Developmental Concepts - OB Module 1

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) "A woman can avoid being raped. If she doesn't want it to happen, then it won't." B) "Most victims of rape never report the episode to the police or tell anyone about it." C) "What a woman wears has no effect on whether or not she will be raped." D) "Women who are raped may require several years to recover emotionally and physically."

A) "A woman can avoid being raped. If she doesn't want it to happen, then it won't."

What are methods for delivering hormonal contraception? Select all that apply. A) orally B) transdermally C) vaginally D) rectally E) implantation F) injection

A) orally B) transdermally C) vaginally E) implantation F) injection

A nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? A) history of exercising twice a week B) history of diabetes for 4 years C) history of occasional use of OTC pain relievers D) maternal age of 28 years

B) history of diabetes for 4 year

After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding? A) Smoking B) Hypertension C) Abnormal uterine shape D) Thromboembolic disease

C) Abnormal uterine shape

A client needs additional information about the cervical mucus ovulation method after having read about it in a magazine. She asks the nurse about cervical changes during ovulation. What information should the nurse give the client? A) Cervical os is slightly closed. B) Cervical mucus is dry and thick. C) Cervix is high or deep in the vagina. D) Cervical mucus breaks when stretched.

C) Cervix is high or deep in the vagina.

The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement? A) Avoid caffeinated beverages. B) Take only at bedtime. C) Take antacid 1 hour after the multivitamin. D) Take with dairy products.

C) Take antacid 1 hour after the multivitamin.

A female client who has chosen the cervical cap as her method of contraception states that she knows how to use it. Which statement by the client would indicate to the nurse that the client does understand this method of contraception? A) "I will remove the cap immediately after every intercourse and reinsert it later." B) "This method will help protect me from getting sexually transmitted infections." C) "I do not need any follow-up procedures for this method." D) "I do not have any spermicidal allergies, so this method is OK for me."

D) "I do not have any spermicidal allergies, so this method is OK for me."

A client is desiring to start birth control and is questioning the nurse concerning the best options. Which option should the nurse point out is the most reliable? A) diaphragms C) condoms D) oral contraceptives E) etonogestrel implant

E) etonogestrel implant

Which statement made by a male client who has a history of perpetrating intimate partner violence reflects a known factor that is characteristic of this behavior? A) "My classmates always called me a bully." B) "Sports like football and soccer are my life." C) "My mother was the disciplinarian in our family." D) "It was just mom and me after dad died."

A) "My classmates always called me a bully."

The victim of rape ask about emergency contraception. The nurse would educate the client that the drug should be taken within which time frame to ensure maximum effectiveness? A) 12 hours after the rape B) 24 hours after the rape C) 36 hours after the rape D) 48 hours after the rape

A) 12 hours after rape

The nurse who works in a woman's health clinic correctly identifies which key objectives for 2020 National Health Goals that addresses violence against women? Select all that apply. A) Reduce the rate of physical assault by current or former intimate partners. B) Increase the rate of women's depression. C) Reduce the annual rate of rape or attempted rape. D) Increase the rate of women's consumed calories. E) Reduce the amount of sodium added to prepared foods.

A) Reduce the rate of physical assault by current or former intimate partners. C) Reduce the annual rate of rape or attempted rape.

The nurse who counsels clients who suffer from intimate partner violence understands that abuse can come in which different forms? Select all that apply. A) emotional abuse B) physical abuse C) financial abuse D) sexual abuse E) spiritual abuse

A) emotional abuse B) physical abuse C) financial abuse D) sexual abuse

A nurse is teaching a female client about fertility awareness as a method of contraception. The nurse should mention to the client that this method relies on which assumption? A) Sperm can live up to 24 hours after intercourse. B) The "unsafe period" is approximately 6 days. C) The exact time of ovulation can be determined. D) The "safe period" is 3 days after ovulation.

B) The "unsafe period" is approximately 6 days.

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case? A) Use direct quotes and specific language. B) Obtain photos to substantiate the client's case in a court of law. C) Document only descriptions of medical interventions taken. D) Respect the client's opinion and avoid informing the police.

A) Use direct quotes and specific language. The nurse should use direct quotes and specific language as much as possible when documenting. The nurse should not obtain photos of the client without informed consent. The nurse should, however, document the refusal of the client to be photographed. Documentation must include details as to the frequency and severity of abuse and the location, extent, and outcome of injuries, not just a description of the interventions taken. The nurse is required by law to inform the police of any injuries that involve knives, firearms, or other deadly weapons or that present life-threatening injuries.

