Women's Health & Contraception Practice Exam

Which response would the nurse give to the older female client diagnosed with a cystocele who is reluctant to have surgical repair of the condition? 1 "You should have the surgery done, although it is not harmful to avoid surgery." 2 "Depending on the degree of the cystocele, there may be other options." 3 "You are risking bowel obstruction if you do not do the surgery." 4 "You are risking kidney failure if you do not do the surgery."

"Depending on the degree of the cystocele, there may be other options."

The nurse is providing discharge instructions to a client who has undergone anterior colporrhaphy. Which statement by the client indicates the teaching has been understood? 1 "I know that my sutures need to be removed in a week." 2 "I'm ready to start my aerobics class again next week." 3 "I'm glad I can help get my bedridden husband up to his chair now." 4 "For discomfort I can try using warm compresses on my abdomen."

"For discomfort I can try using warm compresses on my abdomen."

A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the clinic and states that she has tenderness, redness, and swelling in her right calf. Which priority action would the nurse instruct the client to take? 1 "Stay in bed for at least 3 days." 2 "Keep the legs elevated while sitting." 3 "Apply a warm compress to the affected calf twice a day." 4 "Go to the emergency department immediately."

"Go to the emergency department immediately."

Which client statement leads the nurse to conclude that the client has been experiencing menorrhagia? 1 "It hurts when I have intercourse." 2 "I have a foul-smelling vaginal discharge." 3 "I have bleeding between my menstrual periods." 4 "I have severe bleeding during my menstrual periods."

"I have severe bleeding during my menstrual periods."

A female client is receiving intravenous antibiotic therapy for toxic shock syndrome. Which statement indicates to the nurse that the client understands the teaching regarding future care? 1 "I will call the clinic if I get a rash." 2 "I will call the clinic if the menstrual cramps return." 3 "I now know how to insert my diaphragm correctly." 4 "I now know how to perform correct tampon hygiene."

"I will call the clinic if I get a rash."

The nurse is discussing sexuality with a teenage female who has cystic fibrosis. Which statement best reflects the teenager's understanding of healthy sexuality? 1 "I can never get pregnant." 2 "Having sex is not possible for me." 3 "My best protection is a diaphragm." 4 "I won't have sex unless I use a condom."

"I won't have sex unless I use a condom."

The nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. Which response from the nurse to the requesting supervisor would demonstrate professionalism? 1 "I will go, but it is against my beliefs and values." 2 "I won't do it, because I do not believe in birth control at all." 3 "I would prefer another assignment that is not contrary to my beliefs." 4 "I will have to stress that the rhythm method is the method of choice."

"I would prefer another assignment that is not contrary to my beliefs."

A client undergoes anterior and posterior surgical repair of a cystocele and rectocele and returns from the postanesthesia care unit with an indwelling catheter in place. Which are the reasons for the catheter? Select all that apply. One, some, or all responses may be correct. 1. Discomfort is minimized. 2. Bladder tone is maintained. 3. Retention of urine is prevented. 4. Pressure on the suture line is relieved. 5. Hourly urine output can be easily measured.

1. Discomfort is minimized. 3. Retention of urine is prevented. 4. Pressure on the suture line is relieved.

Which risk factors associated with intrauterine device (IUD) use would the nurse include in the discussion of an IUD with a client? Select all that apply. One, some, or all responses may be correct. 1 Expulsion of the device 2 Risk for infection during insertion 3 Delay of return to fertility 4 Risk for perforation of the uterus 5 Increased incidents of vaginal yeast infections

1. Expulsion of the device 2. Risk for infection during insertion 4. Risk for perforation of the uterus

The nurse is teaching a family planning class about ovulation and conception. For which period of time would the nurse inform the class that the ovum is capable of being fertilized after ovulation? 1 1 to 6 hours 2 12 to 18 hours 3 24 to 36 hours 4 48 to 72 hours

24 to 36 hour

A couple interested in family planning asks the nurse about the cervical mucus method of preventing pregnancy. Which quality of cervical mucous would indicate fertility? 1 White and thick 2 Yellow and thin 3 Cloudy and viscid 4 Clear and stretchable

4 Clear and stretchable

A couple has decided to use the basal body temperature method of natural family planning. Which time period would the nurse teach them is the most fertile period in the menstrual cycle? 1 12 hours before to 24 hours after ovulation 2 72 hours before to 24 hours after ovulation 3 72 to 80 hours before to 72 hours after ovulation 4 24 to 48 hours before to 48 hours after ovulation

72 hours before to 24 hours after ovulation

Which time of the month would the nurse teach premenopausal women to perform breast self-examination? 1 When ovulation occurs 2 The first day of every month 3 The day that the menses begins 4 About a week after menses end

About a week after menses end

Which information about genital herpes would the nurse teach the students in the high school sex education class? 1 A healthy lifestyle will prevent exacerbations. 2 Once the infection is effectively treated, exacerbations are rare. 3 Although exacerbations occur, they are not as severe as the initial episode. 4 The most effective way to prevent exacerbations is to abstain from sexual activity.

