discomfort in the pelvis. - promotes the release of endogenous opiates - suppresses prostaglandin production.

The nurse administers a Gardasil vaccine to an 18-yr-old female patient. After the injection, which patient instruction is priority?

- to prevent syncope (fainting) during and after the administration of Gardasil, the patient should remain sitting or lying down for 15 minutes. - vaccine is not recommended during pregnancy. - vaccine is given in three IM doses over a 6-month period. - there are no sexual activity restrictions after administration of Gardasil.

Mifepristone is an

antiprogesterone that blocks the progesterone receptors and acts as an abortifacient.

Caloric increase during second semester for adult women who are of average weight

340

Presumptive pregnancy symptoms

Subjective changes reported by the woman For example: - amenorrhea (abnormal absence of menses) - fatigue - breast changes These can be caused by conditions other than pregnancy.

A young male patient is seeking treatment for recurrence of genital tingling, burning, and itching. The nurse will expect a prescription for which class of medications?

This patient is experiencing a reoccurrence of genital herpes (HSV2). Although not a cure, he will be treated with antiviral medications to decrease the duration of viral shedding and the healing time of genital lesions and reduce outbreaks. Antibiotics and contraceptives are not used to treat acute HSV2. There are no vaccinations for HSV.

The vas deferens

carries the sperm from the epididymis to the ejaculatory duct.