N5 - OB Exam 5: Unit 6

Which description would the nurse include when teaching a client about a scheduled colposcopy? A. "A solution will be wiped on your cervix to identify any abnormal cells, which will be visualized with a magnifying instrument." B. "A gel will be applied to your abdomen and a microphone-like device will be moved over the area to identify problem areas." C. "Scrapings of tissue will be obtained and placed on slides to be examined under the microscope." D. "After you receive anesthesia, a small device will be inserted into your abdomen near your belly button to obtain tissue samples."

A. "A solution will be wiped on your cervix to identify any abnormal cells, which will be visualized with a magnifying instrument."

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station? A. 0 B. -1 C. -2 D. +1

A. 0

A biophysical profile has been completed on a pregnant woman. The nurse interprets which score as normal? A. 9 B. 7 C. 5 D. 3

A. 9

After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. When responding to the client, the nurse integrates understanding of what information? A. Fetal circulation carries highly oxygenated blood to vital areas first. B. Fetal blood is thicker than that of adults and needs different pathways. C. Fetal blood has a higher oxygen saturation and circulates more slowly. D. Fetal heart rates are rapid and circulation time is double that of adults.

A. Fetal circulation carries highly oxygenated blood to vital areas first.

A nurse is reviewing a journal article about vaccines used to prevent STIs. The nurse would expect to find information about vaccines for which STIs? Select all that apply. A. HPV B. HAV C. HBV D. HSV

A. HPV B. HAV C. HBV

When describing genetic disorders to a group of couples planning to have children, the nurse would identify which as an example of an autosomal dominant inheritance disorder? A. Huntington disease B. sickle cell disease C. phenylketonuria D. cystic fibrosis

A. Huntington disease

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family? A. Present the information in a factual, nondirective manner. B. Gather information for three generations. C. Inform the family of the need for information. D. Maintain the confidentiality of the information.

A. Present the information in a factual, nondirective manner.

A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which area? A. at the level of the umbilicus B. just above the symphysis pubis C. midway between the pubis and umbilicus D. midway between the umbilicus and xiphoid process

A. at the level of the umbilicus

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: A. candidiasis. B. trichomoniasis. C. bacterial vaginosis. D. genital herpes simplex.

A. candidiasis.

A nurse is monitoring a client's hCG levels because she has had a previous ectopic pregnancy and one spontaneous abortion. Which finding would the nurse interpret as indicating that the pregnancy is progressing appropriately? A. doubling of the level every 2 to 3 days B. plateauing of the level at 7 days C. gradually increasing levels every month D. abruptly declining levels after 60 days

A. doubling of the level every 2 to 3 days

A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, what would the nurse expect to find? Select all that apply. A. hyperemic gums B. reports of bloating C. heartburn D. nausea E. increased peristalsis

A. hyperemic gums B. reports of bloating C. heartburn D. nausea

A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation? A. metrorrhagia B. bleeding after intercourse C. vaginal discharge D. dysmenorrhea

A. metrorrhagia

A nurse has completed the assessment of a client. The nurse suspects that the client may have a malignant breast mass based on which finding? A. nipple retraction B. painful lump C. absence of dimpling D. regularly shaped mass

A. nipple retraction

After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require: A. no treatment. B. biopsy. C. oral contraceptives. D. metformin.

A. no treatment.

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: A. placenta. B. amniotic fluid. C. birth canal. D. breast milk.

A. placenta.

After teaching a group of nurses during an in-service program about risk factors associated with postpartum hemorrhage, the nurse determines that the teaching was successful when the group identifies which risk factors? Select all that apply. A. polyhydramnios B. labor augmentation C. prolonged labor D. null parity E. small for gestation age fetus

A. polyhydramnios B. labor augmentation C. prolonged labor

A client is questioning the nurse about the various options for contraception. When explaining the implantable form, the nurse should point out it contains which form of contraception? A. progestin B. estrogen and progestin C. concentrated spermicide D. concentrated estrogen

A. progestin

A nurse is describing how the fetus moves through the birth canal. Which component would the nurse identify as being most important in allowing the fetal head to move through the pelvis? A. sutures B. fontanelles C. frontal bones D. biparietal diameter

