Womens Health Exam 2 Practice Questions

The nurse is teaching a pregnant woman with iron-deficiency anemia about her prescribed iron supplement. The nurse determines that the teaching was successful when the client states that she will take the supplement with: tea. coffee. fiber-rich foods. citrus juice.

citrus juice

The nurse recognizes that documenting accurate blood pressures is vital in the diagnosing of preeclampsia and eclampsia. The nurse suspects preeclampsia based on which finding? BP of 130/90 mm Hg on three occasions 3 hours apart BP of 160/110 mm Hg on two occasions after 28 weeks' gestation BP of 140/90 mm Hg last week and at current visit BP of 140/90 mm Hg on three occasions after 20 weeks' gestation

BP of 140/90 mm Hg last week and at current visit

When you are interviewing a client with uterine fibroids, what subjective data would you expect to find in her history? Cyclic migraine headaches Urinary tract infections Chronic pelvic pain Chronic constipation

Chronic pelvic pain

Women who are obese have a greater risk of developing which condition during pregnancy? Type 1 diabetes Hypotension Low-birth-weight infant Gestational hypertension

Gestational hypertension

Which finding would the nurse most likely expect in a woman with endometrial polyps? abnormal vaginal bleeding vaginal discharge grayish-white mass Irregular, acyclic bleeding

Irregular, acyclic bleeding

Which woman should receive RhoGAM postpartum? Nonsensitized Rh-negative mother with an Rh-negative newborn Nonsensitized Rh-negative mother with an Rh-positive newborn Sensitized Rh-negative mother with an Rh-positive newborn Sensitized Rh-negative mother with an Rh-negative newborn

Nonsensitized Rh-negative mother with an Rh-positive newborn

A pregnant client diagnosed with hyperemesis gravidarum is prescribed intravenous fluids for rehydration. When preparing to administer this therapy, which solution would the nurse anticipate being prescribed initially? Albumin Normal saline Dextrose 5% and water 0.45% sodium chloride

Normal saline

Maintenance on methadone or buprenorphine is the most common medical treatment for addiction to which drug? Alcohol Nicotine Opiates Marijuana

Opiates

Which of the following would the nurse identify as the priority psychosocial need for a woman diagnosed with reproductive cancer? Research findings Hand-holding Cheerfulness Offering of hope

Research findings

Women with PCOS are at increased risk for developing which long-term health problem? Osteoporosis Lupus Type 2 diabetes Migraine headaches

Type 2 diabetes

The most common cause of menstrual abnormality in a reproductive-age woman is ectopic pregnancy. coagulopathy. carcinoma. anovulation.

anovulation

A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect? suppresses the immune response to prevent isoimmunization alleviates strong uterine cramping ensures passage of all the products of conception halts the progression of the abortion

ensures passage of all the products of conception

A client is receiving chemotherapy as part of her treatment plan for breast cancer. The nurse assesses the client and determines that the client may be experiencing myelosuppression based on which finding? fever nausea diarrhea fatigue

fever

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: hydramnios. placenta accrete. hydatidiform mole. ectopic pregnancy.

hydatidiform mole.

Breast cancer that is localized is referred to as primary. in situ. metastasized. localized.

in situ.

When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which trait? dependence trust autonomy self-identity

self-identity

A nurse is providing discharge teaching for a pregnant client with preeclampsia who will be managed at home on bedrest. The nurse determines that the teaching was successful based on which client statement? "I should check my blood pressure about 3 times per week." "I will check how often my baby kicks once per week." "I need to drink about 8 glasses of water a day." "I should lie on my back as much as I can."

"I need to drink about 8 glasses of water a day."

After conducting a refresher class on possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common? HPV HIV RSV CMV

CMV

When explaining to a pregnant woman about HIV infection and transmission, which information would the nurse include? It primarily occurs when there is a large viral load in the blood. HIV is most commonly transmitted via sexual contact. It affects the majority of infants of mothers with HIV infection. Nurses are most frequently affected by needlesticks.

HIV is most commonly transmitted via sexual contact.

Which condition would most likely cause a pregnant woman with type 1 diabetes the greatest difficulty during her pregnancy? Placenta previa Hyperemesis gravidarum Placental abruption Rh incompatibility

Hyperemesis gravidarum

The nurse is assessing a couple who have come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility? age of 25 years dysmenorrhea endometriosis patent fallopian tubes

endometriosis

A client has been diagnosed with in situ breast carcinoma. The nurse explains that this means: the cancer has moved into the surrounding tissues. the cancer is located strictly in the ductal system. it is noninvasive and has not extended beyond the point of origin. the cancer has spread to the lymph system.

it is noninvasive and has not extended beyond the point of origin.

Side effects experienced by women taking GnRH agonists for the treatment of fibroids closely resemble those of anorexia nervosa. osteoarthritis. depression. menopause.

menopause

A nurse is conducting a seminar for a local women's group on decreasing the risk factors for breast cancer. Which guidance would the nurse most likely include? Wait until after age 30 to have their first child. Drink at least one alcoholic beverage each day. Choose a low-fat, high-vegetable diet. Cut back on smoking.

Choose a low-fat, high-vegetable diet.

Which dietary and lifestyle modification might the nurse recommend to help prevent pelvic relaxation as women age? Eat a high-fiber diet to avoid constipation and straining. Avoid sitting for long periods; get up and walk around frequently. Limit the amount of exercise to prevent overdeveloping muscles. Space children a year apart to reduce wear and tear on the uterus.

Eat a high-fiber diet to avoid constipation and straining.

When providing prenatal education to a pregnant woman with asthma, which action would be important for the nurse to take? Explain that the client should avoid steroids during her pregnancy. Demonstrate how to assess her blood glucose levels. Teach correct administration of subcutaneous bronchodilators. Ensure she seeks treatment for any acute exacerbation.

Ensure she seeks treatment for any acute exacerbation.

A postmenopausal woman's pelvic organ prolapse is being treated with a pessary. Which action would be most important for the nurse to do? Teach the woman to remove the pessary twice a week for cleaning. Have the woman make a follow-up appointment in about 6 to 12 months. Advise the woman to use a lubricant when inserting it. Ensure that she has a prescription for an estrogen cream preparation.

Ensure that she has a prescription for an estrogen cream preparation.

The nurse is working with a woman on bladder training. The woman was diagnosed with urinary incontinence. The nurse determines that the teaching was successful when the woman states that she will void at which frequency? Every 6 to 8 hours Every 2 to 3 hours Every 1 to 2 hours Every 3 to 5 hours

Every 3 to 5 hours

In securing a health history of a 65-year-old woman, which clinical manifestation described by the client would the nurse suspect is related to pelvic organ prolapse? Chronic abdominal pain Heavy feeling or dragging in vagina Uterine cramping and backache Weight gain and edema of ankles

Heavy feeling or dragging in vagina

The nurse is preparing a teaching session about breastfeeding for a group of pregnant women who have various infections listed below. The nurse would include women with which conditions? Select all that apply. Hepatitis B Parvovirus B19 Herpesvirus type 2 HIV-positive status Cytomegalovirus Varicella zoster virus

Hepatitis B Parvovirus B19 Herpesvirus type 2 Cytomegalovirus Varicella zoster virus

A nurse is creating a fact sheet for clients at a women's health center about cervical cancer. Which information would be most important for the nurse to include? It rarely develops in women over 60. Highest incidence of cervical cancer is in women 35 to 44 years of age. It is 10 times more common in women affected with HIV or AIDS. Early detection with a colposcopy improves the chances of survival.