Which occurrence is a biologic indicator of posttraumatic stress disorder (PTSD)? A) flashbacks B) memory difficulties C) auditory hallucinations D) a feeling of unreality about oneself

A) flashback

A nurse is developing a plan of care for a victim of abuse. Which action would be most appropriate for the nurse to include in the plan? A) Make the decisions for the client. B) Allow the client to participate in the care. C) Provide an overview of the procedures to be done. D) Take the lead in providing the interventions quickly.

B) Allow the client to participate in the care Eating mints can help reduce flatulence; chewing gum increases the amount of air that is swallowed, increasing gas build-up.

A client has been following the conventional 28-day regimen for contraception. She is now considering switching to an extended oral contraceptive (OC) regimen. She is seeking information about specific safety precautions. Which is true for the extended OC regimen? A) It is not as effective as the conventional regimen. B) It prevents pregnancy for 3 months at a time. C) It carries the same safety profile as the 28-day regimen. D) It does not ensure restoration of fertility if discontinued.

C) It carries the same safety profile as the 28-day regimen.

The nurse is preparing to meet with a couple who have requested counseling concerning family planning. The nurse will prioritize which topics for discussion? A) Ensuring the couple is legally married B) Ensuring the correct time frame is followed C) Possible genetic abnormalities D) Preventing STIs

C) Possible genetic abnormalities

The nurse working with victims of intimate partner violence recognizes that the abuser's swearing, promising, or threatening to hit the victim is categorized as which type of abuse? A) emotional B) physical C) financial D) sexual

A) emotional

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

A) tension building

A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize? A) Wash with clean water and soap after intercourse. B) Insert the product by applicator in the vagina several hours prior to intercourse. C) Apply the spermicide directly to the glans penis to kill the sperm when they exit the penis. D) Leave the product in place for 24 hours after intercourse.

B) Insert the product by applicator in the vagina several hours prior to intercourse.

When caring for a client with reproductive issues, the nurse is required to clear up misconceptions. This enables new learning to take hold and a better client response to whichever methods are explored and ultimately selected. Which misconceptions will the nurse needs to clear up? Select all that apply. A) Breastfeeding does not protect against pregnancy. B) Taking birth control pills protects against sexually transmitted infections (STIs). C) Douching after sex will prevent pregnancy. D) Pregnancy can occur during menses. E) Irregular menstruation prevents pregnancy.

B) Taking birth control pills protects against sexually transmitted infections (STIs). C) Douching after sex will prevent pregnancy. E) Irregular menstruation prevents pregnancy.

The nurse is aware of three different phases in the cycle of violence. Which is not one of those phases? A) honeymoon phase B) tension-building phase C) battering incident D) hopeless stage

D) hopeless stage

A 13-year-old immigrant from Asia is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed circumcision wounds. The client can understand limited English but cannot speak the language fluently. The service of an interpreter is employed. What should the nurse keep in mind when interacting with this client? A) The client is still a child, so the nurse should convey important information in precise medical terms to ease understanding. B) Allow the interpreter to question the client directly to assist with data gathering. C) Use pictures and diagrams to supplement the questions and answers of the client's understanding. D) Condemn the cultural practice, and explain why it is wrong to the client.

C) Use pictures and diagrams to supplement the questions and answers of the client's understanding.

When health care professionals detect signs of elder mistreatment in clients, the law requires them to do what? A) Report the treatment to the state authorities. B) Set up family counseling sessions. C) Find temporary housing for the client. D) Educate the client and family about elder mistreatment.

A) Report the treatment to the state authorities.

Nurses sometimes have difficulty assessing clients for intimate partner violence. Which screening protocol is most thorough when assessing for violence? A) the SAVE model B) the SBAR model C) the FACE model D) the RACE model

A) the SAVE model screen, ask, validate and evaluate

A nurse is conducting an awareness session on sexual abuse, and she is explaining the psychological profile of an average abuser. Which trait is often displayed by abusers? A) They have parents who are divorced. B) They exhibit antisocial behaviors. C) They belong to the low-income group. D) They are usually physically imposing.

B) They exhibit antisocial behaviors.

