NUR 411 Ch 1-9

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

Tumor location (ch 6, p 215)

The nurse would expect which client to be at a high risk for developing a pelvic support disorder?

a 60-year-old mother with four children (ch 7, p 238)

The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client?

"Avoid alcohol consumption for at least 24 hours after you take this medication." (ch 5, p 192)

A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client?

"Checking the strings is recommended following insertion." (ch 4, p 148)

A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion (elective termination of pregnancy). What would be the most appropriate response from the nurse to this client?

"I'll put together the information that you will need." (ch 1, p 40-41)

Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility?

"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum." (ch 4, p 129)

The nursing instructor is teaching a student about urinary incontinence and realizes that the student needs further instruction when she makes which statement?

"Urinary incontinence is an inevitable problem of aging." (ch 7, 245)

In women with trichomoniasis, the vaginal pH is usually greater than _____ .

4.5

For women with HIV infection, viral load becomes undetectable when it is less than ______

400

A primary care provider tells a pregnant woman with slightly elevated blood pressure to return home on bed rest until her next scheduled checkup. This is an example of which type of care?

Home care (ch 2, p 79)

The vaccine for human papillomavirus is administered by the _________ route.

IM

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

It receives the fertilized ovum and provides housing and nourishment for a fetus. (ch 3, p 98-99)

The absence of menses is called

amenorrhea

Symptoms of post-traumatic stress disorder (PTSD) are divided into four groups: intrusive, _____________, hyperarousal, and cognitive and mood symptoms.

avoidance

Mammography is recommended for a client diagnosed with intraductal papilloma. Which factor should the nurse ensure when preparing the client for a mammography?

Client has not applied deodorant on the day of testing. (ch 6, p 218)

The _________ parenting style involves little parental control over the behavior of children.

permissive

Tumors in the vagina commonly occur on the ____________ wall.

posterior

Treatment of pelvic inflammatory disease (PID) includes education to prevent _______

recurrence

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely:

shed her uterine lining. (ch 3, 104)

Mortality refers to the prevalence of a specific illness in a population over a given time period.

False

Most girls in the US menstruate by the age of 14

False

The cervix refers to the uppermost portion of the uterus

False

The external male reproductive structures are the testes, ductal system, and accessory glands.

False

Urinary incontinence is primarily a disorder affecting older women.

False

The most effective treatment for syphilis is erythromycin.

False - Benzathine penicillin G, administered either IM or IV route

A doula is a nurse midwife

False. Rationale: A doula is a non-medical birth companion who provides continuous emotional, physical, and educational support to the woman/family during childbirth and postpartum period. Doulas do not perform clinical/medical tasks. A CNM has postgraduate training in the care of a normal pregnancy and delivery and is certified by the American College of Nurse Midwives.

The _________ is considered the basic social unit.

Family

Which nursing intervention would best demonstrate evidence-based practice in maternal-child health care?

Family centered pediatric care (Ch 1, p 4)

______________ are common benign solid breast tumors occurring in about 10% of all women and accounting for up to half of all breast biopsies

Fibroadenomas

A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?

Adolescents and young adults are the largest age group diagnosed with an STI. (ch 5, p 172)

A woman in active labor begins to recite a lullaby to "call the baby outside." Which action by the nurse caring for this woman is most appropriate at this time?

Allow the clients to perform the ritual (ch 2, p 73)

A terminally ill 15-year-old tells the nurse that she wants to stop all treatments and go home despite her parents' directives to provide extraordinary means to keep their child alive. What is the best resource available to this nurse to help solve this dilemma?

An institutional ethics committee (ch 1, p 44)

Mastitis is treated with oral __________ and acetaminophen.

Antibiotics.

Kegel exercises are effective in treating severe uterine prolapse.

False

___________ disease is the number one cause of death in women, regardless of racial or ethnic group.

Cardiovascular.

A nurse is preparing a presentation for a group of women which will cover various dietary and lifestyle changes to help avoid future pelvic structure changes. Which key point should the nurse point out in this presentation to the women?

Drink plenty of fluids each day. ( ch 7, p 243)

An 8-year-old with cystic fibrosis has had a noted decline on the growth chart. Which nursing intervention is best for maintaining adequate nutrition?

Encourage high calorie, high protein snacks. ( ch 2, p 1449)

____________ refers to a condition in which functioning endometrial tissue is found outside the uterine cavity.

Endometriosis

Time out is an effective _____________ discipline method.

Extinction.

All STIs can be transmitted in the utero to the fetus or during childbirth to the newborn

False

The cessation of regular menstrual cycles is termed ____________.

