TB OB

Many newborns exposed to HIV/AIDS show signs and symptoms of disease within days of birth that include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Swollen glands Hard stools Smaller than average spleen and liver Rhinorrhea Interstitial pneumonia

Swollen glands Rhinorrhea Interstitial pneumonia

A couple asks the nurse what is the safest method of sterilization. What should the nurse reply? "Laparotomy tubal ligation." "Laparoscopy tubal ligation." "Minilaparotomy." "Vasectomy."

"Vasectomy."

The nurse is planning care for four infants who were born on this shift. The infant who will require the most detailed assessment is the one whose mother has which of the following? A history of obsessive-compulsive disorder (OCD) Chlamydia Delivered six other children by cesarean section A urinary tract infection (UTI)

Chlamydia

The 12-year-old client reports that menarche occurred 5 months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is which of the following? Dysfunctional uterine bleeding (D U B) Diabetes mellitus (D M) Pregnancy Von Willebrand's disease

Dysfunctional uterine bleeding (D U B)

The nurse is caring for the newborn of a drug-addicted mother. Which assessment findings would be typical for this newborn? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Hyperirritability Decreased muscle tone Exaggerated reflexes Low pitched cry Transient tachypnea

Hyperirritability Exaggerated reflexes Transient tachypnea

A patient receiving chemotherapy for breast cancer writes in a journal during the treatments and reads devotional material. Which phase of psychologic adjustment should the nurse identify that this patient is experiencing? Shock Denial Reaction Recovery

Reaction

Abdominal hysterectomy is generally recommended for which condition? Severe endometriosis Removal of the ovaries Suspected or confirmed cancer removal Abnormal uterine bleeding

Severe endometriosis

The nurse is teaching the parents of an infant with an inborn error of metabolism how to care for the infant at home. What information does teaching include? Specially prepared formulas Cataract problems Low glucose concentrations Administration of thyroid medication

Specially prepared formulas

The nurse in the clinic instructs a client who is using the natural method of contraception to begin counting the first day of her cycle as which day? The day her menstrual period ceases The first day after her menstrual period ceases The first day of her menstrual period The day of ovulation

The first day of her menstrual period

During newborn resuscitation, how does the nurse evaluate the effectiveness of bag-and-mask ventilations? The rise and fall of the chest Sudden wakefulness Urinary output Adequate thermoregulation

The rise and fall of the chest

A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially? Timing of the symptoms Birth control method Method of breast self-examination Diet history

Timing of the symptoms

Which of the following diagnostic tests would the nurse question when ordered for a patient diagnosed with pelvic inflammatory disease (PID)? 1. CBC (complete blood count) with differential 2. Vaginal culture for Neisseria gonorrhoeae 3. Throat culture for Streptococcus A 4. RPR (rapid plasma reagin)

3. Throat culture for Streptococcus A

The nurse is caring for an infant who was delivered in a car on the way to the hospital and who has developed cold stress. Which finding requires immediate intervention? Increased skin temperature and respirations Blood glucose level of 45 Room-temperature IV running Positioned under radiant warmer

Room-temperature IV running

The client's Pap smear result is A S C-U S. Which statement is the best way for the nurse to explain this A S C-U S result? "Abnormal cells of an unknown cause." "Cancer has invaded the upper cervix." "High-grade squamous intraepithelial lesion (H S I L), which includes C I N." "The focus of the Pap smear is the detection of high-risk pregnancy." "The cervical cells are abnormal and the reason why is severe dysplasia and carcinoma in situ."

"Abnormal cells of an unknown cause."

The nurse is completing the health history for a client desiring the Essure method of permanent sterilization. What should the nurse specifically ask when assessing this client? "Are you allergic to any metals?" "How many children do you have?" "When was your last menstrual period?" "Is your spouse aware of the procedure?"

"Are you allergic to any metals?"

The nurse is about to tell a client that her Pap smear result was abnormal. Which statement should the nurse include? "The Pap smear is used to diagnose cervical cancer." "A loop electrosurgical excision procedure (L E E P) is needed." "Colposcopy to further examine your cervix is the next step." "Your cervix needs to be treated with cryotherapy."

"Colposcopy to further examine your cervix is the next step."

Parents have been told their child has fetal alcohol syndrome (FAS). Which statement by a parent indicates that additional teaching is required? "Our baby's heart murmur is from this syndrome." "He might be a fussy baby because of this." "His face looks like it does due to this problem." "Cuddling and rocking will help him stay calm."

"Cuddling and rocking will help him stay calm."

The client with polycystic ovarian syndrome (PCOS) has been prescribed metformin (Glucophage). The nurse tells the client that the medication will do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. "Decrease your excessive hair growth." "Make it easier to lose weight." "Increase your acne." "Improve your chances of pregnancy." "Make your menstrual periods irregular."

"Decrease your excessive hair growth." "Make it easier to lose weight." "Improve your chances of pregnancy."

The nurse receives a phone call from a 25-year-old woman experiencing breast tenderness in the week prior to her menses, with palpable breast nodularity, without nipple discharge. What is the best response by the nurse? "Please make an appointment at the breast cancer center as soon as possible." "How much salty food do you regularly consume?" "As long as you don't have nipple discharge, it isn't a serious condition." "Eliminate caffeine and chocolate from your diet."

"How much salty food do you regularly consume?"

After reviewing approaches for contraception with a female client, the nurse is concerned that barrier methods will not achieve the client's goal to prevent pregnancy. What did the client say to cause the nurse to draw this conclusion? "My partner doesn't mind wearing condoms." "I don't want to have to put anything in myself." "We should use a condom even with a diaphragm." "I know that spermicides are inserted before intercourse."

"I don't want to have to put anything in myself."

The nurse is caring for a client diagnosed with endometriosis. Which statement by the client would require a need for perhaps another treatment option? "I am having many hot flashes since I had the Lupron injection." "The pain I experience with intercourse is becoming more severe." "I have vaginal dryness, reduced libido, and my clitoris has become larger since taking danazol. Is this normal?" "I've noticed I have not had my period on a regular basis since being on the GnRH analogs."

"I have vaginal dryness, reduced libido, and my clitoris has become larger since taking danazol. Is this normal?"

A client who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement? "I need to use a lubricant prior to insertion." "I need to add spermicidal cream prior to intercourse." "I need to moisten it with water prior to use." "I need to leave it in no longer than 6 hours."

