Test 1

Which female client would the nurse recommend taking oral contraceptive pills for birth control? 1. The client who smokes two packs of cigarettes a day. 2. The client who is taking an angiotensin-converting enzyme medication. 3. The client who is 65′′ tall and weighs 100 kg. 4. The client who has a family history of ovarian cancer.

4

A client complaining of secondary amenorrhea is seeking care from her gynecologist. Which of the following may have contributed to her problem? 1. Athletic activities. 2. Vaccination history. 3. Pet ownership. 4. History of asthma.

1

After a sex education class, the school nurse overhears an adolescent woman discussing safe sex practices. Which of the following comments by the young woman indicates that teaching about infection control was effective? 1. "I don't have to worry about getting infected if I have oral sex." 2. "Teen women are most high risk for sexually transmitted infections (STI)." 3. "The best thing to do if I have sex a lot is to use spermicide each and every time." 4. "Boys get human immunodefi ciency virus (HIV) easier than girls do."

2

A woman has contracted herpes simplex 2 for the first time. Which of the following signs/symptoms is the client likely to complain of? 1. Flu-like symptoms. 2. Metrorrhagia. 3. Amenorrhea. 4. Abdominal cramping.

1

The male client presents to the public health clinic complaining of joint pain and malaise. On assessment, the nurse notes a rash on the trunk, palms of the hands, and soles of the feet. Which action should the nurse implement next? 1. Determine if the client has had a canker sore within the last two months 2. I asked the client how many sexual partners he had in the past year 3. Refer the client to a dermatologist for a diagnostic work up 4. Have the client provide a clean voided midstream urine specimen

1

Which is the preferred treatment for the diagnosis of primary syphilis in a teenage client? 1. Doxycycline (Vibramycin), a tetracycline, po every 4 hours for 10 days. 2. Benzathine penicillin G, an antibiotic, IM one time only. 3. Miconazole (Monistat), an antifungal, topical daily for 1 week. 4. Nitrofurantoin (Macrodantin), a macrolide, b.i.d. for 1 month.

2

Which nursing task could be delegated to the unlicensed assistive personnel for the client who had a total vaginal hysterectomy? 1. Observe the color and amount of drainage on the clients peroneal pad 2. Maintain a current intake and output for the client each shift 3. Provide the client with a plan of pharmacological pain management 4. Prepare the client for her discharge schedule for the next day

2

The nurse is interviewing a client regarding contraceptive choices. Which of the following client statements would most infl uence the nurse's teaching? 1. "I have 2 children." 2. "My partner and I have sex twice a week." 3. "I am 25 years old." 4. "I feel funny touching my private parts."

4

The teenaged male client is diagnosed with herpes simplex 2 viral infection and is prescribed valacyclovir (Valtrex). Which information should the nurse teach? 1. The medication will dry the lesions within a day or two. 2. Valtrex may be taken once a week to control outbreaks. 3. The use of condoms will increase the spread of the herpes. 4. Even after the lesions have gone, it is still possible to transmit the virus.

4

The nurse obtained this information when taking a health history of a 56 year old post menopausal woman. Which information is most important to report to the healthcare provider? 1. Sagging of breast bilaterally 2. Vaginal dryness and painful intercourse 3. Hot flashes occurring during the night 4. Occasional painless vaginal bleeding

4

A client is being taught about the care and use of the diaphragm. Which of the following comments by the woman shows that she understands the teaching that was provided? 1. "I should regularly put the diaphragm up to the light and look at it carefully." 2. "This is one method that can be used during menstruation." 3. "I can leave the diaphragm in place for a day or two." 4. "The diaphragm should be well powdered before I put it back in the case."

1

The couple has decided to use a spermicide for birth control. Which information should the nurse discuss with the female partner? 1. Insert the foam prior to having sexual intercourse. 2. Douche with vinegar and water immediately after sex. 3. Apply spermicide to the male partner's penis. 4. Use the spermicide immediately after having intercourse.

