Chapters 4-9 PREPu for OB for FINAL

The nurse who works in a woman's health clinic correctly identifies which key objectives for 2020 National Health Goals that addresses violence against women? Select all that apply. You Selected: Reduce the rate of physical assault by current or former intimate partners. Reduce the annual rate of rape or attempted rape. Correct response: Reduce the rate of physical assault by current or former intimate partners. Reduce the annual rate of rape or attempted rape. Explanation: Two of the 42 objectives are to reduce the rate of physical assault by current or former intimate partners and to reduce the annual rate of rape or attempted rape. It would be desirable to decrease the rate of depression, decrease caloric intake due to the high incidence of obesity, and reduce sodium in diets but these are not goals of the 2020 National Health Goals. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 303. Chapter 9: Violence and Abuse - Page 303 Add a Note Question 2 See full question9s Report this Question The nursing student is studying violence and mistreatment against the older woman. While researching it, the student learns that laws require health care professionals to report elder or vulnerable person mistreatment. How many states currently have these laws? You Selected: 50 Correct response: 50 Explanation: All fifty states have laws requiring health care professionals to report elder or vulnerable person mistreatment. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 309. Chapter 9: Violence and Abuse - Page 309 Add a Note Question 3 See full question10s Report this Question The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior? You Selected: moderate to severe violence with people both within and outside the family Correct response: moderate to severe violence with people both within and outside the family Explanation: The client's spouse belongs to the group of perpetrators who are generally violent and engage in moderate to severe violence, both inside and outside of the home; they tend to meet criteria for antisocial personality disorder and are likely to have an extensive history of criminal behavior. These perpetrators become aggressive when they misinterpret neutral and positive emotional cues as negative and when they are unable to identify expressions of fear. Another group of perpetrators, family-only perpetrators, engage in lower severity violent behaviors and exhibit the lowest levels of psychopathology. A third group of perpetrators, those with borderline personality disorder characteristics or dysphoria, engage in moderate to severe violence and demonstrate the highest levels of emotional volatility, dependency, and psychological distress. These perpetrators have a heightened sensitivity to emotional displays that predisposes them to interpret social situations as threatening and to respond with emotional dysregulation, verbal attacks, and physical violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 4 See full question8s Report this Question Which type of elder mistreatment involves harm of self-worth? You Selected: emotional Correct response: emotional Explanation: The six types of elder mistreatment are physical (injury by hitting, kicking, pushing, slapping, burning, and so on), sexual (unconsented sexual act), emotional (harm of self-worth or emotional well-being), neglect (failure to meet the older adult's basic needs of shelter, food, and so on), abandonment (leaving an older adult alone and no longer providing care), and financial (illegally misusing money, property, or assets). Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 5 See full question27s Report this Question The nurse is planning care for a victim of physical abuse. What interventions should the nurse implement when addressing the victim's need to regain a sense of control over one's life? Select all that apply. You Selected: Providing reinforcement of stress management strategies Correct response: Providing reinforcement of stress management strategies Arranging for consult with social services care team member Supporting autonomy by encouraging effective decision making Explanation: Appropriate interventions to strengthen the victim's sense of control over life could include teaching coping strategies to manage stress, assisting with activities of daily living to improve lifestyle, and allowing the victim to make as many decisions as able. Interacting with others addresses the need to set realistic goals, whereas effective grieving is supported by discussing feelings.

A client has recently been treated in the emergency department for trauma to the head as a result of intimate partner violence. The client expresses to the nurse the desire to go back home to the partner upon discharge. What is the best action for the nurse to take? You Selected: Ensure that the woman has the numbers for a 24-hour shelter and a social worker upon discharge, and advise her to carry it with her at all times Correct response: Ensure that the woman has the numbers for a 24-hour shelter and a social worker upon discharge, and advise her to carry it with her at all times Explanation: A client in an abusive relationship cannot be forced to leave that situation. The best response is for the nurse to empower the client by ensuring that he or she knows where to turn should the client choose that avenue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 315. Chapter 9: Violence and Abuse - Page 315 Add a Note Question 2 See full question8s Report this Question Which statement is false regarding screening for intimate partner violence in women? You Selected: Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. Correct response: Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. Explanation: Women do not typically fit a physical profile, and any woman can be a victim of intimate partner violence. Therefore, all women, even older adult women, should be screened at every visit. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 302. Chapter 9: Violence and Abuse - Page 302 Add a Note Question 3 See full question9s Report this Question Which occurrence is a biologic indicator of posttraumatic stress disorder (PTSD)? You Selected: flashbacks Correct response: flashbacks Explanation: Biologic indicators, such as elevated pulse and blood pressure, sleep and appetite disturbances, exaggerated startle responses, flashbacks, and nightmares, may suggest PTSD or depression. Signs and symptoms of dissociation include memory difficulties, a feeling of unreality about oneself or events, a feeling that a familiar place is strange and unfamiliar, auditory and visual hallucinations, and evidence of having done things without remembering them. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 317. Chapter 9: Violence and Abuse - Page 317 Add a Note Question 4 See full question14s Report this Question An 11-year-old boy was raised in a home where his father beat his mother on a regular basis. Which statement is true regarding children being raised in a home where they have witnessed intimate partner violence? You Selected: It has little impact on child functioning. Correct response: They are at increased risk for being abused. Explanation: Children being raised in a home where they have witnessed intimate partner violence demonstrate higher levels of depression and lower levels of self-esteem; these effects are pronounced in boys especially. Children of mothers who are victims of intimate partner violence are at an increased risk for abuse. Exposure to intimate partner violence adversely affects a range of child functioning. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 303. Chapter 9: Violence and Abuse - Page 303 Add a Note Question 5 See full question11s Report this Question The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process? You Selected: Actively listening to the client as he or she talks about the experience Correct response: Actively listening to the client as he or she talks about the experience Explanation: Providing support and allowing the client to grieve for the loss is achieved by listening to and clarifying the reactions to the traumatic event. Although the other actions are appropriate, they are not focused on successful grieving but rather coping with stress and preparing the client to effectively deal with the common complications of this form of trauma.

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation? You Selected: a diaphragm and spermicide Correct response: a diaphragm and spermicide Explanation: Women over 40 who smoke should not take ovulation suppressants; irregular menstrual cycles make natural methods difficult; women over 40 may have vaginal dryness, so a spermicidal suppository would not be activated. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 136. Chapter 4: Common Reproductive Issues - Page 136 Add a Note Question 2 See full question13s Report this Question A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement? You Selected: "It can be done with frozen donor sperm." Correct response: "It can be done with frozen donor sperm." Explanation: Fresh or frozen sperm may be used. The success of in vitro fertilization is not related to the incidence of ovarian cancer in the family. Often more than one attempt is needed before successful implantation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 130. Chapter 4: Common Reproductive Issues - Page 130 Add a Note Question 3 See full question40s Report this Question 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? You Selected: history of ovarian cancer Correct response: history of ovarian cancer Explanation: A personal history of ovarian cancer is considered a risk factor for breast cancer. Typically, breast cancer is associated with aging (women over 50 years of age). Breast cancer is more common in Whtie women, but Black women are more likely to die of it. Early menarche (before 12 years of age) or late onset of menopause (after age 55 years) is associated with an increased risk for breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 4 See full question18s Report this Question The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include? You Selected: chlamydia Correct response: chlamydia Explanation: Chlamydia is the most common and fastest-spreading bacterial STI in the United States, with 2.8 million new cases occurring each year. Gonorrhea is the second most frequently reported communicable disease in the U.S. The incidence of syphilis had been increasing for the past 6 years. One in five people older than age 12 is infected with the virus that causes genital herpes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 5 See full question20s Report this Question The nurse should carefully screen a client who insists on using only combined oral contraceptives for which contraindication? You Selected: deep vein thrombosis Correct response: deep vein thrombosis Explanation: The nurse should screen the client for deep vein thrombosis (DVT), migraine headaches, neurological symptoms, coronary artery disease or cerebral vascular disease, severe diabetes, hypertension, liver disease, breast or endometrial cancer, and unexplained vaginal bleeding when combined oral contraceptives are used. Gastrointestinal diseases are contraindicated in the use of progestin-only pills. Combined oral contraceptives are not contraindicated in clients who drink alcohol. Impaired absorption is a contraindication for the use of progestin-only pill. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 148. Chapter 4: Common Reproductive Issues - Page 148 Add a Note Question 6 See full question10s Report this Question A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem? You Selected: "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." Correct response: "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." Explanation: Seventy-five percent of women with chlamydial infections are asymptomatic. Blindness is a rare complication in adults who live in industrialized countries, and both men and women can become sterile from the effects. Syphilis, not chlamydial infections, has a course of three distinct stages. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 7 See full question14s Report this Question A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms? You Selected: metronidazole Correct response: metronidazole Explanation: The character of the discharge, lack of recent sexual activity, and current antibiotic treatment point to infection with Trichomonas vaginalis, which can exist asymptomatically and flare up only if conditions, such as an imbalance in normal vaginal flora resulting from antibiotic treatment, enable the protozoan to proliferate. Trichomoniasis responds well to treatment with metronidazole. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 185. Chapter 5: Sexually Transmitted Infections - Page 185 Add a Note Question 8 See full question56s Report this Question Which are modifiable risk factors for breast cancer? Select all that apply. You Selected: alcohol consumption obesity smoking sedentary lifestyle Correct response: obesity smoking alcohol consumption duration of breastfeeding sedentary lifestyle Explanation: All are modifiable risk factors for breast cancer. Women who are nonsmokers, have a normal BMI, exercise, and drink little alcohol have a lower lifetime risk of breast cancer. Breastfeeding is inversely correlated with breast cancer. The more a woman breastfeeds, the less likely she is to be diagnosed with breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 221. Chapter 6: Disorders of the Breasts - Page 221 Add a Note Question 9 See full question31s Report this Question A breast tumor is most likely found in what part of the breast? You Selected: the upper outer quadrant Correct response: the upper outer quadrant Explanation: Although they can occur throughout the breast, breast tumors are most frequently located in the upper outer quadrant of the breast. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 213. Chapter 6: Disorders of the Breasts - Page 213 Add a Note Question 10 See full question10s Report this Question A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? You Selected: a painless genital ulcer that appeared about 3 weeks after unprotected sex Correct response: a painless genital ulcer that appeared about 3 weeks after unprotected sex Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 192. Chapter 5: Sexually Transmitted Infections - Page 192 Add a Note Question 11 See full question10s Report this Question A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about? You Selected: overstimulation of the ovary resulting in potential multiple births Correct response: overstimulation of the ovary resulting in potential multiple births Explanation: Therapy with clomiphene citrate may be used to stimulate ovulation. Administration of either clomiphene citrate or gonadotropins may overstimulate an ovary, causing multiple ova to come to maturity and possibly resulting in multiple births. The nurse should counsel women who receive these agents that this is a possibility. None of the other answers is a common effect of clomiphene citrate use. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, p. 132. Chapter 4: Common Reproductive Issues - Page 132 Add a Note Question 12 See full question23s Report this Question The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which suggestions should the nurse include in the teaching plan? Select all that apply. You Selected: Use heating pads or take warm baths. Increase water consumption. Correct response: Increase water consumption. Use heating pads or take warm baths. Increase exercise and physical activity. Explanation: When instructing a client with dysmenorrhea on how to manage her symptoms, the nurse should ask her to increase water consumption, use heating pads or take warm baths, and increase exercise and physical activity. Water consumption serves as a natural diuretic, heating pads or warm baths help increase comfort, and exercise increases endorphins and suppresses prostaglandin release. The nurse should also tell the client to limit salty foods to prevent fluid retention during menstruation and to keep legs elevated while lying down because this helps increase comfort. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 121. Chapter 4: Common Reproductive Issues - Page 121 Add a Note Question 13 See full question35s Report this Question A client reports lumpy, tender breasts, particularly during the week before menses. She reports pain that often dissipates after the onset of menses. The nurse suspects the client has fibrocystic breast changes. Which should the nurse do next? You Selected: Determine if the client has had a mammography. Correct response: Perform a breast examination. Explanation: To determine if the client is experiencing fibrocystic breast changes, the nurse must first examine the client's breasts. It is not important to know if the client has a mammography at this time. Cryoabation is done to remove a tumor. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 14 See full question18s Report this Question At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment? You Selected: "I have to stop breastfeeding because of mastitis." Correct response: "I have to stop breastfeeding because of mastitis." Explanation: The nurse should teach the women about the etiology of mastitis and encourage breast-feeding, emphasizing that it is safe for infants. Continued emptying of the breast or pumping improves the outcome, decreases the duration of symptoms, and decreases the incidence of breast abscess. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 15 See full question53s Report this Question When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply. You Selected: BRCA1 gene being a 52-year-old female menarche at age 11 Correct response: BRCA1 gene menarche at age 11 being a 52-year-old female Explanation: Risk factors can be divided into those that cannot be changed (nonmodifiable) and that that can (modifiable). Nonmodifiable risk factors include gender, age (>50 years old), genetic mutations, personal history of ovarian or colon cancer, early menarche (<12 years old) and race (higher in white women) just to name a few. Failing to breastfeed, high fat dietary intake, and lack of exercise are examples of modifiable risk factors. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 16 See full question9s Report this Question 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? You Selected: 75% Correct response: 75% Explanation: It is estimated that up to 75% of reproductive-age women experience premenstrual symptoms that meet the ACOG criteria for PMS and up to 5% meet the diagnostic criteria for PMDD. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 125. Chapter 4: Common Reproductive Issues - Page 125 Add a Note Question 17 See full question20s Report this Question At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include? You Selected: This infection is the most common infectious cause of infertility. Correct response: This infection is the most common infectious cause of infertility. Explanation: The young have the most to lose from acquiring STIs, since they may not reach their full reproductive potential. In women, chlamydia is linked with cervicitis, salpingitis, ectopic pregnancy, pelvic inflammatory disease, and infertility. It is likely the most common infectious cause of infertility in women. Recombinant human papillomavirus vaccine is for the HPV STI. Antibiotics will cure this STI only. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 18 See full question24s Report this Question A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching? You Selected: "This drug will help to suppress any symptoms of the infection." Correct response: "This drug will help to suppress any symptoms of the infection." Explanation: No cure exists, but antiviral drug therapy helps to reduce or suppress symptoms, shedding, and recurrent episodes. Advances in treatment with acyclovir 400 mg orally three times daily for 7 to 10 days, famciclovir 250 mg orally three times daily for 7 to 10 days, or valacyclovir 1 g orally twice daily for 7 to 10 days have resulted in an improved quality of life for those infected with HSV. However, according to the CDC, these drugs neither eradicate latent virus nor affect the risk, frequency, or severity of recurrences after the drug is discontinued. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 190. Chapter 5: Sexually Transmitted Infections - Page 190 Add a Note Question 19 See full question9s Report this Question A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct? You Selected: "Human papillomavirus is the cause of essentially all cases of cervical cancer." Correct response: "Human papillomavirus is the cause of essentially all cases of cervical cancer." Explanation: Clinical studies have confirmed that HPV is the cause of essentially all cases of cervical cancer, which is the fourth most common cancer in women in the United States. Up to 95% of cervical squamous cell carcinomas and nearly all preinvasive cervical neoplasms are caused by the HPV. Antibiotics will only cure those STIs caused from a bacterial infections. A viral STI infection is a lifetime infection. Gonorrhea and syphilis affects both men and women. Sexually transmitted infections (STIs) are infections of the reproductive tract caused by microorganisms transmitted through oral sexual intercourse. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 20 See full question11s Report this Question A client is to take clomiphene citrate for infertility. Which outcome should the nurse explain is the expected action of this medication? You Selected: Stimulate the release of ova Correct response: Stimulate the release of ova Explanation: Clomiphene citrate stimulates the release of FSH and LH which is responsible for the maturity and release of ovum from the ovary.

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will: You Selected: increase a degree. Correct response: increase a degree. Explanation: The effect of progesterone, released with ovulation, is to increase body temperature. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 141. Chapter 4: Common Reproductive Issues - Page 141 Add a Note Question 2 See full question8s Report this Question Which description best explains the hysterosalpingogram procedure? You Selected: radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix Correct response: radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix Explanation: Hysterosalpingogram is a procedure to document the potency of the fallopian tubes through the use of a radiopaque medium. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 133. Chapter 4: Common Reproductive Issues - Page 133 Add a Note Question 3 See full question9s Report this Question A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition? You Selected: vulvovaginal candidiasis Correct response: vulvovaginal candidiasis Explanation: Pruritus, a thick, curd-like vaginal discharge, and white plaques on the vaginal wall are characteristic of vulvovaginal candidiasis. Trichomoniasis is characterized by a heavy yellow or green or gray frothy or bubbly discharge. Bacterial vaginosis is characterized by a thin white homogeneous vaginal discharge. Chlamydia is usually manifested by a mucopurulent vagina discharge. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 184. Chapter 5: Sexually Transmitted Infections - Page 184 Add a Note Question 4 See full question21s Report this Question A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies? You Selected: mammogram Correct response: mammogram Explanation: When caring for a client considering breast augmentation, the nurse should provide her with a general guideline to have a mammogram to verify that there are no malignancies. Mastopexy involves a breast lift for drooping breasts. Ultrasound or breast biopsy would not be necessary unless there was evidence of a problem Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 227. Chapter 6: Disorders of the Breasts - Page 227 Add a Note Question 5 See full question10s Report this Question Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control? You Selected: LAM causes suppression of the ovulation process. Correct response: LAM causes suppression of the ovulation process. Explanation: LAM prevents pregnancy by suppressing the ovulation process. Withdrawal and barrier methods of contraception prevent the introduction of sperm into the vagina. The copper IUD, combined hormonal methods, and combined oral contraceptives prevent fertilization between the egg and the sperm. Levonorgestrel system thickens the cervical mucus and blocks sperm. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 142. Chapter 4: Common Reproductive Issues - Page 142 Add a Note Question 6 See full question10s Report this Question A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? You Selected: an azole antifungal agent Correct response: an azole antifungal agent Explanation: The character of the discharge and the lack of recent sexual activity suggest infection with Candida, which can exist asymptomatically and flare up only if conditions, such as an imbalance in normal vaginal flora resulting from antibiotic treatment, diabetes, or oral contraceptive use, enable the fungus to proliferate. Candidiasis responds well to treatment with azole antifungal agents. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 183. Chapter 5: Sexually Transmitted Infections - Page 183 Add a Note Question 7 See full question8s Report this Question In which client would the nurse suspect cancer? You Selected: a 45-year-old with thickening in one breast with nipple irritation and retraction and a pink discharge Correct response: a 45-year-old with thickening in one breast with nipple irritation and retraction and a pink discharge Explanation: The 25-year-old most likely has fibrocystic breast changes. The 30-year-old most likely has a fibroadenoma. The 40-year-old most likely has an intraductal papilloma. Further assessment is needed to confirm each of these, but this is what the nurse would first suspect. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 213, 232. Add a Note Question 8 See full question11s Report this Question A woman is crying because she just recently received the results of her biopsies, and they confirm that she has invasive breast cancer. Which response by the nurse is the most appropriate? You Selected: "I know a great support group you can join." Correct response: Listen to the woman talk, and remain silent for a while Explanation: When a woman first receives the devastating news of the diagnosis of cancer, most often the best response is to allow the woman to express her feelings and concerns before speaking. Giving her false reassurances is not therapeutic and can break reliability and trust in a provider/patient relationship. Attempting to give her information about groups or next steps before she is in a state to take it in is also nontherapeutic. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 233. Chapter 6: Disorders of the Breasts - Page 233 Add a Note Question 9 See full question18s Report this Question A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed? You Selected: a uterine endometrial biopsy Correct response: a hysterosalpingography Explanation: A hysterosalpingography, a radiologic examination of the fallopian tubes using a radiopaque medium, is a frequently used technique. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 133. Chapter 4: Common Reproductive Issues - Page 133 Add a Note Question 10 See full question14s Report this Question What are methods for delivering hormonal contraception? Select all that apply. You Selected: transdermally orally vaginally implantation injection Correct response: orally transdermally vaginally implantation injection Explanation: Methods to deliver hormonal contraception include orally, transdermally, vaginally, implantation, and injection. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 146. Chapter 4: Common Reproductive Issues - Page 146 Add a Note Question 11 See full question8s Report this Question Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? You Selected: trichomoniasis Correct response: trichomoniasis Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 185. Chapter 5: Sexually Transmitted Infections - Page 185 Add a Note Question 12 See full question19s Report this Question 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: You Selected: education. Correct response: education. Explanation: The primary care provider will ultimately be responsible for treatment and deciding the client's options. The nurse will assist by helping the woman to prioritize the voluminous amount of information given to her so she can make informed decisions. The nurse should prepare an individual packet of information and review it with the client. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 230. Chapter 6: Disorders of the Breasts - Page 230 Add a Note Question 13 See full question16s Report this Question 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. You Selected: Restrict red meat intake to approximately 4 ounces daily. Limit the intake of complex carbohydrates. Limit the use of salt. Consume at least five servings of fruits and vegetables daily. Correct response: Consume at least five servings of fruits and vegetables daily. Limit the intake of processed foods. Limit the use of salt. Explanation: The AICR, which conducts extensive research, made the recommendations to reduce a woman's risk for developing breast cancer. They include consuming at least five servings of fruits and vegetables daily, limiting the intake of processed foods, limiting the use of salt, restricting red meat intake to approximately 3 ounces daily, and keeping a maximum BMI of 25, and consuming seven or more daily portions of complex carbohydrates, such as whole grains and cereals. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 236. Chapter 6: Disorders of the Breasts - Page 236 Add a Note Question 14 See full question8s Report this Question 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? You Selected: endometriosis Correct response: endometriosis Explanation: Secondary dysmenorrhea is painful menstruation due to pelvic or uterine pathology. Endometriosis is the most common cause of secondary dysmenorrhea. Other recognized causes include adenomyosis, fibroids, pelvic infection, an intrauterine device, cervical stenosis, or congenital uterine or vaginal abnormalities. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 119. Chapter 4: Common Reproductive Issues - Page 119 Add a Note Question 15 See full question21s Report this Question A nurse is presenting a program for a local women's group about STIs. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge? You Selected: chlamydia Correct response: candidiasis Explanation: Although vaginal discharge can occur with any STI, genital/vulvovaginal candidiasis is one of the most common causes of vaginal discharge. It is also referred to as yeast, monilia, and a fungal infection. It is not considered an STI because candida is a normal constituent in the vagina and becomes pathogenic only when the vaginal environment becomes altered. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, pp. 182-183. Chapter 5: Sexually Transmitted Infections - Page 182-183 Add a Note Question 16 See full question10s Report this Question Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? You Selected: dysuria Correct response: dysuria Explanation: A male with the diagnosis of chlamydia will first experience dysuria as the primary symptom. The other symptoms listed do not correlate to men with the diagnosis of chlamydia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 179. Chapter 5: Sexually Transmitted Infections - Page 179 Add a Note Question 17 See full question8s Report this Question A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? You Selected: chancres at the vaginal site Correct response: chancres at the vaginal site Explanation: Syphilis is divided into four stages: primary, secondary, latency, and tertiary. Primary syphilis is characterized by a chancre at the site of bacterial entry. Foul-smelling discharge would not be noted. Vesicles on the labia are not associated with syphilis. Bleeding from the vagina could be normal menses and does not correlate with syphilis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 192. Chapter 5: Sexually Transmitted Infections - Page 192 Add a Note Question 18 See full question8s Report this Question A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection? You Selected: viral culture of vesicular fluid Correct response: viral culture of vesicular fluid Explanation: Diagnosis of HSV is often based on clinical signs and symptoms and is confirmed by viral culture of fluid from the vesicles. The IgG/IgM antibody testing is frequently done for screening purposes. Papanicolaou (Pap) smears are an insensitive and nonspecific diagnostic test for HSV and should not be relied on for diagnosis. Treponemal testing is used to diagnose syphylis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 190. Chapter 5: Sexually Transmitted Infections - Page 190 Add a Note Question 19 See full question14s Report this Question A client diagnosed with breast cancer is receiving chemotherapy. The nurse assesses the client for possible side effects of this therapy. Which side effect would the nurse report immediately to the health care provider? You Selected: bone marrow suppression Correct response: bone marrow suppression Explanation: Typical side effects include nausea and vomiting, diarrhea or constipation, hair loss, weight loss, stomatitis, fatigue, and immunosuppression. The most serious is bone marrow suppression (myelosuppression). This causes an increased risk of infection, bleeding, and a reduced red blood cell count, which can lead to anemia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 228. Chapter 6: Disorders of the Breasts - Page 228 Add a Note Question 20 See full question32s Report this Question The nurse is conducting a routine well-visit on a 43-year-old client who is concernd about developing breast cancer, although no family members have experienced it. What is the best advice for this client at this time? You Selected: Conduct regular breast self-examination. Correct response: Conduct regular breast self-examination. Explanation: The ACS recommends that each woman know how her breasts normally look and feel, and if she finds changes, she should immediately report them to a health care provider. Discharge from the nipple is not necessarily related to cancer. For women with an average risk for breast cancer, yearly mammograms should start at age 45 and can change to every 2 years beginning at age 55. Women who are a higher risk for breast cancer due to family history or other reasons may need to begin screening earlier and/or more often.

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer: You Selected: typically manifests with vague symptoms resulting in late diagnosis. Correct response: typically manifests with vague symptoms resulting in late diagnosis. Explanation: Tumors of the ovary have been lethal largely because they present with nonspecific symptoms and therefore frequently are far advanced and inoperable by the time they are diagnosed. Ease of spread and types of cells involved are not reasons underlying the fatal nature of this type of cancer. Ovarian cancer is not associated with sexually transmitted infections. Cervical cancer is linked to human papillomavirus infection. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 276. Chapter 8: Cancers of the Female Reproductive Tract - Page 276 Add a Note Question 2 See full question34s Report this Question The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include? You Selected: High-grade dysplasia progresses to invasive cervical cancer in about 4 years. Correct response: High-grade dysplasia progresses to invasive cervical cancer in about 2 years. Explanation: With cervical cancer, lesions start as dysplasia and progress over a period of time. Progression of a high-grade dysplasia takes about 2 years to develop into an invasive cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 284. Chapter 8: Cancers of the Female Reproductive Tract - Page 284 Add a Note Question 3 See full question9s Report this Question An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make? You Selected: vulvar cancer Correct response: vulvar cancer Explanation: The correct diagnosis for this client would be vulvar cancer due to the placement of the lesion, the itching, and the bleeding. The other cancers would have different symptoms and not apply to this client. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 291. Chapter 8: Cancers of the Female Reproductive Tract - Page 291 Add a Note Question 4 See full question8s Report this Question A 55-year-old client presents to the clinic with persistent vulvar pruritus, burning, and a lump. She states she has had the symptoms for 5 months and has been trying to treat them with over-the-counter creams. She has a history of multiple sexual partners and HPV and is a smoker. What should the nurse do next? You Selected: Prepare the client for a biopsy of the lesion. Correct response: Prepare the client for a biopsy of the lesion. Explanation: The client has classic symptoms of vulvar cancer. All clients with vulvar lumps should be biopsied even if they are asymptomatic. Cryosurgery may be scheduled if the biopsy confirms the diagnosis of vulvar cancer. It is not important to know what creams the client has used or how much she smokes at this time. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 292. Chapter 8: Cancers of the Female Reproductive Tract - Page 292 Add a Note Question 5 See full question16s Report this Question 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. You Selected: breastfeeding avoidance of feminine hygiene spray use Correct response: breastfeeding avoidance of feminine hygiene spray use pregnancy before age 30 bilateral tubal ligation Explanation: Factors associated with a reduced risk of ovarian cancer include the use of oral contraceptives for three years or longer, pregnancy and breastfeeding before the age of 30, bilateral tubal ligation, and removal of the ovaries. Women also should avoid the use of talc and hygiene sprays on their genitals.

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this? You Selected: "My partner always tells me that the abuse never happened." Correct response: "My partner tells me that I will be turned into child services for being a bad mother." Explanation: The statement about telling child services that the client is a bad mother reflects coercion and threats. The statement about the abuse never happening reflects power and control through minimizing, denying, and blaming. The statement about whom the client can and cannot see reflects power and control through the use of isolation. The statement about the partner being the master of the castle reflects power and control through the use of privilege. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 2 See full question2m 10s Report this Question An 11-year-old boy was raised in a home where his father beat his mother on a regular basis. Which statement is true regarding children being raised in a home where they have witnessed intimate partner violence? You Selected: They have higher rates of schizophrenia. Correct response: They are at increased risk for being abused. Explanation: Children being raised in a home where they have witnessed intimate partner violence demonstrate higher levels of depression and lower levels of self-esteem; these effects are pronounced in boys especially. Children of mothers who are victims of intimate partner violence are at an increased risk for abuse. Exposure to intimate partner violence adversely affects a range of child functioning. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 303. Chapter 9: Violence and Abuse - Page 303 Add a Note Question 3 See full question13s Report this Question The nurse is aware of three different phases in the cycle of violence. Which is not one of those phases? You Selected: hopeless stage Correct response: hopeless stage Explanation: Victims of intimate partner violence appear hopeless. They often exhibit behaviors that demonstrate depression and ambivalence toward their abuser. However, hopelessness is not part of the cycle of violence. With the cycle of violence there is often a pattern: a tension-building phase, a battering incident, and a honeymoon phase. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 4 See full question29s Report this Question A 13-year-old immigrant from Asia is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed circumcision wounds. The client can understand limited English but cannot speak the language fluently. The service of an interpreter is employed. What should the nurse keep in mind when interacting with this client? You Selected: Use pictures and diagrams to supplement the questions and answers of the client's understanding. Correct response: Use pictures and diagrams to supplement the questions and answers of the client's understanding. Explanation: The nurse should use pictures and diagrams to ensure that the client understands what is being asked and explained. Instead of using medical terms, the nurse should use simple, accurate terms as much as possible. Condemning the practice will only alienate the girl and serve no useful purpose. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 322. Chapter 9: Violence and Abuse - Page 322 Add a Note Question 5 See full question17s Report this Question A nurse is a guest speaker for a local college campus group discussing violence and rape. After discussing rape with the group, the nurse determines that additional discussion is needed when the group states which information? You Selected: "Rape is not an act of impulsive, uncontrolled passion." Correct response: "Most rape victims tell someone about the rape." Explanation: In reality, the most victims never tell anyone about being raped and almost two-thirds of victims never report the rape to the police. It can take several years to recover from rape, and the rape victim often feels vulnerable, betrayed, and insecure afterward. Rape is a premeditated act of violence, it is not an act of impulsive, uncontrolled passion.

