EAQ Reproductive Issues
The nurse is teaching clients how to determine the estimated time of ovulation by taking their basal body temperature. Which is the expected change in the basal temperature during ovulation? 1. A slight drop followed by an increase 2.A sudden rise followed by a decrease 3.A marked increase, after which the temperature gradually increases more 4.A marked decrease, after which the temperature remains lower At ovulation the temperature usually drops slightly and then rises and remains high because of increased production of progesterone after ovulation. It does not decrease following the rise. It does not normally continue to rise more after the initial rise. It does not decrease.
1. A slight drop followed by an increase At ovulation the temperature usually drops slightly and then rises and remains high because of increased production of progesterone after ovulation. It does not decrease following the rise. It does not normally continue to rise more after the initial rise. It does not decrease.
Which drug does the nurse anticipate to be prescribed to a client seeking treatment for infertility? 1 Clomiphene 2 Misoprostol 3 Dinoprostone 4 Methylergonovine
1. Clomiphene Clomiphene causes the maturation of ovarian follicles, which leads to ovulation. This drug is used to promote fertility. Misoprostol and dinoprostone are prostaglandins that cause uterine muscle contractions. Methylergonovine is an ergot alkaloid used to reduce postpartum uterine hemorrhage.
Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? Select all that apply. One, some, or all responses may be correct. 1. Report worsening symptoms. 2. Refrain from sexual relations. 3. Use barrier protection devices. 4.Contact partners to be tested. 5.Take the entire course of antibiotics.
1. Report worsening symptoms. 2. Refrain from sexual relations. 3. Use barrier protection devices. 4.Contact partners to be tested. 5.Take the entire course of antibiotics. The nurse would instruct clients taking doxycycline for an STI to report worsening symptoms to the health care provider as it could indicate antibiotic resistance. Clients would also be instructed to refrain from sexual relations while the infection is being treated. If they do choose to have sexual relations, they would be instructed on the importance of using barrier protection. The nurse would also instruct clients to contact their sexual partners and inform them of the need to be tested and treated for the STI. Clients should take the entire prescribed course of antibiotics to prevent recurrence of the infection.
Which intervention would the nurse classify as the highest priority for a client experiencing symptoms of premenstrual syndrome? 1.Advising the client to have adequate rest 2.Teaching the client stress reduction techniques 3.Instructing the client to follow the medication therapy 4.Encouraging the client to perform aerobic exercises
1.Advising the client to have adequate rest A client with premenstrual syndrome experiences fatigue that further exacerbates the symptoms of premenstrual syndrome. Advising the client to get adequate rest is the priority nursing care. Teaching a client stress reduction techniques is not the priority nursing care. Medication therapy is considered for a client with premenstrual syndrome only if the symptoms persist or interfere with daily functioning. Instructing the client to follow the medication therapy is not the priority nursing care. Aerobic exercises provide a relaxing effect to the client and temporarily relieve the symptoms.
Which instruction would the nurse provide to help obtain relief for an adolescent having premenstrual syndrome who displays pelvic fullness, irritability, depression, fatigue, and backaches? Select all that apply. One, some, or all responses may be correct. 1.Follow stress reduction techniques. 2.Do aerobics three to four times a week. 3.Take nonsteroidal anti-inflammatory drugs (NSAIDs) or progesterone. 4.Consume sugar, salt, red meat, alcohol, and coffee regularly. 5.Eat food rich in complex carbohydrates and fiber in three small portions.
1.Follow stress reduction techniques. 2.Do aerobics three to four times a week. 3.Take nonsteroidal anti-inflammatory drugs (NSAIDs) or progesterone. 5.Eat food rich in complex carbohydrates and fiber in three small portions. 30% to 80% of women will experience premenstrual syndrome. Stress reduction techniques may aid in relieving symptoms. Regular exercise, especially in the luteal phase, is extremely helpful in overcoming the symptoms and reducing anxiety. Medications that can be used to provide symptomatic relief include NSAIDs, progesterone, and diuretics. Eating three small or moderate-sized meals with a high content of carbohydrates and fiber may also grant relief from symptoms. Clients should avoid smoking, alcohol, sweets, salt, meat, and alcohol.
Which statement is an accurate description of dysmenorrhea? 1.Pain with menses 2.Endometrial hyperplasia 3.Bleeding between menses 4.Heavy bleeding with menses
1.Pain with menses Dysmenorrhea is defined as pain with menses. Endometrial hyperplasia results from anovulation and persistent estrogen stimulation. Bleeding between menses is metrorrhagia. Heavy bleeding with menses is menorrhagia.