Highest incidence of cervical cancer is in women 35 to 44 years of age.

A nurse is preparing for a small group discussion on pelvic organ prolapse. Which suggestions of lifestyle changes could the nurse include in the discussion? Select all that apply. Urinate frequently. Maintain current weight. Increase dietary fiber. Encourage jogging three times a week. Increase fluid intake.

Increase dietary fiber. Increase fluid intake.

A pregnant woman who is at approximately 12 weeks' gestation comes to the emergency department after calling her health care provider's office and reporting moderate vaginal bleeding. Assessment reveals cervical dilation and moderately strong abdominal cramps. She reports that she has passed some tissue with the bleeding. The nurse interprets these findings to suggest which of the following? Threatened abortion Inevitable abortion Incomplete abortion Missed abortion

Inevitable abortion

A nurse is reviewing the medical record of a pregnant client. The physical exam reveals that the placenta is implanted near the internal os but does not reach it. The nurse interprets this as which condition? Placenta increta Placenta accreta Placenta percreta Low-lying placenta

Low-lying placenta

A new mother who is breast-feeding her newborn comes to the clinic reporting sore breasts. Assessment reveals mastitis. Which instruction would the nurse include when teaching the client about this disorder? Massage the breasts before and during breastfeeding. Limit the amount of fluids ingested for the next week. Stop breastfeeding the newborn for the next several days. Wear a supportive bra at night when in bed.

Massage the breasts before and during breastfeeding.

The nurse is assisting a woman in scheduling an appointment for a Papanicolaou test. The woman's last menstrual period started on May 2 and ended on May 6. Which date would be most appropriate for the appointment? May 7 May 17 May 30 May 9

May 17

The nurse is attempting to reassure her obese female client about the discovery of an ovarian cyst after her pelvic exam. Which statement is accurate? Frequently seen in polycystic kidney disease Always painful and need to be removed surgically A precursor to ovarian carcinoma May be a syndrome that includes hypertension and diabetes

May be a syndrome that includes hypertension and diabetes

A client at 33 weeks' gestation comes to the emergency department with vaginal bleeding. Assessment reveals the following: •Onset of slight vaginal bleeding at 29 weeks with spontaneous cessation •Recent onset of bright red vaginal bleeding, more than with previous episode •No uterine contractions at present •Fetal heart rate within normal range •Uterus soft and nontender Based on the assessment findings, which condition would the nurse likely suspect? Placenta previa Polyhydramnios Ruptured ectopic pregnancy Placental abruption

Placenta previa

A nurse is conducting a presentation for a group of pregnant women about conditions that can occur during pregnancy and that place the woman at high-risk. When discussing blood incompatibilities, which measure would the nurse explain as most effective in preventing isoimmunization during pregnancy? amniocentesis Rho(D) immune globulin administration to Rh-negative women blood typing of mothers with type A or B blood cerclage

Rho(D) immune globulin administration to Rh-negative women

During a routine physical examination, the client is noted to have a Bartholin cyst abscess. The nurse recognizes the need to obtain testing to rule out: fungal infection. cancer. UTI. STI.

STI

A nurse is describing the use of Rho(D) immune globulin as the therapy of choice for isoimmunization in Rh-negative women and for other conditions to a group of nurses working at the women's health clinic. The nurse determines that additional teaching is needed when the group identifies which situation as an indication for Rho(D) immune globulin? molar pregnancy maternal trauma STIs amniocentesis

STIs

Which activity will increase a woman's risk of CVD if she is taking oral contraceptives? Eating a high-fiber diet Smoking cigarettes Taking daily multivitamins Drinking alcohol

Smoking cigarettes

A pregnant woman tests positive for tuberculosis (TB). The nurse explains to the woman that additional tests are needed to confirm the diagnosis. When describing these tests, which one(s) would the nurse likely include? Select all that apply. Spirometry Whole-body CT scan Sputum culture Chest x-ray Abdominal ultrasound

Sputum culture Chest x-ray

Over the past 20 weeks, the following blood pressure readings are documented for a pregnant client with chronic hypertension: week 16 - 130/86 mm Hg; week 20 - 138/88 mm Hg; week 24 - 136/82 mm Hg; and week 28 - 138/88 mm Hg. The nurse interprets these findings as indicating which classification of her blood pressure? Hypertensive crisis Stage 1 Elevated Stage 2

Stage 1

What suggestion would be helpful for the client experiencing painful fibrocystic breast changes? Increase her caffeine intake. Take a mild analgesic when needed. Reduce her intake of leafy vegetables. Wear a loose-fitting bra without support.

Take a mild analgesic when needed.

A 25-year-old woman presents with an asymptomatic breast mass. Which statement is true concerning her diagnosis and treatment? All breast masses should be considered premalignant. The breast mass should be surgically removed immediately. Ultrasound is typically used to determine the diagnosis. Since it is asymptomatic, only reassurance is needed now.

Ultrasound is typically used to determine the diagnosis.

A pregnant client at 24 weeks' gestation arrives in the office and reports that her feet and legs swelling. During a client evaluation, the nurse notes that she can elicit a 4-mm skin depression that disappears in 10 to 15 seconds. The client is considered at risk for preeclampsia. What additional assessment would be beneficial for the nurse to complete? Weight gain Complete blood count Fundal height Urine culture

Weight gain

Which measure helps prevent osteoporosis? Supplementing with iron Sleeping 8 hours nightly Eating lean meats only Weight-bearing exercise

Weight-bearing exercise

A 27-year-old lactating client presents with the report of a solid, painless lump in her left breast. On examination, the nurse notes that the lump is mobile and slightly tender to pressure. The nurse suspects this is: a fibroadenoma. mastitis. an inflamed milk duct. malignant mass.

a fibroadenoma.

The nurse is putting together information for a client to help her understand that urinary incontinence is a treatable condition. The nurse realizes a commonly believed misconception is that urinary incontinence is: always happens after multiple births. a hygiene problem. treatable. a medical condition.

a hygiene problem.

A nurse is conducting a health promotion program, encouraging lifestyle changes to help clients prevent various benign and treatable conditions. Which suggestions would the nurse most likely include? Select all that apply. adequate fluid intake high vegetable-fruit diet regular exercise high-impact aerobics low-fat diet

adequate fluid intake high vegetable-fruit diet regular exercise low-fat diet

A pregnant woman who is HIV-positive comes to the labor and birth unit in labor. When developing the plan of care for this client, which intervention would be most important for the nurse to include? helping her choose a newborn feeding method educating her about family planning adhering to standard precautions preparing the woman for cesarean birth

adhering to standard precautions

A nurse is participating at a health fair and is presenting information on ways to reduce one's risk for cancer. Which information would the nurse include? Select all that apply. blood pressure evaluations at least every 2 years annual cholesterol level checks starting at age 45 mammograms every 1 to 2 years starting at age 30 alcohol intake of no more than 1 drink per day diabetes testing every year starting at age 40

blood pressure evaluations at least every 2 years annual cholesterol level checks starting at age 45 alcohol intake of no more than 1 drink per day

To help detect potential disease processes in the breasts, the nurse develops educational programs focusing on: need for clinical examination. need for mammography. breast self-examination. breast awareness.

breast awareness.

