N482 Exam 2 HESI

Which response would the nurse provide to the client who is asking for guidance about sexual activity in pregnancy? 1 "You should discontinue intercourse after the second trimester." 2 "This information can be given only by your obstetrician or nurse-midwife." 3 "With an uncomplicated pregnancy, there are no limitations on sexual activity." 4 "Sexual activity should be avoided during the first and last 6 weeks of pregnancy."

3 "With an uncomplicated pregnancy, there are no limitations on sexual activity."

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? Candidiasis Trichomoniasis Bacterial vaginosis Group B Streptococcus

Bacterial vaginosis

Based on the med chart, the nurse would need to inform the HCP regarding which client?

Client B

Which foods would the nurse counsel the client at 14 week's gestation to avoid during pregnancy? Yogurt Oily fish Apricots Raw shellfish Herbal supplements Soft-scrambled eggs

Raw shellfish Herbal supplements Soft-scrambled eggs

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct. a. Sterility b. Ectopic pregnancy c. Blocked Fallopian tubes d. Pelvic inflammatory disease e. Increased likelihood of HIV infection

all answers are correct

A female client reports a white, thick, odorless discharge from the vulva. Upon examination, the nurse finds that the vulva are swollen. What does the nurse suspect in the client? a. Candida infection b. bacterial vaginosis c. trichomonas d. chlamydia

a. Candida infection

Which physiological changes are expected during the first trimester of pregnancy? a. Fatigue b. Increased libido c. Morning sickness d. Breast enlargement e. Braxton hicks contractions

a. Fatigue c. Morning sickness d. Breast enlargement

While a client is being interviewed on her first prenatal visit she states that she has a 4 year old son who was born at 41 week's gestation and a 3 year old daughter who was born at 35 week's gestation. The client lost one pregnancy at 9 weeks and another at 18 weeks. using GTPAL system, how would you record this information a. G5 T1 P1 A2 L2 b. G4 T1 P1 A2 L2 c. G4 T2 P0 A0 L2 d. G5 T2 P1 A1 L2

a. G5 T1 P1 A2 L2

A woman arrives for an appointment at an obstetrics clinic. During the visit the nurse records the following information. Which finding indicates a need for future intervention? a. Rubella titer less than 1:8 (nonimmune) b. no fetal heartbeat heard with fetoscope c. hemoglobin 11 g/dL, hematocrit 31% d. Maternal blood type - A-negative, father O-negative

a. Rubella titer less than 1:8 (nonimmune)

Which are presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks gestation? a. amenorrhea b. breast changes c. urinary frequency d. abdominal enlargement e. positive urine pregnancy test

a. amenorrhea b. breast changes c. urinary frequency

Which stage of syphilis is the client experiencing when there are not any clinical manifestations? a. latent b. tertiary c. primary d. secondary

a. latent

Which action would the nurse include in the plan of care for a client who is being treated for a sexually transmitted infection and reports fever and irregular bleeding? 1. use of analgesics 2. abdominal palpation 3. Complete blood count 4. culture of the cervical canal 5. administration of antibiotics as prescribed 6. teaching about negative effects of douching

all answers are correct

A client presents to the clinic with complaints of nausea and amenorrhea and reports that she obtained a positive result on a home pregnancy test. Which component of the history is most indicative of pregnancy? a. Her menses is a week late b. Her urine immunoassay test is positive. c. She reports that she has urinary frequency d. She complains that she has nausea every morning.

b. Her urine immunoassay test is positive.

Which organism may be responsible for the condition of a client reporting painful urination, profuse purulent urethral discharge, and enlarged testicles who had a NAAT ordered by the PHCP? a. treponema pallidum b. Neisseria gonorrhea c. chlamydia trachomatis d. condylomata acuminata

b. Neisseria gonorrhea

Which changes would the nurse include in the childbirth class focusing on the maternal psychologic and physiologic alterations that occur near the end of pregnancy? a. Food cravings increase b. Nesting needs increase c. Dependency needs decrease d. Anxiety about childbirth increases e. Gastrointestinal motility decreases

b. Nesting needs increase d. Anxiety about childbirth increases e. Gastrointestinal motility decreases

During a routine second-trimester visit to the prenatal clinic a client expresses concern regarding gaining weight and losing her figure. She says to the nurse, "I'm going on a diet." What is the nurse's best response? a. "That's fine as long as you include a variety of foods daily." b. "It's a good idea for you to keep your weight down during your pregnancy." c. "If you add 340 calories a day to your regular diet, you won't become overweight." d. "Gain no more than 25 lb (11 kg) so that it'll be easier to lose the weight after the baby is born."

c. "If you add 340 calories a day to your regular diet, you won't become overweight."

Which intervention would the nurse implement to prevent infection of the newborn in a pregnant client with gonorrhea? a. oral antibiotics for newborn b. schedule a cesarean delivery c. silver nitrate ophthalmic ointment d. IV antibiotic before delivery

c. silver nitrate ophthalmic ointment

A nurse is teaching a class of expectant parents about changes that are to be expected during pregnancy. What changes does the nurse explain result from the melanocyte-stimulating hormone? chloasma urinary frequency morning sickness cervical softening effacement linea nigra

chloasma linea nigra

Which preexisting condition is an indication for a cesarean birth? a. gonorrhea b. chlamydia c. chronic hepatitis d. active genital herpes

d. active genital herpes

A client reports chills, severe abdominal pain, and increased vaginal discharge. Which infection would the nurse suspect? a. gonorrhea b. chlamydia c. trichomoniasis d. pelvic inflammatory disease

d. pelvic inflammatory disease