Women's Health

An adolescent has been diagnosed with polycystic ovarian syndrome (PCOS). Which statement by the adolescent indicates the need for more teaching? "High levels of male hormones contribute to my PCOS." "I am at risk for type 2 diabetes." "Maintaining a healthy weight is an important part of my treatment plan." "Untreated PCOS will make getting pregnant impossible."

"Untreated PCOS will make getting pregnant impossible."

A client has just begun taking an oral contraceptive that contains estrogen and progestin. The nurse should instruct the client to use additional methods of contraception for at least 7 days. 2 weeks. 1 month. 2 months.

7 days

A menopausal woman is taking hormone replacement therapy. What warning sign of endometrial cancer should the nurse instruct the client to report to her health care provider? hot flashes irregular vaginal bleeding urinary urgency dyspareunia

Irregular vaginal bleeding

A menopausal woman with an intact uterus is taking a combined estrogen and progesterone replacement medication, conjugated estrogens/medroxyprogesterone acetate 0.625 mg/2.5 mg, for severe hot flashes. Combined hormonal therapy is given because estrogen alone: Would not be effective for hot flashes. Could be a risk factor for endometrial cancer. Would not be sufficient to maintain libido. Could be a risk factor for ovarian cancer.

Could be a risk for endometrial cancer

The nurse is interviewing a client with newly diagnosed syphilis. To prevent the spread of the disease, the nurse should focus the interview on which approach? motivating the client to undergo treatment obtaining a list of the client's sexual contacts increasing the client's knowledge of the disease reassuring the client that medical records are confidential

Obtaining a list of the client's sexual conacts

A client with heart failure is admitted to an acute care facility and is found to have a cystocele. When planning care for this client, the nurse is most likely to formulate which nursing diagnosis? total urinary incontinence functional urinary incontinence reflex urinary incontinence stress urinary incontinence

Stress urinary incontinence

The nurse is obtaining blood for a human chorionic gonadotropin (hCG) level from a newly pregnant woman. What does the nurse teach this woman about the purpose of the hormone and why levels are evaluated? "Elevated hCG levels indicate the endometrial lining is being prepared for implantation of the embryo." "This hormone is present at consistent levels from the time of conception throughout the pregnancy." "Levels of this hormone increase to help form the placenta, which nourishes the fetus." "This hormone is at low levels at the time of fertilization and helps increase myometrial contraction."

"Elevated hCG levels indicate the endometrial lining is being prepared for implantation of the embryo."

A 22-year-old single female client is discussing contraceptive methods with the health care provider and specifically asking about the vaginal ring insert. The nurse realizes the client needs further instruction when they make which statement? "If the ring falls out, it must be put back in place within 3 hours." "There is less breakthrough bleeding than with pills." "The risks are the same for this and combined pills." "This ring contains only progesterone for birth control."

"This ring contains only progesterone for BC" Contains estrogen and progesterone, OK to take out and replace after one week

The spouse of a client with cervical cancer says to the nurse, "The doctor told my spouse that their cancer is curable. Is the doctor just trying to make us feel better?" Which would be the nurse's most accurate response? "When cervical cancer is detected early and treated aggressively, the cure rate is almost 100%." "The 5-year survival rate is about 75%, which makes the odds pretty good." "Saying a cancer is curable means that 50% of all women with the cancer survive at least 5 years." "Cancers of the female reproductive tract tend to be slow-growing and respond well to treatment."

"When cervical cancer is detected early and treated aggressively, the cure rate is almost 100%."

Which woman is at greatest risk for bacterial vaginosis? 75-year-old with chronic obstructive disease 52-year-old experiencing menopause 28-year-old who is sexually active 12-year-old who has just started their menstrual cycles

28 yo sexually active BV is most common vag infection in reproductive age women

During a home visit, a breastfeeding client asks the nurse what contraception method they should use until their 6-week postpartum examination. Which method would be most appropriate for the nurse to suggest? condom with spermicide oral contraceptives rhythm method abstinence

Condom with spermicide

An adolescent girl is being treated for anogenital warts caused by the human papillomavirus (HPV). What is the nurse's priority intervention for this client? Educate the client about the need to adhere to antibiotic therapy. Educate the client about the accompanying risk of cervical cancer. Assess the client's knowledge of hormonal contraceptives. Assess the client for signs and symptoms of systemic infection.