A new young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity? future pregnancies cesarean birth breastfeeding handling the infant with open sores

breastfeeding

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by: blocking the action of progesterone on the endometrium. dilating the cervix. causing uterine contractions to expel the uterine contents. acting as a toxin to the trophoblastic tissue.

causing uterine contractions to expel the uterine contents.

A nurse is conducting an in-service program about different female reproductive tract cancers. The nurse explains that which reproductive cancer is largely attributable to human papillomavirus (HPV)? ovarian endometrial vulvar cervical

cervical

A woman with cardiac disease has come to the office for prenatal counseling. Assessment supports the decision to caution the woman against pregnancy. The woman most likely fits the criteria for which functional risk classification? class IV class II class III class I

class IV

A nurse prepares a woman with an abnormal Papanicolaou test result for further diagnostic evaluation. Which procedure would the nurse expect to be done? herpes simplex virus (HSV) testing endometrial biopsy transvaginal ultrasound colposcopy

colposcopy

Throughout life, a woman's most proactive activity to promote her health would be to engage in consistent exercise. socialization with friends. quality quiet time with herself. consuming water.

consistent exercise.

A nurse working with older adult clients recognizes a common report contributing to multiple pelvic organ issues. This common report would most likely be: urinary incontinence. pelvic pain. diarrhea. constipation

constipation

When assessing a client with symptoms of premenstrual syndrome (PMS), the nurse uses the ACDHO tool. The nurse questions the client about which symptom when addressing the "C" in the tool? crying constipation cravings cramping

cravings

A nurse is trying to assist a client with dealing with her newly diagnosed cervical cancer, but the client is not wanting to discuss it. The nurse needs to understand that this may be due to: she wants her family there to discuss it. acceptance of the diagnosis. she does not see the need to discuss it. cultural background.

cultural background.

A nurse is preparing a presentation for a local community women's group about menopause. When describing the body system changes that occur, the nurse would include which changes? Select all that apply. decreased bone density decreased waist size increased abdominal fat hot flashes moist, supple skin vaginal dryness

decreased bone density increased abdominal fat hot flashes vaginal dryness

A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition? diabetes late maternal age hypertension isoimmunization

diabetes

A nurse is assessing a client and suspects that the client may be experiencing premenstrual dysphoric disorder (PMDD). Applying the American Psychiatric Association criteria, the nurse would assess which symptoms? Select all that apply. focused thinking diarrhea dysuria affective lability sleep difficulties

diarrhea affective lability sleep difficulties

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? elevated liver enzymes serum magnesium level of 6.5 mEq/L diminished reflexes seizures

diminished reflexes

A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? liver enzyme elevation hemolysis low platelet count elevated lipoproteins

elevated lipoproteins

A mother presents to the clinic with her 15-year-old daughter who is reporting amenorrhea. The girl's menarche was at age 12. When conducting the health history and physical exam, which findings might the nurse identify as suggesting the underlying cause? Select all that apply. lack of exercise emotional distress pregnancy extreme rapid weight gain hypothyroidism

emotional distress pregnancy extreme rapid weight gain hypothyroidism

A nurse is reviewing the history and physical examination of a client diagnosed with secondary dysmenorrhea for possible associated causes. Which etiology would the nurse need to keep in mind as being the most common? endometriosis perimenopause hormonal imbalance multigravida status

endometriosis

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis? limiting intake of cholesterol and saturated fats drinking at least 1 glass of wine per day decreasing vitamin D intake engaging in daily weight-bearing exercise

engaging in daily weight-bearing exercise

A client has just been diagnosed with ovarian cancer. The nurse understands that among women, this type of cancer ranks as: seventh most common. third most common. fifth most common. ninth most common.

fifth most common.

A nurse is conducting a class on gestational diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is needed when the class identifies which complication as affecting the neonate? hyperglycemia birth trauma macrosomia hypoglycemia

hyperglycemia

The nurse is providing care to a neonate. Review of the maternal history reveals that the mother is suspected of having a heroin use disorder. The nurse would be alert for which finding when assessing the neonate? low, feeble cry vigorous sucking easy consolability hypertonicity

hypertonicity

A pregnant woman with chronic hypertension comes to the clinic for evaluation. The last several blood pressure readings have been gradually increasing. On today's visit her blood pressure is 166/100 mm Hg. The health care provider prescribes an antihypertensive agent. The nurse anticipates which agent as likely to be prescribed? hydroxychloroquine labetalol ipratropium albuterol

labetalol

Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with premature prelabor rupture of membranes (PPROM) has completed how many weeks of gestation? less than 39 weeks less than 38 weeks less than 37 weeks less than 40 weeks

less than 37 weeks

A client has presented to the clinic reporting various symptoms indicating she may have fibroids in her uterus. Which client symptoms would the nurse expect? Select all that apply. low back pain menorrhagia dyspareunia bloating diarrhea

low back pain menorrhagia dyspareunia bloating

A nurse is working with a community group to foster early detection of breast cancer. Which components would the group address? Select all that apply. mammography breast cancer awareness breast self-examination nutritional intake clinical breast examination

mammography breast self-examination clinical breast examination

When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply. menarche at age 11 being a 52-year-old female BRCA1 gene high-fat dietary intake failing to breastfeed infants

menarche at age 11 being a 52-year-old female BRCA1 gene

A pregnant client has a history of asthma. After reviewing the possible medications that may be prescribed during her pregnancy to control her asthma, the nurse determines additional teaching is needed when the client identifies which drug as being used? ipratropium salmeterol misoprostol albuterol

misoprostol

The most serious potential adverse reaction from chemotherapy is thrombocytopenia. deep vein thrombosis. alopecia. myelosuppression.

myelosuppression

The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility? laparoscopy electrocauterization dilatation and curettage myomectomy

myomectomy

A nurse is conducting an in-service program for a group of oncology nurses. The nurse explains that which nursing intervention is most important when assisting clients who are diagnosed with any form of carcinoma? offering emotional support being the case manager offering extensive information being an advocate

offering emotional support

The nurse is educating a female client about lifetime risk for developing cancer. The nurse determines that the teaching was successful when the woman states that regardless of her risk factors, her chances for developing cancer are: one-in-seven. one-in-three. one-in-five. one-in-nine.

one-in-three.

A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a "silent killer"? ovarian cancer vaginal cancer cervical cancer endometrial cancer

ovarian cancer

A client is diagnosed with endometriosis. As part of the teaching plan, the nurse is explaining the condition, including the ways that the diagnosis would be confirmed. The nurse determines that the teaching was successful when the client states that which test would confirm the diagnosis? Papanicolaou test bimanual exam pelvic laparoscopy pelvic ultrasound

pelvic laparoscopy

Conservative treatment options available for women with pelvic organ prolapse are pessaries and PFMEs. external pelvic fixation devices. weight gain and yoga. firm panty-and-girdle garments.

pessaries and PFMEs.