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this? You Selected: "My partner tells me that I will be turned into child services for being a bad mother." Correct response: "My partner tells me that I will be turned into child services for being a bad mother." Explanation: The statement about telling child services that the client is a bad mother reflects coercion and threats. The statement about the abuse never happening reflects power and control through minimizing, denying, and blaming. The statement about whom the client can and cannot see reflects power and control through the use of isolation. The statement about the partner being the master of the castle reflects power and control through the use of privilege. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 2 See full question12sReport this Question To properly assist a victim of intimate partner violence, which action would be most appropriate for the nurse to do? You Selected: Document the details. Correct response: Document the details. Explanation: Accurate documentation is critical because this evidence may support the client's case in court. Documentation must include details about the frequency and severity of violence; location, extent, and outcome of injuries; and any treatments or interventions. Documentation should always use direct quotes, and be very specific. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 3 See full question22sReport this Question A victim of rape is prescribed emergency contraception. After teaching the client about this therapy, the nurse determines that the teaching was effective based on which client statement? You Selected: "It contains high doses of a typical birth control pill" Correct response: "It contains high doses of a typical birth control pill" Explanation: Emergency contraceptive pills involve high doses of the same oral contraceptives that millions of women take every day. The emergency regimen consists of one dose taken within 72 to 120 hours of the unprotected intercourse. Emergency contraception works by preventing ovulation, fertilization, or implantation. It does not disrupt an established pregnancy and should not be confused with mifepristone (RU-486), a drug approved by the Food and Drug Administration for abortion in the first 49 days of gestation. Emergency contraception is most effective if is taken within 12 hours of the rape; it becomes less effective with every 12 hours of delay thereafter. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 320. Chapter 9: Violence and Abuse - Page 320 Add a Note Question 4 See full question22sReport this Question A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask? You Selected: "Clients with your injuries are often abused. Is anything like this happening now?" Correct response: "Clients with your injuries are often abused. Is anything like this happening now?" Explanation: "Does your partner hit you?" or "Have you ever been or are you now in an abusive relationship?" are direct questions. They are focused and address the topic with the client directly. If that approach feels uncomfortable, indirect questions can be used, such as "We see many clients with injuries or reports like yours, and often they are being abused. Is that what is happening to you?" or "Many people in our community experience abuse from their partners. Is anything like that happening in your life?" With either approach, nurses need to maintain a nonjudgmental acceptance of whatever answers the woman offers. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 310. Chapter 9: Violence and Abuse - Page 310 Add a Note Question 5 See full question58sReport this Question A nurse is a guest speaker for a local college campus group discussing violence and rape. After discussing rape with the group, the nurse determines that additional discussion is needed when the group states which information? You Selected: "Most rape victims tell someone about the rape." Correct response: "Most rape victims tell someone about the rape." Explanation: In reality, the most victims never tell anyone about being raped and almost two-thirds of victims never report the rape to the police. It can take several years to recover from rape, and the rape victim often feels vulnerable, betrayed, and insecure afterward. Rape is a premeditated act of violence, it is not an act of impulsive, uncontrolled passion.

A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD? You Selected: a woman who has one partner and three children Correct response: a woman who has one partner and three children Explanation: A women who is in a stable monogamous relationship and has already had one successful pregnancy is the best candidate for an IUD. An IUD is not without risk to a woman. IUDs do not protect agains STIs. PID may be caused by IUDs. A woman in her twenties has several better, lower risk options. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 151. Chapter 4: Common Reproductive Issues - Page 151 Add a Note Question 2 See full question18sReport this Question A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation? You Selected: a diaphragm and spermicide Correct response: a diaphragm and spermicide Explanation: Women over 40 who smoke should not take ovulation suppressants; irregular menstrual cycles make natural methods difficult; women over 40 may have vaginal dryness, so a spermicidal suppository would not be activated. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 136. Chapter 4: Common Reproductive Issues - Page 136 Add a Note Question 3 See full question21sReport this Question 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. You Selected: bradycardia hypotension reduced subcutaneous fat Correct response: bradycardia hypotension reduced subcutaneous fat Explanation: Hypothermia, bradycardia, hypotension, and reduced subcutaneous fat may be observed in women with amenorrhea with anorexia nervosa as the contributing factor. Evidence of secondary sex characteristics would be a normal finding for a girl of this age. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, pp. 116-117. Chapter 4: Common Reproductive Issues - Page 116-117 Add a Note Question 4 See full question34sReport this Question After teaching a client with mastitis about caring for her breasts, the nurse determines that the client has understood the instructions when she makes which statement? You Selected: "I need to apply cold soaks to the breast several times a day." Correct response: "I will express milk with a breast pump until infection is resolved." Explanation: The client statement about expressing milk with a breast pump until the infection is resolved indicates effective teaching. The client should apply warm soaks to the breast or let warm water from a shower flow over the breast. The nurse should advise the client to wear a supportive brassiere. The client should bathe or shower regularly. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 6: Disorders of the Breasts, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 5 See full question2m 23sReport this Question A client with breast cancer is scheduled to undergo chemotherapy with aromatase inhibitors. Which explanation best reflects the rationale for using this group of drugs? You Selected: They lower the level of estrogen in the body, blocking the tumor's ability to use it. Correct response: They lower the level of estrogen in the body, blocking the tumor's ability to use it. Explanation: Aromatase inhibitors lower the level of estrogen in the body, thereby interfering with the ability of hormone-sensitive tumors to use estrogen for growth. Antiprogestin drugs such as mifepristone block progesterone-dependent breast cancers. The monoclonal antibody trastuzumab attaches to protein receptors to slow the growth of cancer cells. A breast cancer vaccine is under investigation in Italy. This vaccine stimulates the immune system to attack a protein called mammoglobin A, which is found in 80% of breast cancer tumors. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 6 See full question35sReport this Question The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response? You Selected: "Tamoxifen reduces the incidence." Correct response: "Tamoxifen reduces the incidence." Explanation: Tamoxifen is referred to as a chemopreventive agent, not a chemotherapeutic agent. It does prevent osteoporosis, but this response does not address breast cancer prevention. Raloxifene is another drug that shows promise as a chemopreventive agent. Tamoxifen reduces breast cancer incidence by 49%. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 7 See full question25sReport this Question While interviewing a woman before her yearly examination, the nurse learns that she stopped breastfeeding over a year ago but occasionally has pain on one side behind her left nipple not related to her period. Upon examination, the nurse does not palpate any lumps but finds the left nipple retracted with a greenish discharge. What would the nurse first suspect? You Selected: mastitis Correct response: duct ectasia Explanation: These symptoms most closely resemble duct ectasia, which is unilateral, is seen at or near the nipple, and often has a greenish discharge. Cancer cannot be entirely ruled out, but the nurse's first thought should be duct ectasia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 8 See full question47sReport this Question A client who is a victim of intimate partner violence fails to report the violence primarily because of which reason? You Selected: The client feels responsible for causing the incident. Correct response: The client feels responsible for causing the incident. Explanation: The honeymoon phase prevents many victims from reporting intimate partner violence. The victim wants to believe that the partner can really change. The client feels responsible, at least in part, for causing the incident and for the partner's well-being. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 9 See full question52sReport this Question The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior? You Selected: moderate to severe violence with people both within and outside the family Correct response: moderate to severe violence with people both within and outside the family Explanation: The client's spouse belongs to the group of perpetrators who are generally violent and engage in moderate to severe violence, both inside and outside of the home; they tend to meet criteria for antisocial personality disorder and are likely to have an extensive history of criminal behavior. These perpetrators become aggressive when they misinterpret neutral and positive emotional cues as negative and when they are unable to identify expressions of fear. Another group of perpetrators, family-only perpetrators, engage in lower severity violent behaviors and exhibit the lowest levels of psychopathology. A third group of perpetrators, those with borderline personality disorder characteristics or dysphoria, engage in moderate to severe violence and demonstrate the highest levels of emotional volatility, dependency, and psychological distress. These perpetrators have a heightened sensitivity to emotional displays that predisposes them to interpret social situations as threatening and to respond with emotional dysregulation, verbal attacks, and physical violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 10 See full question39sReport this Question A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply. You Selected: ovulation Correct response: ovulation tubal transport impaired implantation Explanation: Female factors that cause subfertility are problems with ovulation, tubal transport, and implantation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, pp. 129-130. Chapter 4: Common Reproductive Issues - Page 129-130 Add a Note Question 11 See full question51sReport this Question A client has opted to use an intrauterine device (IUD) for contraception. About which effect of the device on monthly periods should the nurse inform the client? You Selected: Periods become lighter. Correct response: Periods become lighter. Explanation: The nurse should inform the client that IUDs cause monthly periods to become lighter, shorter, and less painful. Monthly periods reduce in number with use of oral contraceptives, but not with use of IUDs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 150. Chapter 4: Common Reproductive Issues - Page 150 Add a Note Question 12 See full question2m 14sReport this Question A female client who has a 2-month-old infant arrives at a health care facility reporting flu-like symptoms with fever and chills. When examining the breast, the nurse observes an increase in warmth. Which instruction should the nurse provide the client to help her cope with the condition? You Selected: Apply cold compresses to the affected breast. Correct response: Increase fluid intake. Explanation: The nurse should instruct the client with mastitis to increase her fluid intake. A client with mastitis is instructed to continue breastfeeding as tolerated and to frequently change positions while nursing. The nurse should also instruct the client to apply warm, not cold, compresses to the affected breast area or to take a warm shower before breastfeeding. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 13 See full question2m 43sReport this Question A nurse is assigned to educate a group of women on cancer awareness. Which risk factors for breast cancer are modifiable? Select all that apply. You Selected: failing to breastfeed for up to a year after pregnancy postmenopausal use of estrogen and progestins not having children until after age 30 Correct response: failing to breastfeed for up to a year after pregnancy postmenopausal use of estrogen and progestins not having children until after age 30 Explanation: The modifiable risk factors for breast cancer are postmenopausal use of estrogen and progestins, not having children until after the age of 30, and failing to breastfeed for up to a year after pregnancy. Early menarche or late menopause and previous abnormal breast biopsy are the nonmodifiable risk factors for breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 221. Chapter 6: Disorders of the Breasts - Page 221 Add a Note Question 14 See full question2m 4sReport this Question A nurse is describing the cycle of violence to a group at a community clinic. The nurse determines that the attendees have understood the information when they identify which phase as usually lasting the longest? You Selected: tension building Correct response: tension building Explanation: Of the phases, the first phase, tension building, is usually the longest. Acute battering, in which there is the explosion of violence, and the honeymoon phase are not typically as long. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 15 See full question19sReport this Question A nurse is conducting a presentation on breast cancer for a local women's group and explaining the possible risk factors associated with its development. The nurse determines that the group has understood the information when they identify which factor as increasing a woman's risk for breast cancer? You Selected: early menarche Correct response: early menarche Explanation: Risk factors associated with breast cancer include not having children until after the age of 30, exposure to chest radiation, late menopause and early menarche. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 16 See full question12sReport this Question A nurse is conducting an in-service program for a group of clinic nurses about screening for intimate partner violence. One of the participants asks the nurse, "I find it difficult to ask the woman questions about this. What's the best kind of question?" Which response by the nurse would be most appropriate? You Selected: "There is no one best type of question. Use the type that makes you most comfortable." Correct response: "There is no one best type of question. Use the type that makes you most comfortable." Explanation: To screen for intimate partner violence, nurses need to ask difficult questions in an empathetic and nonthreatening manner and remain nonjudgmental in all responses and interactions. The best question is the type of question that makes the nurse feel most comfortable. Direct and indirect questions produce the same results. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 310. Chapter 9: Violence and Abuse - Page 310 Add a Note Question 17 See full question18sReport this Question The nurse has been working with a subfertile couple through the process of determining their best plan of action to conceive a child. Which action should the nurse prioritize to provide emotional support to this couple? You Selected: Speak both separately and together with both partners. Correct response: Speak both separately and together with both partners. Explanation: Talking with both partners together may be advantageous, because this may make them feel more comfortable to discuss their problem. On the other hand it is important to spend time alone with each partner, in case there is something one person wants to discuss privately. Both partners are the client in this case. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, p. 129, 131, 134. Chapter 4: Common Reproductive Issues - Page 129, 131, 134 Add a Note Question 18 See full question18sReport this Question The nurse is caring for a client believed to be a victim of human trafficking. What action is most important for the nurse to perform? You Selected: Gain the client's trust. Correct response: Gain the client's trust. Explanation: It is most important for the nurse to gain the trust of the victim. This will allow the nurse to obtain the most information to appropriately help the client. The nurse may notify the authorities and test for pregnancy if the client is a victim. The client will be assessed, but it isn't the priority. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 323. Chapter 9: Violence and Abuse - Page 323 Add a Note Question 19 See full question9sReport this Question A 45-year-old client and her spouse are present in the clinic. Results of fertility testing indicate that the client has damage to her fallopian tubes. Which would be the most appropriate infertility option for this client? You Selected: In vitro fertilization Correct response: In vitro fertilization Explanation: This client has damage to her fallopian tubes, so any procedure would need to bypass this structure. In vitro fertilization fertilizes an ovum and then inserts it into a women's uterus. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, Table 4-3, p. 132. Chapter 4: Common Reproductive Issues - Page 132 Add a Note Question 20 See full question28sReport this Question An obviously pregnant woman appears for her first prenatal visit. She reports a headache and generalized abdominal pain which has persisted over the past couple months. Which question should the nurse prioritize after determining the client is approximately 24 weeks' gestation, appears nervous, and is reluctant to have a full physical assessment? You Selected: "Do you feel safe at home?" Correct response: "Do you feel safe at home?" Explanation: Asking open-ended questions is always the best approach to get the client to open up and provide needed information. This woman may be in a situation with intimate partner violence or have a substance use disorder which would explain the nervousness, late start on prenatal care, and refusal to allow the nurse to see all of her body if she is trying to hide signs which would indicate either situation. The other questions are important, but are close-ended and would not be a priority if the woman and her unborn fetus were in danger.

The estrogen content in the contraceptive pill performs which action? You Selected: suppresses follicle-stimulating hormone (FSH) Correct response: suppresses follicle-stimulating hormone (FSH) Explanation: Estrogen has a direct effect on the pituitary gland suppressing FSH; progesterone increases permeability of cervical mucus and endometrial proliferation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 147. Chapter 4: Common Reproductive Issues - Page 147 Add a Note Question 2 See full question13s Report this Question 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? You Selected: engaging in daily weight-bearing exercise Correct response: engaging in daily weight-bearing exercise Explanation: Engaging in daily weight-bearing exercise such as walking helps to reduce a woman's risk for osteoporosis. To prevent osteoporosis, women should increase their calcium and vitamin D intake. Avoiding excessive alcohol ingestion helps prevent osteoporosis. Limiting intake of cholesterol and saturated fats helps reduce the risk for cardiovascular disease, not osteoporosis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 162. Chapter 4: Common Reproductive Issues - Page 162 Add a Note Question 3 See full question9s Report this Question The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: You Selected: penicillin G. Correct response: penicillin G. Explanation: Penicillin G is the drug of choice for treating syphilis. Miconazole is used to treat candidiasis. Metronidazole is used to treat trichomoniasis. Doxycycline is used to treat chlamydia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 191. Chapter 5: Sexually Transmitted Infections - Page 191 Add a Note Question 4 See full question13s Report this Question A nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity? You Selected: administering HPV vaccine Correct response: administering HPV vaccine Explanation: Primary prevention is aimed at preventing the disease or condition before it occurs, so giving the HPV vaccine would be a primary prevention activity. If the woman does not receive primary prevention with the vaccine, then secondary prevention would focus on education about the importance of receiving regular Papanicolau tests and, for women over age 30, including an HPV test to determine whether the woman has a latent high-risk virus that could lead to precancerous cervical changes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 5 See full question1m 1s Report this Question When developing a program for STI prevention, which action would need to be done first? You Selected: getting individuals to change their behaviors Correct response: educating on how to promote sexual health Explanation: The key to successful treatment and prevention of STIs is education to promote sexual health. Behavior changes, increasing the availability of resources, and interfering with modes of transmission are important, but all of these require education. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 203. Chapter 5: Sexually Transmitted Infections - Page 203 Add a Note Question 6 See full question12s Report this Question When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction? You Selected: Apply warm compresses to the affected breast. Correct response: Apply warm compresses to the affected breast. Explanation: Warm compresses are soothing and help reduce inflammation. Breastfeeding is encouraged with mastitis to ensure continued emptying of the breast. Fluid intake is encouraged to promote milk production and resolution of infection. Wearing a supportive bra 24 hours a day is necessary to support the breasts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 7 See full question1m 28s Report this Question A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies? You Selected: mammogram Correct response: mammogram Explanation: When caring for a client considering breast augmentation, the nurse should provide her with a general guideline to have a mammogram to verify that there are no malignancies. Mastopexy involves a breast lift for drooping breasts. Ultrasound or breast biopsy would not be necessary unless there was evidence of a problem Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 227. Chapter 6: Disorders of the Breasts - Page 227 Add a Note Question 8 See full question52s Report this Question The nurse is teaching a client with mastitis about care measures. Which client statement indicates effective teaching? You Selected: "I can use warm soaks to my breast to relieve the discomfort." Correct response: "I can use warm soaks to my breast to relieve the discomfort." Explanation: Applying warm soaks to the breast or letting warm water from the shower flow over the breast can help to relieve some of the discomfort. Breast shields should be avoided because they trap breast milk and moisture around the nipple. The client needs to continue antibiotic therapy as prescribed for the entire treatment period, usually 10 days. The client can express milk with a breast pump until the infection resolves sufficiently to resume breast feeding. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 9 See full question15s Report this Question Pelvic infection is most commonly caused by: You Selected: sexual transmission. Correct response: sexual transmission. Explanation: Pelvic infection is most commonly caused by sexual transmission but can also occur with invasive procedures such as endometrial biopsy, surgical abortion, hysteroscopy, or insertion of an intrauterine device. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 194. Chapter 5: Sexually Transmitted Infections - Page 194 Add a Note Question 10 See full question3m 24s Report this Question While performing a clinical breast examination, the nurse notes a firm and rubbery nodule that is well circumscribed and moves freely. How should the nurse counsel the client? You Selected: "This could be a fibrocystic breast change, but we may need to do a biopsy." Correct response: "It's most likely a fibroadenoma, but we may need to do a biopsy." Explanation: This description most closely matches a fibroadenoma, but diagnostic imaging and even biopsy are warranted to confirm and rule out a cancerous tumor. The nurse should never tell the client that she may have cancer because this will only cause anxiety. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 11 See full question12s Report this Question The nurse is assessing a male client who is concerned about his ability to produce enough sperm to have a child. He tells the nurse, "I have had some issues in my younger years." What questions would be important for the nurse to ask this client? Select all that apply. You Selected: "Are you exposed to X-rays or other radioactive substances?" Correct response: "Do you use drugs or use alcohol excessively? "Are you exposed to X-rays or other radioactive substances?" "Have you ever had any type of trauma or surgery on or near your testicles?" Explanation: Conditions that may inhibit sperm production are trauma to the testes, surgery on or near the testicles that results in impaired testicular circulation, and endocrine imbalances, particular of the thyroid, pancreas, or pituitary glands. Drug use or excessive alcohol use and environmental factors such as exposure to X-rays or radioactive substances have also been found to negatively affect spermatogenesis. Men exposed to radioactive substances in their work environments should be provided adequate protection for the testes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 130. Chapter 4: Common Reproductive Issues - Page 130 Add a Note Question 12 See full question15s Report this Question A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man? You Selected: The man will still have full erection capacity. Correct response: The man will still have full erection capacity. Explanation: Some men resist the concept of vasectomy because they are not sufficiently aware of their anatomy to know exactly what the procedure will involve. They can be assured vasectomy does not interfere with the production of sperm; the testes continue to produce sperm as always, but the sperm simply do not pass beyond the plugged vas deferens and are absorbed at that point. The man will still have full erection capacity and continue to produce testosterone. Because he also continues to form seminal fluid, he will ejaculate seminal fluid; it will just not contain sperm. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 153. Chapter 4: Common Reproductive Issues - Page 153 Add a Note Question 13 See full question9s Report this Question A client in her second trimester of pregnancy asks the nurse for information regarding certain oral medications to induce a miscarriage. What information should this client be given about such medications? You Selected: They can be taken only in the first trimester. Correct response: They can be taken only in the first trimester. Explanation: The client is seeking a medical abortion. The nurse should inform the client that such medications are effectively used to terminate a pregnancy only during the first trimester, not the second. The medications are available as a vaginal suppository or in oral form and do not present a high risk of respiratory failure. Sterilization, not abortion, is considered a permanent end to fertility. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 160. Chapter 4: Common Reproductive Issues - Page 160 Add a Note Question 14 See full question25s Report this Question A 33-year-old female client reports yellow nipple discharge and a pain in her breasts a week before menses that dissipates on the onset of menses. Diagnosis reveals that the client is experiencing fibrocystic breast changes. Which instructions should the nurse offer the client to help alleviate the condition? Select all that apply. You Selected: Avoid caffeine. Correct response: Avoid caffeine. Maintain a low-fat diet. Take diuretics as recommended. Explanation: The nurse should instruct the client with fibrocystic breast changes to avoid caffeine. Caffeine acts as a stimulant that can lead to discomfort. It is important to maintain a lowfat diet rich in fruits, vegetables, and grains to maintain a healthy body weight. Taking diuretics is important to counteract fluid retention and swelling of the breasts. Practicing good handwashing techniques and increasing fluid intake are important for clients with mastitis but may not help clients with fibrocystic breast changes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 15 See full question39s Report this Question A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) discovers that there is a very high incidence of hepatitis B in the community. Which measure should the nurse take to ensure the prevention of the disease? You Selected: Instruct people to get vaccinated for hepatitis B. Correct response: Instruct people to get vaccinated for hepatitis B. Explanation: The nurse should instruct all community members to get vaccinated for prevention of hepatitis B. Ensuring that drinking water is disease free and educating people about the risks involved with injecting drugs may help prevent hepatitis A, not hepatitis B. Delaying the start of sexual activity by teenagers may not protect them from hepatitis B in the long run. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 198. Chapter 5: Sexually Transmitted Infections - Page 198 Add a Note Question 16 See full question38s Report this Question A 24-year-old female client reports various issues. She admits to having unprotected sexual intercourse. Which findings would indicate a possible PID? Select all that apply. You Selected: lower abdominal tenderness adnexal tenderness cervical motion tenderness Correct response: lower abdominal tenderness adnexal tenderness cervical motion tenderness Explanation: Minimal criteria of PID as established by the CDC include lower abdominal tenderness, adnexal tenderness, and cervical motion tenderness. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 194. Chapter 5: Sexually Transmitted Infections - Page 194 Add a Note Question 17 See full question30s Report this Question A nurse is providing education to a woman about screening for breast cancer. The woman has no symptoms and no family history of breast cancer. Which recommendation would the nurse make based on the guidelines from the American Cancer Society? You Selected: annual mammogram beginning at age 40 Correct response: annual mammogram beginning at age 40 Explanation: The American Cancer Society guidelines recommend annual mammograms and clinical breast exams for women starting at age 40 and do not recommend stopping them at any age. The also suggest that breast self-exams be optional for women from age 20 onward. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 222. Chapter 6: Disorders of the Breasts - Page 222 Add a Note Question 18 See full question12s Report this Question A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response? You Selected: It is recommended to formula-feed your newborn as it is transmitted through your breast milk." Correct response: It is recommended to formula-feed your newborn as it is transmitted through your breast milk." Explanation: An infected mother can transmit HIV infection to her newborn before or during birth and through breastfeeding.The risk of perinatal transmission of HIV from an infected mother to her newborn is about 25%. This risk falls to less than 1% if the mother receives antiretroviral therapy during pregnancy. HIV can be spread to the infant through breastfeeding. HIV-infected mothers should be counseled to avoid breastfeeding and use formula instead. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 202. Chapter 5: Sexually Transmitted Infections - Page 202 Add a Note Question 19 See full question12s Report this Question The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client? You Selected: combination oral contraceptives Correct response: combination oral contraceptives Explanation: Oral contraceptives are contraindicated for women who smoke; they would be at a higher risk for blood clots. Condoms, coitus interruptus, and spermicidals can be used at no risk. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 148. Chapter 4: Common Reproductive Issues - Page 148 Add a Note Question 20 See full question19s Report this Question A young couple is having difficulty getting pregnant. The nurse is preparing the couple for the initial tests to determiine their fertility. When asked by the couple why they need to start with a sperm analysis, what will be the nurse's best response? You Selected: Sperm analysis is one of the easiest tests to complete. Correct response: Sperm analysis is one of the easiest tests to complete. Explanation: Because sperm analysis is noninvasive, it is one of the easiest tests (and most cost-effective) to complete. There is no bias in male vs. female with regard to being the cause of infertility.