Menopause

___________ is the normal, predictable physiologic process in which the endometrial lining is expelled.

Menstruation

___________ incontinence involves stress and urge incontinence.

Mixed

An infant at 33 weeks' gestation dies after 1 week of life in the neonatal intensive care unit. This infant's death rate would be classified under which statistical category?

Neonatal death (ch 1, p10)

A 45-year-old female client tells the nurse she has a dimpling of the right breast that has occurred in the past 2 weeks. What action will the nurse take next?

Perform an examination of both of the client's breasts. (ch 6, p 226)

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?

Perform breast examination (ch 6, p 209)

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?

Periods become lighter (ch 4, p 148)

A ________ is a silicone or plastic device inserted in the vagina to support the uterus, bladder, and rectum.

Pessary

________________ is often a time when physical abuse starts or escalates.

Pregnancy

Pediculosis pubis causes _________ and skin irritation in the pubic area.

Pruritus

The first axillary lymph node tested to determine the spread of breast cancer is called the __________ lymph node.

Sentinel

The ________________ produces sperm and synthesizes testosterone.

Testes

A nurse is preparing a presentation on current American trends in maternal morbidity and mortality in order to lobby for program funding. Which statements would the nurse include? Select all that apply.

The United States ranks below more than 45 countries in rates of maternal deaths. Most of pregnancy-related complications respond well to proper care. The leading causes of pregnancy-related mortality are hemorrhage, infection, preeclampsia-eclampsia, obstructed labor, and unsafe abortion (elective termination of pregnancy) (Ch 1, p 8-9)

A nurse admits a young boy who lives in a homeless shelter with his pregnant teenage mother. What would the nurse realize is a priority when planning this boy's case management?

The toddler's situation puts him at risk for higher incidence of disease and limited access to appropriate care. (ch 1, p 12-13)

A cyst palpated in the breast is usually mobile and tender.

True

A nurse should screen for abuse at every health care visit.

True

Chlamydia is the most common bacterial STI in the US

True

Congenital anomalies are the leading cause of infant mortality in the US

True

Genital warts are caused by the human papillomavirus (HPV)

True

The DEXA scan is a screening test for detecting_____________

osteoporosis

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 polyps being described as which color?

cherry-red (ch 7, p 248)

Female genital mutilation is also known as female __________.

circumcision

The mother of a 10-year-old female brings the girl to the clinic for a routine health visit. During the visit, the mother asks the nurse, "I'm wondering, can you tell me when my daughter might have her first period?" When responding to the mother, the nurse would integrate understanding of which factor as being most important in determining the age at which menstruation would occur?

genetics (ch 3. p 104)

Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands?

gonadotropin-releasing hormone (GnRH) (ch 3, p 105)

___________ is the surgical removal of the uterus.

hysterectomy

Cervical ____________ is the precursor to cervical cancer.

dysplasia

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection?

dysuria (ch 5, p 183)

Clients who have had PID are prone to which complication?

ectopic pregnancy (ch 5, p 189)

A nurse working in the OB clinic is talking to a client who asks the nurse why her primary care provider has not prescribed estrogen replacement therapy (ERT) to treat her pelvic organ prolapse (POP). The nurse informs the client that ERT is not for everyone and should not be given to clients who are at risk for developing which conditions? Select all that apply.

endometrial cancer myocardial infarction (MI) stroke breast cancer deep vein thrombosis (DVT) pulmonary emboli (PE) (ch 7, p 241)

Breast cancer starts in the ________ cells that line the mammary ducts within the breast,

epithelial

Most ovarian cancers originate in the ovarian ____________.

epithelium

The penis is composed mostly of _________ tissue

erectile

Fear of the batterer often motivates a pregnant woman to escape an abusive relationship.

false

Uterine ___________ are benign proliferations of smooth muscle and fibrous connective tissues in the uterus.

fibroids

A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies?

mammogram (ch 6, p 222)

The nurse is discussing sexual health with high school students, and states that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. What would be the best information for the nurse to include in the education session about the main effects of the gonadotropic hormones?

stimulation of the formation of ova; stimulation of the secretion of hormones from sex organs; stimulation of the development of secondary female sexual characteristics (ch 3, p 105)

A school nurse is talking to an adolescent who asks about why she has monthly menstrual cycles. The best explanation that the nurse can offer regarding the menstrual phase is to tell her that:

the uterine lining is being shed due to lowering of hormone levels. (ch 3, p 101)

The cycle of violence consists of _________ phases.

three

If vulvovaginal candidiasis is not treated effectively during pregnancy, the newborn can develop an oral infection known as ____________.

thrush

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?

trichomoniasis (ch 5, p 180-181)

Cancer is the second leading cause of death for women in the United States.

true

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they identify which information?

