OB Exam 2

A battered pregnant woman reports to the nurse that her husband has stopped hitting her and promises never to hurt her again. Which response by the nurse would be most appropriate?

Remember, the cycle of violence often repeats itself

Which instructions would the nurse include when teaching a woman with pediculosis pubis?

Remove the nits with a fine-toothed comb

A nurse is reading a journal article about sexual abuse. Which age range would the nurse expect to find as the peak age for such abuse?

8-12 years

A pregnant woman with gestational diabetes comes to the clinic for a fasting blood glucose level. When reviewing the results, the nurse determines that which result indicates good glucose control?

88 mg/dL

A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug?

Alcohol

When preparing a schedule of follow-up visits for a pregnant woman with chronic hypertension, which schedule would be most appropriate?

Bi-monthly visits until 28 weeks, then weekly visits

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Candidiasis

A group of nurses are attending an in-service program on STIs. The group demonstrates understanding of the information when they identify which STI as the most common bacterial STI in the United States?

Chlamydia

The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include?

Chorioamnionitis

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

Cocaine

A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?

Congenital anomalies

When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate partner abuse and its effects on children. When addressing these statistics, the nurse would identify what rate of the cases involving a parent being abused would the children be abused also?

1 in 8

A nurse is providing prenatal care to a pregnancy client. At which time would the nurse expect to screen the client for group B streptococcus infection?

36 weeks' gestation

A client who is HIV-positive is in her second trimester and remains asymptomatic. She voices concern about her newborn's risk for the infection. Which statement by the nurse would be most appropriate?

Antiretroviral medications are available to help reduce the risk of transmission

When a nurse suspects that a client may have been abused, the first action should be to:

Ask the client about the injuries and if they are related to abuse

A nurse is developing a plan of care for a woman who is a victim of violence. Which intervention would be least appropriate for the nurse to include?

Assisting the client to project her anger

A nurse suspects that a client is experiencing intimate partner violence and uses a screening protocol to gather additional information from the client. When asking the client direct questions, which behavior by the nurse would be most appropriate to elicit accurate information? Select all

Avoid the use of technical language Wait patiently for the client to answer

A woman with a history of systemic lupus erythematosus comes to the clinic for evaluation. The woman's tells the nurse that she and her partner would like to have a baby but that they are afraid her lupus will be a problem. Which response would be most appropriate for the nurse to make?

Be sure that your lupus is stable or in remission for 6 months before getting pregnant

As a nurse is conducting a presentation for a group of pregnant women about measures to prevent toxoplasmosis. The nurse determines that additional teaching is needed when the group identifies which measure as preventative?

Cooking all meat to an internal temperature of 140F

A nurse is preparing a presentation for a group of young adult pregnant women about common infections and their effect on pregnancy. When describing the infections, which infection would the nurse include as the most common congenital and perinatal viral infection in the world?

Cytomegalovirus

A nursing is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

Degree of blood glucose control achieved during the pregnancy

A nurse is conducting an in-service presentation to a group of perinatal nurses about sexually transmitted infections and their effect on pregnancy. The nurse determines that the teaching was successful when the group identifies which infection as being responsible for opthalmia neonatorum?

Gonorrhea

A group of nurses are researching information about risk factors for intimate partner violence in men. They are preparing a community presentation for the local health center. When describing the information, which factors would the nurses discuss as being associated with the relationship? Select all

Economic stress Dysfunctional family system

A pregnant woman tests positive for HBV. What would the nurse expect to administer?

HBV immune globulin

After teaching a group of young adults about sexual violence, the nurse determines that the teaching was successful when the group identifies which act as a type of sexual violence? Select all

Female genital cutting Infanticide Rape Bondage Human Trafficking

Which finding would the nurse expect to find in a client with bacterial vaginosis?

Fish-like odor of discharge

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections?

Five different sexual partners

A nurse is preparing a teaching program for a group of pregnant women about preventing infections during pregnancy. When describing measures for preventing cytomegalovirus infection, which measure would the nurse most likely include?

Frequent handwashing

A nurse is teaching a woman with genital ulcers how to care for them. Which statement by the client indicates a need for additional teaching?

I need to abstain from intercourse primarily when the lesions are present

After teaching a pregnant woman with iron deficiency anemia about her prescribed iron supplement, which statement indicates successful teaching?

I need to eat foods high in fiber

A pregnant woman asks the nurse, "I'm a big coffee drinker. Will the caffeine in my coffee hurt my baby?" Which response by the nurse would be MOST appropriate?

If you keep your intake to less than 300mg/day, you should be okay

The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. What would the nurse identify as the goal of this therapy?