A nurse is developing a plan of care for a victim of abuse. Which action would be most appropriate for the nurse to include in the plan? You Selected: Take the lead in providing the interventions quickly. Correct response: Allow the client to participate in the care. Explanation: Active participation in care is critical because it promotes feelings of control. The victim should be allowed to actively participate in care and decision making. The nurse should offer step-by-step explanations of procedures to alleviate fears and to demonstrate a caring attitude. The nurse should let the client set the pace of the nursing interventions. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 312. Chapter 9: Violence and Abuse - Page 312 Add a Note Question 2 See full question11s Report this Question Which statement is false regarding screening for intimate partner violence in women? You Selected: Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. Correct response: Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. Explanation: Women do not typically fit a physical profile, and any woman can be a victim of intimate partner violence. Therefore, all women, even older adult women, should be screened at every visit. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 302. Chapter 9: Violence and Abuse - Page 302 Add a Note Question 3 See full question10s Report this Question A nurse is assessing a 20-year-old female. Which data finding taken during the history would indicate endometrial cancer? You Selected: vaginal bleeding that is painless and abnormal Correct response: vaginal bleeding that is painless and abnormal Explanation: A finding of abnormal bleeding that is painless is a major sign of endometrial cancer. The diagnoses of liver disease and diabetes mellitus are risk factors for women. Back pain can be associated with many things, including ovarian cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 281. Chapter 8: Cancers of the Female Reproductive Tract - Page 281 Add a Note Question 4 See full question9s Report this Question A 30-year-old female is attending a health fair for women. The nurse at the fair is reviewing risk factors for cervical cancer. Which important risk factor should the nurse include at the fair? You Selected: exposure to diethylstilbestrol (DES) in utero Correct response: exposure to diethylstilbestrol (DES) in utero Explanation: Cervical cancer has several risk factors: early age of first intercourse (in first year of menarche), lower socioeconomic status, unprotected sex, family history of cervical cancer, exposure to DES in utero, HIV, use of oral contraceptives, HPV, and multiple male partners. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 5 See full question13s Report this Question A woman with ovarian cancer has been told that she is in stage III of the cancer. The nurse is reviewing the information with her. Which statement would help in the woman's understanding of stage III ovarian cancer? You Selected: The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity. Correct response: The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity. Explanation: The staging and diagnosis is performed by a laparoscopy. The staging is I to IV. Stage III means the cancer has spread to the lymph nodes and other areas in the abdominal cavity. A five-year survival rate for this stage is 30% to 60%. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 276. Chapter 8: Cancers of the Female Reproductive Tract - Page 276 Add a Note Question 6 See full question11s Report this Question A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client? You Selected: clear information on the disease, management, and treatment Correct response: clear information on the disease, management, and treatment Explanation: Women diagnosed with cancer of the reproduction tract need to understand their disease, prognosis, and what treatment options they have. The nurse's role is to educate with effective and clear communication techniques. The nurse should be sincere and may provide realistic hope, but her role as educator is primary. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 289. Chapter 8: Cancers of the Female Reproductive Tract - Page 289 Add a Note Question 7 See full question9s Report this Question A 36-year-old was diagnosed with uterine fibroids (leiomyomas). The nurse teaches the client to expect which clinical manifestation? You Selected: abnormal uterine bleeding Correct response: abnormal uterine bleeding Explanation: Fibroids are dependent on estrogen and grow rapidly during the childbearing years unless menopause occurs. Abnormal uterine bleeding is a clinical manifestation. Diarrhea is not a factor; constipation and abdominal pain can occur if fibroids are getting larger. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 257. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 257 Add a Note Question 8 See full question8s Report this Question The nurse is reviewing with a new client the diagnosis of polycystic ovarian syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome? You Selected: type 2 diabetes Correct response: type 2 diabetes Explanation: With PCOS, the client is at risk for long-term health issues such as reproductive cancers, cardiovascular disease, hypertension, type 2 diabetes, and dyslipidemia. Migraines can be caused by many unknown factors and appear in numerous disorders. Celiac disease is not associated with PCOS. Cellulitis is an acute infection, not a long-term health issue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 261. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 261 Add a Note Question 9 See full question9s Report this Question A client comes to the genitourinary clinic with very mild symptoms of pelvic organ prolapse (POP) that has just started in the last several days. What would be the treatment of choice for this client? You Selected: Kegel exercises Correct response: Kegel exercises Explanation: Kegel exercises strengthen the pelvic floor muscles to support the inner organs and prevent further prolapse; they might limit the progression of mild prolapse and alleviate some symptoms. They will not, however, help severe uterine prolapse. Surgery is for more severe cases. Doing nothing is not an option, and the colpexin sphere would be used in a case that had more pronounced symptoms. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, pp. 247-248. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247-248 Add a Note Question 10 See full question12s Report this Question The nurse is teaching a premenopausal client about dietary and lifestyle modifications that can reduce the risk factors for developing pelvic organ prolapse (POP). The nurse is describing which type of prevention? You Selected: primary Correct response: primary Explanation: Informing the client about factors in her lifestyle that might be modified to reduce her risk of developing POP would be an exmaple of primary prevention. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 250. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 250 Add a Note Question 11 See full question13s Report this Question The nurse who counsels clients who suffer from intimate partner violence understands that abuse can come in which different forms? Select all that apply. You Selected: emotional abuse financial abuse sexual abuse Correct response: emotional abuse physical abuse financial abuse sexual abuse Explanation: Abusers may use whatever it takes to control a situation—from emotional abuse to physical assault. The different types of intimate partner violence include emotional, physical, financial, and sexual abuse. Although a person could put down someone's religion and/or keep someone from worshipping, there is not a distinct abuse labeled as spiritual abuse at this time. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 12 See full question9s Report this Question The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior? You Selected: moderate to severe violence with people both within and outside the family Correct response: moderate to severe violence with people both within and outside the family Explanation: The client's spouse belongs to the group of perpetrators who are generally violent and engage in moderate to severe violence, both inside and outside of the home; they tend to meet criteria for antisocial personality disorder and are likely to have an extensive history of criminal behavior. These perpetrators become aggressive when they misinterpret neutral and positive emotional cues as negative and when they are unable to identify expressions of fear. Another group of perpetrators, family-only perpetrators, engage in lower severity violent behaviors and exhibit the lowest levels of psychopathology. A third group of perpetrators, those with borderline personality disorder characteristics or dysphoria, engage in moderate to severe violence and demonstrate the highest levels of emotional volatility, dependency, and psychological distress. These perpetrators have a heightened sensitivity to emotional displays that predisposes them to interpret social situations as threatening and to respond with emotional dysregulation, verbal attacks, and physical violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 13 See full question8s Report this Question A client presents for a routine check-up at a local health care center. One of the client's distant relatives died of ovarian cancer, and the client wants to know about measures that can reduce the risk of ovarian cancer. The nurse informs the client about which measure to reduce the risk of ovarian cancer? You Selected: Provide genetic counseling and thorough assessment. Correct response: Provide genetic counseling and thorough assessment. Explanation: Only 5% of ovarian cancers are genetic in origin. However, the nurse needs to tell the client to seek genetic counseling and thorough assessment to reduce her risk of ovarian cancer. Oral contraceptives reduce the risk of ovarian cancer and should be encouraged. Breastfeeding should be encouraged as a risk-reducing strategy. The nurse should instruct the client to avoid using perineal talc or hygiene sprays. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 14 See full question15s Report this Question A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client? You Selected: The test is conducted because of abnormal results in a Papanicolau test. Correct response: The test is conducted because of abnormal results in a Papanicolau test. Explanation: The nurse should explain to the client that the colposcopy is done because the care provider has observed abnormalities in the Papanicolau test results. The nurse should also explain to the client that the procedure is painless and there are no adverse effects, such as pain during urination. There is no need to avoid intercourse for a week after the colposcopy. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 15 See full question17s Report this Question 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. You Selected: high vegetable-fruit diet low-fat diet regular exercise Correct response: low-fat diet regular exercise high vegetable-fruit diet adequate fluid intake Explanation: Many of the conditions can be improved and/or prevented by following a low-fat, high vegetable-fruit diet, and getting regular exercise. High-impact aerobics should be avoided because of the excessive downward pressure placed on organs. Educating your clients will help improve their lives and possibly prevent many disorders. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 16 See full question27s Report this Question An experienced nurse has just read that women have a one-in-three lifetime risk of developing cancer and becomes concerned that she has provided enough education. What should this nurse do to help prevent deaths from cancer? Select all that apply. You Selected: Focus on screening Provide education to all women Correct response: Focus on screening Provide education to all women Tell women about early symptoms Explanation: Women do have a one-in-three lifetime risk of developing cancer, and one out of every four deaths is from cancer. Therefore, nurses must focus on screening and educating all women regardless of risk factors. The other options are not acceptable. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 282. Chapter 8: Cancers of the Female Reproductive Tract - Page 282 Add a Note Question 17 See full question9s Report this Question The nurse teaches a woman to change tampons frequently, wash her hands thoroughly before and after inserting or removing tampons; use the lowest absorbency tampon, and store tampons correctly. The nurse should point out these actions will help avoid which disorder? You Selected: PID Correct response: TSS Explanation: Toxic shock syndrome is a rare illness typically caused by bacteria. Teaching the client methods to decrease the exposure to bacteria is assisting in prevention of TSS. Pelvic inflammatory disorder occurs most commonly in association with untreated STIs, particularly in gonorrhea and chlamydia. Endometriosis is a painful reproductive and immunologic disorder in which tissue implants resembling endometrium grow outside of the uterus. Sexually transmitted infections are associated with sexual practices, not hygiene. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 136, 137, 146. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 136, 137, 146 Add a Note Question 18 See full question10s Report this Question The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process? You Selected: Actively listening to the client as he or she talks about the experience Correct response: Actively listening to the client as he or she talks about the experience Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 314. Chapter 9: Violence and Abuse - Page 314 Add a Note Question 19 See full question40s Report this Question A nurse is caring for a pregnant woman who has multiple bruises in varying stages across her body. Which is the priority nursing action? You Selected: Tell her about resources for abuse victims. Correct response: Ask if anyone at home has hit or hurt her. Explanation: In the case of suspected intimate partner violence, it is best for the nurse to ask direct questions. Asking all women at physical examinations to account for any bruise they have helps detect physical maltreatment. Intimate partner violence is not typically reported by the nurse, but by the adult client. Once the nurse believes abuse is occurring, it is important to give her resources for abuse victims. Referring to counseling may be an option, but it is best to verify first. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 309. Chapter 9: Violence and Abuse - Page 309 Add a Note Question 20 See full question20s Report this Question A woman is diagnosed with endometrial polyps after undergoing a hysteroscopy. When reviewing the documentation about the findings of this procedure, the nurse would expect to see the polpys being described as which color? You Selected: Cherry-red Correct response: Cherry-red Explanation: Endocervical polyps are typically cherry red in appearance whereas most cervical polyps are grayish-white. Vaginal discharge is typically described as mucopurulent or greenish-yellow.

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case? You Selected: Document only descriptions of medical interventions taken. Correct response: Use direct quotes and specific language. Explanation: The nurse should use direct quotes and specific language as much as possible when documenting. The nurse should not obtain photos of the client without informed consent. The nurse should, however, document the refusal of the client to be photographed. Documentation must include details as to the frequency and severity of abuse and the location, extent, and outcome of injuries, not just a description of the interventions taken. The nurse is required by law to inform the police of any injuries that involve knives, firearms, or other deadly weapons or that present life-threatening injuries. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 2 See full question54sReport this Question Which statement made by a male client who has a history of perpetrating intimate partner violence reflects a known factor that is characteristic of this behavior? You Selected: "It was just mom and me after dad died." Correct response: "My classmates always called me a bully." Explanation: Risk factors for intimate partner violence in men include taking aggression out on others while growing up as demonstrated by bullying. A male-dominated family life is considered a relationship factor that may trigger such violence. A preference for sports, such as football and soccer, are not considered risk factors for intimate partner violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 319. Chapter 9: Violence and Abuse - Page 319 Add a Note Question 3 See full question2m 17sReport this Question The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process? You Selected: Actively listening to the client as he or she talks about the experience Correct response: Actively listening to the client as he or she talks about the experience Explanation: Providing support and allowing the client to grieve for the loss is achieved by listening to and clarifying the reactions to the traumatic event. Although the other actions are appropriate, they are not focused on successful grieving but rather coping with stress and preparing the client to effectively deal with the common complications of this form of trauma. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 314. Chapter 9: Violence and Abuse - Page 314 Add a Note Question 4 See full question43sReport this Question A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply. You Selected: The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Correct response: The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low birth weight infant Explanation: Intimate partner violence (IPV) occurs in both heterosexual as well as same-sex relationships. The nurse needs to be on the lookout for signs of violence when caring for women. It is estimated that 4% to 8% of pregnant women experience abuse during the pregnancy. Signs include a passive or quiet client who may appear unkempt or depressed. The abuser often refuses to leave the client alone with the health care providers and answers questions posed to the mother. The abuser is often overly protective of the client. Consequences of abuse include poor weight gain during the pregnancy, late entry into prenatal care, preterm labor and fetal death. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, pp. 306-308. Chapter 9: Violence and Abuse - Page 306-308 Add a Note Question 5 See full question34sReport this Question While assessing a client, the nurse notes the partner answering questions for the client and clumps of hair missing from the client's head. What action will the nurse perform? You Selected: Determine if the client has alopecia. Correct response: Take the client to the lab for a blood draw. Explanation: The nurse would immediately isolate the client to provide privacy and prevent retaliation from the partner. Taking the client to the lab will isolate the client and allow an opportunity for the nurse to ask about abuse. Missing clumps of hair and the partner answering for the client are signs of intimate partner violence.

A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation? You Selected: Intimate partner violence in homosexual relationships may go unreported for fear of harassment. Correct response: Intimate partner violence in homosexual relationships may go unreported for fear of harassment. Explanation: Intimate partner violence occurs in both heterosexual and homosexual relationships, but violence within homosexual relationships may go unreported for fear of harassment or ridicule. Few statistics are available on its incidence in homosexual relationships. Intimate partner violence affects people at nearly every stage of their lives and may occur in old or young, beautiful or unattractive, married or single individuals. Until the 1970s, society tended to legitimize a man's power and control over a woman. Children who witness one parent abusing another are more likely to become delinquents or abusers themselves. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 302. Chapter 9: Violence and Abuse - Page 302 Add a Note Question 2 See full question52sReport this Question A nurse is reviewing the medical record of a client. Which information would the nurse identify as indicating emotional abuse? Select all that apply. You Selected: controlling how the family's money is spent forcing the victim to perform a degrading act calling the victim names throwing things at a victim threatening to hit the victim not allowing the victim to seek care for an injury Correct response: calling the victim names threatening to hit the victim forcing the victim to perform a degrading act Explanation: Calling the victim names; promising, swearing, or threatening to hit the victim; and forcing the victim to perform degrading or humiliating acts are examples of emotional abuse. Throwing things at the victim is an example of physical abuse. Controlling the finances and spending is an example of financial abuse. Interfering with a victim's access to health care for injuries is an example of physical abuse. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 3 See full question19sReport this Question Place the three phases of intimate partner violence in the order in which they occur. Use all options. You Selected: honeymoon phase tension-building phase acute violence phase Correct response: tension-building phase acute violence phase honeymoon phase Explanation: Tension building, the first phase, is seen as a building up of anger, arguments, and verbal fighting. The acute violence phase is the next phase, wherein physical harm comes to the victim. This can be a result of internal factors in the abuser or an external crisis. The honeymoon phase is the final phase in the cycle; during this phase, the relationship regains a feeling of calm and tranquility. This phase is filled with exchanges of love and passion. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 4 See full question22sReport this Question A nurse is conducting a presentation on violence and abuse for a community health program. When describing this concept, which information would the nurse include? Select all that apply. You Selected: Violence against women often goes unrecognized and unreported. Violence against men by women is being significantly addressed. Correct response: Violence against women often goes unrecognized and unreported. In some countries, violence against women is considered acceptable behavior. Explanation: Gender-based violence is a major global public health and human rights problem and one that often goes unrecognized and unreported. It is a common source of physical, psychological, and emotional morbidity. Pregnancy is a time of unique vulnerability to intimate partner violence (IPV) victimization because of changes in women's physical, social, emotional, and economic needs during pregnancy. Although the true prevalence of violence during pregnancy is unclear, research suggests it is substantial and often continues into the postpartum period. Female-perpetrated violence against male partners receives little attention. Although women are victims of violence more frequently than men, the prevalence of violence among men nonetheless represents a significant public health concern. Although women can be violent in relationships with men, and also in same-sex partnerships, the overwhelming burden of partner violence is borne by women at the hands of men. Nearly 4 in 10 women and 1 in 10 men in the United States have experienced rape, physical violence, and/or stalking by a partner with IPV-related impact Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 301. Chapter 9: Violence and Abuse - Page 301 Add a Note Question 5 See full question54sReport this Question Which statement made by a new nurse demonstrates an understanding of the prevalence of sexual assault and related violence among the population? You Selected: "I've come to realize that I need to include questions related to sexual assault and related violence into the assessment of all my clients." Correct response: "I've come to realize that I need to include questions related to sexual assault and related violence into the assessment of all my clients." Explanation: Nurses will come in contact with sexual assault and related violence no matter what health care setting they work in and among all segments of the population. Nurses must be ready to ask the right questions and to act on the answers, because such action could be lifesaving.

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The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?" What would be the nurses's best response? You Selected: The couple can control the time between births when they plan their family. Correct response: The couple can control the time between births when they plan their family. Explanation: Women and couples can avoid unwanted pregnancies, bring about wanted births, and control the intervals between births. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 135. Chapter 4: Common Reproductive Issues - Page 135 Add a Note Question 2 See full question11s Report this Question A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client? You Selected: removal of breast tissue, axillary nodes, and some chest muscles Correct response: removal of breast tissue, axillary nodes, and some chest muscles Explanation: A modified radical mastectomy involves removal of breast tissue, the axillary nodes, and some chest muscles but not the pectoralis major muscle. The surgery will not produce a concave anterior chest. With a simple mastectomy, all breast tissue, the nipple, and the areola are removed, but the axillary nodes and pectoral muscles are spared. A lumpectomy, or breast-conserving surgery, involves the wide local excision of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 3 See full question27s Report this Question The nurse is developing a presentation for a local women's health center about breast cancer. Which cancer would the nurse include as being the most common type of breast cancer? You Selected: invasive ductal carcinoma Correct response: invasive ductal carcinoma Explanation: The most common malignancy is invasive ductal carcinoma (85%), followed by infiltrating ductal carcinoma (75%), tubular carcinoma, colloid carcinoma, medullary, and inflammatory breast cancer, the rarest but most aggressive form of breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 4 See full question16s Report this Question During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis? You Selected: genital herpes Correct response: condylomata acuminata Explanation: HPV is an identified precursor to condylomata acuminata, or genital warts. Herpes, gonorrhea, and candidiasis are not likely to result directly from HPV. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 5 See full question20s Report this Question A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem? You Selected: "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." Correct response: "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." Explanation: Seventy-five percent of women with chlamydial infections are asymptomatic. Blindness is a rare complication in adults who live in industrialized countries, and both men and women can become sterile from the effects. Syphilis, not chlamydial infections, has a course of three distinct stages. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 6 See full question10s Report this Question A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about? You Selected: overstimulation of the ovary resulting in potential multiple births Correct response: overstimulation of the ovary resulting in potential multiple births Explanation: Therapy with clomiphene citrate may be used to stimulate ovulation. Administration of either clomiphene citrate or gonadotropins may overstimulate an ovary, causing multiple ova to come to maturity and possibly resulting in multiple births. The nurse should counsel women who receive these agents that this is a possibility. None of the other answers is a common effect of clomiphene citrate use. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, p. 132. Chapter 4: Common Reproductive Issues - Page 132 Add a Note Question 7 See full question9s Report this Question The nurse is caring for a client at the ambulatory care clinic who questions the nurse for information about contraception. The client reports that she is not comfortable about using any barrier methods and would like the option of regaining fertility after a couple of years. Which method should the nurse suggest to this client? You Selected: CycleBeads or medroxyprogesterone injection Correct response: CycleBeads or medroxyprogesterone injection Explanation: The best option for a client who is not well educated would be the Standard Days Method with CycleBeads, as the 32 color-coded CycleBeads are easy to use and understand. An injection of medroxyprogesterone would also suit this client, as it works by suppressing ovulation and the production of follicle stimulating hormone and leutinizing hormone by the pituitary gland and prevents pregnancy for 3 months at a time. BBT requires the client to take and chart her body temperature; this may be difficult for the client to follow. Coitus interruptus is a method in which the man controls his ejaculation and ejaculates outside the vagina; this suggests that the client rely solely on the cooperation and judgment of her spouse. The lactational amenorrhea method works as a temporary method of contraception only for breastfeeding mothers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 142. Chapter 4: Common Reproductive Issues - Page 142 Add a Note Question 8 See full question20s Report this Question A 30-year-old client tells the nurse that she would like to use a contraceptive sponge but does not know enough about its use and whether it will protect her against sexually transmitted infections (STIs). Which information should the nurse provide the client about using a contraceptive sponge? Select all that apply. You Selected: Wet the sponge with water before inserting it. Correct response: Wet the sponge with water before inserting it. Insert the sponge 24 hours before intercourse. Leave the sponge in place for at least 6 hours following intercourse. Explanation: The nurse should instruct the client to wet the sponge before inserting it, to insert it 24 hours before intercourse, and to leave it in place for at least 6 hours following intercourse to be effective. The sponge should not be replaced every 2 hours because this will reduce its efficacy. A contraceptive sponge covers the cervix and releases spermicide. It does not protect against STIs. Therefore, keeping the sponge in for more than 30 hours will not prevent STIs, but it will increase risk of toxic shock syndrome. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 146. Chapter 4: Common Reproductive Issues - Page 146 Add a Note Question 9 See full question16s Report this Question A female client with metastatic breast disease is receiving trastuzumab as part of her immunotherapy. The client has nausea, fatigue, diarrhea, appears jaundice, and has a distended abdomen. What would the nurse do next? You Selected: Notify the health care provider. Correct response: Notify the health care provider. Explanation: Adverse effects of trastuzumab include cardiac toxicity, vascular thrombosis, hepatic failure, fever, chills, nausea, vomiting, and pain with first infusion. The nurse should monitor for these adverse effects with the first infusion of trastuzumab. The nurse would notify the health care provider since the client is showing signs of hepatic failure. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 10 See full question9s Report this Question An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition? You Selected: Use high-protein supplements. Correct response: Use high-protein supplements. Explanation: The nurse should instruct the client to use high-protein supplements to provide quick and easy protein and calories. The nurse should also instruct the client to eat dry crackers upon arising, not after every meal, and to eat six small meals a day, not three. Drinking fluids constantly while eating is not recommended. The nurse should instruct the client to separate the intake of food and fluids. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 202. Chapter 5: Sexually Transmitted Infections - Page 202 Add a Note Question 11 See full question16s Report this Question 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? You Selected: White Correct response: Black Explanation: Although the incidence of breast cancer is highest in Whites, Black women have a higher breast cancer mortality rate at every age and a lower survival rate than any other racial or ethnic group. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 235. Chapter 6: Disorders of the Breasts - Page 235 Add a Note Question 12 See full question11s Report this Question The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her? You Selected: medroxyprogesterone acetate Correct response: medroxyprogesterone acetate Explanation: Medroxyprogesterone acetate is an injectable form of a progesterone-only contraceptive that is given every 12 weeks. It works by suppressing ovulation and the production of FSH and LH by the pituitary gland. Etonogestrel is an implantable form contraceptive. Norelgestromin/ethinyl estradiol is a patch-type contraceptive, and levonorgestrel/ethinyl estradiol is an oral contraceptive that uses a 365-day combination dosing. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 120. Chapter 4: Common Reproductive Issues - Page 120 Add a Note Question 13 See full question10s Report this Question The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method? You Selected: coitus interruptus method Correct response: coitus interruptus method Explanation: Fertility awareness refers to any natural contraceptive method that does not require hormones, pharmaceutical compounds, physical barriers, or surgery to prevent pregnancy. Fertility awareness-based methods (FAMs) use physical signs and symptoms that change with hormone fluctuations throughout a woman's menstrual cycle to predict a woman's fertility. Techniques used to determine fertility include the cervical mucus ovulation method, the basal body temperature method, the symptothermal method, standard day's method, and two-day method. Coitus interruptus or withdrawal is not considered a fertility awareness based method. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 142. Chapter 4: Common Reproductive Issues - Page 142 Add a Note Question 14 See full question11s Report this Question A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia? You Selected: 70% Correct response: 70% Explanation: Asymptomatic infection is common among both men and women, affecting 50% and 70%, respectively. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 15 See full question12s Report this Question A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings? You Selected: human papillomavirus Correct response: human papillomavirus Explanation: HPV presents itself with wart-like lesions that are soft, moist, or flesh colored and appear on the vulva and cervix, and inside and surrounding the vagina and anus. The other diagnoses do not present with wart-like lesions. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 16 See full question9s Report this Question A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infectious diseases. What is the nurse's best response? You Selected: "This STI is characterized by an infection of your cervix." Correct response: "This STI is characterized by an infection of your cervix." Explanation: STIs like chlamydia result in a cervicitis that implies the presence of inflammation or infection of the cervix. It produces quantities of purulent discharge. Cervicitis is usually caused by gonorrhea or chlamydia. Chlamydia will not produce ulcers or warts and is not a STI that has itching associated with it. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 177. Chapter 5: Sexually Transmitted Infections - Page 177 Add a Note Question 17 See full question18s Report this Question A female client comes to the clinic for an evaluation. Assessment reveals flu-like symptoms and a maculopapular rash on her trunk, and the palms of her hands and the soles of her feet. The client also reports hair loss and fatigue. She states, "I had a small ulcer near my vagina about 6 weeks ago that went away." Based on these findings, the nurse suspects that the client has syphilis at which stage? You Selected: secondary Correct response: secondary Explanation: The client's assessment findings support secondary syphilis. Primary syphilis is characterized by a painless ulcer (chancre) at the site of bacterial entry that disappears within 1 to 6 weeks without intervention. Early and late latent syphilis are characterized by no symptoms but a positive serology. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 191. Chapter 5: Sexually Transmitted Infections - Page 191 Add a Note Question 18 See full question19s Report this Question A nurse practitioner is performing a clinical breast exam and notes a mass. Which findings would lead the nurse practitioner to suspect that the mass is benign? Select all that apply. You Selected: irregularly shaped Correct response: absence of nipple retraction firmness on palpation clearly delineated margins Explanation: Benign breast masses are usually firm and rubbery with clearly delineated margins and no nipple retraction. Malignant breast masses ofen are hard on palpation and irregularly shaped with skin dimpling. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 216. Chapter 6: Disorders of the Breasts - Page 216 Add a Note Question 19 See full question20s Report this Question A nurse is providing care to a client diagnosed with stage II breast cancer. Which finding would the nurse interpret as characteristic of this stage? You Selected: tumor that is about 3/4 inch (1.9 centimeters) in diameter Correct response: tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes Explanation: Stage II breast cancer is characterized by a tumor that is 1 to 2 inches (2.5 to 5.1 centimeters) in diameter and spread to axillary lymph nodes. Stage I breast cancer is characterized by a localized tumor, less than 1 inch (2.5 centimeters) in diameter. Stage IV breast cancer is characterized by a tumor that has metastasized to other body organs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 20 See full question13s Report this Question The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. Which treatment options should the nurse point out as most appropriate? Select all that apply. You Selected: reduction of caffeine intake vitamin and mineral supplements Correct response: reduction of caffeine intake vitamin and mineral supplements NSAIDs Explanation: Treatment options for PMS include lifestyle changes such as reduction in caffeine intake, a well-balanced diet with increased water intake, and limited alcohol intake. Vitamin and mineral supplements, NSAIDs, and diuretic therapy may be used. Antidepressants and antianxiety agents, not antipsychotic agents, may also be options.

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A nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (GnRH) medication for uterine fibroids. For which side effect of GnRH medications should the nurse monitor the client? You Selected: vaginal dryness Correct response: vaginal dryness Explanation: Vaginal dryness is one of the side effects of GnRH medications. The other side effects of GnRH medications are hot flashes, headaches, mood changes, musculoskeletal malaise, bone loss, and depression. Increased vaginal discharge, urinary tract infections, and vaginitis are side effects of a pessary, not GnRH medications. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 256. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 256 Add a Note Question 2 See full question11s Report this Question The nurse is conducting a presentation about urinary incontinence for a local women's group. During the presentation, which statement by a member of the group would the nurse need to clarify? You Selected: "It's normal for a woman to develop incontinence as she ages." Correct response: "It's normal for a woman to develop incontinence as she ages." Explanation: A common misconception is that incontinence is an age-related change. It is not a normal part of aging. Urinary incontinence is preventable, treatable, and often curable. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 3 See full question11s Report this Question A client diagnosed with pelvic organ prolapse is being taught how to perform pelvic floor muscle exercises. During the teaching session, the client asks the nurse, "How do these exercises help?" Which response by the nurse would be most appropriate? You Selected: "They help to increase the volume of your muscles which leads to stronger muscle contraction." Correct response: "They help to increase the volume of your muscles which leads to stronger muscle contraction." Explanation: The purpose of pelvic floor exercises is to increase the muscle volume, which will result in a stronger muscular contraction. The exercises do not move the pelvic floor upward, increase blood supply, or establish regular elimination patterns. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 4 See full question22s Report this Question A client is diagnosed with polycystic ovary syndrome. The nurse would include teaching about which therapies? Select all that apply. You Selected: ovulation induction agents antidiabetic agents hair stimulating agents Correct response: ovulation induction agents antidiabetic agents weight loss Explanation: Treatment modalities for polycystic ovary syndrome include: oral contraceptives to treat menstrual irregularities and acne; mechanical hair removal (shaving, waxing, plucking, or electrolysis) to treat hirsutism; glucophage, which improves insulin uptake by fat and muscle cells, to treat hyperinsulinemia and/or thiazolinediones to decrease insulin resistance; ovulation induction agents to treat infertility; and lifestyle changes (e.g., weight loss, exercise, balanced low-fat diet). Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 262. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 262 Add a Note Question 5 See full question23s Report this Question The nurse teaches a woman to change tampons frequently, wash her hands thoroughly before and after inserting or removing tampons; use the lowest absorbency tampon, and store tampons correctly. The nurse should point out these actions will help avoid which disorder? You Selected: TSS Correct response: TSS Explanation: Toxic shock syndrome is a rare illness typically caused by bacteria. Teaching the client methods to decrease the exposure to bacteria is assisting in prevention of TSS. Pelvic inflammatory disorder occurs most commonly in association with untreated STIs, particularly in gonorrhea and chlamydia. Endometriosis is a painful reproductive and immunologic disorder in which tissue implants resembling endometrium grow outside of the uterus. Sexually transmitted infections are associated with sexual practices, not hygiene.