"I need to moisten it with water prior to use."

The special care nursery nurse is working with parents of a 3-day-old infant who was born with myelomeningocele and has developed an infection. Which statement from the mother is unexpected? "If I had taken better care of myself, this wouldn't have happened." "I've been sleeping very well since I had the baby." "This is probably the doctor's fault." "If I hadn't seen our baby's birth, I wouldn't believe she is ours."

"I've been sleeping very well since I had the baby."

A client scheduled to have a Mirena levonorgestrel intrauterine system (L N g-I U C) inserted asks how this device stops conception. What should the nurse say in response to this client? "It stops ovulation." "It slows sperm motility." "It shortens the menstrual cycle." "It causes the lining of the uterus to waste away."

"It causes the lining of the uterus to waste away."

The nurse has presented a community education class on recommended health screenings for women. Which statement about the Pap smear by a class member indicates that additional teaching is necessary? "It is recommended for women 21 years of age and older." "It diagnoses cervical cancer." "Intercourse at a young age is a risk factor for an abnormal Pap smear." "Detects abnormal cells."

"It diagnoses cervical cancer."

A female college student comes into the student health clinic, concerned about being pregnant from unprotected intercourse the evening before. What should the school nurse counsel this student? "Take Plan B One Step now." "Take 1 pill of Plan B now and the second pill in 5 days." "Take one half of Plan B One Step now and the second half in 3 days." "Wait 5 days and take 1 pill of Plan B followed by the second pill in 2 days."

"Take Plan B One Step now."

A client asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What is the nurse's best response? a. "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred." b. "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation." c. "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur." d. "This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control."

"Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur."

The nurse is working with parents who have just experienced the birth of their first child at 34 weeks. Which statement(s) by the parents indicate that additional teaching is needed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. "Our baby will be in an incubator to keep him warm." "Breathing might be harder for our baby because he is early." "The growth of our baby will be faster than if he were term." "Tube feedings will be required because his stomach is small." "Because he came early, he will not produce urine for 2 days."

"The growth of our baby will be faster than if he were term." "Tube feedings will be required because his stomach is small." "Because he came early, he will not produce urine for 2 days."

A sexually active female asks why an H I V test is needed since she uses condoms with spermicidal agents when having intercourse. How should the nurse respond to this client? "Condoms do not protect against contracting H I V." "Spermicides only control bacteria and not viruses." "All sexually active people are at risk for contracting H I V." "The spermicide can make your vaginal cells more susceptible to H I V."

"The spermicide can make your vaginal cells more susceptible to HIV."

The parents of a preterm newborn wish to visit their baby in the NICU. A statement by the nurse that would not support the parents as they visit their newborn is which of the following? "Your newborn likes to be touched." "Stroking the newborn will help with stimulation." "Visits must be scheduled between feedings." "Your baby loves her pink blanket."

"Visits must be scheduled between feedings."

The nurse is preparing an educational session on phenylketonuria for a family whose neonate has been diagnosed with the condition. Which statement by a parent indicates that teaching was effective? "This condition occurs more frequently among Japanese people." "We must be very careful to avoid most proteins to prevent brain damage." "Carbohydrates can cause our baby to develop cataracts and liver damage." "Our baby's thyroid gland isn't functioning properly."

"We must be very careful to avoid most proteins to prevent brain damage."

The nurse is teaching a client who has been diagnosed with vulvitis. Which statement by the client indicates that the nurse's instruction has not been effective? "I should stop having sexual intercourse." "Non-deodorized tampons could make this condition recur." "Wearing pantyhose daily will improve the problem." "A different brand of soap might eliminate the irritation."

"Wearing pantyhose daily will improve the problem."

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." What is the nurse's best response? "Women with breast cancer often go through several stages of adjustment." "Women with breast cancer cope better than their partners cope." "Women with breast cancer seek multiple opinions before starting treatment." "Women with breast cancer become angry after treatment begins."

"Women with breast cancer often go through several stages of adjustment."

A female client comes into the clinic for a pregnancy test because she took the morning after pill immediately after having unprotected intercourse 3 days ago and has not had a menstrual period. What should the nurse respond to this client? "I'll make sure you have one during this visit." "You should wait for two weeks before having a pregnancy test." "It's unlikely that you are pregnant. Wait a few days and then take a pregnancy test." "How long did you wait to take the morning after pill after having unprotected intercourse?"

"You should wait for two weeks before having a pregnancy test."

The client with blood type O Rh-negative has given birth to an infant with blood type O Rh-positive. The infant has become visibly jaundiced at 12 hours of age. The mother asks why this is happening. What is the best response by the nurse? "The RhoGAM you received at 28 weeks' gestation did not prevent alloimmunization." "Your body has made antibodies against the baby's blood that are destroying her red blood cells." "The red blood cells of your baby are breaking down because you both have type O blood." "Your baby's liver is too immature to eliminate the red blood cells that are no longer needed."

"Your body has made antibodies against the baby's blood that are destroying her red blood cells."

The clinic nurse teaches the pregnant patient being treated for trichomoniasis about the risks to her pregnancy due to this infection. Which statement would indicate successful teaching? 1. "I am at risk of having a preterm birth because of this infection." 2. "I might need to have my membranes ruptured because of this infection." 3. "I am at risk of having a baby with a high birth weight." 4. "I may have intercourse with my husband while bring treated for this infection."

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

The nurse is discharging a patient after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Note: Credit will be given only if all correct and no incorrect choices are selected. Standard Text: Select all that apply. 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." 4. "My PID was caused by a yeast infection." 5. "I am going to have an IUD placed for contraception."

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 seeing a patient just diagnosed with Chlamydia trachomatis knows that which patient is at greatest risk for the infection? 1. 16-year-old sexually active girl, using no contraceptive 2. 22-year-old mother of two, developed dyspareunia. 3. 35-year-old woman on oral contraceptives 4. 48-year-old woman with hot flashes and night sweats

1. 16-year-old sexually active girl, using no contraceptive

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: Note: Credit will be given only if all correct and no incorrect choices are selected. Standard Text: Select all that apply. 1. Decision-making skills in refusing intercourse. 2. How to reduce high-risk behaviors. 3. That Pap smears might be needed more often. 4. The safety of oral sex. 5. Use of petroleum-based lubricants with condoms.