1

A man has been diagnosed with a chlamydial infection. The nurse would expect the client to complain of pain at which of the following times? 1. When urinating. 2. When ejaculating. 3. When the penis becomes erect. 4. When the testicles are touched

1

Five women, aged 35 to 39, wish to use the Ortho Evra (patch) for family planning. Which of the women should be carefully counseled regarding the safety considerations of the method? Select all that apply. 1. The woman who smokes 1 pack of cigarettes each day. 2. The woman with a history of lung cancer. 3. The woman with a history of deep vein thrombosis. 4. The woman who runs at least 50 miles each week. 5. The woman with a history of cholecystitis.

1,3

The school nurse is teaching a class on sexually transmitted diseases to a group of high school students. Which statement provides accurate information regarding treatment of sexually transmitted diseases? 1. Medications are available to cure STDs if the client is not allergic. 2. Medications will not cure all sexually transmitted diseases. 3. Medications that prevent pregnancy will prevent most STDs. 4. Medications that treat STDs enhance sexual libido.

2

A nurse is providing contraceptive counseling to a perimenopausal client, G3 P2012, who is in a monogamous relationship. Which of the following comments by the woman indicates that further teaching is needed? 1. "The calendar method is the most reliable method for me to use." 2. "If I use the IUD, I am at minimal risk for pelvic infl ammatory disease." 3. "I should still use birth control even though I had only 2 periods last year." 4. "The contraceptive patch contains both estrogen and progesterone."

1

A triage nurse answers a telephone call from the male partner of a woman who was recently diagnosed with cervical cancer. The man is requesting to be tested for human papillomavirus (HPV). The nurse's response should be based on which of the following? 1. There is currently no approved test to detect HPV in men. 2. A viral culture of the penis and rectum is used to detect HPV in men. 3. A Pap smear of the meatus of the penis is used to detect HPV in men. 4. There is no need for a test because men do not become infected with HPV.

1

A woman has a history of toxic shock syndrome. Which of the following forms of birth control should she be taught to avoid? 1. Diaphragm. 2. Intrauterine device. 3. Birth control pills (estrogen-progestin combination). 4. Depo-Provera (medroxyprogesterone acetate).

1

A woman is being issued a new prescription for a low-dose combination birth control pill. What advice should the nurse give the woman if she ever forgets to take a pill? 1. Take it as soon as she remembers, even if that means taking two pills in one day. 2. Skip that pill and refrain from intercourse for the remainder of the month. 3. Wear a pad for the next week because she will experience vaginal bleeding. 4. Take an at-home pregnancy test at the end of the month to check for a pregnancy

1

Four women who use superabsorbent tampons during their menses are being seen in the medical clinic. The woman with which of the following findings would lead the nurse to suspect that the woman's complaints are related to her use of tampons rather than to an unrelated medical problem? 1. Diffuse rash with fever. 2. Angina. 3. Hypertension. 4. Thrombocytopenia with pallor.

1

The client has been taking birth control pills for 5 weeks. Which statement from the client would warrant intervention by the clinic nurse? 1. "I stay nauseated and my breasts are very tender." 2. "I have not had a period since I started the pill." 3. "I make my boyfriend use a condom even though I am on the pill." 4. "I took the pills for 3 weeks then stopped for 1 week."

1

The nurse is caring for a young adult client who has been diagnosed with gonorrhea. Which statement reflects an understanding of the transmission of the sexually transmitted diseases? 1. Only lower socioeconomic income people are at risk for gonorrhea and syphilis 2. The longer a client waits to become sexually active the greater the risk for an STD 3. Females can transmit infectious diseases more rapidly than males 4. If a client is diagnosed with an STD, the client should be evaluated for other STDs

4

Which medication category is contraindicated in clients who are pregnant? 1. Pregnancy category A 2. Pregnancy category B 3. Pregnancy category C 4. Pregnancy category D

4

The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client. Which of the following data must the nurse consider before administering the medication? 1. The patch must be replaced at the same time each week. 2. The client must be taught to use sunscreen whenever in the sunlight. 3. The medicine is contraindicated if the woman has lung or esophageal cancer. 4. The client must use an alternate form of birth control for the first two months

2

The nurse is working with a client who states that she has multiple sex partners. Which of the following contraceptive methods would be best for the nurse to recommend to this client? 1. Intrauterine device. 2. Female condom. 3. Bilateral tubal ligation. 4. Birth control pills.