The primary health care provider instructs the nurse to administer a high dose of acyclovir60 mg/kg/day to a neonate with a body weight of 4.4 lb. What dose would the nurse administer to the neonate each day? Record your answer using a whole number.
120mg Acyclovir is used to treat herpes virus infection in a neonate. A high dose of 60 mg/kg/day of acyclovir reduces the mortality rate in children. The neonate has a birth weight of 4.4 lb or 2 kg [2.2 lb = 1 kg]; therefore the nurse would administer 2 x 60 = 120 mg of acyclovir per day to the neonate.
Which characteristics would the nurse observe in a client who has secondary amenorrhea? 1. No uterine bleeding for 4 years after breast development 2.Absence of menstrual bleeding for 3 cycles after menarche 3.Absence of uterine bleeding and secondary sex characteristics at age 16 years 4.No uterine bleeding for 1 year after attaining a sexual maturity rating of 5 on the Tanner scale
2.Absence of menstrual bleeding for 3 cycles after menarche
When teaching a client about using a diaphragm as a form of contraception, which instructions would the nurse provide about the diaphragm? 1.It may or may not be used with a spermicidal lubricant. 2.It should remain in place for at least 6 hours after intercourse. 3.It must be removed and replaced if intercourse occurs again within 2 hours. 4.It often appears puckered, but this will not interfere with its effectiveness.
2.It should remain in place for at least 6 hours after intercourse. The diaphragm should remain in place for at least 6 hours after intercourse because the spermicidal jelly or cream requires this amount of time to be effective. The diaphragm must always be used with a spermicide to be effective. If another act of intercourse occurs after 2 hours, the diaphragm should be left in place and additional spermicidal gel should be inserted into the vagina. The diaphragm should then be left in place for 6 to 8 hours after the last act of intercourse. Puckering, especially near the rim, may indicate thin spots that could rupture during intercourse; the diaphragm should be replaced if puckering is found.
At which time would the nurse instruct a 24-year-old woman to check her temperature when using the basal body temperature (BBT) method for natural family planning? 1. Each night right before bed 2.On the first day of her next menstrual cycle 3.Each morning before getting out of bed or increasing her activity 4.At bedtime beginning on day 14 of her menstrual cycle and continuing until her next period
3. Each morning before getting out of bed or increasing her activity The most accurate BBT is taken before a woman gets out of bed and begins any type of activity that could increase the body's temperature even slightly. BBT should be charted daily on a calendar to permit interpretation of temperature fluctuations. A BBT taken in the evening may be increased after a day of activity. Daily assessment and recording of BBT during the first half of the menstrual cycle is also crucial because a woman's BBT is lower than during the second half of her cycle. The BBT temperature may rise slightly with ovulation.
Before a client with syphilis can be treated, what should be determined?1.Portal of entry 2.Size of chance 3.Existence of allergies 4.Names of sexual contacts
3. Existence of allergies Although the treatment of choice is penicillin, clients who are allergic must be given other antimicrobial agents to avoid an anaphylactic reaction
Which practical response would the nurse provide a sexually active female client who is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" 1."Douche after every sexual intercourse." 2."Avoid engaging in sexual behaviors." 3."Insist that your partner uses a condom." 4."Use a spermicidal cream with sexual intercourse.
3."Insist that your partner uses a condom." "Once people become sexually active, they usually remain sexually active; a condom, although not 100% effective, is the best protection against gonorrhea in a sexually active person. The response, "Douche after every intercourse," has no proven protective effect against sexually transmitted infections; excessive douching can alter the vaginal environment and may promote an ascending infection. The response, "Avoid engaging in sexual behavior," is not a realistic response to a sexually active person. Spermicidal cream has no protective effect against sexually transmitted infections.
Which dysfunction of the reproductive system is associated with anorexia nervosa in females? 1.Galactorrhea 2.Gynecomastia 3.Amenorrhea 4.Premenstrual dysphoric disorder
3.Amenorrhea Amenorrhea (cessation of menses) results from endocrine imbalances that occur when fat stores are depleted. Galactorrhea is a milky discharge from the nipples that is not related to normal breast milk production. Gynecomastia is a swelling of the breast tissue in males. Premenstrual dysphoric disorder occurs about 1 week before menses and includes mood swings, depression, fatigue, bloating, overeating, and difficulty focusing. These symptoms resolve when menstruation starts.