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 working in a women's clinic recognizes the patients most at risk for developing vulvovaginal candidiasis are those who are: Standard Text: Select all that apply. 1. HIV positive. 2. Immunocompetent. 3. Pregnant. 4. Multiparous. 5. Diabetic.

1. HIV positive. 3. Pregnant. 5. Diabetic.

The nurse is teaching nursing students about the different kind of hepatitis. Which statement is the nurse likely to make? 1. Hepatitis A and B have vaccines to prevent them. 2. Hepatitis A, B, and C have vaccines to prevent them. 3. Hepatitis C, D, and E are all bloodborne. 4. Hepatitis A, C, and E are all fecal-oral contamination.

1. Hepatitis A and B have vaccines to prevent them.

The nurse is providing follow-up education to a patient just diagnosed with vaginal herpes. What statement by the patient verifies correct knowledge about vaginal herpes? 1. "I should douche daily to prevent infection." 2. "I could have another breakout during my period." 3. "I am more likely to develop cancer of the cervix." 4. "I should use sodium bicarbonate on the lesions to relieve discomfort."

2. "I could have another breakout during my period."

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? 1. "I don't have to worry about getting infected if I have oral sex." 2. "Teen women are the highest-risk for sexually transmitted infections." 3. "The best thing to do if I have sex a lot is to use spermicide each and every time." 4. "Boys get the HIV virus more easily than girls do."

2. "Teen women are the highest-risk for sexually transmitted infections."

The patient demonstrates that the nurse's teaching regarding ways to prevent a recurrence of her urinary tract infection was effective when she states, "I should: 1. "Wipe from back to front after urination." 2. "Urinate when I feel the urge." 3. "Try to restrict my intake of fruits." 4. "Use a diaphragm."

2. "Urinate when I feel the urge."

In providing community education about hepatitis, the nurse includes information on the chronic forms of hepatitis. One form of hepatitis that becomes chronic is: Note: Credit will be given only if all correct and no incorrect choices are selected. Standard Text: Select all that apply. 1. Hepatitis A. 2. Hepatitis B. 3. Hepatitis C. 4. Hepatitis D. 5. Hepatitis E.

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

The nurse is admitting a patient 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 patient has: Standard Text: Select all that apply. 1. Hepatitis E. 2. Hepatitis C. 3. Gonorrhea. 4. Hepatitis A.

2. Hepatitis C.

A patient has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the patient, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions? 1. Patients can infect their sexual partners. 2. The nurse is required by law to ask the questions. 3. Patients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily. 4. The laboratory needs a full patient history in order to know for which organisms and antibiotic sensitivities it should test.

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

A nurse is assessing a pregnant patient for right-sided flank pain. The nurse explains to the patient that this type of pain is a common symptom of pyelonephritis in the pregnant patient because of: 1. Temporary suspension of urine output. 2. Nausea and vomiting. 3. The position of the uterus in the abdomen. 4. A colicky large intestine.

3. The position of the uterus in the abdomen.

Which client in the gynecology clinic should the nurse see first? 32-year-old taking gonadotropins, reporting extremity edema 15-year-old, no menses for past 4 months 18-year-old seeking information on contraception methods 31-year-old, taking progestins, reports increasing dyspareunia

32-year-old taking gonadotropins, reporting extremity edema

A nonpregnant patient is diagnosed with bacterial vaginosis (BV). The nurse expects to administer: 1. Penicillin G (Bicillin) 2 million units IM one time. 2. Zithromax (Azithromycin) 1 mg p.o. b.i.d. for 2 weeks. 3. Doxycycline (Vibramycin) 100 mg p.o. b.i.d. for a week. 4. Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.

4. Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.

A patient in the emergency department is diagnosed with pelvic inflammatory disease. Before discharge, the nurse will provide the patient with some health teaching about: 1. Endometriosis. 2. Menopause. 3. Ovarian hyperplasia. 4. Sexually transmitted infections.

4. Sexually transmitted infections.

The nurse obtains a health history from four clients. To which client should she give priority for teaching about cervical cancer prevention? Age 37, multiple partners Age 22, abstains from sexual intercourse Age 32, pregnant with twins Age 27, uses female condom

Age 37, multiple partners

A newborn is receiving phototherapy. Which intervention by the nurse would be most important? Measurement of head circumference Encouraging the mother to stop breastfeeding Stool blood testing Assessment of hydration status

Assessment of hydration status

A female client is disappointed to learn that intrauterine contraception is not an option. For what reason is this form of contraception contraindicated for this client? Diabetes Breast cancer Endometriosis Uterine surgery

Endometriosis

The nurse is assessing a drug-dependent newborn. Which symptom would require further assessment by the nurse? Occasional watery stools Spitting up after feeding Jitteriness and irritability Nasal stuffiness

Jitteriness and irritability

A 38-week newborn is found to be small for gestational age (SGA). Which nursing intervention should be included in the care of this newborn? Monitor for feeding difficulties. Assess for facial paralysis. Monitor for signs of hyperglycemia. Maintain a warm environment.

Maintain a warm environment

A client at 10 weeks' gestation is scheduled for a surgical abortion. Which approaches may be used to dilate the cervix for the procedure? Note: Credit will be given only if all correct choices and no incorrect choices are elected. Select all that apply. Misoprostol Mifepristone Metal dilators Sterile seaweed

Misoprostol Mifepristone Metal dilators Sterile seaweed

A client in the women's clinic asks the nurse, "How is the cervical mucus method of contraception different from the rhythm method?" The appropriate response by the nurse is that the cervical mucus method is which of the following? More effective for women with irregular cycles Not acceptable to women of many different religions Harder to work with than the rhythm method Requires an artificial substance or device

More effective for women with irregular cycles

The nurse is caring for a newborn in the special care nursery. The infant has hydrocephalus and is positioned in a prone position. The nurse is especially careful to cleanse all stool after bowel movements. This care is most appropriate for an infant born with which of the following? Omphalocele Gastroschisis Diaphragmatic hernia Myelomeningocele

Myelomeningocele

A client is being prepared to take the oral mifepristone-vaginal misoprostol treatment for an abortion. For which reasons should the nurse instruct the client to contact the healthcare provider within 24 hours? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Nausea Itchy skin Weakness Stomach pain Bloody discharge

Nausea Weakness Stomach pain

The nurse is caring for a female client with a history of pelvic inflammatory disease (PID) who reports having difficulty conceiving after unprotected sex for over 2 years. Which deviation from the norm does the nurse recognize is most likely the cause of the client's infertility? Non-patent fallopian tube Unfavorable cervical mucus Absence of ovulation Abnormal endometrial preparation

Non-patent fallopian tube

The nurse is caring for a 2-hour-old newborn whose mother is diabetic. The nurse assesses that the newborn is experiencing tremors. Which nursing action has the highest priority? Obtain a blood calcium level. Take the newborn's temperature. Obtain a bilirubin level. Place a pulse oximeter on the newborn.