2

Which client should the postpartum nurse first process after receiving the a.m. shift report? 1. The client who is complaining of perineal pain when urinating 2. The client was saturated multiple Peri-pads during the night 3. The client who is refusing to have the newborn in the room 4. The client was crying because the baby will not nurse

2

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following? 1. Does not use any cream or jelly with it. 2. Douches promptly after its removal. 3. Leaves it in place for 6 hours following intercourse. 4. Inserts it at least 5 hours prior to having intercourse.

3

The occupational health nurse is preparing a class regarding sexually transmitted diseases for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information? 1. Engaging in oral or anal sex decreases the risk of getting an STD 2. Using a sterile needle guarantees the client will not get an STD 3. The more sexual partners, the greater the chance of developing an STD 4. If a condom is used the client will not get a sexually transmitted disease

3

The nurse is educating a group of adolescent women regarding bacterial sexually transmitted infections (STIs). The nurse knows that learning was achieved when a group member states that the most common sign/symptom of sexually transmitted infections is which of the following? 1. Menstrual cramping. 2. Heavy menstrual periods. 3. Flu-like symptoms. 4. Lack of signs or symptoms.

4

The post menopausal client revealed it has been several years since her last gynecological examination in the states, "oh, I don't need exams anymore. I am beyond having children." Which statement should be the nurses response? 1. As long as you were not sexually active, you should not have to worry 2. You should be taking hormone replacement therapy now at 3. You are beyond bearing children. How does that make you feel? 4. There are situations other than pregnancy that should be checked

4

The nurse is assessing a male client for symptoms of gonorrhea. Which data support the diagnosis? 1. presence of chancre sores on the penis 2. no symptoms 3. a CD4 could of less than 200 4. pain in the testes and scrotal edema

4

A gravid, married client, 24 weeks' gestation, is found to have bacterial vaginosis. Her healthcare practitioner has ordered metronidazole (Flagyl) to treat the problem. Which of the following educational information is important for the nurse to provide the woman at this time? 1. The woman must be careful to observe for signs of preterm labor. 2. The woman must advise her partner to seek therapy as soon as possible. 3. A common side effect of the medicine is a copious vaginal discharge. 4. A repeat culture should be taken two weeks after completing the therapy

1

A woman, whose menstrual cycle is 35 days long, states that she often has a slight pain on one side of her lower abdomen on day 21 of her cycle. She wonders whether she has ovarian cancer. Which of the following is the nurse's best response? 1. "Women often feel a slight twinge when ovulation occurs." 2. "You should seek medical attention as soon as possible since ovarian cancer is definitely a possibility." 3. "Ovarian cancer is unlikely because the pain is not a constant pain." 4. "It is more likely that such pain indicates an ovarian cyst because pain is more common with that problem."

1

The nurse is caring for a 34-year-old female client who tells the nurse, "I have been diagnosed with HPV infection in my mouth. I don't understand. I get cervical smears for that." Which is the nurses best response? 1. You must have had oral sex to get the HPV infection in your mouth 2. You should have a smear made of your mouth every six months from now on 3. I would have the test repeated, it is not possible to have an HPV infection in the mouth 4. This infection is on the rise from oral contact with a person who has the infection

4

A woman has been diagnosed with primary syphilis. Which of the following physical findings would the nurse expect to see? 1. Cluster of vesicles. 2. Pain-free lesion. 3. Macular rash. 4. Foul-smelling discharge.

3

. The nurse is providing a single, perimenopausal woman, G3 P2012, with contraceptive counseling. The woman has four sex partners and smokes 1 pack of cigarettes per day. Which of the following methods is best suited for this client? 1. Male condom. 2. Intrauterine device. 3. NuvaRing. 4. Oral contraceptives.