A nurse is providing care to a multiparous client. The client has a history of cesarean births. The nurse anticipates the need to closely monitor the client for which condition? oligohydramnios placenta abruption placenta accreta preeclampsia

placenta accreta

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele? bulging of the small intestine through the posterior vaginal wall sagging of the rectum, pushing against or into the posterior vaginal wall protrusion of the bladder wall through the anterior vaginal wall downward movement of the uterus through the pelvic floor and into the vagina

protrusion of the bladder wall through the anterior vaginal wall

The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? Select all that apply. corn raisins potatoes peanut butter yogurt broccoli

raisins peanut butter broccoli

A nurse is providing care to a client diagnosed with squamous cell carcinoma of the vagina. The nurse understands that if the cancer metastasizes, which locations would be common sites? Select all that apply. pelvic nodes rectum lungs bladder bone

rectum bladder

A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client's amenorrhea? Select all that apply. reduced subcutaneous fat hypotension hyperthermia bradycardia evidence of secondary sex characteristics

reduced subcutaneous fat hypotension bradycardia

A woman has presented to the emergency department with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured? breast tenderness referred shoulder pain nausea vaginal spotting

referred shoulder pain

A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client? wide excision of the tumor along with a 1-cm margin of normal tissue the resulting concave appearance of the anterior chest removal of breast tissue and axillary nodes sparing of the pectoral muscles and axillary lymph nodes

removal of breast tissue and axillary nodes

A biopsy procedure that traces radioisotopes and blue dye from the tumor site through the lymphatic system into the axillary nodes is stereotactic biopsy. sentinel node biopsy. axillary dissection biopsy. advanced breast biopsy.

sentinel node biopsy.

A nurse is explaining to a client that pessaries have been used through the ages as a nonsurgical means of treating pelvic organ prolapse. The nurse describes the pessaries of today as being primarily constructed of: porcelain. rubber. metal. silicone.

silicone.

A woman's breast examination reveals a small mass. Which characteristics would lead the nurse to suspect that the mass is malignant? Select all that apply. skin dimpling rubbery feel painless clearly delineated mobile hard on palpation

skin dimpling painless hard on palpation

When assessing a woman with pelvic organ prolapse, the nurse notes the uterus is approximately 1 cm below the hymenal ring. The nurse documents this finding as which stage of prolapse? stage II stage 0 stage III stage I

stage II

A client has presented to the clinic reporting "things not feeling right down there." After discussing the situation with her, the nurse has identified which factors that suggest the woman has a high risk for pelvic organ prolapse? Select all that apply. infant birth weight less than 4,500 grams older age for first birth straining with chronic constipation birth trauma obesity

straining with chronic constipation birth trauma obesity

When describing ovarian cancer to a local women's group, the nurse states ovarian cancer often is not diagnosed early because the disease progresses slowly. the early stages produce vague symptoms. the disease is usually diagnosed only at autopsy. clients do not follow up on acute pelvic pain.

the early stages produce vague symptoms.

A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection? parvovirus B19 herpes simplex virus cytomegalovirus toxoplasmosis

toxoplasmosis

In a postmenopausal woman with abnormal vaginal bleeding, which diagnostic test would the nurse expect the primary care provider to determine whether an endometrial biopsy is needed? Papanicolaou test CA-125 transvaginal ultrasound mammogram

transvaginal ultrasound

A client with breast cancer is to receive immunotherapy. The nurse would expect the client to receive which drug? tamoxifen letrozole trastuzumab anastrozole

trastuzumab

After conducting an in-service program on breast cancer for a group of staff nurses, the leader determines that additional discussion is needed when the group identifies which aspect as influencing the staging of the cancer? tumor location extent of metastasis tumor size lymph node involvement

tumor location

A client was in labor for more than 36 hours and now reports urine leaking from her vagina. On examination the nurse would be inspecting for: urethrovaginal fistula. urge incontinence fistula. rectovaginal fistula. vesicovaginal fistula.

urethrovaginal fistula.

While conducting an interview with a 38-year-old client, the nurse recognizes which factor as putting the client at the greatest risk for endometrial cancer? her age history of D&C family history of cancer use of estrogen-only hormone replacement therapy

use of estrogen-only hormone replacement therapy

When reviewing the history of a woman diagnosed with endometrial cancer, the nurse would identify which factor as increasing the woman's risk? menopause at age 47 years use of tamoxifen menarche at age 14 years vaginal birth of 4 children

use of tamoxifen

A pregnant woman at 36 weeks' gestation comes to the care center for a follow-up visit. The woman is to be screened for group B streptococcus (GBS) infection. When describing this screening to the woman, the nurse would explain that a specimen will be taken from which area(s)? Select all that apply. Nasal cavity Conjunctiva Vagina Throat Rectum

vagina rectum

A client has been diagnosed with cervical cancer during her second trimester of pregnancy. She decides to delay treatment until after the baby is born. The nurse prepare her for birth by explaining the birth will most likely be: induced at 37 weeks. per her choice. vaginally. via cesarean section.

via cesarean section.

Breast self-examinations involve both palpation of breast tissue and palpation of cervical lymph nodes. firm squeezing of both nipples. visualizing both breasts for any change. a mammogram to evaluate breast tissue.

visualizing both breasts for any change.

A pregnant client has tested positive for hepatitis B virus. When discussing the situation with the client, the nurse explains that her newborn will be vaccinated with an initial HBV vaccine dose at which time? within 12 hours of birth within 24 hours of birth within 48 hours of birth within 36 hours of birth

within 12 hours of birth

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Applying the guidelines from the American Cancer Society, the nurse would emphasize which recommendation? clinical breast examinations every 2 years for women over age 30 breast self-examination at least yearly for women over age 20 yearly mammograms for women starting at age 40 mammograms every 3 years for women between the ages of 20 and 39 years

yearly mammograms for women starting at age 40

A client is scheduled to have a screening mammogram. When teaching the woman about this test, the nurse should include which instruction? "Don't use deodorant that day because it may interfere with the X-ray image." "You can leave your necklace on, but you'll need to take off your watch and earrings." "Schedule the procedure just before your menses." "You'll need to take a narcotic analgesic for any discomfort afterwards."

"Don't use deodorant that day because it may interfere with the X-ray image."

A nurse is teaching a woman who has undergone breast augmentation about developing breast awareness through breast self examination. The nurse determines that the teaching was successful based on which client statement? "My implants will feel the same as my normal breasts." "I need to press lightly to avoid breaking the implants." "I need to check my breast about 2 to 3 times a year." "I should do the exam just like I was doing before the implants."

"I should do the exam just like I was doing before the implants."

During a routine health visit for an 11-year-old girl, her mother asks the nurse, "My daughter just got her period about 4 months ago, but they haven't been very regular so far. How long might it take until she gets regular?" Which response by the nurse would be most appropriate? "It can take up to 2 years once she starts for the periods to become regular." "That's odd. Her periods should be getting regular by now." "If her periods are not regular now, odds are they will be irregular from now on." "She should start getting regular after about 2 to 3 more months."

"It can take up to 2 years once she starts for the periods to become regular."

A woman is suspected of having placental abruption. Which finding would the nurse expect to assess as a classic symptom? Painless, bright red bleeding "Knife-like" abdominal pain Excessive nausea and vomiting Hypertension and headache

"Knife-like" abdominal pain

A woman diagnosed with a follicular cyst asks the nurse about treatment. Which response by the nurse would be appropriate? "This type of cyst usually does not need any treatment." "You will likely need to take statins to reduce your risk for heart disease." "You will need to have your hormone levels checked periodically for changes." "You are at risk for diabetes so you will need diabetes medicine now."