A 25-year-old woman is at the primary care provider for her annual check up. The nurse educated the woman on risks for cervical cancer. Which question would be important to ask as part of a risk screening? You Selected: "Were you sexually active at an early age?" Correct response: "Were you sexually active at an early age?" Explanation: Women that have a history of sexual activity within the first year of getting their menstrual cycle are at increased risk for cervical cancer later in life. Infertility, obesity, and high blood pressure put women more at risk for endometrial cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 2 See full question23s Report this Question A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Papanicolau test. How could the nurse best educate the client before her procedure to make sure results are not affected? You Selected: Refrain from sexual intercourse 48 hours before testing to ensure clear results. Correct response: Refrain from sexual intercourse 48 hours before testing to ensure clear results. Explanation: Nurses should use teaching guidelines with clients to optimize the Papanicolau test results. Strategies to educate would include: no douche, no tampons, no jellies, no spermicides, no intercourse. The optimal time for testing is 2 weeks after the first day of your last menses. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 289. Chapter 8: Cancers of the Female Reproductive Tract - Page 289 Add a Note Question 3 See full question25s Report this Question A client is waiting for the results of an endometrial biopsy for suspected endometrial cancer. She wants to know more about endometrial cancer and asks the nurse about the available treatment options. Which treatment information should the nurse give the client? You Selected: Surgery involves removal of the uterus, fallopian tubes, and ovaries; adjuvant therapy is used if relevant. Correct response: Surgery involves removal of the uterus, fallopian tubes, and ovaries; adjuvant therapy is used if relevant. Explanation: The nurse should inform the client that surgery most often involves removal of the uterus (hysterectomy) and the fallopian tubes and ovaries (salpingo-oophorectomy). Removal of the tubes and ovaries, not just the uterus, is recommended because tumor cells spread early to the ovaries, and any dormant cancer cells could be stimulated to grow by ovarian estrogen. In advanced cancers, radiation and chemotherapy are used as adjuvant therapies to surgery. Routine surveillance intervals for follow-up care are typically every 3 to 4 months for the first 2 years. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 281. Chapter 8: Cancers of the Female Reproductive Tract - Page 281 Add a Note Question 4 See full question9s Report this Question 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? You Selected: Highest incidence of cervical cancer is in women 40 to 49 years of age. Correct response: Highest incidence of cervical cancer is in women 40 to 49 years of age. Explanation: The highest incidence of cervical cancer is in women 40 to 49 years of age. It rarely develops in women younger than 20. It is five to eight times more common in women affected with HIV or AIDS. A Papanicolau test is the best screening tool currently available to detect cervical cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 283. Chapter 8: Cancers of the Female Reproductive Tract - Page 283 Add a Note Question 5 See full question17s Report this Question A nurse is preparing a presentation for a health fair at a local college. The nurse is creating a poster to emphasize the need for cervical cancer screening. The nurse would list which age to begin screening? You Selected: 21 years Correct response: 21 years Explanation: The American College of Obstetricians and Gynecologists (2015) recommends that cervical cancer screening should begin at age 21 years (regardless of sexual history), because women younger than age 21 are at very low risk of cancer.

A nurse assesses and suspects vulvar cancer based on which assessment finding? You Selected: fleshy, ulcerated mass on the labia majora Correct response: fleshy, ulcerated mass on the labia majora Explanation: A vulvar lump or mass is most often noted, and it may be fleshy, ulcerated, leukoplakic, or warty. Vulvar itching that does not respond to creams or ointments is a common complaint associated with vulvar cancer. Vulvar bleeding and dysuria may be seen with vulvar cancer but would be uncommon findings. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 292. Chapter 8: Cancers of the Female Reproductive Tract - Page 292 Add a Note Question 2 See full question20sReport this Question Which finding would the nurse expect when assessing the breasts of a client with fibrocystic breast disease? You Selected: soft mass Correct response: soft mass Explanation: The characteristic breast mass of fibrocystic disease is soft to firm, movable, and unlikely to cause nipple retraction. Nipple retraction, enlarged lymph nodes, and skin dimpling are more commonly associated with breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 3 See full question9sReport this Question A 30-year-old client asks the nurse about risk factors for ovarian cancer. Which risk factor should be included in client education? You Selected: infertility Correct response: infertility Explanation: Pregnancy decreases a woman's risk for ovarian cancer; infertility increases that risk. Risk increases in women older than 50 years and for women who experienced late menopause (older than 55 years). Breastfeeding may have a protective effect. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 4 See full question28sReport this Question Which statement is accurate regarding the treatment of breast cancer? You Selected: Often, the first treatment option for breast cancer is surgery. Correct response: Often, the first treatment option for breast cancer is surgery. Explanation: Often, the first treatment option presented to women diagnosed with breast cancer is surgical removal of the tumor. Women with hormone-sensitive cancers have a good prognosis and often need only hormonal treatment. Immunotherapy is often used as an adjunct to surgery. Chemotherapy is effective in treating systemic cancers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 225. Chapter 6: Disorders of the Breasts - Page 225 Add a Note Question 5 See full question19sReport this Question A 47-year-old woman was just diagnosed with a cancer of her reproductive tract. The public health nurse is aiding in counseling. Which nursing interventions would be supportive in counseling this woman? Select all that apply. You Selected: Use sincere, basic communication techniques. Give postoperative care and instructions when prescribed. Validate the client's feelings and provide realistic hope. Correct response: Use sincere, basic communication techniques. Validate the client's feelings and provide realistic hope. Give postoperative care and instructions when prescribed. Explanation: Nursing interventions in caring for women with cancers of the female reproductive tract include the following: Validate the client's feelings and provide realistic hope; use basic communication skills in a caring way; give useful, nonjudgmental information to all women; give individual care for each person; and give discharge and postoperative care when ordered. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, pp. 272-273. Chapter 8: Cancers of the Female Reproductive Tract - Page 272-273 Add a Note Question 6 See full question9sReport this Question A nursing student is studying gynecological cancers and is excited when she reads that birth control pills can have a positive effect on preventing which disease? You Selected: ovarian cancer Correct response: ovarian cancer Explanation: Risk-reduction strategies for preventing ovarian cancer include pregnancy, use of oral contraceptives, and breastfeeding. No research states that oral contraceptives help to prevent the other cancers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 278. Chapter 8: Cancers of the Female Reproductive Tract - Page 278 Add a Note Question 7 See full question9sReport this Question A client with abnormal uterine bleeding is diagnosed with small ovarian cysts. The nurse has to educate the client on the importance of routine check-ups. Which assessment is most appropriate for this client's condition? You Selected: Schedule an ultrasound every 3 to 6 months. Correct response: Schedule an ultrasound every 3 to 6 months. Explanation: The nurse should monitor the client with ultrasound scans every 3 to 6 months. Monitoring gonadotropin level and blood sugar level and scheduling periodic Papanicolau tests are not important assessments for the client with small ovarian cysts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 261. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 261 Add a Note Question 8 See full question10sReport this Question A client with large uterine fibroids is scheduled to undergo a hysterectomy. Which intervention should the nurse perform as a part of the preoperative care for the client? You Selected: Teach turning, deep breathing, and coughing. Correct response: Teach turning, deep breathing, and coughing. Explanation: The nurse should teach the client turning, deep breathing, and coughing prior to the surgery to prevent atelectasis and respiratory complications such as pneumonia. Reducing activity level and the need for pelvic rest are instructions related to discharge planning after the client has undergone a hysterectomy. A high fat diet need not be avoided before undergoing hysterectomy; avoiding a high-fat diet is required for clients with pelvic organ prolapse to reduce constipation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 258. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 258 Add a Note Question 9 See full question20sReport this Question A female client with metastatic breast disease is receiving trastuzumab as part of her immunotherapy. The client has nausea, fatigue, diarrhea, appears jaundice, and has a distended abdomen. What would the nurse do next? You Selected: Notify the health care provider. Correct response: Notify the health care provider. Explanation: Adverse effects of trastuzumab include cardiac toxicity, vascular thrombosis, hepatic failure, fever, chills, nausea, vomiting, and pain with first infusion. The nurse should monitor for these adverse effects with the first infusion of trastuzumab. The nurse would notify the health care provider since the client is showing signs of hepatic failure. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 10 See full question9sReport this Question A nurse is caring for a client who has just had her intraductal papilloma removed through a surgical procedure. What instructions should the nurse give this client as part of her care? You Selected: Continue monthly breast self-examinations. Correct response: Continue monthly breast self-examinations. Explanation: When caring for a client who has just undergone surgery for intraductal papilloma, the nurse should instruct the client to continue monthly breast self-examinations along with yearly clinical breast examinations. Applying warm compresses to the affected breast and wearing a supportive bra 24 hours a day are instructions given in cases of mastitis but not for intraductal papilloma. The nurse should instruct clients to refrain from consuming salt in the diet in cases of fibrocystic breast changes but not in cases of intraductal papilloma. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 11 See full question12sReport this Question 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: You Selected: education. Correct response: education. Explanation: The primary care provider will ultimately be responsible for treatment and deciding the client's options. The nurse will assist by helping the woman to prioritize the voluminous amount of information given to her so she can make informed decisions. The nurse should prepare an individual packet of information and review it with the client. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 230. Chapter 6: Disorders of the Breasts - Page 230 Add a Note Question 12 See full question14sReport this Question 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? You Selected: Black Correct response: Black Explanation: Although the incidence of breast cancer is highest in Whites, Black women have a higher breast cancer mortality rate at every age and a lower survival rate than any other racial or ethnic group. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 235. Chapter 6: Disorders of the Breasts - Page 235 Add a Note Question 13 See full question15sReport this Question 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? You Selected: More than 90% of squamous cervical cancers contain HPV DNA. Correct response: More than 90% of squamous cervical cancers contain HPV DNA. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 283. Chapter 8: Cancers of the Female Reproductive Tract - Page 283 Add a Note Question 14 See full question18sReport this Question 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? You Selected: offering emotional support Correct response: offering emotional support Explanation: Although teaching, advocating and acting as case manager may be important, the nurse plays a key role in offering emotional support and helping the women use effective coping strategies. The diagnosis of cancer puts fear into many clients, and the nurse being available and offering the emotional support will help the client work through the process of continued diagnostic testing, procedures, and recovery. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 270. Chapter 8: Cancers of the Female Reproductive Tract - Page 270 Add a Note Question 15 See full question13sReport this Question A nurse is providing care to a client diagnosed with stage II breast cancer. Which finding would the nurse interpret as characteristic of this stage? You Selected: tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes Correct response: tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes Explanation: Stage II breast cancer is characterized by a tumor that is 1 to 2 inches (2.5 to 5.1 centimeters) in diameter and spread to axillary lymph nodes. Stage I breast cancer is characterized by a localized tumor, less than 1 inch (2.5 centimeters) in diameter. Stage IV breast cancer is characterized by a tumor that has metastasized to other body organs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 16 See full question20sReport this Question A nurse is conducting a presentation for a local women's group about urinary incontinence. During the presentation, several of the women voice statements about their beliefs related to this condition. Which statements would the nurse identify as misconceptions that need to be corrected? Select all that apply. You Selected: "It is an inevitable part of aging." "It is an acceptable part of being a woman." "It is a condition that cannot be prevented." Correct response: "It is an inevitable part of aging." "It is an acceptable part of being a woman." "It is a condition that cannot be prevented." Explanation: There are many misconceptions about urinary incontinence. Clients may feel that it is: inevitable and not amenable to treatment; a "normal" part of aging; and normal part of being "female"; only treatable by surgery; and a hygiene problem and not a medical condition. Incontinence is preventable, treatable, and often curable. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 252. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 252 Add a Note Question 17 See full question10sReport this Question A nurse is providing care to a client with uterine fibroids who is prescribed a progestin antagonist. Which medication would the nurse most likely expect the client to receive? You Selected: mifepristone Correct response: mifepristone Explanation: Mifepristone is a progestin antagonist used to treat uterine fibroids. Leuprolide, nafarelin, and goserelin are gonadotropin-releasing hormone antagonists. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 256. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 256 Add a Note Question 18 See full question27sReport this Question A nurse is reviewing the history of a woman diagnosed with pelvic organ prolapse. Which factor in the woman's history would the nurse identify as increasing the woman's risk for this condition? Select all that apply. You Selected: History of chronic diarrhea Hysterectomy 3 years ago History of four term pregnancies Correct response: Delivery of first child at age 18 years Hysterectomy 3 years ago History of four term pregnancies Explanation: Risk factors associated with pelvic organ prolapse include reproductive surgery such as hysterectomy, multiparity, young age at first birth, and a history of increased abdominal pressure such as from straining due to chronic constipation, and obesity. A body mass index of 25 or more is considered obese. Diarrhea would not be associated with increased abdominal pressure. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, Etiology, pp. 246-247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 246-247 Add a Note Question 19 See full question18sReport this Question A woman with uterine prolapse is scheduled to undergo surgery. When providing preoperative teaching, the nurse reviews information about the type of surgery being planned. Based on the nurse's knowledge of the client's condition, the nurse would most likely include informaton about which surgery? You Selected: Vaginal hysterectomy Correct response: Vaginal hysterectomy Explanation: A vaginal hysterectomy is the treatment of choice for uterine prolapse because it removes the prolapsed organ that is bringing down the bladder and rectum with it. An anterior or posterior colporrhapy is used to repair a cystocele or rectocele, respectively. Bilateral salpingectomy removes the fallopian tubes and would not be indicated in this situation. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, Surgical Interventions, p. 249. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 249 Add a Note Question 20 See full question16sReport this Question A woman is diagnosed with endometrial polyps after undergoing a hysteroscopy. When reviewing the documentation about the findings of this procedure, the nurse would expect to see the polpys being described as which color? You Selected: Grayish-white Correct response: Cherry-red Explanation: Endocervical polyps are typically cherry red in appearance whereas most cervical polyps are grayish-white. Vaginal discharge is typically described as mucopurulent or greenish-yellow.

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? You Selected: "I'll do the check about a week after my period." Correct response: "I'll do the check about a week after my period." Explanation: Breast self-examination is best performed a week after menses, when swelling has subsided. Breast self-examination is typically performed every month. Both the breast area and the area between the breast and underarm, including the underarm itself, should be part of breast self-examination. The woman should use the pads of her three middle fingers for palpation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 2 See full question20sReport this Question During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which suggestion would be most appropriate? You Selected: Wear gloves and protective clothing to avoid any injuries. Correct response: Wear gloves and protective clothing to avoid any injuries. Explanation: The nurse should recommend that the client wear gloves when doing backyard work or housework to prevent injuries that may heal slowly or become infected. Working, whether it be in the backyard or doing some household chores, can be helpful in promoting feelings of usefulness, thereby enhancing the client's coping abilities and self-esteem. She could be advised to follow up more frequently; however, this would not help prevent any untoward injury. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 234. Chapter 6: Disorders of the Breasts - Page 234 Add a Note Question 3 See full question17sReport this Question After teaching a client with mastitis about caring for her breasts, the nurse determines that the client has understood the instructions when she makes which statement? You Selected: "I will express milk with a breast pump until infection is resolved." Correct response: "I will express milk with a breast pump until infection is resolved." Explanation: The client statement about expressing milk with a breast pump until the infection is resolved indicates effective teaching. The client should apply warm soaks to the breast or let warm water from a shower flow over the breast. The nurse should advise the client to wear a supportive brassiere. The client should bathe or shower regularly. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 6: Disorders of the Breasts, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 4 See full question21sReport this Question A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies? You Selected: mammogram Correct response: mammogram Explanation: When caring for a client considering breast augmentation, the nurse should provide her with a general guideline to have a mammogram to verify that there are no malignancies. Mastopexy involves a breast lift for drooping breasts. Ultrasound or breast biopsy would not be necessary unless there was evidence of a problem Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 227. Chapter 6: Disorders of the Breasts - Page 227 Add a Note Question 5 See full question12sReport this Question After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which sign? You Selected: painless mass Correct response: breast symmetry Explanation: The primary sign of breast cancer is a painless mass in the breast. Other signs of breast cancer include a bloody discharge from the nipple, a dimpling of the skin over the lesion, retraction of the nipple, peau d'orange (orange peel) appearance of the skin, and a difference in size between the breasts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 6 See full question12sReport this Question After teaching a local woman's community group about cervical cancer, the nurse understands that teaching has been successful when the group identifies which condition as a risk factor for cervical cancer? You Selected: genital herpes Correct response: genital herpes Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 7 See full question17sReport this Question At what age should a woman with no risk factors begin mammography screening for breast cancer? Your Response: 40 Correct response: 40 Explanation: Every woman should begin annual mammography to detect breast cancer at the age of 40. Women who have certain risk factors may begin screening earlier. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 223. Chapter 6: Disorders of the Breasts - Page 223 Add a Note Question 8 See full question10sReport this Question A nurse is preparing a woman for a Papanicolau test. The nurse has already washed her hands and gathered all necessary equipment (maintaining sterility). What is the next step in the procedure? You Selected: Position the client in stirrups or foot pedals so that her knees fall outward. Correct response: Position the client in stirrups or foot pedals so that her knees fall outward. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 287. Chapter 8: Cancers of the Female Reproductive Tract - Page 287 Add a Note Question 9 See full question23sReport this Question An obese 37-year-old woman has been diagnosed with uterine fibroids. The treatment prescribed is gonadotropin-releasing hormone (GnRH). Which side effect of this medication will the nurse need to review with the client? You Selected: increased vaginal discharge Correct response: depression Explanation: GnRH is used in the treatment of uterine fibroids to reduce the size of the tumors and to treat the symptoms. Long use of the hormone can be expensive and difficult for women to tolerate. Side effects include depression, migraine, bone loss, hot flashes, mood changes, and vaginal dryness. These masses tend to occur during birthing years and shrink during menopause. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 256. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 256 Add a Note Question 10 See full question13sReport this Question The nurse working in the genitourinary clinic understands that the most common cause for women suffering from urinary incontinence is: You Selected: pelvic organ prolapse (POP). Correct response: pelvic organ prolapse (POP). Explanation: The majority of the more than 13 million people in the United States who experience urinary incontinence are women with POP. Obesity and estrogen deficiency are both factors for developing POP. UTI and ERT do not cause POP. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 11 See full question24sReport this Question The postmenopausal woman who has bleeding and spotting and cannot tolerate a endometrial biopsy in the office would have which test done to rule out endometrial cancer? You Selected: Papanicolau test Correct response: transvaginal ultrasound Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 282. Chapter 8: Cancers of the Female Reproductive Tract - Page 282 Add a Note Question 12 See full question14sReport this Question The nursing student correctly identifies which procedure as the treatment of choice for endometrial cancer? You Selected: hysterectomy and salpingo-oophorectomy Correct response: hysterectomy and salpingo-oophorectomy Explanation: Surgery is the usual and best treatment for endometrial cancer. It usually involves remmoval of the uterus (hysterectomy) and the fallopian tubes and ovaries (salpingo-oophorectomy). In a D&C;the surgeon dilates the cervix and removes part of the lining of the uterus and/or contents of the uterus. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 281. Chapter 8: Cancers of the Female Reproductive Tract - Page 281 Add a Note Question 13 See full question33sReport this Question A nurse is caring for a female client with urinary incontinence. Which instructions should the nurse include in the client's teaching plan to reduce the incidence or severity of incontinence? Select all that apply. You Selected: Increase fiber in the diet. Continue pelvic floor exercises. Control blood glucose levels. Correct response: Continue pelvic floor exercises. Increase fiber in the diet. Control blood glucose levels. Explanation: The teaching guidelines include continuing pelvic floor (Kegel) exercises, increasing fiber in the diet to reduce constipation, and controlling blood glucose levels to prevent polyuria. The nurse should instruct the client to reduce the intake of fluids and foods that are bladder irritants, such as orange juice, soda, and caffeine, and the client should wipe from front to back to prevent urinary tract infections. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 254. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 254 Add a Note Question 14 See full question11sReport this Question 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: You Selected: "I'm not going home with a Foley catheter in place." Correct response: "I'm not going home with a Foley catheter in place." Explanation: A Foley catheter will be left in place for up to one week to allow the surgical site time to heal properly. The client may also experience some dysuria once it is removed due to the swelling that can occur. The client will need instructions on how to properly care for a leg bag, the importance of pelvic rest to allow for proper healing, and using stool softeners to avoid straining or stressing the pelvic region. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 15 See full question50sReport this Question 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: You Selected: urethrovaginal fistula. Correct response: urethrovaginal fistula. Explanation: The majority of genital fistulas are the result of obstetric trauma. When labor is obstructed or prolonged, this unrelieved compression causes ischemia, which causes pressure necrosis and subsequent fistula formation. A urethrovaginal fistula is formed between the urethra and vagina. Vesicovaginal fistulas occur between the bladder and genital tract. A rectovaginal fistula would occur between the rectum or sigmoid colon and vagina. Urge incontinence would result with the urine leaking from the urethra, not vagina. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 259. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 259 Add a Note Question 16 See full question30sReport this Question 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. You Selected: regular exercise low-fat diet adequate fluid intake high vegetable-fruit diet Correct response: low-fat diet regular exercise high vegetable-fruit diet adequate fluid intake Explanation: Many of the conditions can be improved and/or prevented by following a low-fat, high vegetable-fruit diet, and getting regular exercise. High-impact aerobics should be avoided because of the excessive downward pressure placed on organs. Educating your clients will help improve their lives and possibly prevent many disorders. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 17 See full question15sReport this Question The nurse works at a cancer treatment center working with 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? You Selected: 80% Correct response: 80% Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 290. Chapter 8: Cancers of the Female Reproductive Tract - Page 290 Add a Note Question 18 See full question14sReport this Question 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: You Selected: endometrial cancer. Correct response: endometrial cancer. Explanation: Any episode of bright-red bleeding that occurs after menopause should be investigated. It should be regarded with suspicion for endometrial cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 281. Chapter 8: Cancers of the Female Reproductive Tract - Page 281 Add a Note Question 19 See full question27sReport this Question 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? You Selected: "I'll use the same technique for breast self-exam as before." Correct response: "I'll use the same technique for breast self-exam as before." Explanation: Breast examination in women with reconstructive surgery is done exactly the same way as for natural breasts. Breasts with implants in place usually feel firmer than normal breast tissue on palpation due to the formation of a fibrotic band or capsule around the implant. The exact anatomical placement of breast implants can vary, but the location typically is subglandular (over the pectoral muscle) or subpectoral (under the muscle). Breast implants are not lifetime devices, but most are guaranteed for approximately ten years in case of rupture. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 227. Chapter 6: Disorders of the Breasts - Page 227 Add a Note Question 20 See full question14sReport this Question A nurse is assisting with the pelvic exam of a woman who has come to the clinic with reports of abnormal vaginal bleeding. The client is diagnosed with an endocervical polyp. The nurse understands that the pelvic exam most likely revealed a polyp appearing as: You Selected: cherry red. Correct response: cherry red. Explanation: Most endocervical polyps are cherry red; most cervical polyps are grayish-white.

A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement? You Selected: "It can be done with frozen donor sperm." Correct response: "It can be done with frozen donor sperm." Explanation: Fresh or frozen sperm may be used. The success of in vitro fertilization is not related to the incidence of ovarian cancer in the family. Often more than one attempt is needed before successful implantation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 130. Chapter 4: Common Reproductive Issues - Page 130 Add a Note Question 2 See full question42s Report this Question After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? You Selected: "I'll feel my breasts using my thumb and index finger." Correct response: "I'll do the check about a week after my period." Explanation: Breast self-examination is best performed a week after menses, when swelling has subsided. Breast self-examination is typically performed every month. Both the breast area and the area between the breast and underarm, including the underarm itself, should be part of breast self-examination. The woman should use the pads of her three middle fingers for palpation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 3 See full question17s Report this Question A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client? You Selected: removal of breast tissue, axillary nodes, and some chest muscles Correct response: removal of breast tissue, axillary nodes, and some chest muscles Explanation: A modified radical mastectomy involves removal of breast tissue, the axillary nodes, and some chest muscles but not the pectoralis major muscle. The surgery will not produce a concave anterior chest. With a simple mastectomy, all breast tissue, the nipple, and the areola are removed, but the axillary nodes and pectoral muscles are spared. A lumpectomy, or breast-conserving surgery, involves the wide local excision of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 4 See full question1m Report this Question A small amount of breast milk is obtained for culture and sensitivity testing from a client with mastitis. The nurse would expect the results to identify which organism as the most likely cause? You Selected: Staphylococcus aureus Correct response: Staphylococcus aureus Explanation: The most common causative microorganism associated with mastitis is Staphylococcus aureus. Chlamydia is a sexually transmitted infection. Streptococcus is commonly associated with strep throat. E. coli is a common cause of urinary tract infections. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 5 See full question10s Report this Question Which medication is the most effective treatment for trichomoniasis? You Selected: metronidazole Correct response: metronidazole Explanation: The most effective treatment for trichomoniasis is metronidazole and tinidazole. Penicillin G benzathine is used for syphilis. Doxycycline and azithromycin are used in the treatment of chlamydia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 186. Chapter 5: Sexually Transmitted Infections - Page 186 Add a Note Question 6 See full question10s Report this Question The nurse should carefully screen a client who insists on using only combined oral contraceptives for which contraindication? You Selected: deep vein thrombosis Correct response: deep vein thrombosis Explanation: The nurse should screen the client for deep vein thrombosis (DVT), migraine headaches, neurological symptoms, coronary artery disease or cerebral vascular disease, severe diabetes, hypertension, liver disease, breast or endometrial cancer, and unexplained vaginal bleeding when combined oral contraceptives are used. Gastrointestinal diseases are contraindicated in the use of progestin-only pills. Combined oral contraceptives are not contraindicated in clients who drink alcohol. Impaired absorption is a contraindication for the use of progestin-only pill. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 148. Chapter 4: Common Reproductive Issues - Page 148 Add a Note Question 7 See full question2m 8s Report this Question A breast tumor is most likely found in what part of the breast? You Selected: the upper outer quadrant Correct response: the upper outer quadrant Explanation: Although they can occur throughout the breast, breast tumors are most frequently located in the upper outer quadrant of the breast. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 213. Chapter 6: Disorders of the Breasts - Page 213 Add a Note Question 8 See full question13s Report this Question A female client comes to the clinic and asks the nurse what would be the most cost effective method for her to determine her ovulation patterns. What is the best response by the nurse? You Selected: "The least costly method to determine ovulation patterns is to record the basal body temperature for at least 4 months." Correct response: "The least costly method to determine ovulation patterns is to record the basal body temperature for at least 4 months." Explanation: The least costly way to determine a woman's ovulation pattern is to ask her to record her basal body temperature (BBT) for at least 4 months. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 141. Chapter 4: Common Reproductive Issues - Page 141 Add a Note Question 9 See full question39s Report this Question In which clients is it most important to understand the importance of an annual Papanicolaou test? You Selected: clients infected with the human papillomavirus (HPV) Correct response: clients infected with the human papillomavirus (HPV) Explanation: HPV causes genital warts, which are associated with an increased incidence of cervical cancer. Recurrent candidiasis, pregnancy before age 20, and use of hormonal contraceptives do not increase the risk of cervical cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 196. Chapter 5: Sexually Transmitted Infections - Page 196 Add a Note Question 10 See full question10s Report this Question A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment? You Selected: Avoid alcohol. Correct response: Avoid alcohol. Explanation: The nurse should counsel the client taking metronidazole to avoid alcohol during the treatment because mixing the two causes severe nausea and vomiting. Avoiding extremes of temperature to the genital area is a requirement for clients with genital ulcers, not trichomoniasis. The nurse should instruct the client to avoid sex, regardless of using condoms, until she and her sex partners are cured, that is, when therapy has been completed and both partners are symptom-free. It is not required to increase fluid intake during treatment. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 186. Chapter 5: Sexually Transmitted Infections - Page 186 Add a Note Question 11 See full question1m 12s Report this Question A nurse is caring for a female client who is undergoing treatment for genital warts due to human papillomavirus (HPV). Which information should the nurse include when educating the client about the risk of cervical cancer? Select all that apply. You Selected: Recurrence of genital warts increases risk of cervical cancer. Obtaining a Papanicolau test routinely helps early detection of cervical cancer. Correct response: Obtaining a Papanicolau test routinely helps early detection of cervical cancer. Recurrence of genital warts increases risk of cervical cancer. Use of latex condoms is associated with a lower rate of cervical cancer. Explanation: When educating the client about cervical cancer, the nurse should inform the client that recurrence of genital warts increases the risk of cervical cancer and that she should obtain routine Papanicolau testing to detect cervical cancer. Use of latex condoms reduces the risk of cervical cancer. Abnormal vaginal discharge does not necessarily indicate cervical cancer. There is no significant link between use of broad-spectrum antibiotics and increased risk of cervical cancer. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 196. Chapter 5: Sexually Transmitted Infections - Page 196 Add a Note Question 12 See full question2m 33s Report this Question When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply. You Selected: being a 52-year-old female Correct response: BRCA1 gene menarche at age 11 being a 52-year-old female Explanation: Risk factors can be divided into those that cannot be changed (nonmodifiable) and that that can (modifiable). Nonmodifiable risk factors include gender, age (>50 years old), genetic mutations, personal history of ovarian or colon cancer, early menarche (<12 years old) and race (higher in white women) just to name a few. Failing to breastfeed, high fat dietary intake, and lack of exercise are examples of modifiable risk factors. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 13 See full question19s Report this Question The nurse is reviewing a client's electronic medical record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system. What is the best description of dyspareunia that the nurse can share with the nursing student who is going to see this client with the nurse? You Selected: A woman experiences painful intercourse. Correct response: A woman experiences painful intercourse. Explanation: Intercourse may become painful (dyspareunia) as the vaginal mucosal wall becomes thinner and vaginal secretions decrease. Female climacteric is called menopause. Osteoporosis is a condition in which bones become brittle and porous and fracture more easily. The uterus may fall (prolapse) into the vagina. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 163. Chapter 4: Common Reproductive Issues - Page 163 Add a Note Question 14 See full question10s Report this Question The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms? You Selected: trichomoniasis Correct response: trichomoniasis Explanation: Trichomoniasis symptoms are vulvar itching and a malodorous foamy yellow vaginal discharge. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 178. Chapter 5: Sexually Transmitted Infections - Page 178 Add a Note Question 15 See full question26s Report this Question A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis? You Selected: gonorrhea Correct response: gonorrhea Explanation: There is a common co-infection of chlamydia and gonorrhea when chlamydia is not treated with the necessary antibiotic medication combination. Anemia does not correlate with chlamydia, and there is no evidence that it precipitates liver disease. CNS disorders would be from syphilis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 178. Chapter 5: Sexually Transmitted Infections - Page 178 Add a Note Question 16 See full question15s Report this Question A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider most likely prescribe? You Selected: metronidazole Correct response: metronidazole Explanation: Trichomoniasis is a common vaginal infection with the therapeutic management of metronidazole or tinidazole for both partners. Trichomoniasis is a common, curable sexually transmitted infection (STI) caused by a parasitic protozoa called Trichomonas. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 181. Chapter 5: Sexually Transmitted Infections - Page 181 Add a Note Question 17 See full question43s Report this Question A nurse is providing care to a client diagnosed with stage II breast cancer. Which finding would the nurse interpret as characteristic of this stage? You Selected: tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes Correct response: tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes Explanation: Stage II breast cancer is characterized by a tumor that is 1 to 2 inches (2.5 to 5.1 centimeters) in diameter and spread to axillary lymph nodes. Stage I breast cancer is characterized by a localized tumor, less than 1 inch (2.5 centimeters) in diameter. Stage IV breast cancer is characterized by a tumor that has metastasized to other body organs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 18 See full question11s Report this Question The school nurse is counseling a sexually active 16-year-old adolescent about the various forms of contraception. She is afraid of getting pregnant or contracting a sexually transmitted infection because her boyfriend refuses to use a condom. In answering the client's questions as to which option will be best suit her needs, which form should the nurse recommend? You Selected: Female condom Correct response: Female condom Explanation: The female condom would be the best choice for this client, as it provides protection against both STIs and conception. A tubal ligation would not be recommended for a 16-year-old girl, as it is a permanent measure and she may decide to have children in the future. Neither an oral contraceptive nor coitus interruptus would provide protection against STIs. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, pp. 143-144. Chapter 4: Common Reproductive Issues - Page 143-144 Add a Note Question 19 See full question12s Report this Question A client calls the clinic nurse crying, saying that she just can't live with herself since she had an abortion 2 months ago. What is the priority referral for the nurse to make? You Selected: The local mental health crisis center Correct response: The local mental health crisis center Explanation: The client is in distress and needs to be evaluated for safety. The nurse should contact the local mental health crisis center, which can conduct a thorough mental health evaluation of the client. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, p. 160. Chapter 4: Common Reproductive Issues - Page 160 Add a Note Question 20 See full question10s Report this Question A client is to take clomiphene citrate for infertility. Which outcome should the nurse explain is the expected action of this medication? You Selected: Stimulate the release of ova Correct response: Stimulate the release of ova Explanation: Clomiphene citrate stimulates the release of FSH and LH which is responsible for the maturity and release of ovum from the ovary.