1

A 54-year-old client calls her healthcare practitioner complaining of frequency and burning when she urinates. Which of the following factors that occurred within the preceding 3 days likely contributed to this client's problem? 1. She had intercourse with her partner. 2. She returned from a trip abroad. 3. She stopped taking hormone replacement therapy. 4. She started a weight-lifting exercise program.

1

The 17-year-old client is prescribed metronidazole (Flagyl) and erythromycin (E Mycin) for a persistent Chlamydia infection. Which statement by the client indicates the need for further teaching? 1. "I can have a beer or two while taking these medications." 2. "My boyfriend will have to take the medications too." 3. "I can develop more problems if I don't treat this disease." 4. "My birth control pills may not work because of the medications."

1

The 18-year-old male client is diagnosed with gonorrhea of the pharynx. The HCP has prescribed ceftriaxone (Rocephin), a cephalosporin. Which intervention should the nurse implement? 1. Administer the medication intramuscularly in the gluteus muscle. 2. Have the client drink a full glass of water with the pill. 3. Use a tuberculin syringe to draw up the medication. 4. Make sure the client has eaten before administering the drug.

1

Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)? 1. "The IUD can remain in place for a year or more." 2. "I will not menstruate while the IUD is in." 3. "Pain during intercourse is a common side effect." 4. "The device will reduce my chances of getting infected."

1

The nurse is admitting a client diagnosed with trichomoniasis. Which assessment date support this diagnosis? 1. oderless, white, curdle vaginal discharge 2. strawberry spots on the vaginal surface and itching 3. scant white vaginal discharge and dyspareunia 4. purulent discharge from the endocervix and pelvic pain

2

An adolescent woman confi des to the school nurse that she is sexually active. The young woman asks the nurse to recommend a "very reliable" birth control method, but she refuses to be seen by a gynecologist. Which of the following methods would be best for the nurse to recommend? 1. Contraceptive patch. 2. Withdrawal method. 3. Female condom. 4. Contraceptive sponge.

3

Which of the following questions should be asked of women during all routine medical examinations? Select all that apply. 1. "Has anyone ever forced you to have sex?" 2. "Are you sexually active?" 3. "Are you ever afraid to go home?" 4. "Does anyone you know ever hit you?" 5. "Have you ever breastfed a child?"

1, 2, 3, 4

The nurse is developing a plan of care for clients seeking contraception information. Which of the following issues about the woman must the nurse consider before suggesting contraceptive choices? Select all that apply. 1. Age. 2. Ethical and moral beliefs. 3. Sexual patterns. 4. Socioeconomic status. 5. childbearing plans.

1, 2, 3, 4, 5

The female client diagnosed with HPV ask the nurse "what other problems can HPV lead to?" Which statement is the most appropriate response by the nurse? 1. HPV is transmitter during sexual intercourse 2. HPV infection can cause cancer of the cervix 3. If has been known to lead to ovarian problems 4. Regular Pap smears can help prevent problems

2

The nurse is developing a teaching plan for a client undergoing a bilateral tubal ligation. Which of the following should be included in the plan? 1. The surgical procedure is easily reversible. 2. Menstruation usually ceases after the procedure. 3. Libido should remain the same after the procedure. 4. The incision will be made endocervically.

3

An asymptomatic woman is being treated for HIV infection at the women's health clinic. Which of the following comments by the woman shows that she understands her care? 1. "If I get pregnant, my baby will be HIV positive." 2. "I should have my viral load and antibody levels checked every day." 3. "Since my partner and I are both HIV positive, we use a condom." 4. "To be safe, my partner and I engage only in oral sex."

3

In analyzing the need for teaching regarding sexual health in a client who is sexually active, which of the following questions is the most important for a nurse to ask? 1. "How old are your children?" 2. "Did you have intercourse last evening?" 3. "With whom do you have intercourse?" 4. "Do you use vaginal lubricant?"