"This type of cyst usually does not need any treatment."

A young adult woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that she suffers from painful cramps during her menses. She states, "It is worse the first couple of days and then it gets better. I take ibuprofen and it helps. Is there anything else I can do?" Which information would the nurse incorporate into the response? Select all that apply. "Use cool compresses to your lower belly." "Try to exercise." "Take warm showers to help relax." "Limit the amount of salty foods you eat." "Keep your intake of water low."

"Try to exercise." "Take warm showers to help relax." "Limit the amount of salty foods you eat."

A client asks the nurse if she can recommend a screening test for ovarian cancer. Which response by the nurse would be most appropriate? "Try having a BRCA gene evaluation." "You could have a serum CA-125 level drawn." "Unfortunately, there aren't any routine screening methods currently." "Ultrasound has been very helpful as a screening tool."

"Unfortunately, there aren't any routine screening methods currently."

A pregnant client has tested positive for HIV using an enzyme-linked immunoassay (ELISA) test. When talking with the client about the results, she asks, "So what happens next?" Which response by the nurse would be appropriate as the next step? "You will need to have an amniocentesis to check on the baby." "You will need to have another test to confirm the diagnosis." "First you will get treated with antibiotics and then antiviral medicines." "You will need testing for other infections like gonorrhea or syphilis."

"You will need to have another test to confirm the diagnosis."

A woman comes to the clinic for her first prenatal visitation. As part of the assessment, the woman is screened for rubella antibodies. The nurse determines that a client has immunity against rubella based on which rubella titer? 01:00 01:08 01:06 01:04

01:08

The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The client asks the nurse about the feeding options that are available. Which response should the nurse make to the client? 1) "you will need to bottle feed your newborn" 2) "you will need to feed your newborn by nasogastric tube feeding" 3) "you will be able to breast feed for 6 months and then will need to switch to bottle feeding" 4) "you will be able to breast feed for 9 months and then will need to switch to bottle feeding"

1) "you will need to bottle feed your newborn"

The nurse is assessing a pregnancy client with type 1 diabetes about her understanding regarding changing insulin needs during pregnancy. The nurse determines that further teaching is needed if the client makes which statement? 1. "I will need to decrease my insulin dosage during the first 3 months of pregnancy" 2. "My insulin dose will likely need to be increased during the second and third trimesters" 3. "episodes of hypoglycemia are more likely to occur during the first 3 months of pregnancy" 4. "my insulin needs should return to prepregnant levels within 7-10 days after birth if I am bottle feeding"

1. "I will need to decrease my insulin dosage during the first 3 months of pregnancy"

A pregnant woman with gestational diabetes is prescribed 10 units of an intermediate-acting insulin and 5 units of a short-acting insulin each day. The total dose is to be divided into two injections, a morning and an evening dose. To provide the most effective control of the woman's blood glucose levels, the nurse anticipates that the client is likely to be prescribed how many total units for the morning dose? 12.5 7.5 5 10

10

A woman with diabetes is in labor. To promote optimal outcomes for the mother and neonate, the nurse monitors the client's blood glucose level closely ensuring that it is maintained below which level? 120 mg/dL 110 mg/dL 150 mg/dL 130 mg/dL

110 mg/dL

A couple is considered infertile after how many months of trying to conceive? 6 months 12 months 18 months 24 months

12 months

A client is trying to understand how she could have cervical cancer if all her previous Papanicolaou tests were negative. When responding to the client, the nurse integrates understanding that false-negative rates of the conventional Papanicolaou test occur at what rate? 20% 10% 5% 15%

20%

In which woman would the nurse most likely expect to find fibrocystic breast changes? 15-year-old 35-year-old 55-year-old 25-year-old

35-year-old

The nurse is performing an assessment on a pregnant client in the last trimester with a diagnosis of preeclampsia. The nurse reviews the assessment findings and determines that which finding is most closely associated with a complication of this diagnosis? 1. enlargement of breasts 2. complains of feeling hot when the room is cool 3. periods of fetal movement followed by quiet periods 4. evidence of bleeding, such as in the gums, petechiae, and purpura

4. evidence of bleeding, such as in the gums, petechiae, and purpura

The home care nurse visits a pregnant client who has a diagnosis of preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider? 1. urinary output has decreased 2. dependent edema has resolved 3. blood pressure reading is at the prenatal baseline 4. the client complains of a headache and blurred vision

4. the client complains of a headache and blurred vision

A client presents to the office reporting severe lower abdominal pain. Ultrasound reveals an ovarian cyst. The client asks, "Is the cyst benign?" The nurse responds, explaining that ovarian cysts are benign approximately how often? 70% of the time 50% of the time 90% of the time 30% of the time

90% of the time

Which of the following is the strongest risk factor for breast cancer? Advancing age and being female High number of children Genetic mutations in BRCA1 and BRCA2 genes Family history of colon cancer

Advancing age and being female

A nurse is working at a cancer treatment center and is developing programs for specific ethnic groups related to breast cancer. The nurse would target which ethnic group because it has the highest breast cancer mortality rate in the United States? White Native American/First Nations African Americans Hispanic

African Americans

A postmenopausal woman reports that she has started spotting again. Which action would the nurse take? Instruct the client to keep a menstrual diary for the next few months. Tell her not to worry since this a common but not serious event. Have her start warm-water douches to promote healing. Anticipate that the doctor will assess her endometrium thickness.

Anticipate that the doctor will assess her endometrium thickness.

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction? Limit fluid intake to minimize swelling. Apply warm compresses to the affected breast. Avoid the use of a supportive bra to prevent pressure on the inflamed breast. Cease breastfeeding to prevent transmission to the infant.

Apply warm compresses to the affected breast.

A young client desires to know her risk of developing breast carcinoma. She has a positive family history of breast carcinoma. The nurse would suggest that she should undergo which diagnostic test? digital mammography BRCA-1 genetic marker DNA ploidy status fine-needle biopsy

BRCA-1 genetic marker

The nurse works at a cancer treatment center that treats clients with a diagnosis of vaginal cancer. The nurse understands that these clients have what percent chance of being diagnosed with another form of cancer? 70% 50% 80% 60%

80%

A nurse is preparing a discussion for a group of women at the clinic. When describing vaginal cancer, the nurse would most likely integrate which statement into the discussion? Pulmonary metastasis is common with adenocarcinomas of the vagina. Squamous cell carcinomas are more common in women in their 40s. Adenocarcinomas are the most common cell type. Squamous cell cancers develop rapidly and spread late.

Pulmonary metastasis is common with adenocarcinomas of the vagina.

A nurse is providing care to a pregnant client hospitalized with preeclampsia. The nurse immediately notifies the health care provider that the client has developed eclampsia based on which finding? Blood pressure greater than 160/100 mm Hg Proteinuria Hyperreflexia Seizure activity

Seizure activity

The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate? Obtain a prescription for CBC and PT blood test. Obtain a prescription for pregnancy test to rule out ectopic pregnancy. Tell the client she will need to learn to live with the problems. Prepare her for an ultrasound to check internal pelvic structures.

Tell the client she will need to learn to live with the problems.