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? You Selected: yearly mammograms for women over age 40 Correct response: yearly mammograms for women over age 40 Explanation: The American Cancer Society recommends yearly mammograms for women over age 40. Clinical breast examinations are recommended every year starting at age 40. According to the American Cancer Society Breast Cancer Screening Guidelines, breast self-examination is optional. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 222. Chapter 6: Disorders of the Breasts - Page 222 Add a Note Question 2 See full question9s Report this Question The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis? You Selected: green vaginal discharge Correct response: green vaginal discharge Explanation: Symptoms of trichomoniasis include a yellow, green, or gray vaginal discharge with a foul odor. Urinary incontinence is not indicative of trichomoniasis, but dysuria is. Syphilis is associated with flu-like symptoms. Lesions on the vulva are a sign of venereal warts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 185. Chapter 5: Sexually Transmitted Infections - Page 185 Add a Note Question 3 See full question4m 32s Report this Question The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response? You Selected: "We call this drug a chemotherapy agent." Correct response: "Tamoxifen reduces the incidence." Explanation: Tamoxifen is referred to as a chemopreventive agent, not a chemotherapeutic agent. It does prevent osteoporosis, but this response does not address breast cancer prevention. Raloxifene is another drug that shows promise as a chemopreventive agent. Tamoxifen reduces breast cancer incidence by 49%. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 4 See full question17s Report this Question Which instruction should the nurse give to a client with genital herpes to help control the infection? You Selected: Avoid sexual contact until sores heal. Correct response: Avoid sexual contact until sores heal. Explanation: The nurse should instruct the client to avoid sexual contact until sores heal completely and new skin forms. Application of antibacterial medication is suggested for wounds in case of lymphedema. Clients with HIV are advised to avoid people with upper respiratory infections. Application of imiquimod cream is suggested for clients infected with human papillomavirus. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 191. Chapter 5: Sexually Transmitted Infections - Page 191 Add a Note Question 5 See full question27s Report this Question The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include? You Selected: chlamydia Correct response: chlamydia Explanation: Chlamydia is the most common and fastest-spreading bacterial STI in the United States, with 2.8 million new cases occurring each year. Gonorrhea is the second most frequently reported communicable disease in the U.S. The incidence of syphilis had been increasing for the past 6 years. One in five people older than age 12 is infected with the virus that causes genital herpes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 6 See full question10s Report this Question Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? You Selected: latency Correct response: latency Explanation: A period of latency occurs when the infected person has no signs or symptoms of syphilis. Secondary syphilis occurs when the hematogenous spread of organisms from the original chancre leads to generalized infection. Primary syphilis occurs 2 to 3 weeks after initial inoculation with the organism. Tertiary syphilis presents as a slowly progressive inflammatory disease with the potential to affect multiple organs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 193. Chapter 5: Sexually Transmitted Infections - Page 193 Add a Note Question 7 See full question49s Report this Question Subfertility/infertility is said to exist when a couple has failed to achieve pregnancy after how many months of unprotected sexual intercourse? Your Response: 9 Correct response: 12 Explanation: Infertility is the failure to achieve conception after 1 year of unprotected intercourse. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 128. Chapter 4: Common Reproductive Issues - Page 128 Add a Note Question 8 See full question26s Report this Question What is the most common breast mass in women? You Selected: fibroadenoma Correct response: fibroadenoma Explanation: A fibroadenoma is a benign mass in the breast. It is the most common breast mass among women. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 216. Chapter 6: Disorders of the Breasts - Page 216 Add a Note Question 9 See full question28s Report this Question How should the nurse counsel a postpartum client on how to prevent mastitis? You Selected: "If you notice that your breast is warm, hard, or red, stop feeding on that side and pump from that breast instead." Correct response: "Wash your hands thoroughly, and let your breasts dry after each feeding." Explanation: Handwashing is one of the best ways to prevent infection. If the woman feels that her breast is warm, hard, or red, she should increase the amount of breastfeeding from that side. It is not necessary to sterilize bottles and pumping equipment after each use. Normal dish washing is sufficient. Keeping the breasts exposed to the air to dry will aid in preventing infection. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 10 See full question9s Report this Question A young woman comes to the free clinic asking for birth control pills. Which factor best indicates that another type of contraception would be better for this client? You Selected: history of noncompliance with medications Correct response: history of noncompliance with medications Explanation: If a woman has a history of poor compliance with medication, it might not be realistic for her to plan on taking an oral contraceptive every day. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 159. Chapter 4: Common Reproductive Issues - Page 159 Add a Note Question 11 See full question10s Report this Question A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? You Selected: a painless genital ulcer that appeared about 3 weeks after unprotected sex Correct response: a painless genital ulcer that appeared about 3 weeks after unprotected sex Explanation: A painless genital ulcer is a symptom of primary syphilis. Macules on the palms and soles after fever are indicative of secondary syphilis, as is patchy hair loss. Wartlike papules are indicative of genital warts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 192. Chapter 5: Sexually Transmitted Infections - Page 192 Add a Note Question 12 See full question13s Report this Question A 30-year-old client tells the nurse that she would like to use a contraceptive sponge but does not know enough about its use and whether it will protect her against sexually transmitted infections (STIs). Which information should the nurse provide the client about using a contraceptive sponge? Select all that apply. You Selected: Wet the sponge with water before inserting it. Correct response: Wet the sponge with water before inserting it. Insert the sponge 24 hours before intercourse. Leave the sponge in place for at least 6 hours following intercourse. Explanation: The nurse should instruct the client to wet the sponge before inserting it, to insert it 24 hours before intercourse, and to leave it in place for at least 6 hours following intercourse to be effective. The sponge should not be replaced every 2 hours because this will reduce its efficacy. A contraceptive sponge covers the cervix and releases spermicide. It does not protect against STIs. Therefore, keeping the sponge in for more than 30 hours will not prevent STIs, but it will increase risk of toxic shock syndrome. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 146. Chapter 4: Common Reproductive Issues - Page 146 Add a Note Question 13 See full question46s Report this Question A client has undergone a mastectomy for breast cancer. Which instruction should the nurse include in the postoperative client teaching plan? You Selected: Avoid moving the affected arm in any way. Correct response: Elevate the affected arm on a pillow. Explanation: When providing care to the client, the nurse should instruct the client to elevate the affected arm on a pillow. As part of the respiratory care, the nurse should instruct the client to turn, cough, and breathe deeply every 2 hours; rapid breathing is not encouraged. Active range-of-motion and arm exercises are necessary. To counter any pain experienced by the client, analgesics are administered as needed; intake of medication is not restricted. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 234. Chapter 6: Disorders of the Breasts - Page 234 Add a Note Question 14 See full question12s Report this Question A nurse is caring for a client who has just given birth to a baby. Which information should the nurse give the client regarding hepatitis B vaccination for the baby? You Selected: Vaccine consists of a series of three injections given within 6 months. Correct response: Vaccine consists of a series of three injections given within 6 months. Explanation: The hepatitis B vaccine consists of a series of three injections given within 6 months. The vaccine is safe and well tolerated by most babies, including those who are underweight or premature. Vaccines are given after birth in most hospitals, not 6 months later. All babies are vaccinated, not just those whose mothers are identified as at high risk for hepatitis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 198. Chapter 5: Sexually Transmitted Infections - Page 198 Add a Note Question 15 See full question19s Report this Question A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby? You Selected: Instill a prophylactic agent in the eyes of the newborn. Correct response: Instill a prophylactic agent in the eyes of the newborn. Explanation: To prevent gonococcal ophthalmia neonatorum in the baby, the nurse should instill a prophylactic agent in the eyes of the newborn. Cephalosporins are administered to the mother during pregnancy to treat gonorrhea but not to prevent infection in the newborn. Performing a cesarean birth will not prevent gonococcal ophthalmia neonatorum in the newborn. An antiretroviral syrup is administered to the newborn only if the mother is human immunodeficiency virus-positive and will not help prevent gonococcal ophthalmia neonatorum in the baby. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 189. Chapter 5: Sexually Transmitted Infections - Page 189 Add a Note Question 16 See full question24s Report this Question At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment? You Selected: "I have to stop breastfeeding because of mastitis." Correct response: "I have to stop breastfeeding because of mastitis." Explanation: The nurse should teach the women about the etiology of mastitis and encourage breast-feeding, emphasizing that it is safe for infants. Continued emptying of the breast or pumping improves the outcome, decreases the duration of symptoms, and decreases the incidence of breast abscess. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 17 See full question13s Report this Question The school nurse is preparing a health education session on the topic of birth control for a college group. Which method should the nurse emphasize for this group? You Selected: barrier Correct response: barrier Explanation: The nurse should emphasize a barrier method of birth control such as a condom. The condom will help not only with birth control but with the spread of STIs, which is common in this age group. The other methods, such as hormonal, rhythm, and transdermal, will only prevent pregnancy and are more commonly utilized in long-term monogamous relationships. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 135. Chapter 4: Common Reproductive Issues - Page 135 Add a Note Question 18 See full question12s Report this Question A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the information? You Selected: Relatively easy procedure with few complications Correct response: Relatively easy procedure with few complications Explanation: The nurse should inform the individuals that vasectomy is a relatively easy procedure with few complications. Regular sperm counts following a vasectomy are important, as it will take approximately a month for the remaining sperm to exit the body. The client should use birth control measures until his sperm count remains at zero for 6 weeks. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 153. Chapter 4: Common Reproductive Issues - Page 153 Add a Note Question 19 See full question13s Report this Question A nurse is teaching a couple about how to use a condom. The nurse determines the couple can properly apply the condom when they state that it should be applied at which time to be most effective? You Selected: before penile-vulvar contact Correct response: before penile-vulvar contact Explanation: Some sperm may be released with pre-ejaculation semen, so a condom needs to be used with any penile-vulvar contact. It is best applied when the penis is erect. It is not necessary to apply an hour in advance. Waiting until after ejaculation would not be effective. It can be part of the foreplay, however, the primary goal is to prevent sperm from entering the vagina, so it should be in place before any penile-vulvar contact occurs. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 158. Chapter 4: Common Reproductive Issues - Page 158 Add a Note Question 20 See full question24s Report this Question The nurse working in a free health clinic assess a 17-year-old client interested in contraceptives. Which statement, if said by the client, would indicate that female or male condoms would be the appropriate recommendation for this client? You Selected: "Last year I was diagnosed with HPV." Correct response: "Last year I was diagnosed with HPV." Explanation: The client has already contracted HPV; to prevent further spread of it—or contracting others—the nurse should recommend the client use male or female condoms.

Painful intercourse Also called: Dyspareunia When assessing a client, a nurse determines that the client has a rectocele based on which finding? You Selected: sagging of the rectum, which pushes against or into the posterior vaginal wall Correct response: sagging of the rectum, which pushes against or into the posterior vaginal wall Explanation: A rectocele occurs when the rectum sags and pushes into or against the posterior vaginal wall. A cystocele occurs when the posterior bladder wall protrudes downward through the anterior vaginal wall. An enterocele occurs when the small intestine bulges through the posterior vaginal wall. Uterine prolapse occurs when the uterus descends through the pelvic floor and into the vaginal canal. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 245. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 245 Add a Note Question 2 See full question12s Report this Question The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease: You Selected: involves one or both ovaries and extends into the pelvis. Correct response: involves one or both ovaries and extends into the pelvis. Explanation: Stage II ovarian cancer involves one or both ovaries, with pelvic extension. Disease limited to the ovary characterizes stage I ovarian cancer. Stage III ovarian cancer has spread to the lymph nodes and other organs and structures inside the abdominal cavity. Stage IV disease typically involves metastasis to distant sites. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 276. Chapter 8: Cancers of the Female Reproductive Tract - Page 276 Add a Note Question 3 See full question15s Report this Question A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation? You Selected: Children who witness intimate partner violence against a parent are less likely to become abusers. Correct response: Intimate partner violence in homosexual relationships may go unreported for fear of harassment. Explanation: Intimate partner violence occurs in both heterosexual and homosexual relationships, but violence within homosexual relationships may go unreported for fear of harassment or ridicule. Few statistics are available on its incidence in homosexual relationships. Intimate partner violence affects people at nearly every stage of their lives and may occur in old or young, beautiful or unattractive, married or single individuals. Until the 1970s, society tended to legitimize a man's power and control over a woman. Children who witness one parent abusing another are more likely to become delinquents or abusers themselves. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 302. Chapter 9: Violence and Abuse - Page 302 Add a Note Question 4 See full question58s Report this Question The nursing instructor is teaching about Bartholin cysts and informs the students that Bartholin cysts are the most common cystic growth in the vulva. She describes this type of cyst as being: You Selected: a small growth that is benign. Correct response: a swollen, fluid-filled, sac-like structure. Explanation: A Bartholin cyst is a swollen, fluid-filled, sac-like structure that results when one of the ducts of the Bartholin's gland becomes blocked. A uterine fibroid is a benign proliferation composed of smooth muscle and fibrous connective tissue in the uterus. A fistual is a abnormal opening between a genital tract organ and another organ. A polyp is a small benign growth. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 259. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 259 Add a Note Question 5 See full question23s Report this Question The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response? You Selected: Hormone replacement will increase the blood perfusion and decrease the elasticity of the vaginal wall. Correct response: Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Explanation: Hormone replacement therapy may improve the tone and vascularity of the supporting tissue in perimenopausal and menopausal women by increasing blood perfusion and the elasticity of the vaginal wall. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 248. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 248 Add a Note Question 6 See full question8s Report this Question A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client? You Selected: ovarian cancer Correct response: ovarian cancer Explanation: The most common early signs for ovarian cancer include abdominal bloating, early satiety, fatigue, vague abdominal pain, urinary frequency, diarrhea or constipation, and unexplained weight loss or gain. Fibroids do not have these same symptoms, nor does breat cancer or POP. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 7 See full question9s Report this Question A postmenopausal client is told at her routine gynecological exam that the primary care provider has found a cyst on her right ovary. The nurse notices that this does not cause worry for this client. What should the nurse and/or care provider tell this client? You Selected: "After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise." Correct response: "After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise." Explanation: After menopause, a mass on an ovary is not a cyst; physiologic cysts can arise only from a follicle that has not ruptured or from the cystic degeneration of the corpus luteum. Brushing it off is not responsible, and waiting a full year would put the client at serious risk from dying from the cancer. Suggesting a second opinion instead of explaining the seriousness of it to the client would not be responsible or ethical. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 8 See full question9s Report this Question Nurses sometimes have difficulty assessing clients for intimate partner violence. Which screening protocol is most thorough when assessing for violence? You Selected: the SAVE model Correct response: the SAVE model Explanation: The SAVE model is a screening protocol that nurses can use when assessing a client for intimate partner violence. It stands for screen, ask, validate and evaluate. The SBAR is a reporting tool used by nurses when handing off clients. The FACE model is a pain scale used to evaluate pain in children. The RACE model is used when there is a fire. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 9 See full question9s Report this Question A nurse is educating a 25-year-old client with a family history of cervical cancer. Which test should the nurse inform the client about to detect cervical cancer at an early stage? You Selected: Papanicolaou test Correct response: Papanicolaou test Explanation: The client should have Papanicolaou tests regularly to detect cervical cancer during the early stages. Blood tests for mutations in the BRCA genes indicate the lifetime risk of the client of developing breast or ovarian cancer. CA-125 is a biologic tumor marker associated with ovarian cancer, but it is not currently sensitive enough to serve as a screening tool. The transvaginal ultrasound can be used to detect endometrial abnormalities. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 284. Chapter 8: Cancers of the Female Reproductive Tract - Page 284 Add a Note Question 10 See full question10s Report this Question A nurse is conducting an awareness session on sexual abuse, and she is explaining the psychological profile of an average abuser. Which trait is often displayed by abusers? You Selected: They exhibit antisocial behaviors. Correct response: They exhibit antisocial behaviors. Explanation: Abusers are most likely to exhibit antisocial behavior or childlike aggression. They use aggression to control their victims. Abusers come from all walks of life; they are not just restricted to low-income groups, nor are they necessarily products of divorced parents. The physical characteristics of the abusers vary, and they are not necessarily physically imposing. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 11 See full question18s Report this Question A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case? You Selected: Document only descriptions of medical interventions taken. Correct response: Use direct quotes and specific language. Explanation: The nurse should use direct quotes and specific language as much as possible when documenting. The nurse should not obtain photos of the client without informed consent. The nurse should, however, document the refusal of the client to be photographed. Documentation must include details as to the frequency and severity of abuse and the location, extent, and outcome of injuries, not just a description of the interventions taken. The nurse is required by law to inform the police of any injuries that involve knives, firearms, or other deadly weapons or that present life-threatening injuries. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 12 See full question27s Report this Question 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? You Selected: Adenocarcinomas are the most common cell type. Correct response: Pulmonary metastasis is common with adenocarcinomas of the vagina. Explanation: Adenocarcinomas demonstrate an increase in pulmonary metastases and supraclavicular and pelvic node involvement. Squamous cell carcinomas are the most common cell type associated with vaginal cancer. Squamous cell cancers develop slowly and spread early. Squamous cell carcinomas of the vagina usually occur in women over the age of 50. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 290. Chapter 8: Cancers of the Female Reproductive Tract - Page 290 Add a Note Question 13 See full question9s Report this Question 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: You Selected: via cesarean section. Correct response: via cesarean section. Explanation: In women with early-stage disease and absence of nodal involvement, there is an increasing tendency to preserve the pregnancy. The birth (when the fetal maturity is attained) should be performed using a cesarean section. Discussion with the client and her family is essential, and treatment must be individualized. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 274. Chapter 8: Cancers of the Female Reproductive Tract - Page 274 Add a Note Question 14 See full question7s Report this Question 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? You Selected: protrusion of the bladder wall through the anterior vaginal wall Correct response: protrusion of the bladder wall through the anterior vaginal wall Explanation: A cystocele occurs when the posterior bladder wall protrudes downward through the anterior vaginal wall. A rectocele occurs when the rectum sags and pushes into or against the posterior vaginal wall. An enterocele occurs when the small intestine bulges through the posterior vaginal wall. Uterine prolapse occurs when the uterus descends through the pelvic floor and into the vaginal canal. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 245. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 245 Add a Note Question 15 See full question10s Report this Question A nurse is preparing a client for discharge following an abdominal hysterectomy for fibroids. After providing discharge teaching, the nurse determines that the teaching was successful based on which client statement? You Selected: "I should shower rather than take a tub bath." Correct response: "I should shower rather than take a tub bath." Explanation: Following an abdominal hysterectomy, the client should not insert anything in her vagina for about 6 weeks (pelvic rest), should avoid heavy lifting or straining for about 6 weeks, shower rather than take tub baths, and increase her intake of high-fiber foods to promote bowel elimination and prevent straining. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 258. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 258 Add a Note Question 16 See full question20s Report this Question A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolau test? You Selected: 18 Correct response: 21 Explanation: Although professional medical organizations disagree as to the recommended frequency of screening for cervical cancer, ACOG (2015) recommends that cervical cancer screening should begin at age 21 years (regardless of sexual history) since women younger than age 21 are at very low risk of cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 285. Chapter 8: Cancers of the Female Reproductive Tract - Page 285 Add a Note Question 17 See full question13s Report this Question A 20-year-old college student presents to the health clinic reporting fatigue, nausea, vomiting, severe abdominal cramping radiating to the lower back, and headaches. She reports these symptoms have started accompanying her menstrual cycle, which started 2 days ago. The nurse anticipates the health care provider will attempt to rule out which disorder first? You Selected: Primary dysmenorrhea Correct response: Secondary dysmenorrhea Explanation: Dysmenorrhea is painful or difficult menses. Primary refers to painful menstrual periods not associated with a disease process; secondary dysmenorrhea is related to a pelvic pathology and should be ruled out first to ensure a serious problem is not neglected but corrected as quickly as possible. PMS is a normal change in mood and physical discomfort that occurs with menstruation. TSS is toxic shock syndrome and is caused by bacterial infections. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 118. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 118 Add a Note Question 18 See full question8s Report this Question A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor? You Selected: It interferes with the transport of ova due to tubal scarring. Correct response: It interferes with the transport of ova due to tubal scarring. Explanation: Pelvic inflammatory disease results in scarring and adhesions of the tubes, leading to poor transport of ova. PID does not affect hormone metabolism, nor does it affect the production of cervical mucus. Antibodies are present only in a few cases and are unrelated to PID. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, pp. 193-195. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 193-195 Add a Note Question 19 See full question12s Report this Question A client at 36 weeks' gestation presents in the emergency department with a broken arm. The client states, "I fell while cooking dinner." During the assessment, the nurse notes no prenatal care for this pregnancy, as well as bruises in multiple stages of healing on the client's abdomen, arms, and chest. What action will the nurse perform next? You Selected: Ask the client how she acquired the bruises Correct response: Ask the client how she acquired the bruises Explanation: First, the nurse will ask how the client acquired the multiple bruises. This will provide information on possible violence. The nurse would also notify the health care provider and document the findings. Information would be provided based on the finding of intimate partner violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 309. Chapter 9: Violence and Abuse - Page 309 Add a Note Question 20 See full question9s Report this Question A new nurse in the emergency department is caring for a pregnant woman who was beaten by her partner. Which statement by the new nurse would require intervention from the supervising nurse? You Selected: "That woman must be doing something to get beaten like that." Correct response: "That woman must be doing something to get beaten like that." Explanation: It is important not to blame abuse victims for the violence they receive. Therefore, the supervising nurse would need to intervene and clarify for the new nurse not to make comments that place blame on the victim. The other statements are fine; many nurses do not understand why abused women do not leave their partners. It is helpful to give information about women's shelters and provide input on an emergency plan in case the woman wants to leave and maintain safety.