Obtain a blood calcium level.

The nurse is caring for the newborn of a diabetic mother. Which of the following should be included in the nurse's plan of care for this newborn? Offer early feedings. Administer an intravenous infusion of glucose. Assess for hypercalcemia. Assess for hyperbilirubinemia immediately after birth.

Offer early feedings

The client is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome (PCOS). Which problem does the nurse expect to find in the client's history? Multiple first-trimester fetal losses Dyspareunia Vulvitis Oligomenorrhea

Oligomenorrhea

The nurse is preparing an educational in-service presentation about jaundice in the newborn. What content should the nurse include in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Physiologic jaundice occurs after 24 hours of age. Pathologic jaundice occurs after 24 hours of age. Phototherapy increases serum bilirubin levels. The need for phototherapy depends on the bilirubin level and age of the infant. Kernicterus causes irreversible neurological damage.

Physiologic jaundice occurs after 24 hours of age. Kernicterus causes irreversible neurological damage.

An H I V-positive mother delivered 2 days ago. The infant will be placed in foster care. The nurse is planning discharge teaching for the foster parents on how to care for the newborn at home. Which instructions should the nurse include? Do not add food supplements to the baby's diet. Place soiled diapers in a sealed plastic bag. Wash soiled linens in cool water with bleach. Shield the baby's eyes from bright lights.

Place soiled diapers in a sealed plastic bag.

A nurse is teaching a class on the different types of uterine bleeding. The nurse explains that which of the following is one of the causes of abnormal uterine bleeding? Iron-deficiency anemia Polyps Heavy periods every 2 months Spotting between periods

Polyps

The nurse is caring for an infant born at 37 weeks that weighs 1750 g (3 pounds 10 ounces). The head circumference and length are in the 25th percentile. What statement would the nurse expect to find in the chart? Preterm appropriate for gestational age, symmetrical I U G R Term small for gestational age, symmetrical I U G R Preterm small for gestational age, asymmetrical IUGR Preterm appropriate for gestational age, asymmetrical I U G R

Preterm small for gestational age, asymmetrical IUGR

Which of the following are considered risk factors for development of severe hyperbilirubinemia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Northern European descent Previous sibling received phototherapy Gestational age 27 to 30 weeks Exclusive breastfeeding Infection

Previous sibling received phototherapy Exclusive breastfeeding Infection

The nurse suspects that a client is experiencing adverse effects from the progestin within a combined oral contraceptive. What did the nurse assess to make this clinical determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Pruritus Headache Hirsutism Weight gain Hypertension

Pruritus Hirsutism Weight gain

During a follow-up wellness visit, the nurse determines that a female client is experiencing favorable outcomes after starting combined oral contraceptives. What data did the nurse use to determine this? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Reduced appetite Reduced menstrual flow Fewer menstrual cramps No pain with ovulation Cycle is regular at 28 days

Reduced menstrual flow Fewer menstrual cramps No pain with ovulation Cycle is regular at 28 days

A nurse explains to new parents that their newborn has developed respiratory distress syndrome (RDS). Which of the following signs and symptoms would not be characteristic of RDS? Grunting respirations Nasal flaring Respiratory rate of 40 during sleep Chest retractions

Respiratory rate of 40 during sleep

The nurse caring for a postterm newborn would not perform what intervention? Providing warmth Frequently monitoring blood glucose Observing respiratory status Restricting breastfeeding

Restricting breastfeeding

When assessing a client asking about birth control, the nurse knows that the client would not be a good candidate for Depo-Provera (DMPA) if which of the following is true? She wishes to get pregnant within 3 months. She is a nursing mother. She has a vaginal prolapse. She weighs 200 pounds.

She wishes to get pregnant within 3 months.

Which interventions support development in a preterm newborn in a NICU? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Schedule care throughout the day. Silence alarms quickly. Place a blanket over the top portion of the incubator. Do not offer a pacifier. Dim the lights.

Silence alarms quickly. Place a blanket over the top portion of the incubator. Dim the lights.

A client is concerned about her risk for breast cancer. Following the initial history, the nurse identifies which of the following as a high risk factor for breast cancer? History of late menarche and early menopause Sister who has had breast cancer Mother with fibrocystic breast disease Multiparity

Sister who has had breast cancer

A client who has been using transdermal hormonal contraception comes in for a routine wellness visit. Which finding should cause the nurse to question if the client should continue to use this form of contraception? Body weight of 179 lb Skin breakdown at the site of the patch Drinks 2 cups of caffeinated coffee a day Bicycles at the gym three evenings a week

Skin breakdown at the site of the patch

Benefits of skin-to-skin care as a developmental intervention include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Routine discharge Stabilization of vital signs Increased periods of awake-alert state Decline in episodes of apnea and bradycardia Increased growth parameters

Stabilization of vital signs Decline in episodes of apnea and bradycardia Increased growth parameters

The nurse assesses the gestational age of a newborn and informs the parents that the newborn is premature. Which of the following assessment findings is not congruent with prematurity? Cry is weak and feeble Clitoris and labia minora are prominent Strong sucking reflex Lanugo is plentiful

Strong sucking reflex

The nurse is assessing the newborn for symptoms of anemia. If the blood loss is acute, the baby may exhibit which of the following signs of shock? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Increased pulse High blood pressure Tachycardia Bradycardia Capillary filling time greater than 3 seconds

Tachycardia Capillary filling time greater than 3 seconds

What indications would lead the nurse to suspect sepsis in a newborn? Respiratory distress syndrome developing 48 hours after birth Temperature drops from 97.4°F to 97.0 2°F hours after 2 hours of warming. Irritability and flushing of the skin at 8 hours of age Bradycardia and tachypnea developing when the infant is 36 hours old

Temperature drops from 97.4°F to 97.0 2°F hours after 2 hours of warming.

