Maternity & Pediatric Ch 3, 4, & 7

The nurse is screening for potential exposure to toxolasmosis. Which question is most appropriate?

"Do you have a cat in the house?"

The nurse providing is teaching to an adolescent girl on the function of the female reproductive system. Which statement by the client best reflects understanding of the material presented?

"My menstrual cycle last about 4 to 6 days each month but varies sometimes, which is normal."

The nurse is reviewing client data following a regular monthly appointment at 6 months' gestation. Which fundal height requires no further intervention?

24 cm

The nurse is preparing a class on class on infectious disorders of the reproductive tract. It will be presented to an eighth-grade health class. When teaching about pelvic inflammatory disease, what would be the primary factor in preventing this infection?

Abstinence

The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment?

Alkaline fluid

During pregnancy the cardinal rule regarding on taking medications and herbal remedies is that all drugs cross the placenta and have a potential impact on the fetus. What is one disease where treatment must continue during pregnancy?

Asthma

Why is the first prenatal visit usually the longest prenatal visit?

Baseline data is collected.

The time in a woman's life when she loses the capability to reproduce is called menopause. Menopause does not occur all at once, but over a period of time that different from woman to woman. There is, however, an average age when menopause occurs. What is this average age?

Between 47 and 55 years.

Semen analysis has been ordered for the partner of a client who has been unable to become pregnant. What instructions should the nurse provide to the partner?

Bring the sample to the lab immediately after you collect it.

Prevention of pregnancy is a major factor in the sex lives of many couples. One method of contraception is the female condom. It is a thin tube made of polyurethane, with flexible rings at both ends. What is a disadvantage of the female condom?

Can slip into the vagina during vigorous intercourse.

Which method of contraception is considered a barrier method?

Condom

Which disease process would the nurse screen for under potential genetic disorders?

Cystic fibrosis

The client states that the first day of her last menstrual period is March 23. The nurse is most correct to calculate using Naegele rule that the estimated date of delivery is:

December 16

Some women contract with other women to provide support during pregnancy and birth, to provide emotional support during labor and birth, and to aid in establishing breastfeeding. What is the name of the woman who is contracted?

Doula

The seminiferous tubles are tiny coils of tissue where spermatogenesis occurs. Where do the sperm mature?

Epidiymis

A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a 4 year old child who was delivered at 38 weeks' gestation and tells the nurse that she does have a history of a miscarriage within the first trimester. The nurse is correct to document the history as which?

G = 3, T = 1, P = 0, A = 1, L = 1

A woman, age 52, goes into the clinic to see her nurse practitioner. She reports symptoms consistent with climacteric syndrome. What is the nurse's best recommendation?

Have the client discuss hormone therapy with her health care provider.

Which medical pair is the highest concern if reported during a pregnant client's medical history?

Heart disease and diabetes

The nurse is caring for a neonate whose mother received no medical care for either of her pregnancies. When assessing the neonates status, which would indicate a potential A, B, and O incompatibility?

Hemolytic anemia

The mother of four small children comes to the clinic and has just been diagnosed with an enterocele. What should the nurse teach the client about her diagnosis?

Her small intestine and peritoneum are jutting downward between the uterus and the rectum.

A 35-year old woman comes to the clinic because of severe symptoms of PMS. She asks the nurse what she can do to obtain relief from symptoms. What reply by the nurse is most likely to be helpful?

In addition to taking medications, stress reduction and regular exercise are beneficial.

A Client asks the nurse about how Lunelle is administered. The nurse explains that this contraceptive method is administered by:

Intramuscular injection

Inability to conceive can be very stressful on a couple. What is one psychological aspect of infertility?

Loss of intimacy

The nurse is caring for a client who is unsure why the health care provider ordered a sonogram to determine her due date. Which rationale would the nurse provide to this client?

Needed due to irregular periods.

The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep it from becoming infected?

Normal vaginal pH is acidic (4 to 5), which protects from infection.

What is the term that refers to a woman who has never been pregnant?

Nulligravida

With sexual stimulation the penis becomes erect. What is the physiologic cause of an erection?

Penile sinuses fill up with blood

Combination oral contraceptives (COCs), also known as "the pill," are the most commonly used reversible method of contraception. COCs can have either fixed dosages of estrogen and progestin or they can be made to change the amount of progestin and estrogen during the cycle. What type of birth control pills are COCS that alter the amount of hormones throughout the cycle?

Phasic

Which body structure controls reproductive hormone production and function for both males and females?

Pituitary gland

What is the intended purpose of the alkaline environment of prostatic fluids found in ejaculation? Select all that apply.

Protection of sperm & Nourishment of sperm

Nursing care for the patient with endometriosis includes several factors. What is one aspect of nursing care for the woman with endometriosis?

Provide information on likely outcomes of treatment options.

A young newly married woman comes to the clinic and asks about ways to prevent pregnancy. When the nurse begins to talk about oral contraceptives, the patients says that she is Catholic and against this form of birth control. What can the nurse recommend for this patient?

Rhythm method

Which client immunization titer is most important to assess and document in the prenatal record of the pregnant woman?

Rubella

A couple in their mid-30s are at their primary care provider's office because they have been unable to conceive for 3 years. They already have one child who is 4 years of age. The care provider explains to them that they are dealing with what kind of infertility?

Secondary infertility

Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male, where are the sex hormones produced?

Testes

A young male client ask the nurse about circumcision, since he was never circumcised as an infant. Which rationale would be appropriate for exploring circumcision in an adult male?

The client has experienced recurring balanoposthitis and phimosis

The nurse is caring for a client with a g=5, t=0, p=3,a=1, l=3 obstetric history. The nurse is most correct to states which interpretation?

The client has had a difficulty reaching full term.

The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?"

The could can control the time between births when they plan their family.

The nurse is assisting a primigravid on calculating the due date of her baby using Naegele rule. The most important information provided by the mother is:

The first day of the last menstrual period.

A sexually active 14-year old male presents at the local clinic seeking birth control. What reproductive education would the nurse provide for this client at this time? Select all that apply.

The sperm are formed and matured within the testes. Beginning next year, the client should begin monthly testicular self-examinations. It is normal for the left testicle to hang lower that the one on the right.

There are two major functions of the reproductive system, continuation of the species and sexual pleasure. In the male, the reproductive system has a third function. What is this third function?

Urinary elimination

A nurse practitioner is seeing a client at the local clinic and the client complains of vaginal itching and irritation. The nurse practitioner rules out an active infection and ask the client about her hygiene practices. What would be recognized as contributory to the complaint? Select all that apply.

Use of a tampons with deodorant. Douching after intercourse. History of an upper respiratory trach infection that was treated with antibiotics.

During a health education session, a teenage client asks the nurse when she should have her first "Pap test". How should the nurse reply?

When you turn 21 years old.

A student nurse is assigned to care for a woman who is being admitted for delivery of her baby. Where would the nurse expect to find the urethral meatus?

Within the vestibule

An anatomy professor is teaching a class of pre-nursing students about the female reproductive system. One student ask, "Where is the opening of the vagina?" The best answer the professor can give is:

in what is called the vestibule, which is located between the labia minora.