3

A 19-year-old client with multiple sex partners is being counseled about the hepatitis B vaccination. During the counseling sessions, which of the following should the nurse advise the client to receive? 1. Hepatitis B immune globulin before receiving the vaccine. 2. Vaccine booster every 10 years. 3. Complete series of three intramuscular injections. 4. Vaccine as soon as she becomes 21

2

A client asks a nurse to express an opinion on the value of taking hormone replacement therapy (HRT). The nurse should be aware that it is recognized that HRT is effective in which of the following situations? 1. No woman should ever take hormone replacement therapy. 2. Women experiencing severe menopausal symptoms. 3. Women with severe coronary artery disease. 4. Women with a history of breast cancer.

2

A woman is using the contraceptive sponge as a birth control method. Which of the following actions is it important for her to perform to maximize the sponge's effectiveness? 1. Insert the sponge at least one hour before intercourse. 2. Thoroughly moisten the sponge with water before inserting. 3. Insert spermicidal jelly at the same time the sponge is inserted. 4. Replace the sponge with a new one if intercourse is repeated

2

The nurse is providing discharge instructions for the postpartum client concerning birth control methods. Which question is most important for the nurse to ask the client? 1. "Has your doctor discussed when to resume sexual activity?" 2. "Have you decided if you will be breastfeeding your baby?" 3. "Are you concerned about how this baby will change your life?" 4. "Does your partner agree with the type of birth control you will use?"

2

The nurse is teaching an uncircumcised male to use a condom. Which of the following information should be included in the teaching plan? 1. Apply mineral oil to the tip and shaft of the condom-covered penis. 2. Pull back the foreskin before applying the condom. 3. Create a reservoir at the tip of the condom after putting it on. 4. Wait five minutes after ejaculating before removing the condom.

2

A woman is being taught how to use the diaphragm as a contraceptive device. Which of the following statements by the woman indicates that the teaching was effective? Select all that apply. 1. Petroleum-based lubricants may be used with the device. 2. The device must be refi tted if the woman gains or loses 10 pounds or more. 3. The anterior lip must be pushed under the symphysis pubis. 4. Additional spermicide must be added if the device has been in place over 6 hours. 5. The diaphragm should be cleaned with a 10% bleach solution after every use.

2, 3, 4

The nurse at the family planning clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation? 1. Condom should be used to prevent sexually transmitted diseases 2. Sexually active females should have vaginal examination to yearly 3. Hormonal therapy can be used orally, subcutaneously, or topically 4. All methods of conception need prescriptions from the healthcare provider

3

The nurse has been floated from the medical unit to the postpartum unit. Which client should be assigned to this nurse? 1. The four hour postpartum client who is fundus is not midline 2. The eight hour postpartum client who has saturated three peri-pads in one hour 3. The 14 hour postpartum client who experienced eclampsia during delivery 4. The 23 hour postpartum client who is being discharged home this morning

3

A nonpregnant young woman has been diagnosed with bacterial vaginosis (BV). The nurse questions the woman regarding her sexual history, including her frequency of intercourse, how many sexual partners she has, and her use of contraceptives. What is the rationale for the nurse's questions? 1. Clients with BV can infect their sexual partners. 2. The nurse is required by law to ask the questions. 3. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women. 4. The laboratory needs a full client history to know for which organisms and antibiotic sensitivities it should test.

3

A couple seeking contraception and infection-prevention counseling state, "We know that the best way for us to prevent both pregnancy and infection is to use condoms plus spermicide every time we have sex." Which of the following is the best response by the nurse? 1. "That is correct. It is best to use a condom with spermicide during every sexual contact." 2. "That is true, except if you have intercourse twice in one evening. Then you do not have to apply more spermicide." 3. "That is not true. It has been shown that condoms alone are very effective and that spermicide can increase the transmission of some viruses." 4. "That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently

3

48. The 16-year-old male client is diagnosed with pediculosis pubis and is prescribed permethrin (Nix), an ectoparasiticide cream rinse. Which data indicates the treat- ment has been effective? 1. There are no scratches on the client's penis. 2. The client shaved his head and his scalp is clear. 3. The client reports that the intense itching has abated. 4. The client has no visible lice or nits on his head.