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following? Forgetting to start her pill pack yesterday Unprotected intercourse during her menses That a condom broke yesterday in the middle of her cycle Increased dysmenorrhea since IUC insertion

That a condom broke yesterday in the middle of her cycle

The neonatal special care unit nurse is overseeing the care provided by a nurse new to the unit. Which action requires immediate intervention? The new nurse holds the infant after giving a gavage feeding. The new nurse provides skin-to-skin care. The new nurse provides care when the baby is awake. The new nurse gives the feeding with room-temperature formula.

The new nurse gives the feeding with room-temperature formula.

The nurse is observing a student nurse who is caring for a neonate undergoing intensive phototherapy. Which action by the student nurse indicates an understanding of how to provide this care? Urine specific gravity is assessed at each voiding. Eye coverings are left off to help keep the baby calm. Temperature is checked every 6 hours. The infant is taken out of the isolette for diaper changes.

Urine specific gravity is assessed at each voiding.

The nurse is teaching the parents of a newborn who has been exposed to HIV how to care for the newborn at home. Which instructions should the nurse emphasize? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Use proper hand-washing technique. Provide three feedings per day. Place soiled diapers in a sealed plastic bag. Cleanse the diaper changing area with a 1:10 bleach solution after each diaper change. Take the temperature rectally.

Use proper hand-washing technique Place soiled diapers in a sealed plastic bag. Cleanse the diaper changing area with a 1:10 bleach solution after each diaper change.

A patient is demonstrating manifestations of acute cervicitis. Which laboratory test should the nurse expect to be completed for this patient? Sedimentation rate Blood test for VDRL White blood cell count Vaginal smear for STIs

Vaginal smear for STIs

The nurse is analyzing assessment findings on four newborns. Which finding might suggest a congenital heart defect? Apical heart rate of 140 beats per minute Respiratory rate of 40 Temperature of 36.5°C Visible, blue discoloration of the skin

Visible, blue discoloration of the skin

A 3-month-old baby who was born at 25 weeks has been exposed to prolonged oxygen therapy. The nurse explains to the parents that due to oxygen therapy, their infant is at a greater risk for which of the following? Visual impairment Hyperthermia Central cyanosis Sensitive gag reflex

Visual impairment

In caring for the premature newborn, the nurse must assess hydration status continually. Assessment parameters should include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Volume of urine output Weight Blood p H Head circumference Bowel sounds

Volume of urine output Weight

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis. Which question asked by the nurse is appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. "Are you having hot flashes?" "Are you experiencing pain during intercourse?" "Is a vaginal discharge present?" "Are you having pain during your period?" "Have you noticed any skin rashes?"

"Are you experiencing pain during intercourse?" "Are you having pain during your period?"

The pregnant client at 41 weeks is scheduled for labor induction. She asks the nurse whether induction is really necessary. What response by the nurse is best? "Babies can develop postmaturity syndrome, which refers to a number of complications that can occur after 42 weeks of pregnancy." "When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid." "Sometimes the placenta ages excessively, and we want to take care of that problem before it happens." "The doctor wants to be proactive in preventing any problems with your baby if he gets any bigger."

"Babies can develop postmaturity syndrome, which refers to a number of complications that can occur after 42 weeks of pregnancy."

A nurse is providing a client with instructions regarding breast self-examination (B S E). Which of the following statements by the client would indicate that the teaching has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. "I should perform B S E 1 week prior to the start of my period." "When I reach menopause, I will perform B S E every 2 months." "Knowing the density of my breast tissue is important." "I should inspect my breasts while standing with my arms down at my sides." "I should inspect my breasts while in a supine position with my arms at my sides."

"Knowing the density of my breast tissue is important." "I should inspect my breasts while standing with my arms down at my sides."

A client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to make? "Abortion is morally wrong, and should not be undertaken." "Hypertension is a risk with any abortion." "Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester." "The most accurate method to determine gestational age are the results of a pregnancy test."

"Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester."

The parents of a newborn have just been told their infant has tetralogy of Fallot. The parents do not seem to understand the explanation given by the physician. What statement by the nurse is best? "With this defect, not enough of the blood circulates through the lungs, leading to a lack of oxygen in the baby's body." "The baby's aorta has a narrowing in a section near the heart that makes the left side of the heart work harder." "The blood vessels that attach to the ventricles of the heart are positioned on the wrong sides of the heart." "Your baby's heart doesn't circulate blood well because the left ventricle is smaller and thinner than normal."

"With this defect, not enough of the blood circulates through the lungs, leading to a lack of oxygen in the baby's body."

The client diagnosed with endometriosis asks the nurse whether there are any long-term health risks associated with this condition. The nurse should include which statement in the client teaching about endometriosis? "There are no other health risks associated with endometriosis." "Pain with intercourse rarely occurs as a long-term problem." "You are at increased risk for ovarian and breast cancer." "Most women with this condition develop severe migraines."

"You are at increased risk for ovarian and breast cancer."

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papilloma virus (H P V). Which statement by the nurse conveys an attitude of acceptance toward the client with a sexually transmitted infection? "Don't worry about it. In a few weeks, with treatment, the lesions will disappear." "You seem upset. I'll get the doctor." "You seem upset. Can I help answer any questions?" "I think you need to see a therapist."

"You seem upset. Can I help answer any questions?"

The nurse will be bringing the parents of a neonate with sepsis to the neonatal intensive care nursery for the first time. Which statement is best? "I'll bring you to your baby and then leave so you can have some privacy." "Your baby is on a ventilator with 50% oxygen and has an umbilical line." "I am so sorry this has all happened. I know how stressful this can be." "Your baby is working hard to breathe and lying quite still, and has an I V."

"Your baby is working hard to breathe and lying quite still, and has an I V."

The nurse is evaluating the outcomes of nursing care given a patient with a sexually transmitted infection (STI). The nurse verifies that the patient: Note: Credit will be given only if all correct and no incorrect choices are selected. Standard Text: Select all that apply. 1. Had an identified infection. 2. Could identify the mode of transmission. 3. Would never cope with the infection. 4. Could recognize the symptoms of an STI. 5. Would not disclose the STI to her partner.

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

The nurse obtains a health history from four patients. To which one should she give priority for teaching about cervical cancer prevention? 1. Age 30, treated for PID 2. Age 25, monogamous 3. Age 20, pregnant 4. Age 27, uses a diaphragm.

