OB PEDS EAQ

2. The nurse is assessing a patient with slightly elevated body temperature (above 37 degrees C). The patient reports thin and clear mucosal discharge from the cervix. The nurse infers that the patient is in which stage?

ovulation stage the progesterone levels increase in the body, in which there is a slight increase in the normal body temperature

The nurse is teaching the nursing student about semen analysis. Which statement by the student indicates the need for further teaching? "The patient should be instructed to masturbate to obtain the semen sample." *"The test must be performed within 2 hours of collecting the semen sample." *"A spermicide-free plastic sheath must be used to collect the semen sample." * "A cold environment or low temperature is suitable for storing the semen sample."

"A cold environment or low temperature is suitable for storing the semen sample."

What instructions should the nurse provide to a patient while explaining the use of spermicide as a contraceptive? Select all that apply. "Apply the spermicide 2 hours prior to any intercourse." "Use it along with a condom to increase its effectiveness." "Use spermicide to prevent sexually transmitted diseases." "Apply a new dose of spermicide for each act of intercourse." "Insert the spermicide high into the vagina to reach the cervix."

"Apply a new dose of spermicide for each act of intercourse." "Insert the spermicide high into the vagina to reach the cervix." (Spermicides are used as contraceptives; they prevent the sperm from reaching the cervix)

7.Which response by the nurse is most appropriate when a woman asks, "What contraceptive do you think I should use?" "Your health care provider will know what is best for you." "The male condom is probably the easiest for you to use." "Because you are younger than 40, you should use oral contraceptives." "I can discuss the various methods so you can decide what is best for you."*

"I can discuss the various methods so you can decide what is best for you."*

The nurse is educating a patient about how to use a condom. Which statement by the patient indicates effective learning? "Sticky and brittle condoms are effective for use." "Condoms should be worn before the penis is erect." "Condoms should be stored in warm, humid locations." "Water-based lubricant should be used with condoms."

"Water-based lubricant should be used with condoms."

The nurse is assessing a patient who is taking oral contraceptives and reports severe pain in the legs. What symptoms should the nurse primarily assess for in the patient? **Thrombus formation **High creatinine levels **Hyperglycemic events **Severe muscle spasms

**Thrombus formation

During the preconception phase, the nurse should teach about which infectious diseases as risk factors for maternal complications? Select all that apply. A. Diabetes B. Rubella C. Hepatitis B D. Anemia E. HIV/AIDS

B. Rubella C. Hepatitis B E. HIV/AIDS

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome? Condom Spermicide Cervical cap Oral contraceptives

Cervical cap b/c left in vagina for a prolonged period of time increasing risk for tss

What are the symptoms of toxic shock syndrome? Select all that apply. Sore throat Constipation Decrease in libido Arthralgia and myalgia Sudden onset of high fever

Sore throat Arthralgia and myalgia Sudden onset of high fever

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

Development of ovum

What is the role of the nurse in initial family planning? Decide on the best method for the couple. Advise couples on which contraceptive to use. Refer the couple to a reliable health care provider. Educate couples on the various methods of contraception.

Educate couples on the various methods of contraception.

3. The nurse is assessing a pregnant patient who is found to be obese. What are the disease conditions to which the patient is highly susceptible? Select all that apply.

Hypertension, & Diabetes mellitus

A 26-year-old woman is considering Depo-Provera as the contraception that is best for her because she does not like to worry about taking a pill every day. To assist this woman with decision making concerning this method of contraception, what should the nurse tell her about Depo-Provera? *It is a combination of progesterone and estrogen. *It is a small adhesive hormonal birth control patch that is applied weekly. *It has an effectiveness rate in preventing pregnancy of 96% when used correctly. *It thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation.

It thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation.

4. Which statement provides correct information about performing a Papanicolaou (Pap) test?

The woman should not douche, use vaginal medications, or have intercourse for at least 24 hours before the test.

Which symptom in a woman who is using oral contraceptives should be reported to the physician immediately? Leg pain and edema 5-lb weight gain in a month Decrease in menstrual flow Increased pigmentation of the face

Leg pain and edema

7.Which physical changes should the nurse instruct a female patient to watch for that signal the fertile period? Select all that apply. Mittelschmerz Vulvar fullness Pelvic hardness Decreased libido Midcycle spotting

Midcycle spotting Mittelschmerz Vulvar fullness

A man and a woman who have not achieved a successful pregnancy are scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed? Semen analysis Testicular biopsy Endometrial biopsy Hysterosalpingogram

Semen analysis

The nurse is assessing a pregnant patient with diabetes who has been prescribed an oral hypoglycemic. What instruction does the nurse give to the patient to assist in possible prevention of miscarriage and congenital abnormalities? *Take folic acid supplements during pregnancy. *Take aloe vera juice regularly during pregnancy. *Avoid taking oral hypoglycemic during pregnancy. *Avoid taking foods rich in vitamin C during pregnancy.

Take folic acid supplements during pregnancy.

6.After having a discussion with a patient, the nurse finds that the patient has regular menstrual cycles every 28 days. What instructions should the nurse give to the patient to prevent conception? The couple should abstain from sexual intercourse from days 10 through 17. The couple should abstain from sexual intercourse from days 6 through 19. It is safe to have unprotected sexual intercourse from days 11 through 17. It is safe to have unprotected sexual intercourse from days 12 through 16.

The couple should abstain from sexual intercourse from days 10 through 17.

What laboratory finding would indicate that the nurse should inform the patient about egg donation?

The follicle-stimulating hormone (FSH) level is 25. ***follicle-stimulating hormone (FSH) levels of the patient would be assessed to determine ovarian reserves. If FSH levels are greater than 20, this indicates that a pregnancy will not occur with the patient's own eggs.

A patient is diagnosed with type 1 diabetes during pregnancy. The primary health care provider (PHP) finds that the offspring of the patient was born without any malformations. What is the possible reason for the absence of congenital anomaly in the offspring?

The patient maintained an euglycemic condition during pregnancy.

A patient approaches the primary health care provider due to ovulation problems. The nurse instructs the patient to return for a visit 7 days before the menstrual cycle. What is the reason for these instructions? To assess the levels of progesterone in the client To determine the thickness of the uterine lining To evaluate the viscosity of the cervical mucus To assess the follicle-stimulating hormone (FSH) level

To assess the levels of progesterone in the client

What is the purpose of recommending a Papanicolaou (Pap) test for women over 20 years of age?

To detect if the patient has cervical cancer

On reviewing the laboratory report of the patient, the nurse finds that the patient is subfertile. Which nursing advice is helpful for the patient to resolve this condition? Start taking cold baths or showers daily. Take flaxseed oil in order to stimulate fertility. Add periwinkle powder to your tea once a day. Use water-soluble lubricants during intercourse.

Use water-soluble lubricants during intercourse.

Which method is used to determine the presence of varicoceles in the testes? Semen analysis Scrotal ultrasound Transrectal ultrasound Sperm penetration assay

scrotal ultrasound

The nurse is providing instruction to an adolescent regarding the normal menstrual cycle. To assess understanding, the nurse asks the young woman to repeat back to her the appropriate phase of the cycle for implantation of the fertilized ovum to occur. What is the correct phase?

secretory phase-- the secretion of progesterone by the corpus luteum results in the thickening of the uterine lining, creating the perfect environment for the fertilized ovum

1. What risk factors does the nurse assess in a patient during preconception care? Select all that apply.

•Exposure to toxic chemicals •down syndrome and cystic fibrosis •Hypertension, diabetes, and anemia