A high-risk pregnant client is determined to have gestational hypertension. The nurse suspects that the client has developed preeclampsia with severe features based on which finding? proteinuria of 300 mg per 24 hours mild facial edema blood pressure of 150/100 mm Hg blurred vision

blurred vision

Women who drink alcohol during pregnancy often produce more alcohol dehydrogenase. usually become intoxicated more quickly than before. can give birth to an infant with fetal alcohol spectrum disorder. gain fewer pounds throughout the gestation.

can give birth to an infant with fetal alcohol spectrum disorder.

When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source? unsaturated fats protein saturated fats complex carbohydrates

complex carbohydrates

A client with breast cancer is receiving chemotherapy. To counteract the myelosuppressive effects of chemotherapy, the nurse recognizes the client may also be prescribed which drug? trastuzumab filgrastim letrozole anastrozole

filgrastim

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? absence of pain bright red vaginal bleeding firm, rigid uterus on palpation fetal heart rate within normal range

firm, rigid uterus on palpation

A nurse is teaching a group of pregnant woman about bleeding that can occur early in pregnancy. The nurse determines that additional teaching is needed when the group identifies which condition as a common cause? GTD spontaneous abortion placenta previa ectopic pregnancy

placenta previa

When assessing a woman, the nurse would suspect cervical cancer because of which findings? Select all that apply. vaginal bleeding after sexual intercourse pain with vaginal examination dysuria malodorous vaginal discharge postmenopausal bright red bleeding

vaginal bleeding after sexual intercourse dysuria malodorous vaginal discharge

At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment? "I can use warm compresses to ease the discomfort." "I have to stop breastfeeding because of mastitis." "I have been using a breast pump after feeding my baby." "Breastfeeding every four hours appears to help."

"I have to stop breastfeeding because of mastitis."

A client who has had a mastectomy is to undergo breast reconstruction with augmentation. After teaching the client about the procedure, the nurse determines that the teaching was successful based on which client statement? "I'll use the same technique for breast self-exam as before." "My implants will feel softer than normal breast tissue." "Once implanted, the implants are good for the rest of my life." "The implants will be placed directly under my skin."

"I'll use the same technique for breast self-exam as before."

A pregnant client with type 1 diabetes is in labor. The client's blood glucose levels are being monitored every hour and she has a prescription for an infusion of regular insulin as needed based on the client's blood glucose levels. Her levels are as follows: •1300: 105 mg/dL (5.83 mmol/L) •1400: 100 mg/dL (5.55 mmol/L) •1500: 120 mg/dL (6.66 mmol/L) •1600: 106 mg/dl (5.88 mmol/L) Based on the recorded blood glucose levels, at which time would the nurse likely administer the regular insulin infusion? 1400 1600 1500 1300

1500

A pregnant woman with diabetes is having a glycosylated hemoglobin (HbA1C) level drawn. Which result would require the nurse to revise the client's plan of care? 6.00% 5.50% 8.50% 7%

8.50%

A nurse is conducting a class at a women's clinic about reproductive cancers. When describing the incidence of reproductive tract cancers in pregnant women, which information would the nurse include? Many cases of endometrial cancer are detected in pregnant women because of the increase in surveillance. Reproductive cancers overall are more common in pregnant women. Cervical cancer is more common in the pregnant population than other reproductive cancers. Ovarian cancer is detected much later in the pregnant woman because of the hormonal changes that are occurring.

Cervical cancer is more common in the pregnant population than other reproductive cancers.

A home health care nurse is visiting a pregnant client with preeclampsia who is being managed at home. The nurse is reviewing the situations for which the client should contact the nurse. The nurse determines that the client demonstrates understanding when identifying which situation(s) as needing to be reported? Select all that apply. Dizziness Blurred vision Sinus headache Excessive heartburn Increased urination

Dizziness Blurred vision Excessive heartburn

Which is considered a risk factor for vulvar cancer? Vitamin B12 deficiency Epstein-Barr virus Human papillomavirus Adenovirus

Human papillomavirus

A pregnant woman has been admitted to the hospital due to preeclampsia with severe features. Which measure will be important for the nurse to include in the care plan? Institute NPO status. Institute and maintain seizure precautions. Admit the client to the middle of ICU where she can be constantly monitored. Plan for immediate induction of labor.

Institute and maintain seizure precautions.

A nurse is teaching a woman prescribed goserelin as treatment for fibroids. The nurse determines that the teaching was successful when the woman identifies which effect(s) as being caused by the medication? Select all that apply. Vaginal discharge Euphoria Mood changes Headache Hot flashes

Mood changes Headache Hot flashes

After teaching a woman how to perform Kegel exercises, the woman states the steps. Which steps would the nurse determine as reflecting the correct components of Kegel exercises? Select all that apply. Squeeze the rectal muscles as if trying to prevent the passage of flatus. Contract and relax the pubococcygeus muscle rapidly 10 times. Repeat these exercises at least 15 times a day. Stop and start urinary flow to identify pubococcygeus muscle. Tighten the pubococcygeus muscle for a count of three, then relax. Try to bring up the entire pelvic floor and hold it 10 times.

Squeeze the rectal muscles as if trying to prevent the passage of flatus. Contract and relax the pubococcygeus muscle rapidly 10 times. Stop and start urinary flow to identify pubococcygeus muscle. Tighten the pubococcygeus muscle for a count of three, then relax.

A pregnant client at 14 weeks' gestation calls the clinic. When talking with the nurse, the client reports continued, frequent nausea and vomiting. She states, "This has been happening since I got pregnant and now I cannot keep anything down." Which intervention would be the priority for this client? Administering an antiemetic Obtaining serum electrolyte levels Initiating intravenous access for fluids Stopping all intake of food and drink

Stopping all intake of food and drink

RhoGAM is given to Rh-negative women to prevent maternal sensitization. In addition to pregnancy, Rh-negative women would also receive this medication after which occurrence? Therapeutic or spontaneous abortion Head injury from a car accident Blood transfusion after a hemorrhage Unsuccessful artificial insemination procedure

Therapeutic or spontaneous abortion

A client who is receiving external beam radiation therapy as part of her treatment for breast cancer comes to the clinic for a follow-up visit. The nurse determines that the client is experiencing side effects of the treatment based on which findings? Select all that apply. skin pallor at the site fever infection breast swelling anorexia

breast swelling anorexia

A nurse is conducting a class for a group of young women at a women's health center on risk reduction for ovarian cancer. Which information would the nurse most likely include as risk reduction strategies? Select all that apply. avoidance of oral contraceptive use breastfeeding bilateral tubal ligation pregnancy before age 30 avoidance of feminine hygiene spray use

breastfeeding bilateral tubal ligation pregnancy before age 30 avoidance of feminine hygiene spray use

A 67-year-old woman comes into the clinic and reports to the nurse that she has started her periods again after 15 years of menopause. After discussing the situation with her, the nurse recognizes that her symptoms are suspicious for: ovarian cancer. vaginal cancer. endometrial cancer. cervical cancer.

endometrial cancer.