A. sutures

A pregnant woman is scheduled to undergo an amniocentesis. When explaining this test to the client, the nurse would also include information about which test being done at the same time? A. ultrasound B. chorionic villus sampling C. biophysical profile D. Doppler flow study

A. ultrasound

A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor? A. upright B. supine C. lithotomy D. knee-chest

A. upright

8. Vaginal infection formerly called nonspecific vaginitis, Haemophilus vaginitis, or Gardnerella. It is the most common type of vaginal infection and is characterized by discharge that is usually profuse, thin, and white, gray, or milky in appearance with a characteristic odor.________________

Bacterial vaginosis (BV)

1. Bacterial infection that is the most commonly reported STI in American women. This infection is often silent and is highly destructive to the female reproductive tract._____________

Chlamydia

6. Viral infection that is transmitted sexually and is widespread in the United States. It is characterized by painful, recurrent genital ulcers.__________

Genital herpes simplex virus (HSV)

2. The oldest communicable disease in the United States and second most common in terms of reported cases. Because it is a reportable communicable disease, health care providers are legally responsible for reporting all cases to health authorities.____________

Gonorrhea

7. A retrovirus that is transmitted primarily through exchange of body fluids. _________

Human immunodeficiency virus (HIV)

5. Infection that is the most common viral STI seen in ambulatory health care settings; also called genital warts. _________Vaccine currently available to protect against some of the most common strains of this infection._________

Human papillomavirus (HPV); Gardisil

4. Infectious process that most commonly involves the uterine (fallopian) tubes, uterus, and more rarely ovaries and peritoneal surfaces.________

Pelvic inflammatory disease (PID)

3. One of the earliest described STIs. It is caused by Treponema pallidum, a motilespirochete. ____________ Primary lesion that appears 5 to 90 days after infection.___________

Syphilis; chancre

11. A group of infections that can affect a pregnant woman and her fetus. The infecting organisms are capable of crossing the placenta and adversely affecting the development of the fetus.__________

TORCH

10. A vaginal infection caused by an anaerobic one-celled protozoan with characteristic flagella. It is characterized by a copious yellowish green, frothy, mucopurulent, malodorous discharge. _________________

Trichomoniasis

9. A yeast infection that is the second most common type of vaginal infection in the United States. It is characterized by itching and a thick, white, lumpy discharge with a cottage cheese-like consistency. A yeasty or musty odor may be present._____________

Vulvovaginal candidiasis

Ch6 2. Which of the following is the strongest risk factor for breast cancer? a) Advancing age and being female b) High number of children c) Genetic mutations in BRCA1 and BRCA2 genes d) Family history of colon cancer

a) Advancing age and being female

Ch7 3. Which of the following dietary and lifestyle modifications might the nurse recommend to help prevent pelvic relaxation as women age? a) Eat a high-fiber diet to avoid constipation and straining. b) Avoid sitting for long periods; get up and walk around frequently. c) Limit the amount of exercise to prevent overdeveloping muscles. d) Space children a year apart to reduce wear and tear on the uterus.

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

Ch7 2. Conservative treatment options available for women with pelvic organ prolapse are: a) Pessaries and PFM exercises b) External pelvic fixation devices c) Weight gain and yoga d) Firm panty-and-girdle garments

a) Pessaries and PFM exercises

Ch8 3. Which of the following would the nurse identify as the priority psychosocial need for a women diagnosed with reproductive cancer? a) Research findings b) Hand-holding c) Cheerfulness d) Offering of hope

a) Research findings

Ch5 4. In teaching about human immunodeficiency virus (HIV) transmission, the nurse explains that the virus cannot be transmitted by: a) Shaking hands b) Sharing drug needles c) Sexual intercourse d) Breast-feeding

a) Shaking hands

Ch5 2. A 16-year-old teen comes to the clinic for routine care and is diagnosed with gonorrhea. The teen asks the nurse why she needs treatment for this since she has no symptoms. The nurse should explain that possible complications of lack of treatment could result in: a) Sterility, birth defects, and miscarriage b) The need for future births by cesarean section c) Skin rashes and hearing loss d) Disseminated systemic infections

a) Sterility, birth defects, and miscarriage

17. A nurse is caring for a patient in the clinic. Which sign or symptom may indicate that they have gonorrhea? a. Burning on urination b. Dry, hacking cough c. Diffuse skin rash d. Painless chancre