3

A breastfeeding woman is requesting that she be prescribed Seasonale (ethinyl estradiol and levonorgestrel) as a birth control method. Which of the following information should be included in the patient teaching session? 1. The woman will menstruate every 8 to 9 weeks. 2. The pills are taken for 3 out of every 4 weeks. 3. Breakthrough bleeding is a common side effect. 4. Breastfeeding is compatible with the medication

3

A nurse is discussing sexual arousal during a preadolescent boys' sex education class. Which of the following should the nurse base the reply on when a boy asks, "What exactly happens when my body gets aroused, anyway?" 1. The vas deferens thickens and expands. 2. The sympathetic nerves of the penis are stimulated. 3. The corpora of the penis become engorged. 4. The prepuce of the penis elongates.

3

The nurse is providing education to a couple regarding the proper procedure for male condom use. The nurse knows that the teaching was effective when the couple states that which of the following procedures should be taken before the man's penis becomes flaccid after ejaculation? 1. The woman should douche with white vinegar and water. 2. The woman should consider taking a postcoital contraceptive. 3. The man should hold the edges of the condom during its removal. 4. The man should apply spermicide to the upper edges of the condom

3

Which of the following sexually transmitted infections is characterized by a foul- smelling, yellow-green discharge that is often accompanied by vaginal pain and dyspareunia? 1. Syphilis. 2. Herpes simplex. 3. Trichomoniasis. 4. Condylomata acuminata .

3

A postpartum client has decided to use Depo-Provera (medroxyprogesterone acetate) as her contraceptive method. What should the nurse advise the client regarding this medication? 1. Take the pill at the same time each day. 2. Refrain from breastfeeding while using the method. 3. Expect to have no periods as long as she takes the medicine. 4. Consider switching to another birth control method in a year or so.

4

A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see? 1. Both estrogen and progesterone are high. 2. Estrogen is high and progesterone is low. 3. Estrogen is low and progesterone is high. 4. Both estrogen and progesterone are low.

4

A woman seen in the emergency department is diagnosed with pelvic inflammatory disease (PID). Before discharge, the nurse should provide the woman with health teaching regarding which of the following? 1. Endometriosis. 2. Menopause. 3. Ovarian hyperstimulation. 4. Sexually transmitted infections.

4

The 16-year-old female client tells the public health nurse that she thinks her boyfriend gave her a sexually transmitted disease (STD). Which statement by the nurse would be the best response? 1. "You will need parental permission to be seen in the clinic." 2. "Be sure and get the proper medications so that you don't become pregnant." 3. "How would you know that you have a sexually transmitted disease?" 4. "You need to have tests so you can be started on medications now."

4

The client is prescribed a 28-day oral contraceptive pack. Which statement best describes the scientific rationale for this birth control product? 1. This causes longer intervals between menses. 2. A hormone pill daily decreases cramping during menses. 3. It is not as expensive as other birth control products. 4. This ensures that the client will take a pill every day.

4

A couple is seeking family planning advice. They are newly married and wish to delay childbearing for at least 3 years. The woman, age 26, G0 P0000, has no medical problems and does not smoke. She states, however, that she is very embarrassed when she touches her vagina. Which of the following methods would be most appropriate for the nurse to suggest to this couple? 1. Diaphragm. 2. Cervical cap. 3. Intrauterine device (IUD). 4. Birth control pills (BCP).

4

A nurse is educating a group of women in her parish about osteoporosis. The nurse should include in her discussion that which of the following is a risk factor for the disease process? 1. Multiparity. 2. Increased body weight. 3. Late onset of menopause. 4. Heavy alcohol intake.

4

The nurse in a pediatric clinic is caring for a 9-year-old girl who has been diagnosed with gonorrhea. Which of the following actions is appropriate for the nurse to take? 1. Notify the physician so the child can be admitted to the hospital. 2. Discuss with the girl the need to stop future sexual encounters. 3. Question the mother about her daughter's menstrual history. 4. Report the girl's medical findings to child protective services.