Although exacerbations occur, they are not as severe as the initial episode.

Which complication would the nurse suspect in the client who returns to the unit after an abdominal hysterectomy with an indwelling urine catheter present and sanguineous urine in the collection bag? 1 An incisional nick in the bladder 2 A urinary infection from the catheter 3 Disseminated intravascular coagulopathy 4 Uterine relaxation with increased bleedin

An incisional nick in the bladder

A 30-year-old woman is scheduled for a total abdominal hysterectomy because of noninvasive endometrial cancer. The nurse anticipates the client may have difficulty adjusting emotionally to this type of surgery. Which concern would be the cause of this anticipated difficulty? 1 Change in femininity 2 Body image changes 3 Diminished sexual desire 4 Slow recovery

Change in femininity

Which instruction would the nurse provide to the client who uses tampons for her menstrual period and is seeking advice on prevention of toxic shock syndrome (TSS)? 1 Change the tampon about every 4 hours. 2 Use sanitary napkins rather than tampons. 3 Douche just before inserting each tampon. 4 Replace the tampon at least twice a day

Change the tampon about every 4 hours.

A hysterectomy is scheduled for a client with endometrial cancer. Before the surgery proceeds, which intervention would the nurse prepare the client to expect? 1 Nasogastric tube 2 Indwelling urinary catheter 3 Vaginal packing for 10 days 4 Jackson-Pratt drain in the abdominal incision

Indwelling urinary catheter

Which guidance would the nurse to provide to a sexually active 16-year-old client when she inquires as to how she can protect herself from contracting human immunodeficiency virus (HIV)? 1 Ask her partner to withdraw before ejaculating. 2 Make certain their relationship is monogamous. 3 Insist that her partner use a condom when having sex. 4 Seek counseling about various contraceptive methods.

Insist that her partner use a condom when having sex.

The nurse explains to the client that infertility caused by a defect in the tube is most often related to which condition? 1 A tubal injury 2 Past infection 3 A fibroid tumor 4 A congenital anomaly

Past infection

Which aspect of the client's life is most important for the nurse to explore when obtaining a health history from a client newly diagnosed with cervical cancer? 1 Sexual history 2 Support system 3 Obstetric history 4 Elimination patterns

Support system

Which sexually transmitted infection is caused by protozoa? 1 Scabies 2 Chancroid 3 Pediculosis 4 Trichomoniasis

Trichomoniasis

A young woman is diagnosed as having genetically related amenorrhea. Which is the primary nursing intervention at this time? 1 Supporting her physical abilities 2 Discussing her altered body image 3 Trying to meet her emotional needs 4 Exploring other reproductive options with her

Trying to meet her emotional needs

Which instruction would the nurse provide to the client who has been diagnosed with a urinary tract infection? 1 Void every 2 hours. 2 Record fluid intake and urinary output. 3 Pour warm water over the vulva after voiding. 4 Urinate after intercourse.

Urinate after intercourse.

After a mastectomy or a hysterectomy a client may feel incomplete as a woman. Which statement would alert the nurse to this feeling in a client who has undergone a total hysterectomy? 1 "I don't know who can help me during my recovery." 2 "I feel washed out; there isn't much left." 3 "I'm scared about the pain in recovery." 4 "I can't wait to get home; I so want to see my grandchild."

"I feel washed out; there isn't much left."

Which statement by the female client with a diagnosis of gonorrhea indicates she has understood the teaching by the nurse on how to avoid future infection? 1 "I'll douche after each time I have sex." 2 "Having sex is a thing of the past for me." 3 "My partner has to use a condom all the time." 4 "I'll be using a spermicidal cream from now on."

"My partner has to use a condom all the time."

A 45-year-old client is scheduled to undergo a hysterectomy and expresses concern because she has heard from friends that she will experience severe symptoms of menopause after surgery. Which response would the nurse give? 1 "You're right, but there are medicines you can take that will ease the symptoms." 2 "Sometimes that happens in women of your age, but you don't need to worry about it right now." 3 "You should probably talk to your surgeon, because I am not allowed to discuss this with you." 4 "Women may experience symptoms of menopause if their ovaries are removed with their uterus."

"Women may experience symptoms of menopause if their ovaries are removed with their uterus."

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. Which response would the nurse give? 1 "Avoid regular use of tampons." 2 "Decrease your intake of prune juice." 3 "Increase your daily fluid consumption." 4 "Cleanse the perineum from back to front."

"Increase your daily fluid consumption."