a. Burning on urination

19. 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? a. Chlamydia b. HPV c. Syphilis d. Candidiasis

a. Chlamydia

14. The nurse is caring for a 14-year old girl who fears she might have a sexually transmitted infection. What would the nurse expect to assess if the adolescent has trichomoniasis? a. Green vaginal discharge b. Urinary incontinence c. Flu-like symptoms d. Lesions on the vulva

a. Green vaginal discharge

20. Which medication is the most effective treatment for trichomoniasis? a. Metronidazole b. Penicillin G c. Doxycycline d. Azithromycin

a. Metronidazole

21. A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? a. Painless genital ulcer that appeared about 3 weeks after unprotected sex b. Copper-colored macules on the palms and soles that appeared after a brief fever c. Patchy hair loss and red, broken skin involving the scalp, eyebrows and beard areas d. One or more flat, wartlike papules in the genital area that are sensitive to touch

a. Painless genital ulcer that appeared about 3 weeks after unprotected sex

Ch5 5. A woman with human papilloma virus (HPV) is likely to present with which nursing assessment finding? a) Profuse, pus-filled vaginal discharge b) Clusters of genital warts c) Single painless ulcer d) Multiple vesicles on genitalia

b) Clusters of genital warts

Ch5 1. The nurse's primary role related to sexually transmitted infections is: a) Case reporting of partners b) Detection and education c) Sexual counseling d) Diagnosis and treatment

b) Detection and education

Ch7 6. In securing a health history of a 65-year-old woman, which clinical manifestation described by the client would the nurse suspect is related to pelvic organ prolapse? a) Chronic abdominal pain b) Heavy feeling or dragging in vagina c) Uterine cramping and backache d) Weight gain and edema of ankles

b) Heavy feeling or dragging in vagina

Ch6 7. Breast cancer that is localized is referred to as a) Primary b) In situ c) Metastasized d) Localized

b) In situ

Ch8 5. After teaching a group of students about reproductive tract cancers, the nursing instructor determines that the teaching was successful when the students identify which of the following as the deadliest type of female reproductive cancer? a) Vulvar b) Ovarian c) Endometrial d) Cervical

b) Ovarian

Ch6 3. A biopsy procedure that traces radioisotopes and blue dye from the tumor site through the lymphatic system into the axillary nodes is: a) Stereotactic biopsy b) Sentinel node biopsy c) Axillary dissection biopsy d) Advanced breast biopsy

b) Sentinel node biopsy

Ch6 5. What suggestion would be helpful for the client experiencing painful fibrocystic breast changes? a) Increase her caffeine intake. b) Take a mild analgesic when needed. c) Reduce her intake of leafy vegetables. d) Wear a bra bigger than she needs.

b) Take a mild analgesic when needed.

Ch8 1. When describing ovarian cancer to a local women's group, the nurse states that ovarian cancer often is not diagnosed early because: a) The disease progresses very slowly. b) The early stages produce very vague symptoms. c) The disease usually is diagnosed only at autopsy. d) Clients do not follow up on acute pelvic pain.

b) The early stages produce very vague symptoms.

23. Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? a. Erectile dysfunction b. Dysuria c. Painful ejaculation d. Hematuria

b. Dysuria

15. Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis? a. Primary b. Latency c. Secondary d. Tertiary

b. Latency

24. A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: a. Amniotic fluid b. Placenta c. Birth canal d. Breast milk

b. Placenta

Ch5 7. To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia? a) A highly variable skin rash b) A yellow-green vaginal discharge c) A nontender, indurated ulcer d) A localized gumma formation

c) A nontender, indurated ulcer

Ch7 1. When you are interviewing a client with uterine fibroids, what subjective data would you expect to find in her history? a) Cyclic migraine headaches b) Urinary tract infections c) Chronic pelvic pain d) Chronic constipation

c) Chronic pelvic pain

Ch8 7. Which of the following is considered a risk factor for vulvar cancer? a) Vitamin B12 deficiency b) Epstein-Barr virus c) Human papillomavirus d) Adenovirus