A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply. A) ovulation B) tubal transport C) diabetes D) impaired implantation E) lack of exercise

A) ovulation B) tubal transport D) impaired implantation

A nurse is helping a couple choose a contraception method that is right for them. Which is the least likely factor the nurse should consider? A) the popularity of the method among the couple's friends B) ability to use a method correctly C) financial factors D) whether the method will affect sexual enjoyment

A) the popularity of the method among the couple's friends

A female client is interested in knowing what the most effective procedure for permanent sterilization in women is. The nurse should mention which procedure to the client? A) tubal ligation B) vasectomy C) diaphragm D) spermicidal creams

A) tubal ligation

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation? A) an ovulation suppressant B) a spermicidal suppository C) the rhythm (calendar) method D) a diaphragm and spermicide

D) a diaphragm and spermicide

A nurse is performing a physical examination of a pregnant woman. During examination, the nurse notices a bruise on the client's abdomen. Which action should the nurse take? A) Ask the client to account for the bruise. B) Assume that the bruise is from an accident and not worry about it. C) Make a note in the client's chart regarding the finding, and plan to observe for other signs of intimate partner violence in the future. D) Assume that the bruise is from intimate partner violence, and call the police while the client is still in the room.

A) Ask the client to account for the bruise.

A first year nursing student is learning how to differentiate between the two types of violence against women: intimate partner violence and sexual abuse. She learns that intimate partner violence includes: A) dating, cohabitating, or marital relationships. B) a stranger off the street. C) a neighbor. D) a working associate.

A) dating, cohabitating, or marital relationships.

The nursing student is studying violence and mistreatment against the older woman. While researching it, the student learns that laws require health care professionals to report elder or vulnerable person mistreatment. How many states currently have these laws? A) 40 B) 32 C) 46 D) 50

D) 50

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control? A) LAM causes suppression of the ovulation process. B) LAM prevents introduction of sperm into the vagina. C) LAM prevents fertilization between the egg and sperm. D) LAM thickens the cervical mucus and blocks sperm.

A) LAM causes suppression of the ovulation process.

The nurse is teaching a client about a vasectomy. The nurse determines the session is successful when the client correctly chooses which fact concerning the vasectomy? A) Usually done as an office procedure B) Will no longer ejaculate C) May notice permanent increased scrotal swelling D) Testes will no longer produce sperm.

A) Usually done as an office procedure

When a pregnant client is victim of intimate partner violence during pregnancy, what complication is likely to occur after birth due to the abuse? A) edema B) postpartum depression C) low birth weight D) Schizophrenia

B) postpartum depression

A community health nurse is preparing a presentation for a health fair on the topics of planning for a pregnancy. Which major goal has the nurse determined should be accomplished with this presentation? A) Ensure women are using the correct contraceptive method. B) Ensure couples understand genetic risks. C) Provide one-on-one counseling. D) Decrease the number of unwanted pregnancies.

D) Decrease the number of unwanted pregnancies.

A couple is being assessed for infertility. The male partner is required to collect a semen sample for analysis. What instruction should the nurse give him? A) Abstain from sexual activity for 10 hours before collecting the sample. B) Avoid strenuous activity for 24 hours before collecting the sample. C) Collect a specimen by ejaculating into a condom or plastic bag. D) Deliver sample for analysis within 1 to 2 hours after ejaculation.

D) Deliver sample for analysis within 1 to 2 hours after ejaculation.

A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD? A) a woman who has multiple sex partners B) a woman who has a history of PID C) a woman who is in her early twenties and wants children later in life D) a woman who has one partner and three children

D) a woman who has one partner and three children

The nurse is caring for a client who is seeking care after being raped. What is the primary reason the nurse does not leave the client alone during the emergency room stay? A) Promotes the client's sense of safety B) Provides the opportunity for the client to validate feelings C) Assures the nurse will be available to meet the client's needs D) Helps guarantee proper attention to the preservation of evidence

A) Promotes the client's sense of safety

The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus? A) Thin, slippery, and stretchy B) Cloudy, thick, and watery C) Clear and of large quantity D) Thin and red-tinged

A) Thin slippery, and stretchy

A client with multiple bruises comes to the clinic for treatment. The client appears withdrawn and quiet when the nurse approaches. The spouse accompanies the client to the exam room and begins to answer all the questions the nurse asks the client. What should the nurse suspect? A) a loving relationship B) intimate partner violence C) nothing D) a quiet client

B) intimate partner violence

Which statement is false regarding screening for intimate partner violence in women? A) Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. B) Screening should be routinely done at every visit. C) An older adult woman may be a victim of intimate partner violence. D) Although women who are abused may exhibit certain behavior patterns, all women should be screened for intimate partner violence.

A) Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics.

A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client? A) long-term hormone replacement therapy B) selective estrogen receptor modulators C) lipid-lowering agents D) bisphosphonates

A) long-term hormone replacement therapy

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) etonogestrel C) norelgestromin/ethinyl estradiol D) levonorgestrel/ethinyl estradiol

A) medroxyprogesterone acetate

The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process? A) Actively listening to the client as he or she talks about the experience B) Reinforcing the fact that violence is never deserved C) Educating the client about the symptoms of post traumatic stress disorder D) Teaching the client stress management strategies

A) Actively listening to the client as he or she talks about the experience

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

A) her culture

The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior? A) moderate to severe violence with people both within and outside the family B) intermittent remorse for the violence and abuse committed C) symptoms of depression along with harboring feelings of inadequacy D) purposefully remain socially isolated from people other than those in the family

A) moderate to severe violence with people both within and outside the family

The generation-to-generation continuum of violence refers to the fact that: A) violence is a learned behavior, and children who witness intimate partner violence are more likely to become abusers themselves. B) violence is an innate behavior, and children become abusers because of external factors in their environment more often than in their family. D) children who grow up a victim of mistreatment are less likely to be abusers themselves because they see firsthand the devastation that violence can cause. E) children who grow up a victim of mistreatment almost always become abusers themselves unless they have professional intervention.

A) violence is a learned behavior, and children who witness intimate partner violence are more likely to become abusers themselves.

A 30-year-old client tells the nurse that she would like to use a contraceptive sponge but does not know enough about its use and whether it will protect her against sexually transmitted infections (STIs). Which information should the nurse provide the client about using a contraceptive sponge? Select all that apply. A) Keep the sponge in for more than 30 hours to prevent STIs. B) Wet the sponge with water before inserting it. C) Insert the sponge 24 hours before intercourse. D) Leave the sponge in place for at least 6 hours following intercourse. E) Replace sponge every 2 hours for the method to be effective.

B) Wet the sponge with water before inserting it. C) Insert the sponge 24 hours before intercourse. D) Leave the sponge in place for at least 6 hours following intercourse.

A pregnant client discloses to the nurse that she has been abused by her spouse for the past 4 years. Which statement is true regarding violence against pregnant women? A) Intimate partner violence occurs most frequently in lower socioeconomic and minority groups. B) Intimate partner violence in pregnant women is rare. C) Intimate partner violence may increase during pregnancy. D) Alcohol and substance abuse always cause abusive behavior.

C) Intimate partner violence may increase during pregnancy.

A client has just confided in the nurse about being slapped and kicked by the partner that morning. What is the best response by the nurse? A) "Oh my goodness, I cannot believe that happened to you. You poor thing, I feel terrible for you." B) "Maybe your partner didn't mean to do it. Have you talked with your partner about it?" C) "Is this the first and only time your partner has done anything like this?" D) "It's very brave of you to tell me all this. Help is available if you choose it."

D) "It's very brave of you to tell me all this. Help is available if you choose it."

A nurse is interviewing a client who is a survivor of intimate partner violence. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase three of the cycle of violence? A) "My spouse threw me against the wall and started punching my face." B) "My spouse yells at me for not having dinner waiting upon arriving home." C) "My spouse calls me stupid and incompetent, questioning why we ever married." D) "My spouse apologizes and tell me I will never be hit again."

D) "My spouse apologizes and tell me I will never be hit again."

The estrogen content in the contraceptive pill performs which action? A) decreases the permeability of cervical mucus B) increases the level of luteinizing hormone (LH) C) interferes with endometrial proliferation D) suppresses follicle-stimulating hormone (FSH)

D) suppresses follicle-stimulating hormone (FSH)

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? A) transdermal contraception B) female condom C) cervical cap D) diaphragm

A) transdermal contraception

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) 56 active; 5 placebo D) 42 active; 4 placebo

A) 84 active; 7 placebo