A client seeking advice regarding contraception asks the nurse to explain how an intrauterine device (IUD) prevents pregnancy. How would the nurse respond? 1 "It covers the entrance to the cervical os." 2 "The openings to the fallopian tubes are blocked." 3 "The sperm are kept from reaching the vagina." 4 "It produces a spermicidal intrauterine environment."

"It produces a spermicidal intrauterine environment."

Which instruction would the nurse include when teaching about the correct use of a female condom? 1 "Remove the condom before standing up." 2 "Insert the condom within 1 hour before intercourse." 3 "Have your partner wear a male condom at the same time." 4 "Cleanse the condom with warm water when preparing it for future use."

"Remove the condom before standing up."

After a hysterosalpingo-oophorectomy, a client wants to know whether it would be wise for her to take hormones right away to prevent symptoms of menopause. Which response would the nurse give? 1 "It's best to wait until a few months after surgery because you may not have any symptoms." 2 "Hormone replacement therapy has been associated with increased risk of breast cancer, so it would not be recommended." 3 "You have to wait until symptoms are severe; otherwise the hormones will have no effect." 4 "There are pros and cons to hormone replacement therapy. I will let your primary health care provider know you would like to discuss this."

"There are pros and cons to hormone replacement therapy. I will let your primary health care provider know you would like to discuss this."

Which response would the nurse provide to a client who has been diagnosed with genital herpes at her annual examination and asks how the health care provider knew that she had herpes? 1 "There's a sore in your vagina." 2 "There's a rash near your vagina." 3 "You have a typical discharge from your vagina." 4 "You have blisters on the skin around your vagina."

"You have blisters on the skin around your vagina."

A multipara who is admitted to the hospital for repair of a rectocele and cystocele asks the nurse why these problems happened to her. How would the nurse respond? 1 "Did you have a bladder infection?" 2 "You probably have a malformation of your uterus." 3 "You have relaxation of the muscles in your lower pelvis." 4 "Did you have problems when your episiotomy was healing?"

"You have relaxation of the muscles in your lower pelvis."

A 55-year-old client has been diagnosed with endometrial cancer. Which findings in the client's history are risk factors associated with endometrial cancer? Select all that apply. One, some, or all responses may be correct. 1 Obesity 2 Multiparity 3 Cigarette smoking 4 Early onset of menopause 5 Family history of endometrial cancer 6 Previous hormone replacement therapy

1 Obesity 3 Cigarette smoking 5 Family history of endometrial cancer 6 Previous hormone replacement therapy

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct. 1 Sterility 2 Ectopic pregnancy 3 Blocked Fallopian tubes 4 Pelvic inflammatory disease 5 Increased likelihood of HIV infection

1 Sterility 2 Ectopic pregnancy 3 Blocked Fallopian tubes 4 Pelvic inflammatory disease 5 Increased likelihood of HIV infection

The nurse is teaching a group of college-age women the characteristics of a potential male batterer. Which signs would the nurse include? Select all that apply. One, some, or all responses may be correct. 1 High self-esteem 2 Very assertive demeanor 3 Especially good verbal skills 4 Inability to empathize with others 5 Having a fluid view of gender roles 6 Perception of self as "special" and deserving of special attention

4. Inability to empathize with others 6. Perception of self as "special" and deserving of special attention

Which information would the nurse include in his or her teaching for a class on breast health? 1 Breast awareness will help a client know if there are changes in her breasts. 2 Body weight makes no difference in the incidence of breast cancer. 3 A specific method of breast self-examination should be performed every month. 4 Alcohol intake has no effect on the incidence of breast cancer.

Breast awareness will help a client know if there are changes in her breasts.

The nurse is caring for a client with tertiary syphilis. Which body system would the nurse monitor most closely? 1 Respiratory 2 Reproductive 3 Integumentary 4 Cardiovascular

Cardiovascular

The nurse practitioner prescribes azithromycin for a sexually active woman with a history of mucopurulent discharge and bleeding associated with cervical dysplasia, dysuria, and dyspareunia. With which sexually transmitted infection are these clinical findings and medication therapy commonly associated? 1 Herpes simplex 2 2 Chlamydial infection 3 Treponema pallidum 4 Neisseria gonorrhoeae

Chlamydial infection

Which information would the nurse include in preoperative teaching for a premenopausal client scheduled for a hysterectomy? 1 Menstruation ceases and ovarian hormone secretion decreases. 2 Menopause begins immediately with cessation of ovarian hormone production. 3 Cyclic oscillation of hormones between the hypophysis and the ovaries continues. 4 Ovarian hormone secretion ceases and the hypophysis continues secretion of gonadotropic hormones.

Cyclic oscillation of hormones between the hypophysis and the ovaries continues.