The nurse is providing care to a client with abnormal uterine bleeding. Treatment with medications has been unsuccessful, and surgical intervention is being considered. The nurse identifies which technique as being the last resort? hysterectomy endometrial ablation dilation and curettage uterine artery embolization

hysterectomy

Cytomegalovirus infection can result in different congenital anomalies. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur with which type of transmission of CMV? after birth transmission during birth transmission with any transmission in utero transmission

in utero transmission

When assessing a client, a nurse determines that the client has a rectocele based on which finding? bulging of the small intestine through the posterior vaginal wall protrusion of the bladder wall through the anterior vaginal wall sagging of the rectum, which pushes against or into the posterior vaginal wall downward movement of the uterus through the pelvic floor and into the vagina

sagging of the rectum, which pushes against or into the posterior vaginal wall

A woman at 12 weeks' gestation comes to the clinic with vaginal bleeding. When assessing the woman further, the nurse would suspect a threatened abortion based on which finding? high beta human chorionic gonadotropin (hCG) level passage of fetal tissue slight vaginal bleeding cervical dilation

slight vaginal bleeding

A postmenopausal client is to have a pelvic ultrasound to evaluate her vague feelings of abdominal fullness and discomfort. Which finding would the nurse interpret as being suspicious? small ovarian cyst atrophic uterine wall enlarged endometrial fibroid small endometrial polyp

small ovarian cyst

A pregnant 36-year-old woman has presented to the emergency department with vaginal bleeding. While reviewing the client's history, the nurse suspects placenta previa when which risk factors are found in her record? Select all that apply. hypotension smoking previous induced surgical abortion infertility treatment advancing maternal age

smoking previous induced surgical abortion infertility treatment advancing maternal age

A nurse explains to a client that although HPV infection is more commonly associated with cervical cancer, which cancer would the nurse identify as also a risk? vaginal cancer vulvar cancer uterine cancer ovarian cancer

vulvar cancer

After teaching a woman about hyperemesis gravidarum and how it differs from the typical nausea and vomiting of pregnancy, which statement by the woman indicates that the teaching was successful? "I can expect the nausea to last through my second trimester." "I should drink fluids with my meals instead of in between them." "I need to avoid strong odors, perfumes, or flavors." "I should lie down after I eat for about 2 hours."

"I need to avoid strong odors, perfumes, or flavors."

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? "I'll do the check about a week after my period." "I don't have to check under my arm if I don't feel any breast lumps." "I'll feel my breasts using my thumb and index finger." "I will check my breasts every other week."

"I'll do the check about a week after my period."

A client is to have a vaginal hysterectomy to repair her stage IV uterine prolapse. The nurse realizes she needs more education when she states: "I'm not going home with a Foley catheter in place." "I have already picked up the stool softeners." "My husband is not crazy about the six weeks of pelvic rest." "The leg bag will be covered by my clothes, once I am home."

"I'm not going home with a Foley catheter in place."

The nurse in a maternity unit is reviewing the clients' records. Which client should the nurse identify as being at most risk for developing disseminated intravascular coagulation (DIC)? SATA 1. a primigravida with abruptio placenta 2. a primigravida who delivered a 10-lb infant 3 hours ago 3. a gravida 2 who has just been diagnosed with dead fetus syndrome 4. a gravida 4 who delivered 8 hours ago and has lost 500 mL of blood 5.a primigravida at 29 weeks of gestation who was recently diagnosed with gestational hypertension

1. a primigravida with abruptio placenta 3. a gravida 2 who has just been diagnosed with dead fetus syndrome 5.a primigravida at 29 weeks of gestation who was recently diagnosed with gestational hypertension

During pregnancy a woman's blood volume increases to accommodate the growing fetus to the point that vital signs may remain within normal range without showing signs of shock until the woman has lost what percentage of her blood volume? 30% 40% 20% 50%

40%

A woman with systemic lupus erythematosus is interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if she is symptom-free or in remission for how long before getting pregnant? 12 months 3 months 9 months 6 months

6 months

A pregnant woman with diabetes is having her glycosylated hemoglobin level evaluated. The nurse determines that the woman's glucose is under control and continues the woman's plan of care based on which result? 7.50% 8.50% 8.00% 6.50%

6.50%

The nurse is preparing to teach a class to a group of middle-aged women regarding the most common vasomotor symptoms experienced during menopause and possible modalities of treatment available. Which is an example of a vasomotor symptom experienced by menopausal women? Weight gain Bone density Hot flashes Heart disease

Hot flashes

A pregnant woman is being evaluated for HELLP. The nurse reviews the client's diagnostic test results. An elevation in which result would the nurse interpret as helping to confirm this diagnosis? hematocrit white blood cells LDH platelet count

LDH

A nurse is preparing a presentation about risk reduction for breast cancer incorporating the recommendations from the American Institute for Cancer Research (AICR). Which recommendations would the nurse most likely include? Select all that apply. Limit the use of salt. Restrict red meat intake to approximately 4 ounces daily. Limit the intake of complex carbohydrates. Limit the intake of processed foods. Consume at least five servings of fruits and vegetables daily.

Limit the use of salt. Limit the intake of processed foods. Consume at least five servings of fruits and vegetables daily.

After teaching a group of students about reproductive tract cancers, the nursing instructor determines that the teaching was successful when the students identify which as the deadliest type of female reproductive cancer? Vulvar Ovarian Endometrial Cervical

Ovarian

When teaching a group of women about screening and early detection of cervical cancer, the nurse would include which procedure as most effective? Fecal occult blood test CA-125 blood test Pap smear and HPV test Sigmoidoscopy

Pap smear and HPV test

When preparing a presentation about screening for cervical cancer, the nurse would include which recommendations? initial Papanicolaou test at age 18 Papanicolaou test every 2 to 3 years for women over the age of 70 Papanicolaou test every 3 years until age 30 discontinuation of Papanicolaou tests between 30 and 70 years if last three were normal

Papanicolaou test every 3 years until age 30

A nurse is reviewing the medical record of a female client diagnosed with vaginal cancer. Which factors would the nurse identify as increasing this client's risk? Select all that apply. age 62 years history of previous chest radiation chronic vaginal discharge history of genital warts negative for DES exposure

age 62 years chronic vaginal discharge history of genital warts

The primary care provider has just informed the client that her breast biopsy is positive for carcinoma. One of the nurse's first responsibilities is to assist with: telling the client her options. treatment. education. psychiatric issues.

education.

When describing polycystic ovarian syndrome to a client, which areas would the nurse need to address? Select all that apply. decreased levels of luteinizing hormones follicular hyperplasia elevated androgen levels hyperinsulinemia anovulation

elevated androgen levels hyperinsulinemia anovulation

A woman who immigrated here from a third world country presents to the clinic to find out if she is pregnant. Which signs and/or symptoms would the nurse assess as possible indicators that she might have an active case of tuberculosis as well? Select all that apply. fatigue weight gain anorexia night sweats hemoptysis

fatigue anorexia night sweats hemoptysis

A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the United States? pregnancy category X medications maternal drug addiction genetic anomalies fetal alcohol spectrum disorder

fetal alcohol spectrum disorder

Which measure would the nurse include in the plan of care for a woman with prelabor rupture of membranes if her fetus's lungs are mature? observation for signs of infection reduction in physical activity level administration of corticosteroids labor induction

labor induction

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? promethazine methotrexate oxytocin ondansetron

methotrexate

A client is to receive brachytherapy as part of her treatment plan for breast cancer. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client identifies which condition as a possible side effect? inflammation fever infection redness around the catheter

inflammation

A nurse is conducting a class for a group of pregnant women about ways to minimize the risk of infection during pregnancy. One of the infections that the nurse is discussing is toxoplasmosis. The nurse determines that the class was successful when the group identifies which action(s) as helpful in preventing this infection. Select all that apply. "A house cat should be kept outside to prevent bringing things inside the house." "It is important to wear gardening gloves when digging in the soil." "Any cutting surface used for raw meats should be washed afterwards with hot, soapy water." "It is important to cook any meat that we will eat to at least a temperature of 145°F (62.8°C)." "Peeling any raw vegetables is a good idea before eating them."

