Exam 5 Family - Quiz, Book, and PowerPoint questions (Ch 7, 8, 23, 24, 4, 5, 6)
Which of the following contraceptive methods offers protection against sexually transmitted infections?
Latex condom
A client calls the clinic to report having fever and chills 24 hours after having a cervical biopsy. Which is the nurse's best response
"You will need to come to the clinic for further evaluation."
Characteristics of a newborn with fetal alcohol syndrome would include which of the following?
Microcephaly and thin upper lip congenital cardiac defects and SGA hyperactive behavior and feeding problems.
Which finding would lead the nurse to suspect that a newborn is experiencing respiratory distress syndrome?
Nasal flaring
After teaching a group of students about reproductive tract cancers, the nursing instructor determines that the teaching was successful when the students identify which as the deadliest type of reproductive cancer?
Ovarian cancer
What suggestion would be helpful for the client experiencing painful fibrocystic breast changes?
Take a mild analgesic when needed
A woman will be taking oral contraceptives using a 28-day pack. The nurse should advise this woman to protect against pregnancy by
Taking one pill at the same time every day
Amenorrhea
The absence of menstrual flow
What is the primary factor for the low survival rates for clients who are diagnosed with ovarian cancer
The cancer is usually asymptomatic in the early stages. By the time symptoms appear, the cancer is usually at an advanced stage.
A couple is considering infertile after how many months of trying to concieve?
12 months
When describing ovarian cancer to a local women's group, the nurse states ovarian cancer often is not diagnosed early because?
The early stages produce vague symptoms.
Endometriosis
The presence and growth of endometrial tissue outside of the uterus
The nurse is caring for term neonate who was exposed to cocaine throughout the pregnancy. What affect would this exposure have on the neonate's vital signs?
They would be higher than normal
Women with PCOS are at an increased risk for developing which long term health problem?
Type 2 Diabetes
A 25 year-old woman presents with an asymptomatic breast mass. Which statement is true concerning her diagnosis and treatment?
Ultrasound is typically used to determine the diagnosis.
A baby was born 36 hours ago to a mother who received no prenatal care. The infant has tremors, sneezes excessively, constantly roots on its hands to suck, and has a high-pitched cry. The baby's serum glucose levels are normal. What order should the nurse expect from the healthcare provider
Urine drug toxicology test
Breast self examinations involve both palpation of breast tissue and?
Visualizing both breasts for any change
List 5 risk factors for endometrial cancer
Women in reproductive years, family history of endometrial cancer, diabetes mellitus, hypertension, obesity, uterine polyps, late menopause, nulliparity, smoking, Tamoxifen given for breast cancer
List 3 interventions done during the post-operative period for a client undergoing a hysterectomy
Ambulation, vitals, monitor for bleeding, coping, prevent DVTs, IS
Which of the following is the strongest risk factor for breast cancer?
Advancing age and being a female.
A 62-year-old woman tells the nurse that she has been experiencing pain during intercourse. The nurse should document that this woman is experiencing which of the following
Dyspareunia (Pain during, before, after sex)
Which best describes the signs and symptoms of trichomoniasis in women
Malodorous, frothy yellow-green vaginal discharge
Which combination contraceptive has been approved for extended continuous use?
Seasonale
A couple reports that the condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy?
Obtain emergency contraceptives and take them immediately
In securing a health history of a 65-year-old woman, which clinical manifestation described by the client would the nurse suspect is related to pelvic organ prolapse?
Weight gain and edema of ankles
Throughout life, a woman's most proactive activity to promote her health would be to engage in?
consistent exercise
SGA and LGA newborns have an excessive number of red blood cells related to?
hypoxia
Which measure helps prevent osteoporosis?
weight bearing exercise
Which comment by a woman would indicate that a diaphragm is not the best contraceptive device for her?
"I am not comfortable touching myself down there"
Conservative management options available for women with pelvic organ prolapse are?
Pessaries and PFME's
The nurse is caring for a patient who has been recently diagnosed with fibrocystic breast condition. What teaching will the nurse provide?
Analgesics may decrease pain.
A sexually active 19-year-old presents to the clinic with postictal bleeding, dysuria, and a yellow discharge. Her cervix upon exam is red and friable. What might the nurse suspect?
Chlamydia
The most serious potential adverse reaction from chemo is?
Myelosuppression
Evidenced-based practice refers to the use of which of the following to validate your practice?
Research findings
A nurse is assigned to care for a client who has undergone a modified radical right mastectomy for breast cancer. When delegating care, which statement by the nursing assistant would require further teaching by the nurse
"It is important for me to take the clients blood pressure on the right arm."
A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse's most appropriate response is:
"This is a legitimate concern. Would you like to discuss this further before your treatment begins?"
A newborn with tracheoesophageal fistula is likely to present with which assessment finding?
Drooling from mouth
A client is prescribed doxycycline 100 mg oral twice a day for 7 days to treat a chlamydia infection. Doxycycline is dispensed in 50 mg tablets. How many tablets will the client take per dose
2 tablets/dose
The nurse documents that a newborn is post term based on the understanding that he was born after?
42 weeks gestation
The nurse is caring for four patients. Which patient does the nurse recognize being at the highest risk for development of breast cancer?
60-year-old female with ongoing menarche
A 16-year-old client presents to the clinic with concerns that she has not begun menstruating. She states she runs cross country and typically runs 4 or more miles a day. Based on this history, what is the client likely experiencing
Primary amenorrhea
To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia?
A nontender, indurated ulcer
The nurse is taking a history for a 64-year-old female patient who has a family history of breast cancer (mother, grandmother, sister). She has never been pregnant. She smoked cigarettes but quit 2 years ago, and reports consuming two alcoholic drinks per day. Today is her annual check-up, and she asks about her risk for breast cancer. What are her risk factors for developing this disease? (List all that apply.)