1. Age 30, treated for PID

The nurse is evaluating the outcomes of nursing care for a woman with a urinary tract infection, and includes as a part of the evaluation whether the woman: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Implements self-care measures for prevention. 2. Completed the prescribed antibiotics. 3. Knows self-care measures for worsening symptoms. 4. States that UTIs are controlled, not cured. 5. Knows that cranberry juice can help prevent UTIs.

1. Implements self-care measures for prevention. 2. Completed the prescribed antibiotics. 5. Knows that cranberry juice can help prevent UTIs.

A patient 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: 1. Oral acyclovir. 2. Ceftriaxone IM. 3. Azithromycin p.o. 4. Penicillin G IM.

1. Oral acyclovir.

The nurse is teaching a group of young women how to prevent urinary tract infections. Included in the teaching is: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. The importance of good hygiene. 2. How to recognize the manifestations. 3. How to take prescribed antibiotics. 4. Fluids are restricted to 1000 ml. 5. To urinate only when the urge is strong.

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

A pregnant patient 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? 1. The patient must be careful to observe for signs of preterm labor. 2. The patient should advise her partner to seek therapy as soon as possible. 3. The main side effect of the medication is a large amount of vaginal discharge. 4. A repeat culture should be taken 2 weeks after completing the therapy.

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

The nurse is seeing patients in the women's clinic. Which patient should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally? 1. A pregnant patient with gonorrhea and a yeast infection 2. A nonpregnant patient with gonorrhea and chlamydia 3. A pregnant patient with syphilis 4. A nonpregnant patient with chlamydia and trichomoniasis

2. A nonpregnant patient with gonorrhea and chlamydia

The nurse is caring for a patient hospitalized for pelvic inflammatory disease. Which nursing intervention would have priority? 1. Encourage oral fluids. 2. Administer cefotetan IV. 3. Enforce bed rest. 4. Remove IUD, if present.

2. Administer cefotetan IV.

A patient comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness. The nurse will prepare to teach the patient about treatment with: Note: Credit will be given only if all correct and no incorrect choices are selected. Standard Text: Select all that apply. 1. Silver sulfadiazine. 2. Metronidazole (Flagyl). 3. Clindamycin (Cleocin) cream. 4. Ceftriaxone sodium (Rocephin). 5. Doxycycline (Vibramycin).

2. Metronidazole (Flagyl). 3. Clindamycin (Cleocin) cream.

The nurse's response to a patient 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? 1. Hepatitis 2. Postinfection tubal damage 3. Pelvic abscess 4. Tubal infection

2. Postinfection tubal damage

The nurse is caring for a patient in the clinic whom she suspects has vaginosis. Which test best determines whether this sexually active woman has the disorder? 1. The observation of mycelia upon direct microscopy in a 10% potassium hydroxide preparation 2. The addition of a 10% potassium hydroxide solution to the vaginal secretions 3. A vaginal pH of less than 4.5 4. A Gram stain positive for the fungus

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

The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included? 1. Lower urinary tract infections rarely occur in women. 2. The most common causative organism of cystitis is E. coli. 3. Wiping from back to front after a BM will help prevent a UTI. 4. Back pain often develops with a lower urinary tract infection.

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

The nurse provides a couple with education about the consequences of not treating chlamydia, and knows they understand when they state: 1. "She could become pregnant." 2. "She could have severe vaginal itching." 3. "He could get an infection in the tube that carries the urine out." 4. "It could cause us to develop a rash."

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

The nurse is providing discharge instructions to a patient with a diagnosis of vulvovaginal candidiasis (VVC), and knows the patient understands when she states: 1. "I need to apply the miconazole for 10 days." 2. "I need to douche daily." 3. "I need to add yogurt to my diet." 4. "I need to wear nylon panties."

3. "I need to add yogurt to my diet."

The nurse is caring for several pregnant clients. Which client should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity? 37-year-old, with a history of multiple births and preterm deliveries who works in a chemical factory 23-year-old of low socioeconomic status, unmarried 16-year-old who began prenatal care at 30 weeks 28-year-old with a history of gestational diabetes

37-year-old, with a history of multiple births and preterm deliveries who works in a chemical factory

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? 1. "Both hepatitis A and E are not chronic infections." 2. "Hepatitis A is characterized by symptoms of jaundice, anorexia, nausea, vomiting, malaise, and fever." 3. "Hepatitis B, C, and D have symptoms similar to those of hepatitis A, and can also include arthralgias, arthritis and skin eruptions or rash." 4. "Both Hepatitis B and C have an incubation period of 45-160 days."

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

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 effective against the human papilloma virus. The nurse does some teaching, and knows it has been successful when the mother states: 1. "The human papilloma virus is spread through casual contact in schools." 2. "Gardasil will protect against all types of the human papilloma virus." 3. "The human papilloma virus affects a million people in the United States." 4. "Gardasil will be given to my daughter in three doses over a period of 6 months."

4. "Gardasil will be given to my daughter in three doses over a period of 6 months."

The patient has been diagnosed with hepatitis B. Which statement indicates to the nurse that the patient needs more education? Standard Text: Select all that apply. 1. "This infection could be sexually transmitted." 2. "I might get jaundiced from this illness." 3. "An immunization exists to prevent getting hepatitis B." 4. "I might have gotten this infection from food."

4. "I might have gotten this infection from food."

The nurse is educating a group of adolescents regarding sexually transmitted infections. The nurse knows that learning was achieved when an individual states that the most common symptom is: 1. Menstrual cramps. 2. Heavy menstrual periods. 3. Flu-like symptoms. 4. Usually there are no signs or symptoms.

4. Usually there are no signs or symptoms.

A patient asks the nurse about treatment for human papilloma viral warts. The nurse's response should be based on what knowledge? 1. An antiviral injection cures approximately 50% of all 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 patient is treated.

4. Warts often recur a few months after a patient is treated.

When the nurse is teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size how often? Every five years routinely When weight gain or loss beyond five pounds has occurred After each birth Only after significant weight loss

After each birth

In planning care for the fetal alcohol syndrome (FAS) newborn, which intervention would the nurse include? Allow extra time with feedings. Assign different personnel to the newborn each day. Place the newborn in a well-lit room. Monitor for hyperthermia.

Allow extra time with feedings.