The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?" What would be the nurses's best response? You Selected: The couple can control the time between births when they plan their family. Correct response: The couple can control the time between births when they plan their family. Explanation: Women and couples can avoid unwanted pregnancies, bring about wanted births, and control the intervals between births. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 135. Chapter 4: Common Reproductive Issues - Page 135 Add a Note Question 2 See full question13s Report this Question The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which complication? You Selected: fibrocystic breast disease Correct response: lymphedema Explanation: Lymphedema occurs in some women after breast cancer surgery. It causes disfigurement and increases the lifetime potential for infection and poor healing. Fibrocystic breast disease and fibroadenoma are two benign breast conditions that occur usually in premenopausal woman. Breast abscess is the infectious and inflammatory breast condition that is common among breastfeeding mothers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 3 See full question15s Report this Question A nursing diagnosis of Risk for impaired tissue integrity would be most appropriate for which client? You Selected: client having reconstructive breast surgery Correct response: client having reconstructive breast surgery Explanation: Reconstructive breast surgery places the client at risk for insufficient blood supply to the muscle graft and skin, which can lead to tissue necrosis. Endometriosis or oral contraceptives are not generally associated with altered tissue perfusion. Pressure from vaginal packing can sometimes put pressure on the bladder neck and interfere with voiding. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 4 See full question19s Report this Question The nurse who is teaching sexually transmitted infection (STI) prevention to college students states the risks associated with human papillomavirus (HPV). What would the nurse state as being the greatest danger with this disease? You Selected: cervical cancer Correct response: cervical cancer Explanation: Condylomata acuminate, more commonly known as genital warts (or venereal warts), are caused by HPV, a large group of viruses. About 30 viruses in this group are sexually transmitted, infecting the genital area, vulva, labia, or anus, and surrounding tissues. At least 10 of the known 30 HPV types can lead to development of cervical cancer. Two strains account for about 70% of HPV-related cancer cases and are linked with abnormal Papanicolau test results, indicating cancer of the cervix. Cancer of the anus and penis is also possible with HPV. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 5 See full question10s Report this Question A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis? You Selected: vaginal odor smelling of fish Correct response: vaginal odor smelling of fish Explanation: Bacterial vaginosis causes a "stale fish" vaginal odor. Cottage cheese-like discharge is seen in candidiasis and not in bacterial vaginosis, in which the discharge is thin and gray-white. Intense itching of the vulva is associated with candidiasis, not vaginosis. Warts in the vulva and labia are seen in human papillomavirus infection, not in vaginosis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 186. Chapter 5: Sexually Transmitted Infections - Page 186 Add a Note Question 6 See full question16s Report this Question A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply You Selected: Avoid the use of colored toilet tissue. Avoid using deodorant tampons. Wear only cotton panties and ventilated pantyhose. Correct response: Avoid using deodorant tampons. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 183. Chapter 5: Sexually Transmitted Infections - Page 183 Add a Note Question 7 See full question27s Report this Question A woman is crying because she just recently received the results of her biopsies, and they confirm that she has invasive breast cancer. Which response by the nurse is the most appropriate? You Selected: "I know a great support group you can join." Correct response: Listen to the woman talk, and remain silent for a while Explanation: When a woman first receives the devastating news of the diagnosis of cancer, most often the best response is to allow the woman to express her feelings and concerns before speaking. Giving her false reassurances is not therapeutic and can break reliability and trust in a provider/patient relationship. Attempting to give her information about groups or next steps before she is in a state to take it in is also nontherapeutic. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 233. Chapter 6: Disorders of the Breasts - Page 233 Add a Note Question 8 See full question19s Report this Question A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply. You Selected: semen analysis ovulation monitoring tubal patency Correct response: semen analysis ovulation monitoring tubal patency Explanation: Today, a subfertility investigation usually is limited to three assessments: semen analysis, ovulation monitoring, and tubal patency. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 131. Chapter 4: Common Reproductive Issues - Page 131 Add a Note Question 9 See full question11s Report this Question The nurse is assessing a male client who is concerned about his ability to produce enough sperm to have a child. He tells the nurse, "I have had some issues in my younger years." What questions would be important for the nurse to ask this client? Select all that apply. You Selected: "Are you exposed to X-rays or other radioactive substances?" Correct response: "Do you use drugs or use alcohol excessively? "Are you exposed to X-rays or other radioactive substances?" "Have you ever had any type of trauma or surgery on or near your testicles?" Explanation: Conditions that may inhibit sperm production are trauma to the testes, surgery on or near the testicles that results in impaired testicular circulation, and endocrine imbalances, particular of the thyroid, pancreas, or pituitary glands. Drug use or excessive alcohol use and environmental factors such as exposure to X-rays or radioactive substances have also been found to negatively affect spermatogenesis. Men exposed to radioactive substances in their work environments should be provided adequate protection for the testes. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 130. Chapter 4: Common Reproductive Issues - Page 130 Add a Note Question 10 See full question12s Report this Question Which instruction should be given to a woman newly diagnosed with genital herpes? You Selected: Limit stress and emotional upset as much as possible. Correct response: Limit stress and emotional upset as much as possible. Explanation: Stress, anxiety, and emotional upset seem to predispose a client to recurrent outbreaks of genital herpes. Sexual intercourse should be avoided during outbreaks, and a condom should be used between outbreaks; it is not known whether the virus can be transmitted at this time. During an outbreak, creams and lubricants should be avoided because they may prolong healing. Because a relationship has been found between genital herpes and cervical cancer, a Papanicolau test is recommended every year. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 190. Chapter 5: Sexually Transmitted Infections - Page 190 Add a Note Question 11 See full question11s Report this Question Mammography is recommended for a client diagnosed with intraductal papilloma. Which factor should the nurse ensure when preparing the client for a mammography? You Selected: Client has not applied deodorant on the day of testing. Correct response: Client has not applied deodorant on the day of testing. Explanation: When preparing a client for mammography, the nurse should ensure the client has not applied deodorant or powder on the day of testing because these products can appear on the X-ray film as calcium spots. It is not necessary for the client to avoid fluid intake 1 hour prior to testing. Mammography has to be scheduled just after the client's menses to reduce chances of breast tenderness, not when the client is going to start her menses. The client can take aspirin or acetaminophen after the completion of the procedure to ease any discomfort, but these medications are not taken before mammography. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 222. Chapter 6: Disorders of the Breasts - Page 222 Add a Note Question 12 See full question11s Report this Question A 52-year-old female client with an estrogen receptors positive (ER+) breast cancer is undergoing hormonal therapy. While taking a selective estrogen receptor modulator (SERM), the client begins to experience hot flashes. What should the nurse do next? You Selected: Document the hot flash in the client's chart. Correct response: Document the hot flash in the client's chart. Explanation: When caring for a client who is being administered selective estrogen receptor modulator, the nurse should monitor for side effects such as hot flashes, vaginal discharge, bleeding, and cataract formation. Hot flashes are an expected side effect of SERM; therefore, the nurse should document the finding in the chart. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 13 See full question7s Report this Question A client presents at the clinic and is interested in obtaining emergency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because: You Selected: ECs can help prevent STIs. Correct response: ECs simply prevent embryo creation and uterine implantation from occurring in the first place. Explanation: ECs prevent the embryo creation and uterine implantation from occurring. There is no evidence that ECs have any effect on an already-implanted ovum or that they induce abortion. They do not protect against STIs and are less effective than regular birth control. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 151. Chapter 4: Common Reproductive Issues - Page 151 Add a Note Question 14 See full question16s Report this Question 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? You Selected: BRCA-1 genetic marker Correct response: BRCA-1 genetic marker Explanation: Individuals with BRCA1 and BRCA2 mutations have a 75% lifetime risk of breast cancer and a 30% lifetime risk of ovarian cancer. The genetic influences of BRCA1 and BRCA2 are recognized to be a risk factor for developing breast carcinoma among family members. DNA ploidy status is used to confirm a malignant breast mass. Digital mammography is used to screen for breast masses. A fine-needle biopsy is used to identify if a mass is benign or malignant. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 224. Chapter 6: Disorders of the Breasts - Page 224 Add a Note Question 15 See full question8s Report this Question A young couple is exploring their contraceptive options and are curious about using an intrauterine contraceptive device. The nurse explains that there are two types, one that uses hormones and one that uses: You Selected: copper. Correct response: copper. Explanation: Currently three intrauterine contraceptives are available in the United States: the copper ParaGard-TCu-380A, the levonorgestrel-releasing intrauterine system (LNG-IUS) marketed as Mirena, and another LNG-IUD marketed as Skyla. The ParaGard-TCu-380A is approved for 10 years of use and is nonhormonal. Its mechanism of action is based on the release of copper ions, which alone are spermicidal. Additionally, the device causes an inflammatory action leading to a hostile uterine environment. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 150. Chapter 4: Common Reproductive Issues - Page 150 Add a Note Question 16 See full question9s Report this Question A client has presented reporting symptoms that suggest a gonorrheal infection. After laboratory testing confirms this diagnosis, the nurse anticipates that the client will also be treated for which infection? You Selected: chlamydia Correct response: chlamydia Explanation: The CDC recommends that any client being treated for gonorrhea should also be treated for chlamydia due to the common occurrence of co-infection of these two organisms. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 189. Chapter 5: Sexually Transmitted Infections - Page 189 Add a Note Question 17 See full question11s Report this Question A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States? You Selected: chlamydia Correct response: chlamydia Explanation: Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 18 See full question12s Report this Question A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student? You Selected: "Withdraw the penis erect, holding the condom firmly against the penis." Correct response: "Withdraw the penis erect, holding the condom firmly against the penis." Explanation: The teaching guidelines for proper condom use include: ensure the condom has been stored in a cool, dry place away from direct sunlight. Do not store condoms in wallet; put the condom on before any genital contact; put the condom on when penis is erect; ensure adequate lubrication during intercourse. If external lubricants are used, use only water-based lubricants. Oil-based or petroleum-based lubricants, such as body lotion or massage oil, can weaken latex condoms. Withdraw while penis is still erect, and hold condom firmly against base of penis. Remove carefully to ensure no semen spills out. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 182. Chapter 5: Sexually Transmitted Infections - Page 182 Add a Note Question 19 See full question9s Report this Question The nurse is teaching a young couple, who desire to start their family, the various methods for determining fertility. After discovering the woman regulary travels internationally for work, deals with a lot of job anxiety and frequently uses an electric blanket at home, the nurse will discourage the use of which method? You Selected: basal body temperature method Correct response: basal body temperature method Explanation: BBT is a method where the body temperature should be checked first thing in the morning and recorded, immediately after waking and before getting out of bed. It is important for the patient to maintain a normal bedtime routine. Use of the electric blanket, stress, and anxiety can cause a false elevation in the BBT. The calendar method would depend upon her schedule. Cervical mucus and symptothermal methodology would be viable options. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 141. Chapter 4: Common Reproductive Issues - Page 141 Add a Note Question 20 See full question8s Report this Question The nurse is preparing to teach a client how to conduct the BBT method to determine her fertile window. Which instruction should the nurse prioritize? You Selected: Temperature should be taken prior to any activity every morning. Correct response: Temperature should be taken prior to any activity every morning. Explanation: BBT is the basal body temperature method and requires the woman to take her temperature and record it every morning, first activity of the day before exiting the bed or other activities. To prevent conception avoid unprotected intercourse from the day the BBT drops through the fourth day of temperature elevation. The BBT alone is not a reliable method for predicting ovulation. Use BBT along with calendar or cervical mucus methods to increase effectiveness.

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? You Selected: yearly mammograms for women over age 40 Correct response: yearly mammograms for women over age 40 Explanation: The American Cancer Society recommends yearly mammograms for women over age 40. Clinical breast examinations are recommended every year starting at age 40. According to the American Cancer Society Breast Cancer Screening Guidelines, breast self-examination is optional. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 222. Chapter 6: Disorders of the Breasts - Page 222 Add a Note Question 2 See full question47s Report this Question The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which complication? You Selected: breast abscess Correct response: lymphedema Explanation: Lymphedema occurs in some women after breast cancer surgery. It causes disfigurement and increases the lifetime potential for infection and poor healing. Fibrocystic breast disease and fibroadenoma are two benign breast conditions that occur usually in premenopausal woman. Breast abscess is the infectious and inflammatory breast condition that is common among breastfeeding mothers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 3 See full question25s Report this Question After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which sign? You Selected: painless mass Correct response: breast symmetry Explanation: The primary sign of breast cancer is a painless mass in the breast. Other signs of breast cancer include a bloody discharge from the nipple, a dimpling of the skin over the lesion, retraction of the nipple, peau d'orange (orange peel) appearance of the skin, and a difference in size between the breasts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 4 See full question16s Report this Question What is the most common breast mass in women? You Selected: fibroadenoma Correct response: fibroadenoma Explanation: A fibroadenoma is a benign mass in the breast. It is the most common breast mass among women. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 216. Chapter 6: Disorders of the Breasts - Page 216 Add a Note Question 5 See full question37s Report this Question While performing a clinical breast examination, the nurse notes a firm and rubbery nodule that is well circumscribed and moves freely. How should the nurse counsel the client? You Selected: "It's most likely a fibroadenoma, but we may need to do a biopsy." Correct response: "It's most likely a fibroadenoma, but we may need to do a biopsy." Explanation: This description most closely matches a fibroadenoma, but diagnostic imaging and even biopsy are warranted to confirm and rule out a cancerous tumor. The nurse should never tell the client that she may have cancer because this will only cause anxiety. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 6 See full question10s Report this Question A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client? You Selected: clear information on the disease, management, and treatment Correct response: clear information on the disease, management, and treatment Explanation: Women diagnosed with cancer of the reproduction tract need to understand their disease, prognosis, and what treatment options they have. The nurse's role is to educate with effective and clear communication techniques. The nurse should be sincere and may provide realistic hope, but her role as educator is primary. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 289. Chapter 8: Cancers of the Female Reproductive Tract - Page 289 Add a Note Question 7 See full question32s Report this Question A 36-year-old was diagnosed with uterine fibroids (leiomyomas). The nurse teaches the client to expect which clinical manifestation? You Selected: abnormal uterine bleeding Correct response: abnormal uterine bleeding Explanation: Fibroids are dependent on estrogen and grow rapidly during the childbearing years unless menopause occurs. Abnormal uterine bleeding is a clinical manifestation. Diarrhea is not a factor; constipation and abdominal pain can occur if fibroids are getting larger. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 257. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 257 Add a Note Question 8 See full question21s Report this Question The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response? You Selected: Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Correct response: Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Explanation: Hormone replacement therapy may improve the tone and vascularity of the supporting tissue in perimenopausal and menopausal women by increasing blood perfusion and the elasticity of the vaginal wall. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 248. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 248 Add a Note Question 9 See full question10s Report this Question A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client? You Selected: ovarian cancer Correct response: ovarian cancer Explanation: The most common early signs for ovarian cancer include abdominal bloating, early satiety, fatigue, vague abdominal pain, urinary frequency, diarrhea or constipation, and unexplained weight loss or gain. Fibroids do not have these same symptoms, nor does breat cancer or POP. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 10 See full question8s Report this Question A nurse is caring for a client for whom estrogen replacement therapy has been recommended for pelvic organ prolapse. Which nursing intervention is the most appropriate for the nurse to implement before the start of the therapy? You Selected: Evaluate the client to validate her risk for complications. Correct response: Evaluate the client to validate her risk for complications. Explanation: Before starting estrogen replacement therapy, each woman must be evaluated on the basis of a thorough medical history to validate her risk for complications such as endometrial cancer, myocardial infarction, stroke, breast cancer, pulmonary emboli, or deep vein thrombosis. The effective dose of estrogen required, the dietary modifications, and the cost of estrogen replacement therapy can be discussed at a later stage when the client understands the risks associated with estrogen replacement therapy and decides to use hormone therapy. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 248. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 248 Add a Note Question 11 See full question9s Report this Question 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: You Selected: polycystic ovary syndrome. Correct response: polycystic ovary syndrome. Explanation: Polycystic ovary syndrome (PCOS) involves the presence of multiple inactive follicle cysts within the ovary that interfere with ovarian function. It is the most common cause of medically treatable infertility and is responsible for 70% of cases of anovulatory subfertility and up to 20% of couples' infertility cases. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 261. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 261 Add a Note Question 12 See full question8s Report this Question A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a "silent killer"? You Selected: ovarian cancer Correct response: ovarian cancer Explanation: Ovarian cancer has been described as the "overlooked disease" or "silent killer" because women and/or health care practitioners often ignore or rationalize early symptoms. It is typically diagnosed in advanced stages. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 13 See full question10s Report this Question A 55-year-old client presents to the clinic with persistent vulvar pruritus, burning, and a lump. She states she has had the symptoms for 5 months and has been trying to treat them with over-the-counter creams. She has a history of multiple sexual partners and HPV and is a smoker. What should the nurse do next? You Selected: Prepare the client for a biopsy of the lesion. Correct response: Prepare the client for a biopsy of the lesion. Explanation: The client has classic symptoms of vulvar cancer. All clients with vulvar lumps should be biopsied even if they are asymptomatic. Cryosurgery may be scheduled if the biopsy confirms the diagnosis of vulvar cancer. It is not important to know what creams the client has used or how much she smokes at this time. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 292. Chapter 8: Cancers of the Female Reproductive Tract - Page 292 Add a Note Question 14 See full question7s Report this Question The nurse is conducting a presentation about urinary incontinence for a local women's group. During the presentation, which statement by a member of the group would the nurse need to clarify? You Selected: "It's normal for a woman to develop incontinence as she ages." Correct response: "It's normal for a woman to develop incontinence as she ages." Explanation: A common misconception is that incontinence is an age-related change. It is not a normal part of aging. Urinary incontinence is preventable, treatable, and often curable. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 15 See full question17s Report this Question A nurse is conducting a presentation on breast cancer for a local women's group and explaining the possible risk factors associated with its development. The nurse determines that the group has understood the information when they identify which factor as increasing a woman's risk for breast cancer? You Selected: early menarche Correct response: early menarche Explanation: Risk factors associated with breast cancer include not having children until after the age of 30, exposure to chest radiation, late menopause and early menarche. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 16 See full question43s Report this Question A woman diagnosed with breast cancer is to undergo a lumpectomy followed by radiation therapy. When reviewing the treatment plan with the client, the nurse determines that the woman has understood the information based on which client statement? You Selected: "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks." Correct response: "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks." Explanation: Women undergoing breast-conserving therapy receive radiation after lumpectomy with the goal of eradicating residual microscopic cancer cells to limit locoregional recurrence. In women who do not require adjuvant chemotherapy, radiation therapy typically begins 2 to 4 weeks after surgery to allow healing of the lumpectomy incision site. Radiation is administered to the entire breast at daily doses over a period of several weeks. Breast-conserving surgery, the least invasive procedure, is the wide local excision (or lumpectomy) of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 225. Chapter 6: Disorders of the Breasts - Page 225 Add a Note Question 17 See full question9s Report this Question A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolau test? You Selected: 21 Correct response: 21 Explanation: Although professional medical organizations disagree as to the recommended frequency of screening for cervical cancer, ACOG (2015) recommends that cervical cancer screening should begin at age 21 years (regardless of sexual history) since women younger than age 21 are at very low risk of cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 285. Chapter 8: Cancers of the Female Reproductive Tract - Page 285 Add a Note Question 18 See full question13s Report this Question A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage? You Selected: III Correct response: III Explanation: In stage I, the tumor is confined to the corpus uteri. In stage II, it has spread to the cervix, but not outside the uterus. In stage III, it has spread locally (to other parts of the uterus) and regionally (to nearby lymph nodes). In stage IV, it has invaded the bladder mucosa, bowel with distant metastases to the lungs, liver, and bone. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 279. Chapter 8: Cancers of the Female Reproductive Tract - Page 279 Add a Note Question 19 See full question12s Report this Question The nurse teaches a woman to change tampons frequently, wash her hands thoroughly before and after inserting or removing tampons; use the lowest absorbency tampon, and store tampons correctly. The nurse should point out these actions will help avoid which disorder? You Selected: TSS Correct response: TSS Explanation: Toxic shock syndrome is a rare illness typically caused by bacteria. Teaching the client methods to decrease the exposure to bacteria is assisting in prevention of TSS. Pelvic inflammatory disorder occurs most commonly in association with untreated STIs, particularly in gonorrhea and chlamydia. Endometriosis is a painful reproductive and immunologic disorder in which tissue implants resembling endometrium grow outside of the uterus. Sexually transmitted infections are associated with sexual practices, not hygiene. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 136, 137, 146. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 136, 137, 146 Add a Note Question 20 See full question21s Report this Question A woman with pelvic organ prolapse has chosen to use a pessary as part of her treatment plan. After teaching the woman about how to care for the pessary, the nurse determines that the teaching was successful based on which client statement? You Selected: "I should clean the pessary with soap and water." Correct response: "I should clean the pessary with soap and water." Explanation: The woman must be capable of managing use of the pessary, either alone or with the help of a caretaker. The most common recommendations for pessary care include removing the pessary twice weekly and cleaning it with soap and water; using a lubricant for insertion; and having regular follow-up examinations every 6 to 12 months after an initial period of adjustment.

The nurse is developing a presentation about urinary incontinence for a local women's group. Which of the following would the nurse be least likely to include in the discussion? You Selected: Urinary incontinence is a normal part of aging. Correct response: Urinary incontinence is a normal part of aging. Explanation: Urinary incontinence is not considered a normal and expected part of aging. It is preventable, treatable, and often curable. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 2 See full question8s Report this Question A nurse prepares a woman with an abnormal Papanicolau test result for further diagnostic evaluation. Which procedure would the nurse expect to be done? You Selected: colposcopy Correct response: colposcopy Explanation: An abnormal Papanicolau test result typically requires further evaluation, usually with a colposcopy. HSV testing would not be warranted. A transvaginal ultrasound would be used to identify endometrial thickness to determine the need for an endometrial biopsy for endometrial cancer. An endometrial biopsy would be done to evaluate for endometrial cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 3 See full question18s Report this Question A female client is diagnosed with breast abscess. Although she has been allowed to breastfeed her newborn, she decides to terminate breastfeeding. Which action would be most appropriate in this situation? You Selected: Encourage the client to include protein content in the diet. Correct response: Assist the client to pump the breasts to remove breast milk. Explanation: The nurse should help the client pump the breasts and remove breast milk to prevent engorgement. Because the client has decided to terminate breastfeeding, the client should wear a tight-fitting bra. Including protein content in the diet would be unrelated to the client's current situation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 4 See full question36s Report this Question The nurse is giving an educational event for a local women's group on self-examination of the breast. The nurse tells the women's group to raise their arms and inspect their breasts in a mirror. A member of the women's group asks the nurse why she needs to do this. What is the nurse's best response? You Selected: "It will help to observe for dimpling." Correct response: "It will help to observe for dimpling." Explanation: The primary reason for raising the arms is to detect any dimpling. To elicit skin dimpling or retraction that may otherwise go undetected, the examiner instructs the client to raise both arms overhead. This maneuver normally elevates both breasts equally. Pain does not always occur with breast masses. The assessment of the breast should be uniform. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 231. Chapter 6: Disorders of the Breasts - Page 231 Add a Note Question 5 See full question32s Report this Question A woman has been treated for a tumor of the left breast that has not responded to chemotherapy. The woman has just found out that she has the BRCA mutations and discusses her options with her primary care provider. Which treatment would be most difficult for this woman? You Selected: radiation therapy Correct response: bilateral mastectomy Explanation: Chemotherapy, left mastectomy, and radiation therapy may be difficult for the woman, but the most difficult and controversial treatment is bilateral mastectomy. Right mastectomy is considered a prophylactic mastectomy, which is a primary prevention modality. Clients who are considering prophylactic mastectomy are often faced with a very controversial and emotional decision. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 224. Chapter 6: Disorders of the Breasts - Page 224 Add a Note Question 6 See full question10s Report this Question What is the most common type of breast cancer, accounting for approximately 85% of cases? You Selected: invasive ductal carcinoma Correct response: invasive ductal carcinoma Explanation: Invasive ductal carcinoma is the most common type of breast cancer. Invasive lobular carcinoma is the second most common type of breast cancer and accounts for approximately 10% to 15% of all cases. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 7 See full question12s Report this Question A young woman has been referred for a colposcopy by the health care provider. The nurse is educating the woman on the procedure. Which information about the colposcopy should the nurse provide? You Selected: The results of the Papanicolau test were abnormal; therefore, this procedure must be done. Correct response: The results of the Papanicolau test were abnormal; therefore, this procedure must be done. Explanation: A colposcopy is performed when results of a Papanicolau test are abnormal. This is a painless procedure with no aftereffects, so urinating afterwards is not a problem, and sexual intercourse need not be avoided. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 8 See full question14s Report this Question A nurse is caring for a woman who has just been diagnosed with uterine prolapse. Which symptoms may interfere with her daily activities? Select all that apply. You Selected: low back pain pelvic pressure urinary frequency Correct response: urinary frequency low back pain pelvic pressure Explanation: Symptoms of pelvic organ prolapse that can interfere with daily living and activities include urinary, constipation, sexual, and low back pain; pelvic pressure; vaginal heaviness; and abdominal pressure. Sinus pressure and diarrhea are not a symptoms. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 250. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 250 Add a Note Question 9 See full question7s Report this Question A postmenopausal client is told at her routine gynecological exam that the primary care provider has found a cyst on her right ovary. The nurse notices that this does not cause worry for this client. What should the nurse and/or care provider tell this client? You Selected: "After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise." Correct response: "After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise." Explanation: After menopause, a mass on an ovary is not a cyst; physiologic cysts can arise only from a follicle that has not ruptured or from the cystic degeneration of the corpus luteum. Brushing it off is not responsible, and waiting a full year would put the client at serious risk from dying from the cancer. Suggesting a second opinion instead of explaining the seriousness of it to the client would not be responsible or ethical. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 277. Chapter 8: Cancers of the Female Reproductive Tract - Page 277 Add a Note Question 10 See full question32s Report this Question A nurse will be speaking at a local high school about women's health. The nurse is planning to talk about sexually transmitted infections (STIs) as well as routine checks, along with guidelines for Papanicolau testing. What should the nurse include in the Papanicolau test guidelines about when to have a first test? You Selected: at the age of 21 or within 3 years of first sexual intercourse Correct response: at the age of 21 or within 3 years of first sexual intercourse Explanation: Amercian Cancer Society guidelines for Papanicolau testing recommend that the first Papanicolau test is done at age 21 or within 3 years of first sexual intercourse. Other guidelines state that the tests should be done yearly until age 30 using the glass slide method and every 2 years using liquid-based method. At age 30 to 70, the tests should be done every 2 to 3 years if the previous three Papanicolau tests were normal. They may be discontinued after age 70 if the previous three Papanicolau tests were normal and no Papanicolau tests in the previous 10 years were abnormal. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 272. Chapter 8: Cancers of the Female Reproductive Tract - Page 272 Add a Note Question 11 See full question10s Report this Question A client presents for her annual Papanicolau test. She wants to know about the risk factors that are associated with cervical cancer. Which risk factor for cervical cancer should the nurse inform the client about? You Selected: early age at first intercourse Correct response: early age at first intercourse Explanation: Early onset of sexual activity, within the first year of menarche, increases the risk of acquiring cervical cancer later on. Obesity, infertility, and hypertension are risk factors that are associated with endometrial cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 284. Chapter 8: Cancers of the Female Reproductive Tract - Page 284 Add a Note Question 12 See full question47s Report this Question A nurse is caring for a 45-year-old client using a pessary to help decrease leakage of urine and support a prolapsed vagina. Which recommendation is most commonly provided to a client regarding pessary care? You Selected: Remove the pessary twice weekly, and clean it with soap and water. Correct response: Remove the pessary twice weekly, and clean it with soap and water. Explanation: The most common recommendation for pessary care is removing the pessary twice weekly and cleaning it with soap and water. In addition, douching with diluted vinegar or hydrogen peroxide helps to reduce urinary tract infections and odor, which are side effects of using a pessary. Estrogen cream is applied to make the vaginal mucosa more resistant to erosion and strengthen the vaginal walls. Removing the pessary before sleeping or intercourse is not part of the instructions for pessary care. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 13 See full question11s Report this Question A 62-year-old female client arrives at a health care facility reporting skin redness in the breast area, along with skin edema. The primary care provider suspects inflammatory breast cancer. For which symptom of inflammatory breast cancer should the nurse assess? You Selected: increased warmth of the breast Correct response: increased warmth of the breast Explanation: Skin edema, redness, and warmth of the breast are symptoms of inflammatory breast cancer. Induced discharge is an indication of benign breast conditions, which are noncancerous. Cancer involves spontaneous nipple discharge. Papillomas and palpable mobile cysts are characteristics of fibroadenomas, intraductal papilloma, and mammary duct ectasia, which are benign breast conditions and are noncancerous. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 14 See full question19s Report this Question A nurse is assigned to educate a group of women on cancer awareness. Which risk factors for breast cancer are modifiable? Select all that apply. You Selected: failing to breastfeed for up to a year after pregnancy not having children until after age 30 postmenopausal use of estrogen and progestins Correct response: failing to breastfeed for up to a year after pregnancy postmenopausal use of estrogen and progestins not having children until after age 30 Explanation: The modifiable risk factors for breast cancer are postmenopausal use of estrogen and progestins, not having children until after the age of 30, and failing to breastfeed for up to a year after pregnancy. Early menarche or late menopause and previous abnormal breast biopsy are the nonmodifiable risk factors for breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 221. Chapter 6: Disorders of the Breasts - Page 221 Add a Note Question 15 See full question13s Report this Question 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: You Selected: a fibroadenoma. Correct response: a fibroadenoma. Explanation: Fibroadenomas are common, benign, solid breast tumors. They can be stimulated by lactation. They usually feel round or oval, firm, rubbery and smooth, and are mobile and may be tender. Redness, swelling and inflamation would suggest mastitis or an inflamed milk duct. A malignant mass would most likely be painless and immobile. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 213. Chapter 6: Disorders of the Breasts - Page 213 Add a Note Question 16 See full question8s Report this Question A nurse is caring for a client with pelvic organ prolapse. As part of the client's workup, the nurse obtains a postvoid residual urine specimen via catheterization. Which specimen amount would lead the nurse to suspect that additional testing will be needed? You Selected: 120 mL Correct response: 120 mL Explanation: Pelvic or genital organ prolapse can cause urinary symptoms such as incontinence. Therefore, bladder function should be assessed by determining postvoid residual with a catheter. If the woman has more than 100 mL of retained urine, she should be referred for further urodynamic evaluation and testing. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 250. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 250 Add a Note Question 17 See full question8s Report this Question A nurse is teaching a client how to use a pessary. The nurse determines that the teaching was successful based on which statement? You Selected: "I need to clean the pessary with soap and water." Correct response: "I need to clean the pessary with soap and water." Explanation: The most common recommendations for pessary care include removing the pessary twice weekly and cleaning it with soap and water, using a lubricant for insertion, and having regular follow-up examinations every 6 to 12 months after an initial period of adjustment. Besides cleaning, clients must properly reinsert the device into their vaginal cavity, and the woman must also be willing to participate in all aspects of care of the pessary for this treatment option to be successful. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 18 See full question16s Report this Question A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor? You Selected: It interferes with the transport of ova due to tubal scarring. Correct response: It interferes with the transport of ova due to tubal scarring. Explanation: Pelvic inflammatory disease results in scarring and adhesions of the tubes, leading to poor transport of ova. PID does not affect hormone metabolism, nor does it affect the production of cervical mucus. Antibodies are present only in a few cases and are unrelated to PID. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, pp. 193-195. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 193-195 Add a Note Question 19 See full question11s Report this Question The mother of four small children comes to the clinic and has just been diagnosed with an enterocele. What should the nurse teach the client about her diagnosis? You Selected: Her small intestine and peritoneum are jutting downward between the uterus and the rectum. Correct response: Her small intestine and peritoneum are jutting downward between the uterus and the rectum. Explanation: The names of pelvic support disorders correspond to the affected organs. Enterocele occurs when the small intestine and peritoneum jut downward between the uterus and rectum. Cystocele occurs when the bladder bulges into the front wall of the vagina. Rectocele occurs when the rectum protrudes into the back wall of the vagina. Uterine prolapse occurs when the uterus drops down into the vagina. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 246. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 246 Add a Note Question 20 See full question18s Report this Question A middle-aged woman comes to the women's health clinic for a routine check-up. During the visit, the woman asks the nurse, "I've had a dear friend who was just diagnosed with ovarian cancer. Is there any way to screen for this disease?" Which response by the nurse would be most accurate? You Selected: "Unfortunately, there is not any specific test that can be used to screen for this type of cancer." Correct response: "Unfortunately, there is not any specific test that can be used to screen for this type of cancer." Explanation: Women with ovarian cancer are typically diagnosed at a late stage, when the cancer has spread into the peritoneal cavity and complete surgical removal is challenging. Seventy-five percent of ovarian cancers are not diagnosed until the cancer has advanced to stage III or IV, primarily because there is still no adequate screening test. Papanicolau tests detect cervical cell changes and are helpful in screening for cervical cancer but not ovarian cancer. Testing for the genetic mutation (BRCA), although linked to hereditary breast and ovarian cancer, does not predict whether a person will develop ovarian cancer. The tumor marker (CA-125) is associated with ovarian cancer but is it not specific for this cancer and elevated levels are associated with other types of malignancies.

