Exam 1 OB and Peds

The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects in the future offspring of pregnant women?

b. folic acid

A nurse is developing a plan of care for a woman who is a victim of violence. Which intervention would be least appropriate for the nurse to include?

b. providing information about a safe home and cirsis line

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?

b. five different sexual partners

An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for what?

a. Chlamydia

When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century?

d. Development of free-standing birth centers

The nurse working in a maternity clinic suspects that a client and her children are in an abusive relationship. While waiting for test results, the nurse decides to teach the client about partner abuse. What would be the best rationale for the nurse's decision?

d. The nurse knows that children exposed to family violence are likely to be abused.

A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI?

d. gonorrhea

A 40-year-old woman is being discharged from the walk-in health care clinic after a diagnosis of pelvic inflammatory disease. Which health teaching topic should the nurse address?

d. sexually transmitted infections

A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event?

b. ovulation

The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. Which response by the nurse would be most appropriate?

a. "Currently there is no reliable screening test for ovarian cancer."

When the nurse is alone with a client, the client says, "It was all my fault. The house was so messy when he got home, and I know he hates that." Which response would be mostappropriate?

a. "It is not your fault. No one deserves to be hurt."

A nurse is preparing an in-service program for a group of newly hired nurses about trends in care for pregnant women. When describing events of the past decade, the nurse would state that the average length of stay in the hospital for vaginal births is:

a. 24 to 48 hours or less.

A prenatal nurse is preparing a presentation for expectant parents on the use of birthing centers. What information would the nurse likely include? Select all that apply.

a. Birthing centers use a noninterventional approach to obstetric care. b. Brithing centers allow for freedome to eat and move around during labor. d. This setting allows for the ability to give birth in a variety of positions.

A teenage male from a rural area has been airlifted to the nearest urban center hospital for investigation of abdominal pains. Which actions by the nurse best exemplify the principles of family-centered care? Select all that apply.

a. The health care team gives the client and family regular updates. c. The family is assisted with travel plans to be able to stay with the client. d. The client and family are able to communicate with caregivers

When a nurse suspects that a client may have been abused, the first action should be to:

a. ask the client about the injuries and if they are related to abuse.

After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which contraceptive methods as mechanical barrier methods? Select all that apply.

a. condom b. cervical cap c. cervical sponge d. diaphragm

A nurse is working with a victim of intimate partner violence and helping her develop a safety plan. Which items would the nurse suggest that the woman take with her? Select all that apply.

a. driver's license b. Social Security number c. cash e. health insurance cards

A nurse is working with a woman who is a victim of violence. Which intervention would be most important for this client?

a. providing for the client's safety

After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?

a. sexual intercourse

A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites and is thin and stretchy. The nurse interprets this as which kind of mucus?

a. spinnbarkeit mucus

When teaching a parenting class on childhood discipline, the nurse is asked by a parent, "How long do I place my child in time-out?" How should the nurse best respond?

b. "Use 1-minute per year of age, but do not exceed 5-minutes."

A nurse is conducting a class for a local woman's group about recommendations for a Pap smear. One of the participants asks, "At what age should a woman have her first Pap smear?" The nurse responds by stating that a woman should have her first Pap smear at which age?

b. 21

A nurse is working at a community prenatal drop-in clinic. Which actions best reflect the principles of family nursing within this clinic? Select all that apply.

b. Health promotion education activities are planned for the clients and their families. c. The clients and their families are included in all decision-making collaborations. d. The nurse would seek other health care provider input to plan care.

The sexual health nurse is presenting to a group of adolescents the government initiative that proposes to reduce the numbers of adolescents with sexually transmitted infections. What is the name of this initiative?

b. Healthy People 2020

The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition as the priority?

b. Heart disease

The nurse notes that an older adult client receives only one visitor and asks the client if family members could be called. The client states, "I consider her to be all of my family." What would the nurse consider in responding to the client?

b. The client defines who is and who is not part of the family without undue influence.

A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description?

b. characterized by tension-building and minor battery

Which finding would the nurse expect to find in a client with endometriosis?

b. dyspareunia

A woman comes to the clinic for a routine check-up. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?

b. human papillomavirus

A group of nurses are researching information about risk factors for intimate partner violence in men in preparation for a violence prevention program. Based on their research, which risk factors would the nurses expect to address? Select all that apply.

b. low academic achievement c. victim of childhood violence d. heavy alcohol consumption

A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the nurse suspects endometrial cancer. Which information would lead the nurse to suspicion?

b. onset of painless, red postmenopausal bleeding

A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement?

c. "Immunizations may be the cause of some illnesses being seen currently."

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate?

c. "There is no cure, but drug therapy helps to reduce symptoms and recurrences."

A nurse is providing care to a group of childbearing families at the local family health clinic. The families are from a different culture from the nurse's own. Which action would be the priority for the nurse?

c. Assess personal feelings about that culture.

When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?

c. Birth results in changes in relationships.

Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection?

c. Educate clients in how to practice safe sex.

A nurse is planning a continuum of care for a client during pregnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience?

c. Educating the client about the improtance of a support person

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:

c. cervical cancer

The nurse is preparing a presentation for a local women's group about methods to reduce the risk of reproductive tract cancers. Which action should the nurse include?

c. condom use with every sexual encounter

After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)?

c. condoms

A nurse is working with a group of women who are victims of intimate partner violence. The nurse focuses interventions on which area as the primary goal?

c. empowering them to regain control of their life

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:

c. improve survival rates.

A nurse is preparing a teaching plan for victims who are recovering from abusive situations. The nurse would focus the teaching on ways to:

c. improve their communication skills and assertiveness.

A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm this suspicion?

c. laparoscopy

When describing an episode, the victim reports that she attempted to calm her partner down to keep things from escalating. The nurse interprets this behavior as reflecting which phase of the cycle of violence?

c. tension-building

Which statement best indicates that a client has taken self-care measures to reduce her risk for cervical cancer?

d. "My partner always uses a condom when we have sexual intercourse."

A nurse is working with a woman who is a victim of violence. Which statement would be most appropriate to empower the victim to take action?

d. "You are a good person and you deserve better than this."

The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS?

d. 200 cells/mm3

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence?

d. Ask, "Have you ever been physically hurt by your partner?"

After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which finding as a prominent assessment finding?

d. weight loss