Age is the primary risk factor for breast cancer. Additional risk factors include family history with first-degree relatives, nulliparity, and alcoholic consumption of two or more drinks per day.
Which dietary and lifestyle modification might the nurse recommend to help prevent pelvic relaxation as women age?
Eat a high fiber diet to avoid constipation and straining.
A client reports mild discomfort from a fibrocystic breast condition. What education would the nurse provide to the client
Analgesics can be taken to reduce pain. Limit salt intake to decrease swelling. Wear supportive bra. Use of heat and ice.
The most common cause of menstrual abnormality in a reproductive-age woman is?
Anovulation
A postmenopausal woman reports that she has started spotting again. Which action would the nurse take?
Anticipate that the doctor will assess her endometrium thickness.
The nurses discharge teaching for the woman hospitalized with PID should reinforce which of the following potential life threatening complications?
Ectopic pregnancy
When you are interviewing a client with uterine fibroids, what subjective data would you expect to find in her history?
Chronic pelvic pain.
A woman with HPV is likely to present with which nursing assessment finding?
Clusters of genital warts
A newborn with pathologic jaundice is being treated with phototherapy for a serum bilirubin level 14. To provide safe newborn care, which action should the nurse perform
Cover the baby's eyes with protective eyewear
Premenstrual syndrome (PMS)
Cyclic symptoms occurring in the luteal phase of the menstrual cycle
When assessing the substance-exposed newborn, which finding would the nurse expect?
Increasing irritability
When caring for parents experiencing perinatal loss, which of the following nursing interventions would be most appropriate?
Encouraging them to participate in the newborns care.
The nurse is counseling a woman recently diagnosed with breast cancer. Which factor has the most influence on the choice for treatment
Extent and location of metastasis of the breast mass
Which newborn is at risk for meconium aspiration syndrome
Fetal hypoxia, Maternal drug use, Maternal hypertension, Prolonged labor
The nurse is assessing a client who has a suspected cystocele. Which signs and symptoms should the nurse expect
Frequent urinary tract infections, Stress incontinence, Sense of fullness in the vaginal area
Which is considered a risk factor for vulvar cancer?
HPV (human papillomavirus)
In which of the following infants would the nurse would be most alert for the development of transient tachypnea?
Infant born C-section
What information will the nurse include when teaching this patient about health promotion strategies? (Select all that apply.)
Have a screening mammogram annually. Ask your provider to perform a clinical breast examination (CBE). Notify your provider immediately if you notice any lumps in your breasts. Breast self-examination (BSE) can be performed to establish familiarity with your breasts.
When assessing a preterm newborn, which of the following findings would be of greatest concern?
Heart murmur
The nurse is preparing to teach a class to a group of middle-aged women regarding the most common vasomotor symptoms experienced during menopause and possible modalities of treatment available. Which is an example of a vasomotor symptom experienced by menopausal women?
Hot flashes
Because subcutaneous and brown fat stores were used for survival in utero, the nurse would assess an SGA newborn for which of the following?
Hypothermia
The nurse is providing care to several newborns with variations in gestational age and birth weight. When developing the plan of care for these newborns, the nurse focuses on energy conservation to promote growth and development. Which measures would the nurse include in the nursing plans of care? Select all that apply.
Keeping the handling of the newborn to a minimum Maintaining a neutral thermal environment Decreasing environmental stimuli
The nurse is attempting to reassure her obese female client about the discovery of an ovarian cyst after her pelvic exam. Which statement is accurate?
May be a syndrome that includes HTN and diabetes.
Side effects experienced by women taking GnRH agonists for the treatment of fibroids closely resemble those of?
Menopause
Differences between preterm and term infants
PRETERM-- small in size, transluscent skin, hairy/alot of lanugo, large head compared to body! TERM-- a lot of adipose tissue, dry, loose, peeling skin, visible creases on palms and soles of feet!
Which of the following concepts would the nurse incorporate into the plan of care when assessing pain in a newborn with special needs?
Pain assessment needs to be comprehensive and frequent.
Dysmenorrhea
Pain during or shortly before menstruation
When teaching a group of women about screening and early detection of cervical cancer, the nurse would include which procedure as most effective?
Pap smear and HPV test
Describe why preterm neonates are at risk for cold stress
Preterm neonates often have thinner skin, a lack of adipose tissue, impaired regulation of blood pressure, lack of muscle tone ad flexion to conserve heat, limited muscle mass activity, inability to shiver to produce heat, and an immature temperature-regulating center in the brain.
A postoperative mastectomy client should be referred to which organization for assistance upon discharge from the hospital?
Reach to recovery
Which of the following would the nurse identify as the priority psychosocial need for a woman diagnosed with reproductive cancer?
Research findings
A client diagnosed with pelvic inflammatory disease is admitted for IV antibiotics. The client is scheduled to receive cefoxitin (Mefoxin) 2g in 250 mL NS IVPB every 6 hours. The infusion is to be given over 90 minutes. The nurse will set the infusion pump to what setting for mL/hour
Round to the nearest who number? 167 mL/hr
A biopsy procedure that traces radioisotopes and blue dye from the tumor site through the lymphatic system into the axillary node is?
Sentinel node biopsy
When teaching about HIV transmission, which of the following does the nurse explain that the virus cannot be transmitted by?
Shaking hands
Which activity will increase a woman's risk of CVD if she is taking oral contraceptives?
Smoking cigarettes
Breast cancer that is localized is referred to as?
in situ
In helping a patient manage premenstrual syndrome (PMS), the nurse should:
suggest herbal therapies, yoga, and massage.