REVIEW
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 NOT 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." 4. "That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently
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. 16-year old, high school student 2. 20-year-old, recent college graduate. 3. 24-year-old, G0 P0000. 4. 30 year old (added)
The nurse is providing education to a couple regarding the proper procedure for male condom use. The nurse knows that the teaching was NOT 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 woman should stand for 8 hours after 4. The man should apply spermicide to the upper edges of the condom.
Matching
1. physical barrier: condom 2. Most common STI (clap): gonnerrhea 3. Earliest STI known to humankind: Syphillis 4. Infection most common in hospital: HPV 5. Liver: Hep B 6. Retro virus found in blood and semen: HIV 7. Trichos: protozoa
A woman has been diagnosed with pelvic inflammatory disease (PID). Which of the following organisms are the most likely causative agents? Select all that apply.
3. Chlamydia trachomatis. 4. Neisseria gonorrhoeae.
A woman has contracted HSV 2 for the first time. Which of the following signs/symptoms is the client likely to complain of? (which med)?
A. Flu-like symptoms. B. Valtrex
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.
ALL OF THEM!
Methergine IM injections s/e
BP: 150/100 = raises bp, contraindicative in hypertension
Metrorrhagia
Bleeding at other than normal times (like metro bus makes different stops)
A woman states that she feels "dirty" during her menses so she often douches to "clean myself." The nurse advises the woman that it is especially important to refrain from douching while menstruating because douching will increase the likelihood of her developing which of the following gynecological complications? 1. Fibroids. 2. Endometritis. 3. Cervical cancer. 4. Polyps.
Endometritis.
Menorrhagia
Large amount of bleeding! (men)
Dyspenuria
Pain with sex
PMS (premenstrual syndrome)
a cluster of physical and psychological symptoms occurring in the few days preceding the menstrual flow, leads to a symptom free period.
Unprotected Penicillin G
a. 2 units b. Syphillis
PID secondary to chlamydia/gonerrhea
a. azythromycin + metrazole d. Rocephin
55 female y/o pain with sex
a. dyspenuria b. jelly lubricant c. change in position to avoid pain and have control
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?
a. HPV b. Condom use
Lesions on perineal and rectum are which STI?
a. HPV b. Warts
Bacteria Vaginosis
a. Metronizole 500 mg PO b. Not an STI, natural vaginal flora (no infidelity)
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?
a. Mirena IUD + condoms b. Nexplan + female condoms
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.
a. The device must be refitted if the woman gains or loses 10 pounds or more. b. Does not protect against STI.
A man has just had a vasectomy. Which of the following postprocedure teachings should the nurse provide the client? Select all that apply.
a. The surgeon should be contacted immediately if marked enlargement of the scrotal sac is noted after the procedure. b. Sperm count test in 2 months
Gardisil Vaccine
a. before becoming sexually active b. HPV that cause cervical cancer prevention c. 11-12
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?
a. birth control b. patch c. Nexplan
Amenorrhea
absence of menstruation after 1 year of being established
Dysmenorrhea
pain before starting period (almost everyone woman has it)
Oligomenorrhea
scanty menstrual flow (gets period every 40-45 days)