A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her? You Selected: She has a family history of thromboembolism. Correct response: She has a family history of thromboembolism. Explanation: The estrogen content of birth control pills may lead to increased blood clotting, leading to an increased incidence of thromboembolism. Women who already are prone to this should not increase their risk further. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 137. Chapter 4: Common Reproductive Issues - Page 137 Add a Note Question 2 See full question38s Report this Question 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? You Selected: yearly mammograms for women over age 40 Correct response: yearly mammograms for women over age 40 Explanation: The American Cancer Society recommends yearly mammograms for women over age 40. Clinical breast examinations are recommended every year starting at age 40. According to the American Cancer Society Breast Cancer Screening Guidelines, breast self-examination is optional. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 222. Chapter 6: Disorders of the Breasts - Page 222 Add a Note Question 3 See full question44s Report this Question A nurse is preparing a presentation for a health fair about preventing breast cancer. Which suggestion would the nurse include? You Selected: opting for estrogen only replacement therapy during menopause Correct response: maintaining an ideal weight Explanation: Maintaining an ideal weight decreases the risk of breast cancer. Having no children or having children after age 30 is associated with an increased risk for breast cancer. Some breast tumors are hormone dependent, such that estrogen (or progesterone) enhances tumor growth. Women are advised to avoid the consumption of alcohol, not caffeine, because alcohol correlates with an increased risk of breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 236. Chapter 6: Disorders of the Breasts - Page 236 Add a Note Question 4 See full question43s Report this Question After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which sign? You Selected: peau d'orange skin Correct response: breast symmetry Explanation: The primary sign of breast cancer is a painless mass in the breast. Other signs of breast cancer include a bloody discharge from the nipple, a dimpling of the skin over the lesion, retraction of the nipple, peau d'orange (orange peel) appearance of the skin, and a difference in size between the breasts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 5 See full question9s Report this Question An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? You Selected: Syphilis Correct response: Syphilis Explanation: The law mandates reporting of syphilis, chlamydia, gonorrhea, chancroid, and HIV/AIDS. Genital herpes, hepatitis B, venereal warts (condylomata acuminata), granuloma inguinale, and lymphoma venereum are not reportable by law. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 191. Chapter 5: Sexually Transmitted Infections - Page 191 Add a Note Question 6 See full question8s Report this Question A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent? You Selected: doxycycline Correct response: doxycycline Explanation: Clients who are allergic to penicillin are given doxycycline or erythromycin. Acyclovir is used to treat genital herpes. Ceftriaxone may be used for gonorrhea. Podophyllum resin is used to treat genital warts. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 192. Chapter 5: Sexually Transmitted Infections - Page 192 Add a Note Question 7 See full question34s Report this Question A client desires protection from unwanted pregnancies. However, the client does not enjoy sex when her partner wears a male condom. Also, the client experiences breast tenderness, headache, and nausea after taking oral contraceptives. Which method would be the most likely choice for the couple to help them enhance their sexual experience as well as prevent any side effects? You Selected: transdermal contraceptive Correct response: transdermal contraceptive Explanation: Application of transdermal contraceptive patches to the skin would most likely be the option for this couple. These patches will not hamper the sexual experience nor cause side effects such as those caused by oral contraceptives. Natural membrane and polyurethane condoms are forms of male condoms, which the client does not like. Ethinyl estradiol is a combined oral contraceptive, which would most likely cause the client to experience breast tenderness, headache, and nausea. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 149. Chapter 4: Common Reproductive Issues - Page 149 Add a Note Question 8 See full question10s Report this Question A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis? You Selected: Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Correct response: Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Explanation: The treatment of choice for Trichomonas vaginalis is oral metronidazole or tinidazole, medications that are effective against anaerobic protozoans. Antifungals are not a relevant treatment and eradication of the infection is possible with treatment. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 185. Chapter 5: Sexually Transmitted Infections - Page 185 Add a Note Question 9 See full question34s Report this Question A client has been diagnosed with condylomata acuminata and requires treatment for the condition. What would be the treatment of choice? You Selected: cryotherapy Correct response: cryotherapy Explanation: The treatment of choice would be cryotherapy because it can penetrate deeper than other forms of therapy to eliminate the lesion. The client would be encouraged to stop sexual contact until the lesions are resolved. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 197. Chapter 5: Sexually Transmitted Infections - Page 197 Add a Note Question 10 See full question12s Report this Question What is the most common breast mass in women? You Selected: fibroadenoma Correct response: fibroadenoma Explanation: A fibroadenoma is a benign mass in the breast. It is the most common breast mass among women. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 216. Chapter 6: Disorders of the Breasts - Page 216 Add a Note Question 11 See full question26s Report this Question How should the nurse counsel a postpartum client on how to prevent mastitis? You Selected: "Wash your hands thoroughly, and let your breasts dry after each feeding." Correct response: "Wash your hands thoroughly, and let your breasts dry after each feeding." Explanation: Handwashing is one of the best ways to prevent infection. If the woman feels that her breast is warm, hard, or red, she should increase the amount of breastfeeding from that side. It is not necessary to sterilize bottles and pumping equipment after each use. Normal dish washing is sufficient. Keeping the breasts exposed to the air to dry will aid in preventing infection. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 12 See full question11s Report this Question A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition? You Selected: gonorrhea Correct response: gonorrhea Explanation: Gonococcal infections can be completely eliminated by drug therapy. Genital warts are not curable and are identified by appearance, not culture. Genital herpes is not curable and is identified by the appearance of the lesions or cytologic studies. The diagnosis of syphilis is done using dark-field microscopy or serologic tests. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 188. Chapter 5: Sexually Transmitted Infections - Page 188 Add a Note Question 13 See full question12s Report this Question The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend? You Selected: intrauterine device Correct response: intrauterine device Explanation: Women who are premenopausal are, overall, good candidates for intrauterine devices (IUDs). In this case, the IUD is the best choice because this method is almost 100% effective, is long-term, and does not involve any hormones. Both the transdermal patch and the subdermal progestin implant involve hormones, which rules each out in this case. Also, tubal ligation is a surgical procedure, which also rules it out for this client. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 150. Chapter 4: Common Reproductive Issues - Page 150 Add a Note Question 14 See full question22s Report this Question A 30-year-old client would like to try using basal body temperature (BBT) as a fertility awareness method. Which instruction should the nurse provide the client? You Selected: Take temperature before rising, and record it on a chart. Correct response: Take temperature before rising, and record it on a chart. Explanation: The client should be instructed to take her temperature before rising and record it on a chart. If using this method by itself, the client should avoid unprotected intercourse until the BBT has been elevated for 3 days. The client should be informed that other fertility awareness methods should be used along with BBT for better results. The oral method is better suited than the axillary method for taking the temperature in this case. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 141. Chapter 4: Common Reproductive Issues - Page 141 Add a Note Question 15 See full question1m 17s Report this Question A woman diagnosed with breast cancer is to undergo a lumpectomy followed by radiation therapy. When reviewing the treatment plan with the client, the nurse determines that the woman has understood the information based on which client statement? You Selected: "The radiation will be targeted to the area near my underarm to get at the lymph nodes." Correct response: "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks." Explanation: Women undergoing breast-conserving therapy receive radiation after lumpectomy with the goal of eradicating residual microscopic cancer cells to limit locoregional recurrence. In women who do not require adjuvant chemotherapy, radiation therapy typically begins 2 to 4 weeks after surgery to allow healing of the lumpectomy incision site. Radiation is administered to the entire breast at daily doses over a period of several weeks. Breast-conserving surgery, the least invasive procedure, is the wide local excision (or lumpectomy) of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 225. Chapter 6: Disorders of the Breasts - Page 225 Add a Note Question 16 See full question10s Report this Question A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include? You Selected: Discuss the necessity of completing the antibiotic therapy. Correct response: Discuss the necessity of completing the antibiotic therapy. Explanation: It is the priority that the client understands the need to finish the antibiotic therapy required to treat PID in order to eradicate the offending bacterial infection. The STI brochures may be appropriate, but they are not the priority and neither is arranging for follow-up health care provider visits. If the client can access the women's health clinic, a referral can be made, but it is not the priority. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 195. Chapter 5: Sexually Transmitted Infections - Page 195 Add a Note Question 17 See full question16s Report this Question A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment? You Selected: Fluconazole Correct response: Fluconazole Explanation: Treatment of candidiasis includes miconazole cream or suppository, clotrimazole tablet or cream, terconazole cream or intravaginal suppository, or fluconazole oral tablet. Most of these medications are used intravaginally in the form of a cream, tablet, or suppositories for 3 to 7 days. If fluconazole is prescribed, a 150-mg oral tablet is taken as a single dose. The other medications would not be appropriate. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 183. Chapter 5: Sexually Transmitted Infections - Page 183 Add a Note Question 18 See full question8s Report this Question The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client? You Selected: combination oral contraceptives Correct response: combination oral contraceptives Explanation: Oral contraceptives are contraindicated for women who smoke; they would be at a higher risk for blood clots. Condoms, coitus interruptus, and spermicidals can be used at no risk. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 148. Chapter 4: Common Reproductive Issues - Page 148 Add a Note Question 19 See full question9s Report this Question A client prescribed COC has presented for a routine visit. Which finding upon assessment should the nurse prioritize? You Selected: abdominal pain Correct response: abdominal pain Explanation: The warning signs to report for a client on oral contraceptives are severe abdominal or chest pain, dyspnea, headache, weakness, numbness, blurred or double vision, speech disturbances, or severe leg pain and edema. Light bleeding, light flow, and cramping are all normal. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 149. Chapter 4: Common Reproductive Issues - Page 149 Add a Note Question 20 See full question8s Report this Question A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the information? You Selected: Relatively easy procedure with few complications Correct response: Relatively easy procedure with few complications Explanation: The nurse should inform the individuals that vasectomy is a relatively easy procedure with few complications. Regular sperm counts following a vasectomy are important, as it will take approximately a month for the remaining sperm to exit the body. The client should use birth control measures until his sperm count remains at zero for 6 weeks.

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which complication? You Selected: fibroadenoma Correct response: lymphedema Explanation: Lymphedema occurs in some women after breast cancer surgery. It causes disfigurement and increases the lifetime potential for infection and poor healing. Fibrocystic breast disease and fibroadenoma are two benign breast conditions that occur usually in premenopausal woman. Breast abscess is the infectious and inflammatory breast condition that is common among breastfeeding mothers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 2 See full question13s Report this Question The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age? You Selected: 25 Correct response: 25 Explanation: The CDC (2015) recommends yearly chlamydia testing of all sexually active women aged 25 or younger, older women with risk factors for chlamydial infections (those who have a new sex partner or multiple sex partners), and all pregnant women). Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 187. Chapter 5: Sexually Transmitted Infections - Page 187 Add a Note Question 3 See full question10s Report this Question A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client? You Selected: Avoiding alcohol consumption Correct response: Avoiding alcohol consumption Explanation: Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 188. Chapter 5: Sexually Transmitted Infections - Page 188 Add a Note Question 4 See full question10s Report this Question A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? You Selected: "I'm temporarily not contagious once the warts are destroyed." Correct response: "I'm temporarily not contagious once the warts are destroyed." Explanation: Genital warts when treated chemically will most likely be eradicated after three to six cycles of treatment. Eradication does not mean the condition is cured; the person is temporarily noncontagious once the warts are destroyed. All sexual contacts of the client need to be examined and treated. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 197. Chapter 5: Sexually Transmitted Infections - Page 197 Add a Note Question 5 See full question33s Report this Question A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs? You Selected: A regular check of threads must be done. Correct response: A regular check of threads must be done. Explanation: The nurse should instruct the client to check the threads regularly to make sure that the IUD is in place. Menstrual flow may be heavier, or last longer than normal, after IUD insertion. It will not decrease. The client may feel a sharp pain when the IUD is inserted. The client may have cramps for a few days, but these should not continue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 151. Chapter 4: Common Reproductive Issues - Page 151 Add a Note Question 6 See full question14s Report this Question A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply You Selected: Avoid using deodorant tampons. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose. Correct response: Avoid using deodorant tampons. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 183. Chapter 5: Sexually Transmitted Infections - Page 183 Add a Note Question 7 See full question21s Report this Question At what age should a woman with no risk factors begin mammography screening for breast cancer? Your Response: 40 Correct response: 40 Explanation: Every woman should begin annual mammography to detect breast cancer at the age of 40. Women who have certain risk factors may begin screening earlier. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 223. Chapter 6: Disorders of the Breasts - Page 223 Add a Note Question 8 See full question27s Report this Question While performing a clinical breast examination, the nurse notes a firm and rubbery nodule that is well circumscribed and moves freely. How should the nurse counsel the client? You Selected: "This is a normal breast finding, and you don't have to worry about it." Correct response: "It's most likely a fibroadenoma, but we may need to do a biopsy." Explanation: This description most closely matches a fibroadenoma, but diagnostic imaging and even biopsy are warranted to confirm and rule out a cancerous tumor. The nurse should never tell the client that she may have cancer because this will only cause anxiety. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 9 See full question51s Report this Question All options are characteristics of malignant breast disease except: You Selected: skin dimpling and nipple retraction. Correct response: smooth, firm, rubbery masses. Explanation: Malignant breast disease is generally characterized by immobile, fixed lumps that may cause skin dimpling and nipple retraction. They are generally painless and not tender. They usually are not smooth and have poorly delineated edges. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 10 See full question31s Report this Question Which statement is accurate regarding the treatment of breast cancer? You Selected: Women with hormone-sensitive cancers often have a poor prognosis and require many different types of treatment. Correct response: Often, the first treatment option for breast cancer is surgery. Explanation: Often, the first treatment option presented to women diagnosed with breast cancer is surgical removal of the tumor. Women with hormone-sensitive cancers have a good prognosis and often need only hormonal treatment. Immunotherapy is often used as an adjunct to surgery. Chemotherapy is effective in treating systemic cancers. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 225. Chapter 6: Disorders of the Breasts - Page 225 Add a Note Question 11 See full question10s Report this Question A nurse is instructing a client on birth control methods. The client asks about the cervical mucus method. When should the nurse tell the client she is fertile in relation to her mucus? You Selected: when it is thin, watery, and copious Correct response: when it is thin, watery, and copious Explanation: The cervical mucus method relies on the changes that occur naturally with ovulation. Before ovulation, cervical mucus is thick and does not stretch when pulled. With ovulation, the mucus becomes thin, copious, watery, transparent, and stretchy. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 140. Chapter 4: Common Reproductive Issues - Page 140 Add a Note Question 12 See full question12s Report this Question The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which suggestions should the nurse include in the teaching plan? Select all that apply. You Selected: Increase water consumption. Use heating pads or take warm baths. Correct response: Increase water consumption. Use heating pads or take warm baths. Increase exercise and physical activity. Explanation: When instructing a client with dysmenorrhea on how to manage her symptoms, the nurse should ask her to increase water consumption, use heating pads or take warm baths, and increase exercise and physical activity. Water consumption serves as a natural diuretic, heating pads or warm baths help increase comfort, and exercise increases endorphins and suppresses prostaglandin release. The nurse should also tell the client to limit salty foods to prevent fluid retention during menstruation and to keep legs elevated while lying down because this helps increase comfort. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 121. Chapter 4: Common Reproductive Issues - Page 121 Add a Note Question 13 See full question9s Report this Question During examination of clients, the nurse will question women concerning their LMP. This indicates: You Selected: the first day of their last menstrual period. Correct response: the first day of their last menstrual period. Explanation: LMP is the abbreviation for last menstrual period. It is used to indicated the first day of the last cycle. This information is used to determine estimated date of delivery if the client is pregnant. It is also important to establish potential disorders of the reproductive system. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 156. Chapter 4: Common Reproductive Issues - Page 156 Add a Note Question 14 See full question23s Report this Question In preparing a talk about sexually transmitted infections (STIs) for high school students, the nurse should emphasize which group as being at high risk? Select all that apply. You Selected: persons with a lack of personal hygiene individuals with multiple sex partners women under the age of 25 years Correct response: women under the age of 25 years individuals with multiple sex partners women who are single Explanation: High-risk groups include single women, women younger than 25 years, black women, women with a history of STIs, those with new or multiple sex partners, those with inconsistent use of barrier contraception, and women living in communities with high infection rates. Lack of personal hygiene is not considered a risk factor for STIs. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 5: Sexually Transmitted Infections, p. 176. Chapter 5: Sexually Transmitted Infections - Page 176 Add a Note Question 15 See full question21s Report this Question 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? You Selected: infection Correct response: inflammation Explanation: Side effects of brachytherapy include redness or discharge around the catheters, fever, and infection. Inflammation is not a side effect. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 228. Chapter 6: Disorders of the Breasts - Page 228 Add a Note Question 16 See full question1m 59s Report this Question Which medications are appropriate to treat vaginal candidiasis? Select all that apply. You Selected: miconazole azithromycin Correct response: miconazole fluconazole Explanation: Therapeutic management for vaginal candidiasis includes miconazole, clotrimazole, terconazole, and fluconazole. The other choices are antibiotics and are not effective treatment for a fungal infection such as vaginal candidiasis. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 183. Chapter 5: Sexually Transmitted Infections - Page 183 Add a Note Question 17 See full question13s Report this Question A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings? You Selected: the possibility of a chlamydia infection Correct response: the possibility of a chlamydia infection Explanation: Any woman suspected of having gonorrhea should be tested for chlamydia also because coinfection (45%) is extremely common. The nursing management of chlamydia and gonorrhea includes treatment of both. The prevalence of chlamydia and gonorrhea is increasing dramatically. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 5: Sexually Transmitted Infections, p. 189. Chapter 5: Sexually Transmitted Infections - Page 189 Add a Note Question 18 See full question42s Report this Question Semen analysis has been ordered for the partner of a client who has been unable to become pregnant. What instructions should the nurse provide to the partner? You Selected: "If possible, collect the sample first thing in the morning." Correct response: "Bring the sample to the lab immediately after you collect it." Explanation: Semen samples must be delivered to a lab no more than 30 minutes after collection. Storage in the refrigerator would violate this directive. The client should abstain from ejaculating for 3 to 5 days before collecting the sample. The semen does not need to be collected in the morning. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, pp. 131-132. Chapter 4: Common Reproductive Issues - Page 131-132 Add a Note Question 19 See full question22s Report this Question A nurse is receiving a client from the post anesthesia unit to the recovery unit at the ambulatory surgery center. The client just had a laparoscopic tubal ligation. Which is the nurse's priority assessment? You Selected: Bleeding Correct response: Bleeding Explanation: The nurse's priority assessment is for bleeding from the surgical sites or vaginal bleeding which can be an indication of a possible complication of the procedure. Pain is expected following a surgical procedure and will be a concern for the nurse. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. X. Add a Note Question 20 See full question28s Report this Question A client who delivered her baby 3 months ago is seen in the clinic and tells the nurse that she and her husband have yet to resume a sexual relationship. The nurse notes that no contraception is currently being used. What is the most appropriate nursing diagnosis for this client? You Selected: Altered sexual pattern related to fear of pregnancy Correct response: Altered sexual pattern related to fear of pregnancy Explanation: The nurse should recognize that this exceeds the recommended postpartum abstinence period and might be contributed to a fear of a repeat pregnancy.

A female client is diagnosed with breast abscess. Although she has been allowed to breastfeed her newborn, she decides to terminate breastfeeding. Which action would be most appropriate in this situation? You Selected: Assist the client to pump the breasts to remove breast milk. Correct response: Assist the client to pump the breasts to remove breast milk. Explanation: The nurse should help the client pump the breasts and remove breast milk to prevent engorgement. Because the client has decided to terminate breastfeeding, the client should wear a tight-fitting bra. Including protein content in the diet would be unrelated to the client's current situation. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 2 See full question10sReport this Question The nurse is developing a presentation for a local women's health center about breast cancer. Which cancer would the nurse include as being the most common type of breast cancer? You Selected: invasive ductal carcinoma Correct response: invasive ductal carcinoma Explanation: The most common malignancy is invasive ductal carcinoma (85%), followed by infiltrating ductal carcinoma (75%), tubular carcinoma, colloid carcinoma, medullary, and inflammatory breast cancer, the rarest but most aggressive form of breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 3 See full question34sReport this Question All options are characteristics of malignant breast disease except: You Selected: smooth, firm, rubbery masses. Correct response: smooth, firm, rubbery masses. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 232. Chapter 6: Disorders of the Breasts - Page 232 Add a Note Question 4 See full question21sReport this Question A nurse is interviewing a client who is a survivor of intimate partner violence. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase three of the cycle of violence? You Selected: "My spouse apologizes and tell me I will never be hit again." Correct response: "My spouse apologizes and tell me I will never be hit again." Explanation: During phase three of the cycle, the perpetrator becomes kind, contrite, and loving, begging for forgiveness and promising never to inflict violence again, until the next time. The actual violence occurs in phase two. Yelling at the client for not having dinner ready and calling the client stupid and incompetent reflect phase one or tension building. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 5 See full question27sReport this Question A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply. You Selected: impaired implantation ovulation tubal transport Correct response: ovulation tubal transport impaired implantation Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, pp. 129-130. Chapter 4: Common Reproductive Issues - Page 129-130 Add a Note Question 6 See full question13sReport this Question A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client? You Selected: long-term hormone replacement therapy Correct response: long-term hormone replacement therapy Explanation: Because the client has a history of cardiac problems, long-term hormone replacement therapy is contraindicated. This is because there is an increased risk of heart attacks and strokes. The client should instead be asked to consider options with minimized risk, such as lipid-lowering agents, or nonhormonal therapies, such as bisphosphonates and selective estrogen receptor modulators. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 165. Chapter 4: Common Reproductive Issues - Page 165 Add a Note Question 7 See full question24sReport this Question A 13-year-old immigrant from Asia is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed circumcision wounds. The client can understand limited English but cannot speak the language fluently. The service of an interpreter is employed. What should the nurse keep in mind when interacting with this client? You Selected: Use pictures and diagrams to supplement the questions and answers of the client's understanding. Correct response: Use pictures and diagrams to supplement the questions and answers of the client's understanding. Explanation: The nurse should use pictures and diagrams to ensure that the client understands what is being asked and explained. Instead of using medical terms, the nurse should use simple, accurate terms as much as possible. Condemning the practice will only alienate the girl and serve no useful purpose. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 322. Chapter 9: Violence and Abuse - Page 322 Add a Note Question 8 See full question18sReport this Question The client has heard of extended oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens? You Selected: 84 active; 7 placebo Correct response: 84 active; 7 placebo Explanation: Research has confirmed that the extended use of active OC pills carries the same safety profile as the conventional 28-day regimens. The extended regimen consists of 84 consecutive days of active combination pills, followed by 7 days of placebo. The woman has four withdrawal-bleeding episodes a year. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 147. Chapter 4: Common Reproductive Issues - Page 147 Add a Note Question 9 See full question15sReport this Question 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? You Selected: endometriosis Correct response: endometriosis Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 119. Chapter 4: Common Reproductive Issues - Page 119 Add a Note Question 10 See full question45sReport this Question 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? You Selected: Obtain a prescription for CBC and PT blood test. Correct response: Tell the client to learn to live with it. Explanation: There are many treatable reasons for dysfunctional uterine bleeding. The client should be evaluated, and all related disorders should be treated as needed. Telling the client to just learn to live with it ignores the possibility that her symptoms are related to a serious but treatable condition. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 122. Chapter 4: Common Reproductive Issues - Page 122 Add a Note Question 11 See full question13sReport this Question The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her? You Selected: medroxyprogesterone acetate Correct response: medroxyprogesterone acetate Explanation: Medroxyprogesterone acetate is an injectable form of a progesterone-only contraceptive that is given every 12 weeks. It works by suppressing ovulation and the production of FSH and LH by the pituitary gland. Etonogestrel is an implantable form contraceptive. Norelgestromin/ethinyl estradiol is a patch-type contraceptive, and levonorgestrel/ethinyl estradiol is an oral contraceptive that uses a 365-day combination dosing. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 4: Common Reproductive Issues, p. 120. Chapter 4: Common Reproductive Issues - Page 120 Add a Note Question 12 See full question19sReport this Question 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? You Selected: Wear a supportive bra at night when in bed. Correct response: Massage the breasts before and during breastfeeding. Explanation: The nurse should instruct the new mother to continue breastfeeding as tolerated to keep the milk flowing; massage the breasts before and during breastfeeding to encourage milk extraction; wear a supportive bra 24 hours a day to support the breasts for comfort; and increase her fluid intake to stay hydrated. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 217. Chapter 6: Disorders of the Breasts - Page 217 Add a Note Question 13 See full question24sReport this Question A nurse is conducting a presentation on breast cancer for a local women's group and explaining the possible risk factors associated with its development. The nurse determines that the group has understood the information when they identify which factor as increasing a woman's risk for breast cancer? You Selected: early menarche Correct response: early menarche Explanation: Risk factors associated with breast cancer include not having children until after the age of 30, exposure to chest radiation, late menopause and early menarche. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 220. Chapter 6: Disorders of the Breasts - Page 220 Add a Note Question 14 See full question20sReport this Question A woman diagnosed with breast cancer is to undergo a lumpectomy followed by radiation therapy. When reviewing the treatment plan with the client, the nurse determines that the woman has understood the information based on which client statement? You Selected: "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks." Correct response: "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks." Explanation: Women undergoing breast-conserving therapy receive radiation after lumpectomy with the goal of eradicating residual microscopic cancer cells to limit locoregional recurrence. In women who do not require adjuvant chemotherapy, radiation therapy typically begins 2 to 4 weeks after surgery to allow healing of the lumpectomy incision site. Radiation is administered to the entire breast at daily doses over a period of several weeks. Breast-conserving surgery, the least invasive procedure, is the wide local excision (or lumpectomy) of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 225. Chapter 6: Disorders of the Breasts - Page 225 Add a Note Question 15 See full question15sReport this Question A client diagnosed with breast cancer is receiving chemotherapy. The nurse assesses the client for possible side effects of this therapy. Which side effect would the nurse report immediately to the health care provider? You Selected: bone marrow suppression Correct response: bone marrow suppression Explanation: Typical side effects include nausea and vomiting, diarrhea or constipation, hair loss, weight loss, stomatitis, fatigue, and immunosuppression. The most serious is bone marrow suppression (myelosuppression). This causes an increased risk of infection, bleeding, and a reduced red blood cell count, which can lead to anemia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 228. Chapter 6: Disorders of the Breasts - Page 228 Add a Note Question 16 See full question19sReport this Question A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask? You Selected: "Clients with your injuries are often abused. Is anything like this happening now?" Correct response: "Clients with your injuries are often abused. Is anything like this happening now?" Explanation: "Does your partner hit you?" or "Have you ever been or are you now in an abusive relationship?" are direct questions. They are focused and address the topic with the client directly. If that approach feels uncomfortable, indirect questions can be used, such as "We see many clients with injuries or reports like yours, and often they are being abused. Is that what is happening to you?" or "Many people in our community experience abuse from their partners. Is anything like that happening in your life?" With either approach, nurses need to maintain a nonjudgmental acceptance of whatever answers the woman offers. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 310. Chapter 9: Violence and Abuse - Page 310 Add a Note Question 17 See full question43sReport this Question A nurse is a guest speaker for a local college campus group discussing violence and rape. After discussing rape with the group, the nurse determines that additional discussion is needed when the group states which information? You Selected: "Most rape victims tell someone about the rape." Correct response: "Most rape victims tell someone about the rape." Explanation: In reality, the most victims never tell anyone about being raped and almost two-thirds of victims never report the rape to the police. It can take several years to recover from rape, and the rape victim often feels vulnerable, betrayed, and insecure afterward. Rape is a premeditated act of violence, it is not an act of impulsive, uncontrolled passion. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 307. Chapter 9: Violence and Abuse - Page 307 Add a Note Question 18 See full question12sReport this Question A nurse is teaching a female client who is unable to conceive how to monitor her basal body temperature. Which instruction would the nurse prioritize for this client? You Selected: Chart body temperature for at least a month Correct response: Chart body temperature for at least a month Explanation: The nurse should instruct the client to record her temperature each morning immediately upon awakening (at rest) using the same thermometer. The nurse should also instruct the client to record her menses, any events that would alter her temperature (e.g., infections, insomnia), and when she has intercourse. To maintain a basal body temperature chart, the client has to monitor her basal body temperature for several months. It is not necessary to record body weight along with the temperature. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 4: Common Reproductive Issues, p. 141. Chapter 4: Common Reproductive Issues - Page 141 Add a Note Question 19 See full question15sReport this Question The nurse is caring for a client believed to be a victim of human trafficking. What action is most important for the nurse to perform? You Selected: Gain the client's trust. Correct response: Gain the client's trust. Explanation: It is most important for the nurse to gain the trust of the victim. This will allow the nurse to obtain the most information to appropriately help the client. The nurse may notify the authorities and test for pregnancy if the client is a victim. The client will be assessed, but it isn't the priority. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 323. Chapter 9: Violence and Abuse - Page 323 Add a Note Question 20 See full question31sReport this Question A nurse is caring for a pregnant woman who has multiple bruises in varying stages across her body. Which is the priority nursing action? You Selected: Tell her about resources for abuse victims. Correct response: Ask if anyone at home has hit or hurt her. Explanation: In the case of suspected intimate partner violence, it is best for the nurse to ask direct questions. Asking all women at physical examinations to account for any bruise they have helps detect physical maltreatment. Intimate partner violence is not typically reported by the nurse, but by the adult client. Once the nurse believes abuse is occurring, it is important to give her resources for abuse victims. Referring to counseling may be an option, but it is best to verify first.