A primary function of the female breast is to produce milk. (ch 3, p 100)

A community health nurse is actively involved in various community projects. The nurse is providing a secondary prevention activity by organizing which event?

A skin cancer screening fair (ch 2, p 72)

A client is at the clinic for her annual pelvic exam and asks the nurse about ovulation and where the eggs come from. What educational information would the nurse share with this client?

A woman is born with all the ova that she will ever have and they are stored within the ovaries. ( ch 3, p 100)

A client, 6 hours postpartum, has a severe postpartum hemorrhage that the health care providers are unable to control. She succumbed to the hemorrhage in the intensive care unit. The client's death would become part of the:

maternal mortality rate (ch 1, p 9)

_________ cancer is more common in pregnant women than other reproductive malignancies.

Cervical

The nurse is providing care to a woman who has just given birth to a healthy term neonate. The woman's partner arrives and asks about the neonate's status. Which action by the nurse would be appropriate?

Check the medical record for written client approval with whom to share information. (ch 1 p 45)

A nurse is analyzing a journal article presenting statistics concerning newborn and infant health. Which condition has been determined to be the most likely cause of infant mortality in the United States?

Congenital abnormalities (Ch 1, p 10)

The four most common types of genital prolapse are _____________, rectocele, enterocele, and uterine prolapse.

Cystocele

Bone loss accelerates in the third or fourth decade and declines rapidly after menopause.

False

Child mortality rate is often used as an index of the general health of a country.

False

Genital herpes simplex is cured using antiviral drug therapy

False

In general, the first treatment option for women diagnosed with breast cancer is hormonal therapy.

False

Morbidity is easy to define and it measures how many days a child is sick, misses school, and is confined to bed.

False

A couple who has not conceived after 6 years of not using birth control are being seen in the infertility clinic. In assessing the client's psychosocial response to infertility, which might the nurse expect to find? Select all that apply.

Guilt related to the lack of conception Anger toward others who have conceived Fear of the possible outcome of the testing (ch 4, p 130)

Estrogen deficiency is commonly manifested by hot flashes and night sweats.

True

Female adolescence are more susceptible to STIs due to their anatomy.

True

Gardasil is the first vaccine developed to prevent cervical cancer.

True

Neonatal mortality is determined by the number of deaths per 1000 live births during the first 28 days of life.

True

Pregnancy and use of oral contraceptives are predisposing factors to vaginal candidiasis

True

Preterm births and low birth weight are important risk factors for the infant death.

True

The average amount of menstrual flow is approx. 6-8 oz.

True

The diaphragm is an example of a barrier method of contraception.

True

The majority of ovarian cysts are benign.

True

The most advanced stages of HIV infection is termed acquired immunodeficiency syndrome (AIDS).

True

The most common type of breast cancer is invasive ductal carcinoma

True

The seminal vesicles secrete an alkaline fluid

True

Date rape drugs are also known as "________ drugs."

club

The goal of intervening with a victim of abuse is to enable her to gain ___________ of her life.

control

Vulvar cancer is usually found on the labia ___________.

majora

A nurse is reviewing the medical record of a woman who has given birth vaginally. The record reveals that the client required a right mediolateral episiotomy during birth. When assessing the client, the nurse would inspect which area to evaluate the status of the episiotomy?

perineum (ch 3, p 97)

A woman has been assessing her basal body temperature for 4 months. Upon reviewing her temperature history log, the nurse notes no change in her daily temperatures. Which should the nurse expect the health care provider to prescribe first?

serum progesterone level (ch 3, p 103)

Ovarian cancer during pregnancy is rare.

true

Rape is a legal term rather than a medical term.

true

The ________ is a canal that connects the external genitals to the uterus.

vagina

The external female reproductive organs collectively are called the______

vulva

A 15-year-old client has just given birth and states that she does not want her infant to receive any newborn vaccines. What is the appropriate action for the nurse to take?

withhold the vaccine (ch 1, p 49)

STIs are biologically sexist, presenting greater risk and causing more complications among _______

women

low socioeconomic status typically has an adverse effect on an individual's health.

True

The vagina has an acidic environment

True

Urge incontinence may result from an overactive bladder.

True

Vaginal hysterectomy is the treatment of choice for severe uterine prolapse.

True

Monitoring basal body temperature is an example of a _____________ method of contraception.

behavioral

The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out?

bone mineral density decreases (ch 4, p 161)