The nurse is reviewing data collected during a health history and physical assessment and suspects that the patient could be experiencing polycystic ovarian syndrome (PCOS). What information did the nurse use to make this clinical determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Body mass index 31 Hair loss and warm moist skin Periods occur every 3 to 4 months Fasting capillary blood glucose 123 mg/d L Inability to become pregnant after 2 years of unprotected intercourse

Answer: 1, 3, 4, 5

The nurse is preparing teaching materials for female clients who wish to perform breast self-examination. In which order should the nurse ensure that the teaching materials present the process of inspection? Compare the breasts Study the skin surface Analyze for symmetry Study the shape and direction Look at color, thickening, edema, and venous patterns

Answer: 1, 3, 4, 5, 2

The nurse is preparing to meet with a female patient to review the most appropriate contraceptive method. In which order should the nurse complete the steps of this process? 1. Emphasize actions if pregnancy occurs 2. Instruct on the use of the selected method 3. Review side effects and warning symptoms 4. Assess for medical contraindications to specific methods 5. Learn about lifestyle, attitudes, religious beliefs and plans for children

Answer: 4, 5, 2, 3, 1

A female patient is anxious about having a pelvic examination. To help reduce the patient's fears in which order should the nurse explain that the examination will be performed? The speculum is inserted The speculum is removed The perineum is inspected The rectal examination is performed The healthcare provider applies gloves The bimanual examination is performed

Answer: 5, 3, 1, 2, 6, 4

During a pelvic examination, a patient is diagnosed with a Bartholin gland cyst. For which treatment should the nurse prepare this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Pelvic ultrasound Antibiotic therapy Exploratory laparotomy Incision and drainage of the cyst Culture and sensitivity of the discharge

Antibiotic therapy Incision and drainage of the cyst Culture and sensitivity of the discharge

The nurse is caring for a jaundiced infant receiving bank light phototherapy in an isolette. Which finding requires an immediate intervention? Eyes are covered, no clothing on, diaper in place Axillary temperature 99.7°F Infant removed from the isolette for breastfeeding Loose bowel movement

Axillary temperature 99.7°F

A laboring mother has recurrent late decelerations. At birth, the infant has a heart rate of 100, is not breathing, and is limp and bluish in color. What nursing action is best? Begin chest compressions. Begin direct tracheal suctioning. Begin bag-and-mask ventilation. Obtain a blood pressure reading.

Begin bag-and-mask ventilation.

The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dL to 16.6 mg/dL in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn? Continue to observe Begin phototherapy Begin blood exchange transfusion Stop breastfeeding

Begin phototherapy

A mother who is HIV-positive has given birth to a term female. What plan of care is most appropriate for this infant? Test with an H I V serologic test at 8 months. Begin prophylactic AZT (Zidovudine) administration. Provide 4 to 5 large feedings throughout the day. Encourage the mother to breastfeed the child.

Begin prophylactic AZT (Zidovudine) administration.

Which of the following systems provides a uniform format and classification of terminology based on current understanding of cervical disease? Levonorgestrel intrauterine P A L M-C O E I N Bethesda B S E

Bethesda

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Contraindications in the client's health history Religious or moral beliefs Partner's belief in the effectiveness of the choice Personal preferences to use method Future childbearing plans

Contraindications in the client's health history Religious or moral beliefs Personal preferences to use method Future childbearing plans

The 22-year-old client is scheduled for her first gynecologic examination. What can the nurse do to make the client more comfortable during this exam? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Create a trusting atmosphere. Show the client what the speculum looks like. Avoid telling the client what the exam involves. Ask the client why she has delayed her first Pap test this long. Provide a mirror for the client.

Create a trusting atmosphere. Show the client what the speculum looks like. Provide a mirror for the client.

What issues should the nurse consider when counseling a client on contraceptive methods? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Cultural perspectives on menstruation and pregnancy Effectiveness of the method Future childbearing plans Whether the client is a vegetarian Age at menarche

Cultural perspectives on menstruation and pregnancy Effectiveness of the method Future childbearing plans

A client in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At delivery, the nurse finds the infant to have depressed respirations and a heart rate of 80. What does the nurse anticipate? Delivery of the neonate on its side with head up, to facilitate drainage of secretions. Direct tracheal suctioning by specially trained personnel. Preparation for the immediate use of positive pressure to expand the lungs. Suctioning of the oropharynx when the newborn's head is delivered.

Direct tracheal suctioning by specially trained personnel.

A 38-year-old female is scheduled for a laparoscopic-assisted vaginal hysterectomy (LAVH) for severe endometriosis with the removal of both ovaries. What should the nurse expect to be prescribed for this patient postoperatively? Corticosteroid therapy Mineralocorticoid therapy Estrogen replacement therapy Progesterone replacement therapy

Estrogen replacement therapy

During a routine physical examination a female patient asks the nurse what can be done to prevent the development of breast cancer. What should the nurse review with the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Exercise regularly Discuss starting tamoxifen Reduce the intake of red meat Maintain a normal body weight Reduce the intake of dietary fat

Exercise regularly Reduce the intake of red meat Maintain a normal body weight Reduce the intake of dietary fat

The nurse is planning care for a preterm newborn. Which nursing diagnosis has the highest priority? Tissue Integrity, Impaired Infection, Risk for Gas Exchange, Impaired Family Processes, Dysfunctional

Gas Exchange, Impaired

Extended use of combined oral contraceptives (COCs) reduces the side effects of COCs such as which of the following? Cramping Hypertension Breast tenderness Bloating

Hypertension

The nurse is evaluating the effectiveness of phototherapy on a newborn. Which evaluation indicates a therapeutic response to phototherapy? The newborn maintains a normal temperature An increase of serum bilirubin levels Weight loss Skin blanching yellow

The newborn maintains a normal temperature

A nurse is caring for a newborn on a ventilator who has respiratory distress syndrome (RDS). The nurse informs the parents that the newborn is improving. Which data support the nurse's assessment? Decreased urine output Pulmonary vascular resistance increases Increased PCO2 Increased urination

Increased urination

Chapter 31 The Newborn at Risk: Birth-Related Stressors The nurse prepares to admit to the nursery a newborn whose mother had meconium-stained amniotic fluid. The nurse knows this newborn might require which of the following? Initial resuscitation Vigorous stimulation at birth Phototherapy immediately An initial feeding of iron-enriched formula

Initial resuscitation

One day after giving birth vaginally, a client develops painful vesicular lesions on her perineum and vulva. She is diagnosed with a primary herpes simplex 2 infection. What is the expected care for her neonate? Meticulous hand washing and antibiotic eye ointment administration. Intravenous acyclovir (Zovirax) and contact precautions. Cultures of blood and CSF and serial chest x-rays every 12 hours. Parental rooming-in and four intramuscular injections of penicillin.