4

A woman is noted to have multiple soft warts on her perineum and rectal areas. The nurse suspects that this client is infected with which of the following sexually transmitted infections? 1. Human papillomavirus (HPV). 2. Human immunodeficiency virus (HIV). 3. Syphilis. 4. Trichomoniasis.

1

Four women with signifcant health histories wish to use the diaphragm as a contraceptive method. The nurse should counsel the woman with which of the following histories that the diaphragm may lead to a recurrence of her problem? 1. Urinary tract infections. 2. Herpes simplex infections. 3. Deep vein thromboses. 4. Human papilloma warts.

1

It is day 17 of a woman's menstrual cycle. She is complaining of breast tenderness and pain in her lower left quadrant. The woman states that her cycle is usually 31 days long. Which of the following is an appropriate reply by the nurse? 1. "You are probably ovulating." 2. "Your hormone levels should be checked." 3. "You will probably menstruate early." 4. "Your breast changes are a worrisome sign."

1

The 14-year-old client is prescribed oral contraceptive medication for menstrual irregularity. Which assessment data indicates the medication is effective? 1. The client has a period every 28 days. 2. The client has a decrease in abdominal bloating. 3. The client has a negative pregnancy test. 4. The client reports a decrease in facial acne.

1

The gravida 7 para 6 client delivered a 9 lbs. 4 oz. in bed two hours ago. Which intervention is priority for the nurse to implement? 1. assess the client's fundus every hour 2. assess the clients avoiding pattern every shift 2. discuss birth-control options with a client 4. discuss breast-feeding methods with a client

1

The nurse is developing a standard care plan for the administration of Mifeprex (mifepristone/misoprostol). Which of the following information should the nurse include in the plan? 1. Women should be evaluated by their healthcare practitioners 2 weeks after taking the medicine. 2. This is the preferred method for terminating an ectopic pregnancy when an intrauterine device is in place. 3. The only symptom clients should experience is bleeding 2 to 3 days after taking the medicine. 4. Women who experience no bleeding within 3 days should immediately take a home pregnancy test

1

The male adolescent who is sexually active tells the school nurse, "I am embarrassed, but I don't know who else to tell. Last night when I used a condom with my girl- friend I got a red itchy rash down there. I don't know what it is or what to do." Which statement would be the nurse's best response? 1. "You should abstain from sex until you are older." 2. "Use a condom made out of a lamb's intestines." 3. "Do you think your girlfriend gave you an STD?" 4. "Encourage your girlfriend to use a diaphragm."

2

Which of the following clients, who are all seeking a family planning method, is the best candidate for birth control pills? 1. 19-year-old with multiple sex partners. 2. 27-year-old who bottle feeds her newborn. 3. 29-year-old with chronic hypertension. 4. 37-year-old who smokes one pack per day

2

A postpartum woman is using the lactational amenorrhea method of birth control. The nurse should advise the client that the method is effective only if which of the following conditions are present? Select all that apply. 1. Being less than 6 months postpartum. 2. Being amenorrheic since delivery of the baby. 3. Supplementing with formula no more than once per day. 4. Losing less than 10% of weight since delivery. 5. Sleeping at least 8 hours every night.

1,2

The nurse met four sexually active clients in the family planning clinic today. It would be most appropriate for the nurse to recommend the intrauterine device (IUD) to which of the clients? Select all that apply. 1. 16-year old, high school student 2. 20-year-old, recent college graduate. 3. 24-year-old, G0 P0000. 4. 28-year-old, recent history of chlamydia. 5. 30-year-old, G3 P2102.

1,2,3,5

The adolescent client is prescribed the birth control medication depot medroxypro- gesterone (Depo-Provera). Which interventions should the clinic nurse implement? Select all that apply. 1. Instruct the client to schedule an appointment every 3 months. 2. Explain that infertility may occur up to 2 years after discontinuing. 3. Demonstrate how to administer the medication subcutaneously in the abdomen. 4. Discuss how to care for the intrauterine device inserted in her vagina. 5. Tell the client that she will not have to take a pill every day.