Improve morbidity and mortality rates

A nurse is preparing a teaching plan for victims who are recovering from abusive situations. The nurse would focus the teaching on ways to:

Improve their communication skills and assertiveness

A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, "Do you feel as though you are reliving the trauma?" The nurse is assessing for which effect of the trauma?

Intrusive thoughts

When the nurse is alone with a client, the client says, "it was all my fault. The house was so messy when he got home, and I know he hates that." Which response would be MOST appropriate?

It is not your fault. No one deserves to be hurt

A pregnant client whose diabetes has been poorly controlled throughout her pregnancy is in labor. The nurse would assess the neonate closely at birth for which condition?

Macrosomia

After teaching a pregnant woman with iron deficiency anemia about nutrition, the nurse determines that the teaching was successful when the woman identifies which food as being good sources of iron in her diet? Select all

Meats dried fruits peanut butter

A group of nurses are preparing a program about rape and sexual assault for a community health center. Which information would the nurses include as being MOST accurate? Select all

Medication and counseling can help a rape victim cope A rape victim feels vulnerable and betrayed afterwards Few women falsely cry "rape"

A nurse is counseling a pregnant woman with rheumatoid arthritis about medications that can be used during pregnancy. Which drug would the nurse emphasize as being contraindicated at this time?

Methotrexate

A woman with a history of asthma comes to the clinic for evaluation for pregnancy. The woman's pregnancy test is positive. When reviewing the woman's medication therapy regimen for asthma, which medication would the nurse identify as problematic for the woman now that she is pregnant?

Oral prednisonse

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspect? Select all

Peer pressure to become sexually active Latinas as having the highest teen birth rate Loss of self-esteem as a major impact

A nurse is working with a victim of violence to develop a safety plan. The nurse teaches the client about the necessary items to take with her when leaving. The nurse determines that additional teaching IS NEEDED when the client identifies which items? Select all

Phone cards Most of her clothing

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

Placenta

The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?

Pregnancy affects insulin production, so I'll need to make adjustments in my diet

A nurse is working with a woman who is a victim of violence. Which intervention would be most important for this client?

Providing for the client's safety

A nurse at a local community clinic is developing a program to address STI prevention. What would the nurse least likely include in the program?

Recommending screening for symptomatic individuals

A nurse is conducting a review class for a group of perinatal nurses working at the local clinic. The clinic sees a high population of women who are HIV positive. After discussing the recommendations for antiretroviral therapy with the group, the nurse determines that the teaching was successful when the group identifies which rational as the underlying principle for the therapy?

Reduction in viral loads in the blood

A nurse is conducting an in-service program on sexual abuse and violence for a group of nurses working at the community clinic. After teaching the group, the nurse determines that the teaching was successful when the group describes incest as involving which action?

Sexual exploitation by blood or surrogate relatives

After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?

Sexual intercourse

A woman with diabetes is considering becoming pregnant. She asks the nurse whether she will be able to take oral hypoglycemics when she is pregnant. The nurse's response is based on the understanding that oral hypoglycemics:

Show promising results, but more studies are needed to confirm their degree of safety

A nurse is working with a victim of intimate partner violence and helping her develop a safety plan. Which items would the nurse suggest that the woman take with her? Select all that apply.

Social Security number Driver's license Health Insurance cards Cash

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

Take sitz baths frequently

In addition to providing privacy, which action would be most appropriate initially in situations involving suspected abuse?

Tell the client, "Injuries like these don't usually happen by accident"

A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which area would be most important to assess initially?

The woman's beliefs and education

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be MOST appropriate?

There is no cure, but drug therapy helps to reduce symptoms and recurrences

The nurse is assessing a newborn of a woman who is suspected of abusing alcohol. Which newborn finding would provide additional evidence to support this suspicion?

Thin upper lip

A group of nurses are researching information about risk factors for intimate partner violence in men in preparation for a violence prevention program. Based on their research, which risk factors would the nurses expect to address? Select all

Victim of childhood violence Heavy alcohol consumption Low academic achievement

After teaching a group of nurses working at the women's health clinic about the impact of pregnancy on the older woman, which statement by the group indicates that the teaching was successful?

Women over age 35 and are pregnant have an increased risk for spontaneous abortions

A nurse is working with a woman who is a victim of violence. Which statement would be most appropriate to empower the victim to take action?

You are a good person and you deserve better than this

A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description?

characterized by tension-building and minor battery

When teaching a class of pregnant women about the effects of substance abuse during pregnancy, the nurse would most likely include which effect?

low-birthweight infants