396 - Practice EAQ's (Maternity)
A nurse is assessing a 55 year old client who is experiencing postmenopausal bleeding. The tentative diagnosis is endometrial cancer. Which findings in the clients history are risk factors associated endometrial cancer.
Obesity family history of endometrial cancer previous hormone replacement therapy Smoking
What important intervention should be included in the nursing care provided immediately after a sexual assault?
Obtaining the assault history from the client
Genetic testing is being discussed with a couple at the fertility clinic. What is the nurse's best response when they express concerns?
"Environmental factors can have an effect on genetic factors."
A client is being discharged after a first-trimester aspiration abortion. Which statement indicates to the nurse that the client has understood the instructions?
"I need to call you if I have to change my pad more than once in 2 hours."
All women of childbearing age are advised to include at least 400 mcg of folic acid in the daily diet to decrease the risk of neural tube defects in pregnancy. What should the nurse recommend to meet the recommendation? Select all that apply.
*vitamin B9 *legumes, dark-green leafy vegetables, and citrus fruits
A nurse is teaching a family planning class about ovulation and conception. The nurse should instruct the class that the ovum is thought to be viable for what period of time after ovulation?
24 to 36 hours
The nurse teaches a high school sex education class that herpes genitalis infection cannot be cured but that the disease is marked by remissions and exacerbations. What else should the students be taught about this infection?
Although exacerbations occur they are not as severe as the initial episode
A 24-year-old woman wants to use her basal body temperature (BBT) in natural family planning but is unsure when to take her temperature. The nurse informs her that an accurate BBT is best taken
Each morning prior to getting out of bed or increasing her activity
A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year- old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How does the nurse, using the GTPAL format, document the client's obstetric history?
G5 T2 P1 A1 L4
A 32-year-old woman is admitted to the unit with a history of fibroids and menorrhagia. Which findings does the nurse expect to encounter during assessment of the client?
Pale mucous membranes & difficulty emptying the bladder
a nurse is caring for a client who is scheduled for a modified radical mastectomy. what should the nurse tell the client to expect in the immediate postoperative period?
Portable wound drainage system
A client underwent a mastectomy 24 hours ago. Which information is most important for the nurse to include in the plan of care?
The hand and elbow of the affected arm will be elevated above the shoulder.
The nurse in a genetic counseling center determines that a disorder with a 50% occurrence rate in both males and females is classified as what?
autosomal dominant
A client at the women's health clinic tells the nurse that she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? Select all that apply.
rectal pressure abdominal pain
A 24-year-old client who has performed a positive home pregnancy test has presented at her first prenatal visit. She is 5 feet 6 inches tall (168 cm) and weighs 130 lb (59 kg). What should the nutrition plan regarding her daily caloric intake include?
340 more calories during the second trimester
A nurse is caring for a client with tertiary syphilis. Which body system should the nurse monitor most closely?
Cardiovascular
A client at 7 weeks' gestation elects to undergo an induced abortion. After receiving oral mifepristone, she returns to the clinic 2 days later to have misoprostol inserted vaginally. How long after the procedure should the nurse have the client return for a follow-up visit?
4 to 8 days
A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color with a "fishy" odor that both she and her husband have noticed. A wet smear is performed and the presence of "clue cells" confirmed. Which type of infection does the nurse suspect?
Bacterial vaginosis
A nurse is writing a teaching plan about osteoporosis. How would the nurse best explained what osteoporosis is How would the nurse best explained what osteoporosis is?
It involves a decrease in bone substance