1,2,5

The nurse in the gynecology clinic is assessing a 14-year-old client who reports being sexually active. Which information should the nurse teach the client? Select all that apply. 1. Inform the client that the nurse must tell the parents of her being sexually active. 2. Teach the client about possible birth control options. 3. Instruct the client regarding sexually-transmitted disease. 4. Demonstrate how a condom is applied correctly. 5. Tell the client the importance of finishing all antibiotics. 6. Discuss the importance of attending parenting classes.

2, 3, 4

The teenage client has just delivered a 7-pound baby. The girl has not received any prenatal care. Which medication is administered to the neonate to prevent complica- tions related to sexually transmitted diseases? 1. Zidovudine (Retrovir), a nucleoside reverse transcriptase inhibitor (NRTI). 2. Valacyclovir (Valtrex), an antiretroviral. 3. Erythromycin ophthalmic ointment, an antibiotic. 4. Metronidazole (Flagyl), a gastrointestinal anti-infective.

3

A client who has been taking birth control pills for 2 months calls the clinic with the following complaint: "I have had a bad headache for the past couple of days and I now have pain in my right leg." Which of the following responses should the nurse make? 1. "Continue the pill, but take one aspirin tablet with it each day for the remainder of the month." 2. "Stop taking the pill, and start using a condom for contraception." 3. "Come to the clinic this afternoon so that we can see what is going on." 4. "Those are common side effects that should disappear in a month or so."

3

A client who is sexually active is asking the nurse about vaccines administered to prevent human papillomavirus (HPV). Which of the following should be included in the counseling session? 1. The vaccines are not recommended for women who are already sexually active. 2. The vaccines protect recipients from all strains of the virus. 3. The most common side effect from the vaccines is pain at the injection site. 4. Anyone who is allergic to eggs is advised against receiving the vaccines

3

The 18-year-old female client has been diagnosed with genital warts and has been treated with cryotherapy with liquid nitrogen, a freezing agent, on the external geni- talia. Which discharge information should the nurse teach? 1. Wipe the perineum from front to back to prevent cross-contamination of the area. 2. Encourage the use of peripads during the client's menstrual cycle. 3. Gently cleanse the perineum with a squirt bottle and tepid water after urinating. 4. Administer daily Betadine douches until the area has healed completely.

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The nurse obtained the health history of a 37-year-old woman who is requesting contraceptive therapy. Which information about the client will have the most impact on the choice of contraceptive? 1. History of uterine fibroids 2. Blood pressure of 136/83. 3. Cigarette smoking a pack a day 4. Planning outpatient oral surgery

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The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be talked to the client? 1. The client will develop antibodies to protect against a future infection 2. This infection will not have any long-term effects for the client 3. Both the client and the partner must be treated simultaneously 4. Once the infection subsides, the pain will go away and not be a problem

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What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted? 1. Palpate her lower abdomen each month to check the patency of the device. 2. Remain on bedrest for 24 hours after insertion of the device. 3. Report any complaints of painful intercourse to the physician. 4. Insert spermicidal jelly within 4 hours of every sexual encounter.

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Which instruction should the nurse discuss with the client who is prescribed oral contraceptives for birth control? 1. Never take more than one birth control pill a day. 2. If breakthrough bleeding occurs, discontinue the pill. 3. Take a missed pill as soon as you realize you have missed it. 4. Antibiotics will increase the ovulation suppression effect of the pill.

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Which statement indicates to the nurse that the client using a vaginal contraceptive ring understands the birth control teaching? 1. "If the ring falls out during intercourse, I should get a new ring." 2. "I should insert the ring 30 minutes before having intercourse." 3. "I will remove the ring 3 weeks after I have inserted it." 4. "I am so glad that I will not have a period when using the ring."

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A female client asks the nurse about treatment for human papilloma viral warts. The nurse's response should be based on which of the following? 1. An antiviral injection cures approximately fifty percent of cases. 2. Aggressive treatment is required to cure warts. 3. Warts often spread when an attempt is made to remove them surgically. 4. Warts often recur a few months after a client is treated.

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