Exam 1 Review - Part 2
Descent of the fetal head noted toward the end of pregnancy.
Lightening
Hyperpigmentation of the line that marks the longitudinal division of the abdomen.
Linea Nigra
Curvature of the spine seen in pregnant women.
Lordosis
What prenatal warning signs should a pregnant woman report to their HCP?
Any fluid leakage, blurred vision, and abdominal pain
The nurse assesses a client and determines that she has achieved thelarche. Which clinical finding prompted the nurse's report?
Appearance of breast buds
What is the function of a diaphragm?
Block the cervical os
Symptoms and behaviors seen in expectant fathers.
Couvade
In addition to being highly infectious, which additional fact would the nurse teach the client with gonorrhea?
Can produce sterility
Bluish color of the cervix, vagina, and labia seen in early pregnancy.
Chadwick's Sign
What does the NST and CST assess?
Fetal heart activity
Which STD receives antiviral medications as the treatment of choice: syphilis, gonorrhea, genital herpes, or chlamydial infection?
Genital herpes
Softening of the cervix noted in early pregnancy.
Goodell's Sign
The nurse would instruct a client to stop taking an oral contraceptive and notify the HCP immediately for the presence of which clinical findings (select all)? Nausea, HA, Weight loss, Visual disturbances, and/or Increased menstrual flow.
HA and visual disturbances
A client asks the nurse about the most common s/e associated with the use of a copper IUD. Which answer would the nurse provide?
Heavier menstrual periods
Which finding during an RN assessment indicates a potential risk in regard to continued use of birth control pills: dysmenorrhea, anovulation, midcycle bleeding, or hypertension?
Hypertension
How do you calculate the first day of a woman's fertile time?
Subtract 18 from the length of the shortest recorded cycle
Which information would the nurse include in the teaching session for a couple about the assisted reproductive technique of IVF?
Supplemental progesterone is given in early pregnancy
Which sexually transmitted infections are caused by bacteria: syphilis, hepatitis, gonorrhea, herpes simplex, trichomoniasis?
Syphilis and gonorrhea
T/F: Herpes is a lifelong problem.
T
T/F: I'll stop taking the pills if I have chest pain.
T
Subtle fetal movements noted around 16-20 weeks of pregnancy.
Quickening
In IVF, where are the fertilized ova placed?
Uterus
Where does fertilization occur?
In the fallopian tube
When a woman has a rise in her basal temperature, what effect on fertility does this have?
She is most fertile
What is the function of a condom?
Prevent sperm from reaching the vagina
Spinnbarkeit
Clear and stretchable cervical mucus
Which time of the month would the nurse teach premenopausal women to perform breast self-exams?
About a week after menses ends
What information should be taught in regards to removing a male condom?
The rim of a condom must be held in place while the penis is withdrawn from the vagina
T/F: The diaphragm must always be used w/ a spermicide to be effective.
True
Word used to describe a woman who has delivered one pregnancy.
Primipara
Why is supplemental progesterone give to a woman during IVF?
Promote implantation and support the early pregnancy
A couple interested in family planning asks the nurse about the cervical mucus method of preventing pregnancy. Which quality of cervical mucous would indicate fertility?
Clear and stretchable
During which time frame would the nurse instruct the couple planning to use the calendar (rhythm) method of contraception to refrain from intercourse if the woman's cycles are every 28 days?
Days 10 to 17 of the menstrual cycle
Which birth control agent requires administration once every 3 months?
IM progestin
A sexually active female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" Which practical response would the nurse provide?
Insist that your partner uses a condom
What s/e are associated w/ hormonal IUDs?
Irregular or absent menstrual periods
A client seeking advice regarding contraception asks the nurse to explain how an intrauterine device (IUD) prevents pregnancy. How would the nurse respond?
It produces a spermicidal intrauterine environment
When teaching a client about using a diaphragm as a form of contraception, which instructions would the nurse provide about the diaphragm?
It should remain in place for at least 6 hours after intercourse
Systematic method for palpating the fetus through the abdominal wall.
Leopold's Maneuver
Why are oral contraceptives contraindicated w/ HTN?
May increase blood pressure
The nurse is teaching a woman how to perform a breast self-exam. Which statement indicates that the client requires further education?
My breasts are so tender right before my period that I hate doing it (should be done 1 week after menstruation)
What are the 5 parameters of fetal well-being assess via the biophysical profile (BPP) during pregnancy?
NST, fetal breathing movements, gross fetal movements, fetal tone, and amniotic fluid volume
What is the correct way to teach positioning of a male condom?
Positioned after an erection has occurred
T/F: Oral contraceptives can cause thrombophlebitis.
T
The nurse is teaching a family planning class about ovulation and conception. For which period of time would the nurse inform the class that the ovum is capable of being fertilized after ovulation?
Up to 24 hours
Which time period would the nurse teach the health education class that fertilization of the ovum by the sperm occurs?
When 1 sperm penetrates the wall of the ovum