Sexuality PrepU
A 15-year-old girl visits the neighborhood clinic seeking information on "how to keep from getting pregnant." What should the nurse say in response to her request?
"Can you tell me about the precautions you're taking now?"
A client who wishes to preserve childbearing asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?
"Symptoms of endometriosis are increased during normal menstrual cycle."
The nurse is caring for a woman in a prenatal clinic who thinks she might be pregnant. Which assessment is a probable sign of pregnancy
A positive pregnancy test
What is the gold standard for HSV diagnosis?
Culture
Which of the following is an age-related functional change of the female reproductive system?
Decreased ovulation
In the resolution phase of sexual response, which response would be most commonly noted in the male?
Erection is lost
During a complete physical assessment of a preteen boy, the nurse correctly recognizes which findings as being the first change of puberty?
Testicular enlargement
Which statement best expresses the role of the corpus luteum?
The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation.
The father of a neonate diagnosed with gastroschisis tells the nurse that his wife had planned on breastfeeding the neonate. Which information should the nurse include in the preoperative teaching plan about feeding the neonate?
The neonate will remain on nothing-by-mouth (NPO) status until after surgery.
A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort?
Water-based lubricant
To promote comfort and optimal respiratory expansion for a client with chronic obstructive pulmonary disease during sexual intimacy, the nurse can suggest that the couple:
use pillows to raise the affected partner's head and upper torso.
As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which statement by the client indicates she understands her current ability?
"I can participate in sexual activity but might not experience orgasm."
A client has obtained levonorgestrel as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which statement?
"I can wait up to 4 days after intercourse to start taking these to prevent pregnancy."
Which client has the highest risk of ovarian cancer?
45-year-old woman who has never been pregnant
Which client would the nurse identify as being at highest risk for the development of testicular cancer?
A 25-year-old male with a history of cryptorchidism
A male client reports having impotence. The nurse examines the client's medication regimen and determines that a contributing factor to impotence could be:
Antihypertensives
A client is in the last trimester of pregnancy. The nurse should instruct her to notify her primary health care provider immediately if she notices:
Blurred Vision
A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?
Breast development
Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following?
Bulging of the bladder into the vagina
A client presents at the clinic and is interested in obtaining emergency contraception. The nurse explains the EC must be used within 72 hours of unprotected sex to be effective. This is because:
EC's simply prevent embryo creation and uterine implantation from occurring in the first place.
The mother of a 4-year-old boy reports her son has voiced curiosity about her breasts. She asks the nurse what she should do. What information is best for the nurse to give the parent?
Encourage the parent to determine what the child's specific questions are and answers them briefly
A 50-year-old man has a long history of type 1 diabetes, which is poorly controlled. What does diabetes greatly increase the man's risk of experiencing?
Erectile dysfunction
After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?
Erectile dysfunction may be due to testosterone insufficiency.
A 60-year-old female client with a history of osteoarthritis in her hip confides to the nurse that "intercourse hurts my hip." Which of the following would be the best option for the nurse to suggest?
Exploring alternate positions for intercourse
The nurse is talking to the mother of a 19-month-old girl about setting limits and supervising activities. In which situation will the nurse recommend letting the child do as she pleases?
Exploring her body
A young woman is trying to get pregnant. She asks the nurse to recommend a practical way that she can tell the point in her monthly cycle when she will have the best odds of getting pregnant. Which recommendation by the nurse would be best?
Have sex when the cervical mucus is thin, stretchy, and copious.
A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is:
Irregular vaginal bleeding
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of high school students. What would be the best response by a high school student about the function of the vagina?
It receives sperm, provides an exit for menstrual flow, and serves as the birth canal.
What should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?
Older adults can still be sexually active.
A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. What should the nurse encourage the patient to do?
See her gynecologist as soon as possible.
Students preparing for a test are reviewing the structure and function of the male reproductive system. They demonstrate understading of the material when they identify which of the following as the site of spermatogenesis?
Testes
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?
The man will still have full erection capacity
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. The nurse suspects the odor is caused by which bacteria?
Trichomonas
A nurse is teaching a group of women at the local health clinic about reproduction. After describing the various internal structures involved, the nurse determines that the teaching was successful when the group identifies which structure as connecting the external structures with the cervix?
Vagina
A 3 1/2 year-old child is found masterbating in the family living room. Which response by the parent would best address this behavior?
We do not touch ourselves in public, please go to your room if you want to continue this behavior
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?
a diaphragm and spermicide
An older female client reports pain during intercourse, disrupting the intimacy that she and her husband are accustomed to sharing. What might be the cause of her pain?
atrophy of Bartholin glands
A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?
endometrium
In the male, interstitial cell stimulating hormone is released. The nurse identifies this as:
luteinizing hormone.
An adolescent presents to a community clinic for treatment of vulvar lesions associated with Type 2 herpes simplex. The nurse should:
show the adolescent to a private examination room.