"It is important to wear gardening gloves when digging in the soil." "Any cutting surface used for raw meats should be washed afterwards with hot, soapy water." "Peeling any raw vegetables is a good idea before eating them."

A woman is diagnosed with primary dysmenorrhea and is prescribed ibuprofen as part of her treatment plan. When teaching the woman about using this medication, which instruction would be important for the nurse to emphasize? "Take the medication on an empty stomach." "Add an aspirin to the regimen if you do not get relief right away." "Start taking the medication when you first get your period." "It is normal for your bowel movements to be black."

"Start taking the medication when you first get your period."

A nurse is reading a journal article about premenstrual syndrome (PMS) and the millions of women affected by it during their reproductive years. The nurse would expect to find approximately what percentage of women meeting the ACOG criteria for PMS? 55% 65% 75% 45%

75%

A client presents to the office, upset, after finding a small lump in her breast. The nurse tries to reassure her that the lump does not automatically indicate cancer based on the understanding that what percentage of breast lumps discovered are caused by benign breast disorders? 70% 90% 80% 60%

80%

A woman is being discharged after receiving treatment for a hydatidiform molar pregnancy. The nurse should include which information in the discharge teaching? Do not become pregnant for at least a year; use contraceptives to prevent it. Have your blood pressure checked weekly in the clinic. RhoGAM must be given within the next month at the clinic. An amniocentesis can detect a recurrence of this disorder in the future.

Do not become pregnant for at least a year; use contraceptives to prevent it.

After conducting a class for college students about cervical cancer prevention, the nurse determines that the class understands that steps can be taken to help prevent cervical cancer based on which statement? Using a condom is the best way to decrease the chance of developing cancer. STIs will not cause cancer. More than 90% of squamous cervical cancers contain HPV DNA. Proper use of OCs will help decrease the chance of developing cancer.

More than 90% of squamous cervical cancers contain HPV DNA.

A postoperative mastectomy client should be referred to which organization for assistance upon discharge from the hospital? National Organization for Women (NOW) Food and Drug Administration (FDA) March of Dimes Foundation (MDF) Reach to Recovery (RTR)

Reach to Recovery (RTR)

A nurse is conducting a class for a local community clinic that has a large adolescent and young adult pregnant women population. The nurse is focusing on the effects of various substances on the fetus. The nurse determines that the class was successful when the group identifies which condition(s) as associated with cigarette smoking? Select all that apply. Sudden infant death syndrome (SIDS) Cleft lip Macrosomia Cerebral palsy Attention-deficit/hyperactivity disorder (ADHD)

Sudden infant death syndrome (SIDS) Cleft lip Cerebral palsy Attention-deficit/hyperactivity disorder (ADHD)

Which information would the nurse include when teaching a pregnant woman about the pathophysiologic mechanisms associated with gestational diabetes? Pregnancy fosters the development of carbohydrate cravings. There is progressive resistance to the effects of insulin. Hypoinsulinemia develops early in the first trimester. Glucose levels decrease to accommodate fetal growth.

There is progressive resistance to the effects of insulin.

A nurse is providing care to a pregnant woman with preterm prelabor rupture of membranes (PPROM). On admission, the client's baseline information was as follows: temperature, 97.6°F (36.5°C); pulse, 76 beats/minute; fetal heart rate, 136 beats/minute; white blood cell count, 7 x 103cells/mm3 (7.0 x 109/L). Now, 8 hours later, assessment reveals the following: temperature, 99.6°F (37.7°C); pulse, 82 beats/minute; fetal heart rate, 180 beats/minute; white blood cell count, 8.5 x 103 cells/mm3 (8.5 X 109/L). The nurse suspects a possible infection based on the change in which parameter? Pulse rate White blood cell count Temperature Fetal heart rate

fetal heart rate

A nurse assesses and suspects vulvar cancer based on which assessment finding? dysuria vulvar bleeding vulvar itching that responds to creams fleshy, ulcerated mass on the labia majora

fleshy, ulcerated mass on the labia majora

A client has come to the office for a prenatal visit during her 24th week of gestation. On examination, it is noted that her blood pressure has increased to 146/94 mm Hg. Her urine is negative for proteinuria. Blood pressure assessment at 20 weeks' gestation was 142/92 mm Hg and urine was negative for protein. Blood pressure readings at previous visits ranged from 120/76 mm Hg to 126/80 mm Hg. The nurse suspects which condition? gestational hypertension HELLP chronic hypertension preeclampsia

gestational hypertension

A client has been admitted with placental abruption. She has lost 1,200 mL of blood, is normotensive, and ultrasound indicates approximately 30% separation. The nurse documents this as which classification of abruptio placentae? grade 1 grade 2 grade 4 grade 3

grade 2

The nurse is reviewing the history and physical exam of a woman who has come to the clinic for a routine physical. Which factor would the nurse identify as increasing the client's risk for breast cancer? Asian race menarche at age 14 39 years of age history of ovarian cancer

history of ovarian cancer

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease: involves one or both ovaries and extends into the pelvis. has metastasized to distant sites. is limited to the ovary. has spread to the lymph nodes and other organs within the abdomen.

involves one or both ovaries and extends into the pelvis.

The nurse is preparing the plan of care for a woman hospitalized for hyperemesis gravidarum. Which interventions would the nurse most likely include? Select all that apply. monitoring intake and output obtaining baseline blood electrolyte levels preparing the woman for insertion of a feeding tube maintaining NPO status for the first day or two administering antiemetic agents

monitoring intake and output obtaining baseline blood electrolyte levels maintaining NPO status for the first day or two administering antiemetic agents

A young couple have presented to the office with concerns of possible infertility. A physical examination and complete history of the woman reveals type 2 diabetes mellitus, obesity, sleep apnea, and hypertension. The nurse would suspect: polycystic ovary syndrome. irregular menses. hormonal imbalance. leiomyomas.

polycystic ovary syndrome.

A client has presented to the clinic for testing to evaluate her for an ovarian cyst. Which test would the nurse anticipate being done first? ultrasound lipid levels chlamydia test pregnancy test

pregnancy test

When administering magnesium sulfate to a client with preeclampsia, the nurse explains to her that this drug is given to reduce blood pressure. increase the progress of labor. prevent seizures. lower blood glucose levels.

prevent seizures.

The nurse is providing care to a neonate whose mother has heroin use disorder. The nurse suspects that the neonate is experiencing neonatal abstinence syndrome based on which finding? easy consolability hypotonicity sneezing vigorous sucking

sneezing

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion? closed cervical os no passage of fetal tissue slight vaginal bleeding strong abdominal cramping

strong abdominal cramping

A 36-year-old client has decided to use medical management to treat her leiomyomas. After teaching her about the different drugs that may be used, the nurse determines that additional teaching is needed when the client identifies which drug as being used? nafarelin goserelin tolterodine leuprolide

tolterodine