The nurse is talking to a client who is a survivor of intimate partner violence. The client relates that the spouse has been told that about having the characteristics of an antisocial personality disorder. The client also informs the nurse that the spouse has an extensive criminal record. The nurse interprets this information and suspects that the client's spouse would demonstrate which behavior? You Selected: moderate to severe violence with people both within and outside the family Correct response: moderate to severe violence with people both within and outside the family Explanation: The client's spouse belongs to the group of perpetrators who are generally violent and engage in moderate to severe violence, both inside and outside of the home; they tend to meet criteria for antisocial personality disorder and are likely to have an extensive history of criminal behavior. These perpetrators become aggressive when they misinterpret neutral and positive emotional cues as negative and when they are unable to identify expressions of fear. Another group of perpetrators, family-only perpetrators, engage in lower severity violent behaviors and exhibit the lowest levels of psychopathology. A third group of perpetrators, those with borderline personality disorder characteristics or dysphoria, engage in moderate to severe violence and demonstrate the highest levels of emotional volatility, dependency, and psychological distress. These perpetrators have a heightened sensitivity to emotional displays that predisposes them to interpret social situations as threatening and to respond with emotional dysregulation, verbal attacks, and physical violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 2 See full question15sReport this Question Which initial interview technique would be least effective in gathering information from a suspected abuse victim? You Selected: Ask the client to strip down and show you where she has been hurt. Correct response: Ask the client to strip down and show you where she has been hurt. Explanation: When interviewing a suspected abuse victim initially, the nurse needs to be supportive and respectful of her. Always talk to the victim alone and in a private place. Ask simple, direct, open-ended questions that allow the client to describe her experiences. Never imply that the woman is in any way responsible for the abuse by asking questions about why she stays with the abuser or what she did to make him mad. Never ask the client to strip for you to inspect her body initially. The nurse needs to establish a rapport with the woman first so trust can be established. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, pp. 310-311. Chapter 9: Violence and Abuse - Page 310-311 Add a Note Question 3 See full question25sReport this Question A client tells the nurse "My partner is going to stop drinking, so I know I won't be hit again." What is the nurse's best response? You Selected: "I am glad your partner is going to stop drinking." Correct response: "Violence is a learned behavior, not caused by alcohol." Explanation: Violence is a learned behavior that may be potentiated by drugs and alcohol, but not caused by drugs and alcohol. The nurse should educate the client about the causes of intimate partner violence. The nurse should not provide personal opinions. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 304. Chapter 9: Violence and Abuse - Page 304 Add a Note Question 4 See full question12sReport this Question A client at 36 weeks' gestation presents in the emergency department with a broken arm. The client states, "I fell while cooking dinner." During the assessment, the nurse notes no prenatal care for this pregnancy, as well as bruises in multiple stages of healing on the client's abdomen, arms, and chest. What action will the nurse perform next? You Selected: Ask the client how she acquired the bruises Correct response: Ask the client how she acquired the bruises Explanation: First, the nurse will ask how the client acquired the multiple bruises. This will provide information on possible violence. The nurse would also notify the health care provider and document the findings. Information would be provided based on the finding of intimate partner violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 309. Chapter 9: Violence and Abuse - Page 309 Add a Note Question 5 See full question16sReport this Question A client has been seen and treated in the emergency room several times for injuries that are deemed suspicious. The client is reluctant to participate in a screening process. How best can the nurse provide reassurance to this client? You Selected: Being nonjudgmental Correct response: Being nonjudgmental Explanation: During the screening process the victim is most likely to be uncomfortable and not want to participate. Victims are concerned about being judged by the interviewer, provoking more violence, and being disappointed by the provider's response to the disclosure. The nurse can best help the victim participate in screening by ensuring confidentiality and being nonjudgmental. There is no guarantee the nurse can assure the woman of help. At best, the nurse can provide information of agencies and services. Having the client be honest about the injuries can cause much distress for the client who may feel it will only lead to more injuries after the partner realizes details have been disclosed. Helping the client find community resources to develop a plan of protection is best done with the social worker and community agencies rather than the emergency room nurse. The nurse should make a referral to the social worker to help with this situation.

As part of a local college awareness program, a nurse is interviewing several of the participants about their views on rape. Which statement would lead the nurse to determine that teaching about rape is necessary? You Selected: "Most victims of rape never report the episode to the police or tell anyone about it." Correct response: "A woman can avoid being raped. If she doesn't want it to happen, then it won't." Explanation: Women can be forced and overpowered by most men. The majority of women who are raped never tell anyone about it, and almost two thirds of victims never report it to the police. No victim invites sexual assault, and what she wears is irrelevant. It can take several years for a woman to recover from rape. Medications can help initially, but counseling is necessary. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 307. Chapter 9: Violence and Abuse - Page 307 Add a Note Question 2 See full question23s Report this Question A client has just confided in the nurse about being slapped and kicked by the partner that morning. What is the best response by the nurse? You Selected: "It's very brave of you to tell me all this. Help is available if you choose it." Correct response: "It's very brave of you to tell me all this. Help is available if you choose it." Explanation: When talking with a woman who is a victim of intimate partner violence, it is important not to use expressions of emotionality or judgement such as, "Oh my goodness" or "I feel terrible for you." It is also important to validate the victim's story and tell the victim you believe what happened. Encouraging the victim to say more while informing the victim that help is available is the best therapeutic answer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 3 See full question29s Report this Question When a pregnant client is victim of intimate partner violence during pregnancy, what complication is likely to occur after birth due to the abuse? You Selected: postpartum depression Correct response: postpartum depression Explanation: Several studies have confirmed the relationship between intimate partner violence and poor mental health, especially depression. For the pregnant woman, this most often manifests itself as postpartum depression. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 308. Chapter 9: Violence and Abuse - Page 308 Add a Note Question 4 See full question39s Report this Question The nurse is assessing a client who is a victim of intimate partner violence and recognizes a belief that is common among victims of abuse. Which belief would the nurse most likely identify? You Selected: The client is inadequate in some way. Correct response: The client is inadequate in some way. Explanation: Some victims believe that the abuse is caused by a personality flaw or inadequacy in themselves. The victims rarely describe themselves as abused and believe if they can do as the abuser has asked, things will get better. Few believe they can leave. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 5 See full question13s Report this Question A nurse is conducting a discussion group at a local women's health center about violence and women. The nurse would include that women are at a higher risk for violence at which time? You Selected: during pregnancy Correct response: during pregnancy Explanation: Women are at a higher risk for violence during pregnancy. Recent research findings indicate that having children does not protect women. They are more vulnerable during this time, and the abusers take advantage of it. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 6 See full question13s Report this Question A nurse is describing the cycle of violence to a group at a community clinic. The nurse determines that the attendees have understood the information when they identify which phase as usually lasting the longest? You Selected: tension building Correct response: tension building Explanation: Of the phases, the first phase, tension building, is usually the longest. Acute battering, in which there is the explosion of violence, and the honeymoon phase are not typically as long. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 7 See full question21s Report this Question A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask? You Selected: "I know it can be difficult to talk about, but does your partner hit you?" Correct response: "Clients with your injuries are often abused. Is anything like this happening now?" Explanation: "Does your partner hit you?" or "Have you ever been or are you now in an abusive relationship?" are direct questions. They are focused and address the topic with the client directly. If that approach feels uncomfortable, indirect questions can be used, such as "We see many clients with injuries or reports like yours, and often they are being abused. Is that what is happening to you?" or "Many people in our community experience abuse from their partners. Is anything like that happening in your life?" With either approach, nurses need to maintain a nonjudgmental acceptance of whatever answers the woman offers. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 310. Chapter 9: Violence and Abuse - Page 310 Add a Note Question 8 See full question28s Report this Question Which statement made by a new nurse demonstrates an understanding of the prevalence of sexual assault and related violence among the population? You Selected: "The greatest need for thorough assessment regarding sexual assault and related violence is among those who are dependent and rely on the care of others." Correct response: "I've come to realize that I need to include questions related to sexual assault and related violence into the assessment of all my clients." Explanation: Nurses will come in contact with sexual assault and related violence no matter what health care setting they work in and among all segments of the population. Nurses must be ready to ask the right questions and to act on the answers, because such action could be lifesaving. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 301. Chapter 9: Violence and Abuse - Page 301 Add a Note Question 9 See full question44s Report this Question A client states "My spouse loves me. My spouse did not mean to hit me. My spouse felt so bad, I received flowers to show me how sorry my spouse was for hitting me. I know this will not happen again." How will the nurse respond? You Selected: "This is a common action of abusers. It does not mean you will not be hit again." Correct response: "This is a common action of abusers. It does not mean you will not be hit again." Explanation: The client is describing the reconciliation or honeymoon phase of the cycle of violence. During this phase, the abuser feels guilt and shame and is apologetic. Talking to the spouse may lead to further violence. The length of marriage isn't relevant to the occurrence of intimate partner violence. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 10 See full question10s Report this Question A new nurse in the emergency department is caring for a pregnant woman who was beaten by her partner. Which statement by the new nurse would require intervention from the supervising nurse? You Selected: "That woman must be doing something to get beaten like that." Correct response: "That woman must be doing something to get beaten like that." Explanation: It is important not to blame abuse victims for the violence they receive. Therefore, the supervising nurse would need to intervene and clarify for the new nurse not to make comments that place blame on the victim. The other statements are fine; many nurses do not understand why abused women do not leave their partners. It is helpful to give information about women's shelters and provide input on an emergency plan in case the woman wants to leave and maintain safety.

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease: You Selected: involves one or both ovaries and extends into the pelvis. Correct response: involves one or both ovaries and extends into the pelvis. Explanation: Stage II ovarian cancer involves one or both ovaries, with pelvic extension. Disease limited to the ovary characterizes stage I ovarian cancer. Stage III ovarian cancer has spread to the lymph nodes and other organs and structures inside the abdominal cavity. Stage IV disease typically involves metastasis to distant sites. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 276. Chapter 8: Cancers of the Female Reproductive Tract - Page 276 Add a Note Question 2 See full question26s Report this Question A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies? You Selected: mammogram Correct response: mammogram Explanation: When caring for a client considering breast augmentation, the nurse should provide her with a general guideline to have a mammogram to verify that there are no malignancies. Mastopexy involves a breast lift for drooping breasts. Ultrasound or breast biopsy would not be necessary unless there was evidence of a problem Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 227. Chapter 6: Disorders of the Breasts - Page 227 Add a Note Question 3 See full question19s Report this Question Which are modifiable risk factors for breast cancer? Select all that apply. You Selected: alcohol consumption duration of breastfeeding smoking obesity sedentary lifestyle Correct response: obesity smoking alcohol consumption duration of breastfeeding sedentary lifestyle Explanation: All are modifiable risk factors for breast cancer. Women who are nonsmokers, have a normal BMI, exercise, and drink little alcohol have a lower lifetime risk of breast cancer. Breastfeeding is inversely correlated with breast cancer. The more a woman breastfeeds, the less likely she is to be diagnosed with breast cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 221. Chapter 6: Disorders of the Breasts - Page 221 Add a Note Question 4 See full question10s Report this Question In which client would the nurse suspect cancer? You Selected: a 45-year-old with thickening in one breast with nipple irritation and retraction and a pink discharge Correct response: a 45-year-old with thickening in one breast with nipple irritation and retraction and a pink discharge Explanation: The 25-year-old most likely has fibrocystic breast changes. The 30-year-old most likely has a fibroadenoma. The 40-year-old most likely has an intraductal papilloma. Further assessment is needed to confirm each of these, but this is what the nurse would first suspect. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 213, 232. Add a Note Question 5 See full question16s Report this Question The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include? You Selected: High-grade dysplasia progresses to invasive cervical cancer in about 2 years. Correct response: High-grade dysplasia progresses to invasive cervical cancer in about 2 years. Explanation: With cervical cancer, lesions start as dysplasia and progress over a period of time. Progression of a high-grade dysplasia takes about 2 years to develop into an invasive cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 284. Chapter 8: Cancers of the Female Reproductive Tract - Page 284 Add a Note Question 6 See full question12s Report this Question A woman with ovarian cancer has been told that she is in stage III of the cancer. The nurse is reviewing the information with her. Which statement would help in the woman's understanding of stage III ovarian cancer? You Selected: The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity. Correct response: The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity. Explanation: The staging and diagnosis is performed by a laparoscopy. The staging is I to IV. Stage III means the cancer has spread to the lymph nodes and other areas in the abdominal cavity. A five-year survival rate for this stage is 30% to 60%. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 276. Chapter 8: Cancers of the Female Reproductive Tract - Page 276 Add a Note Question 7 See full question16s Report this Question The nursing instructor is teaching a student about urinary incontinence and realizes that the student needs further instruction when she makes which statement? You Selected: "Urinary incontinence is an inevitable problem of aging." Correct response: "Urinary incontinence is an inevitable problem of aging." Explanation: There is a widespread belief that urinary incontinence is an inevitable problem of getting older and that little or nothing can be done to relieve symptoms or reverse it. This is not true. For many women with urge incontinence simple reassurance and lifestyle changes might help. If they do not, numerous effective treatments are available. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 253. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 253 Add a Note Question 8 See full question23s Report this Question A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client? You Selected: The test is conducted because of abnormal results in a Papanicolau test. Correct response: The test is conducted because of abnormal results in a Papanicolau test. Explanation: The nurse should explain to the client that the colposcopy is done because the care provider has observed abnormalities in the Papanicolau test results. The nurse should also explain to the client that the procedure is painless and there are no adverse effects, such as pain during urination. There is no need to avoid intercourse for a week after the colposcopy. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 286. Chapter 8: Cancers of the Female Reproductive Tract - Page 286 Add a Note Question 9 See full question10s Report this Question A nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (GnRH) medication for uterine fibroids. For which side effect of GnRH medications should the nurse monitor the client? You Selected: vaginal dryness Correct response: vaginal dryness Explanation: Vaginal dryness is one of the side effects of GnRH medications. The other side effects of GnRH medications are hot flashes, headaches, mood changes, musculoskeletal malaise, bone loss, and depression. Increased vaginal discharge, urinary tract infections, and vaginitis are side effects of a pessary, not GnRH medications. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 256. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 256 Add a Note Question 10 See full question55s Report this Question A client reports lumpy, tender breasts, particularly during the week before menses. She reports pain that often dissipates after the onset of menses. The nurse suspects the client has fibrocystic breast changes. Which should the nurse do next? You Selected: Perform a breast examination. Correct response: Perform a breast examination. Explanation: To determine if the client is experiencing fibrocystic breast changes, the nurse must first examine the client's breasts. It is not important to know if the client has a mammography at this time. Cryoabation is done to remove a tumor. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 214. Chapter 6: Disorders of the Breasts - Page 214 Add a Note Question 11 See full question12s Report this Question At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment? You Selected: "I have to stop breastfeeding because of mastitis." Correct response: "I have to stop breastfeeding because of mastitis." Explanation: The nurse should teach the women about the etiology of mastitis and encourage breast-feeding, emphasizing that it is safe for infants. Continued emptying of the breast or pumping improves the outcome, decreases the duration of symptoms, and decreases the incidence of breast abscess. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 218. Chapter 6: Disorders of the Breasts - Page 218 Add a Note Question 12 See full question15s Report this Question 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: You Selected: telling the client her options. Correct response: education. Explanation: The primary care provider will ultimately be responsible for treatment and deciding the client's options. The nurse will assist by helping the woman to prioritize the voluminous amount of information given to her so she can make informed decisions. The nurse should prepare an individual packet of information and review it with the client. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 230. Chapter 6: Disorders of the Breasts - Page 230 Add a Note Question 13 See full question21s Report this Question 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. You Selected: menorrhagia dyspareunia low back pain Correct response: low back pain dyspareunia menorrhagia bloating Explanation: Symptoms of fibroids depend on their size and location, but may include chronic pelvic pain, low back pain, bloating, constipation, dysmenorrhea, miscarriage, dyspareunia, and feeling of fullness in the pelvic region. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 257. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 257 Add a Note Question 14 See full question9s Report this Question 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: You Selected: endometrial cancer. Correct response: endometrial cancer. Explanation: Any episode of bright-red bleeding that occurs after menopause should be investigated. It should be regarded with suspicion for endometrial cancer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 8: Cancers of the Female Reproductive Tract, p. 281. Chapter 8: Cancers of the Female Reproductive Tract - Page 281 Add a Note Question 15 See full question20s Report this Question A client diagnosed with breast cancer is receiving chemotherapy. The nurse assesses the client for possible side effects of this therapy. Which side effect would the nurse report immediately to the health care provider? You Selected: bone marrow suppression Correct response: bone marrow suppression Explanation: Typical side effects include nausea and vomiting, diarrhea or constipation, hair loss, weight loss, stomatitis, fatigue, and immunosuppression. The most serious is bone marrow suppression (myelosuppression). This causes an increased risk of infection, bleeding, and a reduced red blood cell count, which can lead to anemia. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 228. Chapter 6: Disorders of the Breasts - Page 228 Add a Note Question 16 See full question18s Report this Question A client diagnosed with pelvic organ prolapse is being taught how to perform pelvic floor muscle exercises. During the teaching session, the client asks the nurse, "How do these exercises help?" Which response by the nurse would be most appropriate? You Selected: "They help to increase the volume of your muscles which leads to stronger muscle contraction." Correct response: "They help to increase the volume of your muscles which leads to stronger muscle contraction." Explanation: The purpose of pelvic floor exercises is to increase the muscle volume, which will result in a stronger muscular contraction. The exercises do not move the pelvic floor upward, increase blood supply, or establish regular elimination patterns. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 17 See full question10s Report this Question A nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids. The nurse determines that the teaching was successful based on which statement? You Selected: "If I use hormone therapy, my fibroids may grow back when I stop the medication." Correct response: "If I use hormone therapy, my fibroids may grow back when I stop the medication." Explanation: Typically, with hormonal therapy, fibroids regrow when the medication is stopped. A myomectomy preserves the uterus. Uterine artery embolization is frequently painful. Laser surgery can cause scarring and adhesions which could impact future fertility. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 257-258. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 257-258 Add a Note Question 18 See full question18s Report this Question A woman is diagnosed with stress urinary incontinence secondary to pelvic organ prolapse. When developing the teaching plan for this woman, the nurse would anticipate including instructions about which measure as a first-line treatment? You Selected: Kegel exercises Correct response: Kegel exercises Explanation: Although hormone replacement therapy, diet and lifestyle changes may be used, pelvic floor muscle exercises, or Kegel exercises, are generally accepted as first-line treatment for stress and urge incontinence. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, Pelvic Floor Muscle Exercises or Kegel exercises, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 19 See full question29s Report this Question A nurse is preparing a teaching session for a group of menopausal women experiencing urinary incontinence. When describing how incontinence develops, the nurse includes a discussion about maintaining bladder sphincter tone, describing which hormone as playing an important role? You Selected: Lutienizing hormone Correct response: Estrogen Explanation: A major factor in women that contributes to urinary continence is the estrogen level because this hormone helps maintain bladder sphincter tone. In perimenopausal and menopausal women, incontinence can be a problem as estrogen levels begin to decline and genitourinary changes occur. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, Pathophysiology and Etiology, p. 252. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 252 Add a Note Question 20 See full question13s Report this Question A nurse is preparing a presentation for a health fair at a local college. The nurse is creating a poster to emphasize the need for cervical cancer screening. The nurse would list which age to begin screening? You Selected: 21 years Correct response: 21 years Explanation: The American College of Obstetricians and Gynecologists (2015) recommends that cervical cancer screening should begin at age 21 years (regardless of sexual history), because women younger than age 21 are at very low risk of cancer.

A client has just confided in the nurse about being slapped and kicked by the partner that morning. What is the best response by the nurse? You Selected: "It's very brave of you to tell me all this. Help is available if you choose it." Correct response: "It's very brave of you to tell me all this. Help is available if you choose it." Explanation: When talking with a woman who is a victim of intimate partner violence, it is important not to use expressions of emotionality or judgement such as, "Oh my goodness" or "I feel terrible for you." It is also important to validate the victim's story and tell the victim you believe what happened. Encouraging the victim to say more while informing the victim that help is available is the best therapeutic answer. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 311. Chapter 9: Violence and Abuse - Page 311 Add a Note Question 2 See full question11s Report this Question When a pregnant client is victim of intimate partner violence during pregnancy, what complication is likely to occur after birth due to the abuse? You Selected: postpartum depression Correct response: postpartum depression Explanation: Several studies have confirmed the relationship between intimate partner violence and poor mental health, especially depression. For the pregnant woman, this most often manifests itself as postpartum depression. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 308. Chapter 9: Violence and Abuse - Page 308 Add a Note Question 3 See full question10s Report this Question A nurse is conducting a discussion group at a local women's health center about violence and women. The nurse would include that women are at a higher risk for violence at which time? You Selected: during pregnancy Correct response: during pregnancy Explanation: Women are at a higher risk for violence during pregnancy. Recent research findings indicate that having children does not protect women. They are more vulnerable during this time, and the abusers take advantage of it. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 306. Chapter 9: Violence and Abuse - Page 306 Add a Note Question 4 See full question1m 6s Report this Question The nurse is working with a client who was raped. Which statement, when made by the client, supports that the client is in the outward adjustment phase of the recovery process? You Selected: "I can't sleep without having nightmares." Correct response: "I'm done talking about this; I've put the experience behind me." Explanation: A client in the outward adjustment phase (denial) appears outwardly composed and returns to work or school, refuses to discuss the assault, and denies need for counseling. The acute phase (disorganization) involves shock, fear, disbelief, anger, shame, guilt, feelings of uncleanliness, insomnia, nightmares, and sobbing. Making major life changes is characteristic of the reorganization phase, and becoming an advocate for rape victims would be seen in the integration and recovery phase. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 318. Chapter 9: Violence and Abuse - Page 318 Add a Note Question 5 See full question56s Report this Question A client states "My spouse loves me. My spouse did not mean to hit me. My spouse felt so bad, I received flowers to show me how sorry my spouse was for hitting me. I know this will not happen again." How will the nurse respond? You Selected: "This is a common action of abusers. It does not mean you will not be hit again." Correct response: "This is a common action of abusers. It does not mean you will not be hit again." Explanation: The client is describing the reconciliation or honeymoon phase of the cycle of violence. During this phase, the abuser feels guilt and shame and is apologetic. Talking to the spouse may lead to further violence. The length of marriage isn't relevant to the occurrence of intimate partner violence.

The nursing instructor is teaching about violence and informs the students about which of its distinct phases? Select all that apply. You Selected: acute battering phase tension-building phase Correct response: tension-building phase acute battering phase honeymoon phase Explanation: In an abusive relationship, the cycle of violence comprises three distinct phases: the tension building phase, the acute battering phase, and the honeymoon phase. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 307. Chapter 9: Violence and Abuse - Page 307 Add a Note Question 2 See full question16s Report this Question A nurse is interviewing a client who is a survivor of intimate partner violence. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase three of the cycle of violence? You Selected: "My spouse yells at me for not having dinner waiting upon arriving home." Correct response: "My spouse apologizes and tell me I will never be hit again." Explanation: During phase three of the cycle, the perpetrator becomes kind, contrite, and loving, begging for forgiveness and promising never to inflict violence again, until the next time. The actual violence occurs in phase two. Yelling at the client for not having dinner ready and calling the client stupid and incompetent reflect phase one or tension building. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 305. Chapter 9: Violence and Abuse - Page 305 Add a Note Question 3 See full question12s Report this Question A nurse is assigned to care for a client who was brought to the emergency department. The client was a victim of human trafficking. When providing care to this client, which intervention would have priority? You Selected: building trust Correct response: building trust Explanation: Although privacy, safety, and documentation are important, the priority for this client would be to build trust. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 9: Violence and Abuse, p. 323. Chapter 9: Violence and Abuse - Page 323 Add a Note Question 4 See full question9s Report this Question A 19-year-old pregnant client presents to the office for the third time this week. While completing the client's admission, the nurse screens for intimate partner violence. The client responds, "I have already told you twice this week I am not being abused. Why do you keep asking me these questions?" What is the nurse's best response? You Selected: "We screen all clients for intimate partner violence during every visit." Correct response: "We screen all clients for intimate partner violence during every visit." Explanation: All clients, not just those with risk factors, should be screened for intimate partner violence at every health care visit. The client may open up to the nurse after building a trusting relationship. It is not legal to copy a previous response. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 9: Violence and Abuse, p. 309. Chapter 9: Violence and Abuse - Page 309 Add a Note Question 5 See full question9s Report this Question A client has been seen and treated in the emergency room several times for injuries that are deemed suspicious. The client is reluctant to participate in a screening process. How best can the nurse provide reassurance to this client? You Selected: Being nonjudgmental Correct response: Being nonjudgmental Explanation: During the screening process the victim is most likely to be uncomfortable and not want to participate. Victims are concerned about being judged by the interviewer, provoking more violence, and being disappointed by the provider's response to the disclosure. The nurse can best help the victim participate in screening by ensuring confidentiality and being nonjudgmental. There is no guarantee the nurse can assure the woman of help. At best, the nurse can provide information of agencies and services. Having the client be honest about the injuries can cause much distress for the client who may feel it will only lead to more injuries after the partner realizes details have been disclosed. Helping the client find community resources to develop a plan of protection is best done with the social worker and community agencies rather than the emergency room nurse. The nurse should make a referral to the social worker to help with this situation.

A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client? You Selected: removal of breast tissue, axillary nodes, and some chest muscles Correct response: removal of breast tissue, axillary nodes, and some chest muscles Explanation: A modified radical mastectomy involves removal of breast tissue, the axillary nodes, and some chest muscles but not the pectoralis major muscle. The surgery will not produce a concave anterior chest. With a simple mastectomy, all breast tissue, the nipple, and the areola are removed, but the axillary nodes and pectoral muscles are spared. A lumpectomy, or breast-conserving surgery, involves the wide local excision of the tumor along with a 1-cm margin of normal tissue. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breast, p. 226. Chapter 6: Disorders of the Breasts - Page 226 Add a Note Question 2 See full question11s Report this Question The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response? You Selected: "We call this drug a chemotherapy agent." Correct response: "Tamoxifen reduces the incidence." Explanation: Tamoxifen is referred to as a chemopreventive agent, not a chemotherapeutic agent. It does prevent osteoporosis, but this response does not address breast cancer prevention. Raloxifene is another drug that shows promise as a chemopreventive agent. Tamoxifen reduces breast cancer incidence by 49%. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 229. Chapter 6: Disorders of the Breasts - Page 229 Add a Note Question 3 See full question9s Report this Question Which breast disorder is not benign? You Selected: fibroadenomas Correct response: Paget's disease Explanation: Paget's disease of the nipple is a rare cancer of the nipple and surrounding skin. Fibrocystic breasts, fibroadenomas, and duct ectasia are all benign conditions of the breast. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 219. Chapter 6: Disorders of the Breasts - Page 219 Add a Note Question 4 See full question12s Report this Question At what age should a woman with no risk factors begin mammography screening for breast cancer? Your Response: 40 Correct response: 40 Explanation: Every woman should begin annual mammography to detect breast cancer at the age of 40. Women who have certain risk factors may begin screening earlier. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 6: Disorders of the Breasts, p. 223. Chapter 6: Disorders of the Breasts - Page 223 Add a Note Question 5 See full question9s Report this Question In the United States, what type of cancer accounts for one-third of cancer diagnoses and is the most common cancer in women? You Selected: breast cancer Correct response: breast cancer Explanation: According to the American Cancer Society (ACS), in the United States, breast cancer is the most common cancer in women and accounts for 1 in 3 cancer diagnoses.

The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response? You Selected: Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Correct response: Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Explanation: Hormone replacement therapy may improve the tone and vascularity of the supporting tissue in perimenopausal and menopausal women by increasing blood perfusion and the elasticity of the vaginal wall. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 248. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 248 Add a Note Question 2 See full question22s Report this Question A 40-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate? You Selected: endocervical polyps Correct response: pelvic organ prolapse Explanation: Weakening of the pelvic-floor muscles causes a feeling of dragging and a "lump" in the vagina; these are symptoms of pelvic organ prolapse. These symptoms do not indicate urinary incontinence, endocervical polyps, or uterine fibroids. Urinary incontinence is the involuntary loss of urine. The symptoms of endocervical polyps are abnormal vaginal bleeding or discharge. In cases of uterine fibroids, the uterus is enlarged and irregularly shaped. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 249. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 249 Add a Note Question 3 See full question9s Report this Question A nurse is teaching a client how to use a pessary. The nurse determines that the teaching was successful based on which statement? You Selected: "I need to clean the pessary with soap and water." Correct response: "I need to clean the pessary with soap and water." Explanation: The most common recommendations for pessary care include removing the pessary twice weekly and cleaning it with soap and water, using a lubricant for insertion, and having regular follow-up examinations every 6 to 12 months after an initial period of adjustment. Besides cleaning, clients must properly reinsert the device into their vaginal cavity, and the woman must also be willing to participate in all aspects of care of the pessary for this treatment option to be successful. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, p. 251. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 251 Add a Note Question 4 See full question8s Report this Question A woman is diagnosed with stress urinary incontinence secondary to pelvic organ prolapse. When developing the teaching plan for this woman, the nurse would anticipate including instructions about which measure as a first-line treatment? You Selected: Kegel exercises Correct response: Kegel exercises Explanation: Although hormone replacement therapy, diet and lifestyle changes may be used, pelvic floor muscle exercises, or Kegel exercises, are generally accepted as first-line treatment for stress and urge incontinence. Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 7: Benign Disorders of the Female Reproductive Tract, Pelvic Floor Muscle Exercises or Kegel exercises, p. 247. Chapter 7: Benign Disorders of the Female Reproductive Tract - Page 247 Add a Note Question 5 See full question24s Report this Question A nurse is preparing a discharge teaching plan for a woman who has undergone a hysterectomy. Which areas would the nurse most likely include in the teaching plan? Select all that apply. You Selected: Need for pelvic rest Infection signs and symptoms No heavy lifting Correct response: Need for pelvic rest No heavy lifting Infection signs and symptoms Explanation: Teaching should include the need for pelvic rest (nothing in the vagina), avoidance of heavy lifting or straining, signs and symptoms of infection, showering instead of tub baths, and need for increased fluid intake to prevent dehydration.