Maternity CH 5

No single treatment is best for all types of warts or for all clients.

A client asks the nurse about treatment for human papilloma viral warts. The nurse's response should be based on what knowledge?

2. Metronidazole 3. Clindamycin cream

A client comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness. Which medication treatment will the nurse teach the client about? Select all that apply.

Oral acyclovir

A client comes to the clinic complaining of difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina. She denies having ever had these symptoms before. The medication the physician is most likely to order would be:

Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.

A client has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the client, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?

IUD for contraception

A client in the emergency department is diagnosed with pelvic inflammatory disease. Before discharge, the nurse will provide the client with some health teaching about which topic?

Metronidazole 500 mg p.o. b.i.d. for a week

A nonpregnant client is diagnosed with bacterial vaginosis (BV). What does the nurse expect to administer?

"Both hepatitis B and C have an incubation period of 45-160 days."

A nurse is teaching a middle school health class on the different types of viral hepatitis. Which statement made by a student indicates the need for further teaching?

The client must be careful to observe for signs of preterm labor.

A pregnant client at 24 weeks' gestation is diagnosed with bacterial vaginosis. Her doctor orders Flagyl to treat the problem. What would be appropriate education for the nurse to provide?

2. Hepatitis B 3. Hepatitis C 4. Hepatitis D

In providing community education about hepatitis, the nurse includes information on the chronic forms of hepatitis. A form of hepatitis that becomes chronic is which of the following? select all that apply.

Hepatitis C

The nurse is admitting a client who is 12 weeks pregnant and an IV drug user. She has had a number of sexual partners, complains of malaise, and has yellow in the eyes, nausea, and vomiting. Having obtained this history, the nurse suspects that the client has which condition?

The addition of a 10% potassium hydroxide solution to the vaginal secretions

The nurse is caring for a client in the clinic whom she suspects has vaginosis. Which test best determines whether this sexually active woman has the disorder?

Usually there are no signs or symptoms

The nurse is educating a group of female adolescents regarding sexually transmitted infections. The nurse knows that learning was achieved when an individual states that the most common symptom is which of the following?

1. The client implements self-care measures for prevention. 2. The client completed the prescribed antibiotics.

The nurse is evaluating the outcomes of nursing care for a woman with a urinary tract infection. Which of the following does the nurse include in the evaluation? Select all that apply.

1. Had an identified infection 2. Could identify the mode of transmission 4. Could recognize the symptoms of an STI

The nurse is evaluating the outcomes of nursing care given a female client with a sexually transmitted infection (STI). Which of the following will the nurse verify about the client? Select all that apply.

"I need to add yogurt to my diet."

The nurse is providing discharge instructions to a client with a diagnosis of vulvovaginal candidiasis (VVC), and knows the client understands when she makes which of the following statements?

"I could have another breakout during my period."

The nurse is providing follow-up education to a client just diagnosed with vaginal herpes. What statement by the client verifies correct knowledge about vaginal herpes?

1. Decision-making skills in refusing intercourse 2. How to reduce high-risk behaviors 3. That Pap smears might be needed more often

The nurse is providing health education to a group of young people. When teaching about the prevention of sexually transmitted infections (STIs), the nurse will teach which concepts? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

A nonpregnant client with gonorrhea and chlamydia

The nurse is seeing clients in the women's clinic. Which client should be treated with ceftriaxone IM and doxycycline orally?

1. The importance of good hygiene 2. How to recognize the signs and symptoms 3. How to take prescribed antibiotics

The nurse is teaching a group of young women how to prevent urinary tract infections. What will the nurse include in the teaching? Select all that apply.

Age 30, treated for PID

The nurse obtains a health history from four clients. To which client should she give priority for teaching about cervical cancer prevention?

Throat culture for Streptococcus A

Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)?

Preterm labor

Women with pyelonephritis during pregnancy are at significantly increased risk for which condition?

"Gardasil will be given to my daughter in three doses."

A 12-year-old girl and her mother are at the doctor's office for a routine check-up for the daughter. The mother tells the nurse that she would like the daughter to have the Gardasil vaccine that is effective against the human papilloma virus. The nurse does some teaching, and knows it has been successful when the mother makes which statement?

"I should urinate when I feel the urge."

The client demonstrates that the nurse's teaching regarding ways to prevent a recurrence of her urinary tract infection was effective when she makes which statement?

4. "I might have gotten this infection from food." 5. "The incubation period is 15-50 days."

The client has been diagnosed with hepatitis B. Which statement indicates to the nurse that the client needs more education? Select all that apply.

"I am at risk of having a preterm birth because of this infection."

The clinic nurse teaches the pregnant client being treated for trichomoniasis about the risks to her pregnancy due to this infection. Which statement would indicate successful teaching?

Administer cefotetan IV

The nurse is caring for a client hospitalized for pelvic inflammatory disease. Which nursing intervention would have priority?

1. "I might have infertility because of this infection." 2. "It is important for me to finish my antibiotics." 3. "Tubal pregnancy could occur after PID."

The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Select all that apply.

The most common causative organism of cystitis is E. coli.

The nurse is preparing an education session for women on the prevention of urinary tract infections (UTIs). Which statement should be included?

Hepatitis A and B have vaccines to prevent them.

The nurse is teaching nursing students about the different kind of hepatitis. Which statement is the nurse likely to make?

"He could get an infection in the tube that carries the urine out."

The nurse provides a couple with education about the consequences of not treating chlamydia, and knows they understand when they make which statement?

16-year-old sexually active girl, using no contraceptive

The nurse seeing a client just diagnosed with Chlamydia trachomatis knows that which client is at greatest risk for the infection?

Clients using antibiotics Pregnant clients Diabetic clients

The nurse working in a women's clinic recognizes that which clients are most at risk for developing vulvovaginal candidiasis? Select all that apply.

Postinfection tubal damage

The nurse's response to a client with a history of pelvic inflammatory disease who is trying to get pregnant is based on the knowledge that which condition can contribute to an infertility problem?

"Teen women are the group at highest risk for sexually transmitted infections."

After a sex education class at a high school, the nurse overhears a student discussing safe sex practices. Which statement indicates that teaching was successful?