Educate the client about the accompanying risk of cervical cancer.

An adolescent presents to a community clinic for treatment of vulvar lesions associated with type 2 herpes simplex. Which intervention is appropriate to do at this time? Select all that apply. Notify the adolescent's parents and ask permission to treat their daughter. Escort the adolescent to a private examination room. Inform the adolescent that confidentiality is not guaranteed. Ask the adolescent if her parents know about her sexual activity. Provide the adolescent with literature about type 2 herpes simplex.

Escort client to private room for examination Provide with literature about HSV 2

A nurse is preparing to provide contraceptive counseling for a client. What should the nurse plan to do first? Obtain a thorough health history from the client. Explore her own personal beliefs and feelings about contraception. Help determine the most appropriate contraceptive method for the client . Perform a complete physical assessment of the client.

Explore her own personal beliefs and feelings about contraception

The nurse is counseling a client with osteoporosis about dietary choices to slow bone loss. What foods should the nurse teach the client to avoid? Soy beans and soy products such as tofu Canned fish such as salmon or tuna Foods and beverages high in caffeine Foods high in purines such as organ meats

Foods and beverages high in caffeine (decrease calcium absorption)

A client 6 weeks postpartum asks the nurse about taking medroxyprogesterone injections for birth control. What should the nurse determine prior to discussing options? Select all that apply. if the client has a sexually transmitted disease how willing her husband is to have her take the drug if the woman is experiencing postpartum depression that the woman is not currently pregnant if the woman is breastfeeding

If the woman is experiencing PP depression That the woman is currently pregnant If the woman is breastfeeding

A client is diagnosed with osteoporosis. Which statements would the nurse include when teaching the client about the disease? Select all that apply. Osteoporosis is common in females after menopause. Osteoporosis is a degenerative disease characterized by a decrease in bone density. Daily medication is needed to cure the disease. Osteoporosis can cause pain and injury. Passive ROM exercises can promote bone growth. Limit weight bearing and repetitive exercises.

Osteoporosis is common in females after menopause. Osteoporosis is a degenerative disease characterized by a decrease in bone density Osteoporosis can cause pain and injury.

The client comes to the clinic for oral birth control and has a history of smoking one pack of cigarettes per day. What should the nurse include in the client's teaching? Select all that apply. "Taking oral birth control medication can cause hypertension (HTN)." "Taking oral birth control medication can cause a cerebrovascular accident (CVA)." "Taking oral birth control medication can cause a deep vein thrombosis (DVT)." "Taking oral birth control medication can cause an myocardial infarction (MI)." "Taking oral birth control medication can cause aplastic anemia."

Taking oral BC can cause: DVT, MI, CVA

The nurse is teaching a 55-year-old woman who is just beginning menopause. Which information should the nurse include in the teaching plan? Select all that apply. The average age of onset for menopause is 50 to 52 years. Vaginal infections will increase. Depression is very common as a result of menopause. Hot flashes, especially at night, can occur in about 80% of women. When periods become irregular, contraception is unnecessary.

The average onset of menopause is 50-52 Hot flashes, specially at night can occur in about 80%

A client is taking a progestin-only oral contraceptive, or minipill. When teaching the client about this medication, a nurse should include information on signs and symptoms of endometriosis. female hypogonadism. premenstrual syndrome. tubal or ectopic pregnancy

Tubal ectopic pregnancy

The nurse is teaching a client with a latex allergy about birth control methods to protect against sexually transmitted diseases. What information should be included in the teaching? Select all that apply. Use of latex condoms, cervical caps, and/or diaphragms are contraindicated for men and women with latex allergy. A natural condom can be placed over a latex condom for protection. Female condoms cannot be used in people with latex allergies. Oral contraceptives are a good substitute for latex condoms.

Use of latex condoms, cervical caps, and or diaphragms contraindicated w latex allergies A natural condom may be placed over latex condom for protection

The nurse is conducting a health assessment on an adult client. The nurse may communicate medical information without the client's consent when: certifying the client's absence from work. requested by the client's family. treating the client with a sexually transmitted infection. prescribed by another health care provider (HCP).

treating the client with a sexually transmitted infection. May be reported to public health agency

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), the physician orders diagnostic testing of the vaginal discharge. Which STD must be reported to the public health department? bacterial vaginitis gonorrhea genital herpes human papillomavirus (HPV)

Gonorrhea