Intravenous acyclovir (Zovirax) and contact precautions.

Mild or chronic anemia in an infant may be treated adequately by which of the following? Transfusions with O-negative or typed and cross-matched packed red cells Iron supplements or iron-fortified formulas Steroid therapy Antibiotics or antivirals

Iron supplements or iron-fortified formulas

The nurse is reviewing the spermicidal agent nonoxynol-9 (N-9) with a client planning to use the barrier method to prevent pregnancy. What should the nurse emphasize when teaching about this preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. It does not cause toxicity. It is inserted after intercourse. It has no systemic side effects. It can be purchased over-the-counter. It reduces the risk of sexually transmitted infections.

It does not cause toxicity. It has no systemic side effects. It can be purchased over-the-counter.

Which assessment findings by the nurse would require obtaining a blood glucose level on the newborn? Jitteriness Sucking on fingers Lusty cry Axillary temperature of 98°F

Jitteriness

The nurse is caring for a newborn with jaundice. The parents question why the newborn is not under phototherapy lights. The nurse explains that the fiber-optic blanket is beneficial because of which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Lights can stay on all the time. The eyes do not need to be covered. The lights will need to be removed for feedings. Newborns do not get overheated. Weight loss is not a complication of this system.

Lights can stay on all the time. The eyes do not need to be covered. Newborns do not get overheated. Weight loss is not a complication of this system.

During an interview the nurse learns that a patient's sister was recently diagnosed with endometrial cancer. What should the nurse review to reduce the patient's risk for developing the same disease process? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Smoking cessation Maintain a normal body mass index Consider birth control without estrogen Limit the intake of alcohol to one drink per day Increase exercise to 30 minutes most days of the week

Maintain a normal body mass index Consider birth control without estrogen

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan? The surgical procedure is easily reversible. Laparotomy is performed following a vaginal birth. Minilaparotomy is performed in the postpartum period soon after a vaginal birth. Tubal ligation can be done at any time the woman is either pregnant or not pregnant.

Minilaparotomy is performed in the postpartum period soon after a vaginal birth.

Antibiotics have been ordered for a newborn with an infection. Which interventions would the nurse prepare to implement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Obtain skin cultures. Restrict parental visits. Evaluate bilirubin levels. Administer oxygen as ordered. Observe for signs of hypoglycemia.

Obtain skin cultures. Evaluate bilirubin levels. Administer oxygen as ordered. Observe for signs of hypoglycemia.

(Chapter 30 The Newborn at Risk: Conditions Present at Birth) The nurse is caring for the newborn of a diabetic mother whose blood glucose level is 39 mg/dL. What should the nurse include in the plan of care for this newborn? Offer early feedings with formula or breast milk. Provide glucose water exclusively. Evaluate blood glucose levels at 12 hours after birth. Assess for hyperthermia.

Offer early feedings with formula or breast milk.

The nurse takes a telephone call from a women's health clinic patient. What information should cause the nurse to suspect that the patient is experiencing a cystocele? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. Bloody urine Low back pain Onset of stress incontinence Feeling of fullness in the perineum Feels like something "fell out" of the vagina

Onset of stress incontinence Feeling of fullness in the perineum Feels like something "fell out" of the vagina

A nursing instructor is demonstrating how to perform a heel stick on a newborn. To obtain an accurate capillary hematocrit reading, what does the nursing instructor tell the student do? Rub the heel vigorously with an isopropyl alcohol swab prior to obtaining blood. Use a previous puncture site. Cool the heel prior to obtaining blood. Use a sterile needle and aspirate.

Rub the heel vigorously with an isopropyl alcohol swab prior to obtaining blood.

A female client with an intrauterine device calls the clinic because she is unable to locate the strings after her last menstrual period. What should the nurse counsel this client? Schedule an appointment immediately Wait a few days and recheck for the strings Take a tub bath and then recheck for the strings Perform a douche and then recheck for the strings

Schedule an appointment immediately

A patient with a rectocele is experiencing progressive pain and constipation. What should the nurse expect to be indicated for this patient? Enemas Surgery Laxatives Antibiotics

Surgery

A woman with polycystic ovarian syndrome (P C O S) is prescribed clomiphene citrate for the treatment of infertility. Which statement does the nurse understand is true? The woman has abnormal ovaries The woman has low prolactin levels The woman's pituitary gland is intact The woman's thyroid gland is normal

The woman's pituitary gland is intact

The nurse is teaching a client who is having the Skyla L N g-I U C device inserted for contraception. What should the nurse emphasize to the client about this device? This device will provide protection for 5 years This device will provide protection for 10 years This device should not be used with a copper allergy This device has a silver ring and could interfere with an M R I

This device has a silver ring and could interfere with an M R I

A 7 pound 14 ounce girl was born to an insulin-dependent type Ⅱ diabetic mother 2 hours ago. The infant's blood sugar is 47 m g/d L. What is the best nursing action? To recheck the blood sugar in 6 hours To begin an I V of 10% dextrose To feed the baby 1 ounce of formula To document the findings in the chart

To document the findings in the chart

A female client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this client? Intrauterine device Vaginal sponge Combined oral contraceptives Transdermal hormonal contraception

Transdermal hormonal contraception

The nurse is assessing a 2-hour-old newborn delivered by cesarean at 38 weeks. The amniotic fluid was clear. The mother had preeclampsia. The newborn has a respiratory rate of 80, is grunting, and has nasal flaring. What is the most likely cause of this infant's condition? Meconium aspiration syndrome Transient tachypnea of the newborn Respiratory distress syndrome Prematurity of the neonate

Transient tachypnea of the newborn

A client is planning to use condoms with a spermicidal cream as contraception. What should the nurse include when reviewing this method with the client? Coat the condom with spermicide before using Insert the spermicide 1 hour before having intercourse Insert the cream high into the vagina and remain supine Wait 15 minutes after inserting the spermicide into the vagina

Wait 15 minutes after inserting the spermicide into the vagina