OB Study Guide Ch. 5

18. A pregnant client is diagnosed with AIDS. Which of the following interventions should the nurse undertake to minimize the risk of transmission of AIDS to the infant?

Ans: Administer antiretroviral syrup to the infant within 12 hours after birth

4. A female client is prescribed metronidazole for the treatment of trichomoniasis. Which of the following instructions should the nurse give the client undergoing treatment?

Ans: Avoid alcohol

1. A nurse is caring for a female client who has a history of recurring vulvovaginal candidiasis. Which of the following instructions should the nurse include in the teaching session with the client?

Ans: Wear white, 100% cotton underpants

11. A 19-year old female client has been diagnosed with pelvic inflammatory disease due to untreated gonorrhea. Which of the following instructions should the nurse offer when caring for the client? Select all that apply

Ans: Avoid douching vaginal area Ans: Complete the antibiotic therapy Ans: Limit the number of sex partners

5. A nurse is required to assess a client complaining of unusual vaginal discharge for bacterial vaginosis. Which of the following is a classic manifestation of this condition that the nurse should assess for?

Ans: Characteristic "stale fish" odor

7. A nurse working in a community health education program is assigned to educate community members about STIs. Which of the following nursing strategies should be adopted to prevent the spread of STIs in the community?

Ans: Discuss limiting the number of sex partners

3. A client complaining of genital warts has been diagnosed with HPV. The genital warts has been treated, and they have disappeared. Which of the following should the nurse include in the teaching plan when educating the client about the condition?

Ans: Even after warts are removed, HPV still remains

6. A nurse needs to assesss a female client for primary stage herpes simplex virus (HSV) infection. Which of the following symptoms related to this condition should the nurse assess for?

Ans: Genital vesicular lesions

13. A nurse is conducting an AIDs awareness program for women. Which of the following instructions should the nurse include in the teaching plan to empower women to develop control over their lives in a practical manner so that thet can prevent becoming infected with HIV? Select the most appropriate responses

Ans: Give opportunities to practice negotiation techniques Ans: Encourage women to develop refusal skills Ans: Encourage women to use female condoms

12. A client complaining of genital ulcers has been diagnosed with syphilis. Which of the following nursing interventions should the nurse implement when caring for the client? Select all that apply

Ans: Have the client urinate in water if urination is painful Ans: Instruct the client to wash her hands with soap and water after touching lesions Ans: Instruct the client to wear nonconstricting, comfortable clothes

17. A pregnant client had been diagnosed with gonorrhea. Which of the following nursing interventions should be performed to prevent gonococcal ophthlmia neonatorum in the baby?

Ans: Instill a prophylactic agent in the eye of the newborn

8. A nurse who is conducting sessions on preventing the spread of STIs in a particular community discovers that there is a very high incidence of hepatitis B in the community. Which of the following measures should she take to ensure the prevention of the disease?

Ans: Instruct people to get vaccinated for hepatitis B

15. A nurse is caring for a female client who is undergoing treatment for genital warts ude to HPV. Which of the following information should the nurse include when educating the client about the risk of cervical cancer? Select all that apply

Ans: Obtaining Pap smears regularly helps early detection of cervical cancer Ans: Recurrence of genital warts increase risk of cervical cancer Ans: Use of latex comdoms is associated with a lower rate of cervical cancer

9. A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which of the following instructions should the nurse give the client to prevent recurrence of bacterial vaginosis? Select all that apply.

Ans: Practice monogamy

10. A pregnant client arrives at the community clinic complaining of fever blisters and cold sores on the lips, eyes, and face. The primary health care provider has diagnosed it as the primary episode of genital herpes simplex, for which antiviral therapy is recommended. Which of the following information should the nurse offer the client when educating her about managing the infection?

Ans: Safety of antiviral therapy during pregnancy has not been established

14. A nurse is caring for an HIV-positive client who is on triple-combination highly active anretroviral therapy (HAART). Which of the following should the nurse include in the teaching plan when educating the client about the treatment? Select all that apply

Ans: Unpleasant side effects such as nausea and diarrhea are common Ans: Provide written materials describing diet, exercise, and medications Ans: Ensure that the client understands the dosing regimen and schedule

2. An HIV-positive client who is on antiretroviral therapy complains of anorexia, nausea, and vomiting. Which of the following suggestions should the nurse offer the client to cope with this condition?

Ans: Use high-protein supplements

16. A nurse is caring for a client who has just delivered a baby. Which of the following information should the nurse give the client regarding hepatitis B vaccination for the baby?

Ans: Vaccine consists of a series of three injections given within 6 months