c) Human papillomavirus

Ch5 3. Which of the following contraceptive methods offers protection against sexually transmitted infections (STIs)? a) Oral contraceptives b) Withdrawal c) Latex condom d) Intrauterine contraceptive (IUC)

c) Latex condom

Ch4 4. When teaching a group of women about screening and early detection of cervical cancer, the nurse would include which of the following as most effective? a) Fecal occult blood test b) CA-125 blood test c) Pap smear and HPV test d) Sigmoidoscopy

c) Pap smear and HPV test

Ch7 4. Women with PCOS are at increased risk for developing which of the following long-term health problems? a) Osteoporosis b) Lupus c) Type 2 diabetes d) Migraine headaches

c) Type 2 diabetes

Ch6 8. A 25-year-old woman presents with an asymptomatic breast mass. Which of the following is true concerning her diagnosis and treatment? a) All breast masses should be considered pre-malignant b) The breast mass should be surgically removed immediately c) Ultrasound is typically used to determine the diagnosis d) Since it is asymptomatic, just reassurance is needed now

c) Ultrasound is typically used to determine the diagnosis

Ch6 1. Breast self-examinations involve both touching of breast tissue and: a) Palpation of cervical lymph nodes b) Firm squeezing of both breast nipples c) Visualizing both breasts for any change d) A mammogram to evaluate breast tissue

c) Visualizing both breasts for any change

13. After teaching a client diagnosed with candidiasis about preventative measures, the nurse determines that the teaching was effective when the client states she will take which action? a. Avoid exposure to sun b. Use sunscreen regularly c. Avoid tight pants d. Exercise to prevent fatigue

c. Avoid tight pants

18. A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? a. Syphilis b. Candida albicans c. Gonorrhea d. Human immunodeficiency virus

c. Gonorrhea

16. Which factor in a client's history indicates she is at risk for candidiasis? a. Nulliparity b. Menopause c. Use of corticosteroids d. Use of spermicidal jelly

c. Use of corticosteroids

22. A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques are observed on the vaginal wall. The nurse suspects which condition? a. Trichomoniasis b. Bacterial vaginosis c. Vulvovaginal candidiasis d. Chlamydia

c. Vulvovaginal candidiasis

Ch8 2. A postmenopausal woman reports that she has started spotting again. Which of the following would the nurse do? a) Instruct the client to keep a menstrual diary for the next few months. b) Tell her not to worry, since this a common but not serious event. c) Have her start warm-water douches to promote healing. d) Anticipate that the doctor will assess her endometrium thickness.

d) Anticipate that the doctor will assess her endometrium thickness.

Ch5 6. The nurse's discharge teaching plan for the woman with pelvic inflammatory disease (PID) should reinforce which of the following potentially life-threatening complications? a) Involuntary infertility b) Chronic pelvic pain c) Depression d) Ectopic pregnancy

d) Ectopic pregnancy

Ch7 5. Side effects experienced by women taking GnRH agonists for the treatment of fibroids closely resemble those of: a) Anorexia nervosa b) Osteoarthritis c) Depression d) Menopause

d) Menopause

Ch6 4. The most serious potential adverse reaction from chemotherapy is: a) Thrombocytopenia b) Deep vein thrombosis c) Alopecia d) Myelosuppression

d) Myelosuppression

Ch8 6. The nurse is attempting to reassure her obese female client about the discovery of an ovarian cyst after her pelvic exam. Which of the following statements is true concerning ovarian cysts? They are: a) Frequently seen in polycystic kidney disease b) Always painful and need to be removed surgically c) A precursor to ovarian carcinoma d) Part of a syndrome that includes hypertension and diabetes

d) Part of a syndrome that includes hypertension and diabetes

Ch6 6. A postoperative mastectomy client should be referred to which of the following organizations for assistance upon discharge from the hospital? a) National Organization for Women (NOW) b) Food and Drug Administration (FDA) c) March of Dimes Foundation (MDF) d) Reach to Recovery (RTR)

d) Reach to Recovery (RTR)

12. The nurse has performed disease prevention teaching with a female client who has genital herpes. Which client behavior indicates that the teaching has been successful? a. The client keeps the affected area moist b. The client wears tight-fitting jeans c. The client keeps her fingernails long d. The client washes her hands before and after touching lesions

d. The client washes her hands before and after touching lesions