Which medication of choice would be prescribed for a client who is diagnosed with chlamydia? 1. Imiquimod 2. Ceftriaxone 3.Azithromycin 4. Benzathine penicillin
3.Azithromycin Azithromycin is recommended for clients with chlamydia infections. Imiquimod is beneficial for treating genital warts in clients with human papillomavirus infections. Ceftriaxone is the medication of choice for treating gonorrhea. Benzathine penicillin is recommended for treating syphilis.
Which additional fact would the nurse teach the client with gonorrhea in addition to being highly infectious? 1.Easily cured 2.Occurs very rarely 3.Can produce sterility 4.Limited to the external genitalia
3.Can produce sterility Inflammation associated with gonorrhea may lead to destruction of the epididymis in males and tubal mucosal destruction in females, causing sterility. Many gonococci have become penicillin resistant and difficult to treat. Gonorrhea is a common sexually transmitted infection. Neisseria gonorrhoeae will invade internal structures, particularly the epididymis in males and the fallopian tubes in females.
Which vaccine is used to prevent human papilloma virus infection? 1.Varivax 2.Rota Teq 3.Gardasil 4.Hepatitis A vaccine
3.Gardasil Gardasil is a quadrivalent vaccine used to prevent genital cancers and warts caused by human papilloma virus. Varivax is associated with protection from the varicella virus; this vaccine is sometimes given in combination with the MMR vaccine. The RotaTeq vaccine is used to vaccinate against a rotavirus infection. The hepatitis A vaccine is used to protect against the hepatitis A virus.
A female client who is undergoing infertility testing is taught how to examine her cervical mucus. After listening to the instructions, the client says, 'That sounds gross. I don't think I can do it. Which conclusion would the nurse make from this statement? 1.The client is unduly fastidious. 2.The client feels that having a baby is not that important. 3.The client may be uncomfortable with performing manual examination of the genitals. 4.The client is afraid that she is the cause of the infertility.
3.The client may be uncomfortable with performing manual examination of the genitals. Some women find it emotionally stressful to handle their genitals and discharges. The nurse would need to question the client further to determine if this is the case. The nurse does not have data to support whether the client is unduly fastidious. The nurse would not pass judgment on whether or not the client desires having a baby. Although many women in this situation feel that they are the cause of infertility, this has no bearing on either the nurse's instruction or the client's response.
Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands her self-care? 1.'When I have a baby, I don't want a cesarean." 2.''I can have sex as soon as the herpes sores have healed.'' 3. "When I finish the acyclovir prescription I will be cured.'' 4."I must be careful when I have sex because herpes is a lifelong problem."
4."I must be careful when I have sex because herpes is a lifelong problem." 'HSV-2 infection is characterized by remissions and exacerbations; it cannot be cured and is a lifelong infection. Some pregnant women with HSV-2 need cesarean deliveries, which are indicated if there is an outbreak of HSV-2 near the time of birth to prevent their newborns from contracting the disease while passing through the vagina. Herpes is most contagious when active lesions are present; however, the virus can still be shed after the lesions have healed. Use of a condom can reduce the risk of transmission. Herpes can be controlled but not cured.
When does menarche occur in young females? 1.6 months after ovulation 2.6 months after attaining peak weight velocity 3.12 months after attaining peak height velocity 4.24 months after the beginning of the development of breasts Menarche in females occurs 2 years after the appearance of breast buds, which indicates the start of breast development. Ovulation does not occur before menarche but occurs 6 to 14 months after menarche. Menarche occurs after attainment of 3 months of peak weight velocity and 9 months of peak height velocity.
4.24 months after the beginning of the development of breasts Menarche in females occurs 2 years after the appearance of breast buds, which indicates the start of breast development. Ovulation does not occur before menarche but occurs 6 to 14 months after menarche. Menarche occurs after attainment of 3 months of peak weight velocity and 9 months of peak height velocity.
Which condition is associated with human papillomavirus type 16? 1.Balanitis 2.Posthitis 3.Genital warts 4.Penile carcinoma
4.Penile carcinoma Human papillomavirus type 16 is commonly associated with penile carcinoma. Uncircumcised males may beat higher risk for infections such as balanitis and posthitis. Human papillomavirus types 11 and 6 arecommonly associated with genital warts.