The primary health care provider has diagnosed the overweight client who is experiencing infertility with the condition polycystic ovarian syndrome (PCOS). Which intervention is the most important? 1 Consoling the client over her inability to have children 2 Discussing weight loss, exercise, and a balanced low-fat diet 3 Providing information to the client on how to prepare for surgery 4 Informing the client that there are no long-term complications of PCOS

Discussing weight loss, exercise, and a balanced low-fat diet

During which time frame would the nurse instruct the couple planning to use the calendar (rhythm) method of contraception to refrain from intercourse if the woman's cycles are every 28 days? 1. Days 10 to 17 of the menstrual cycle 2. 7 days before the end of the menstrual cycle 3. 7 days after completion of the menstrual period 4. 14 days after completion of the menstrual period

Days 10 to 17 of the menstrual cycle

Which recommendation for the premenstrual period would the nurse provide to the client who complains of tender breasts before her menstrual period? 1 Take salt tablets daily. 2 Increase protein intake. 3 Eliminate daily exercise. 4 Decrease caffeine intake.

Decrease caffeine intake.

A client is admitted to the postanesthesia care unit after abdominal hysterectomy. Which assessment would the nurse report to the primary health care provider immediately? 1 Decreased urine output 2 Apical pulse of 90 beats per minute 3 Increased drainage from the nasogastric tube 4 Serosanguineous drainage on the perineal pad

Decreased urine output

The nurse notes bruises on the pregnant client's face and abdomen. There are no bruises on her legs and arms. Further assessment is required to confirm which condition? 1 Domestic abuse 2 Hydatidiform mole 3 Excessive exercise 4 Thrombocytopenic purpura

Domestic abuse

At which time would the nurse instruct a 24-year-old woman to check her temperature when using the basal body temperature (BBT) method for natural family planning? 1 Each night right before bed 2 On the first day of her next menstrual cycle 3 Each morning before getting out of bed or increasing her activity 4 At bedtime beginning on day 14 of her menstrual cycle and continuing until her next period

Each morning before getting out of bed or increasing her activity

Which instruction would the nurse include in discharge teaching for a client who has had an anteriorposterior colporrhaphy? 1 Eating a high-fiber diet 2 Limiting daily activities 3 Reporting signs of urine retention 4 Being alert to signs of a rectovaginal fistula

Eating a high-fiber diet

Which goal would the client with dysmenorrhea seeking treatment want to achieve? 1 Reducing the pad saturation rate 2 Making intercourse less uncomfortable 3 Easing the pain of the client's menstruation 4 Eliminating bleeding between menstrual periods

Eliminating bleeding between menstrual periods

A client with a history of endometriosis has abdominal surgery to remove abdominal adhesions. Which actions would the client's postoperative plan of care include? 1 Encouraging the client to ambulate in the hallway 2 Placing the bed in the Trendelenburg position 3 Helping the client dangle her legs over the side of the bed 4 Maintaining the client on bed rest until the dressings have been removed

Encouraging the client to ambulate in the hallway

The nurse assesses a 35-year-old multiparous client who is scheduled for a tubal ligation to determine her emotional response to the planned procedure. Which factor in the client's history will contribute to the healthy resolution of any emotional problem associated with sterilization? 1 Belief that surgery will relieve her monthly dysmenorrhea 2 Knowledge that her partner does not want to have any more children 3 Feeling that her family is complete and she now has the children who were planned 4 Recovery from her previous complicated birth and a desire to not experience another birth

Feeling that her family is complete and she now has the children who were planned

The clinic nurse is providing home care instructions for a client with pelvic inflammatory disease. Which optimal resting position would the nurse recommend? 1 Sims 2 Fowler 3 Supine with knees flexed 4 Lithotomy with head elevated

Fowler

Which disease would the nurse suspect in a 16-year-old client with a history of multiple sexual partners who is complaining of increased vaginal discharge, intermittent vaginal bleeding, excessive bleeding during menstruation, and pain in the lower abdomen? 1 Herpes 2 Syphilis 3 Gonorrhea 4 Toxoplasmosis

Gonorrhea

A 15-year-old client tells a school nurse, "I have this awful pain during my periods—it never stops." Which would the nurse encourage her to do? 1 Continue daily activities. 2 Have a medical evaluation. 3 Eat a nutritious diet containing iron. 4 Practice relaxation of abdominal muscles.

Have a medical evaluation.

The nurse is obtaining the health history from a 21-year-old client who is seeking contraceptive information. Which factor in the client's history is a contraindication to the use of oral contraceptives? 1 Hypertension 2 A pack-a-day cigarette habit 3 Daily doxycycline taken for acne 4 Multiple pregnancies

Hypertension

The nurse at the fertility clinic is counseling a couple about the tests that will be necessary to determine the cause of their infertility. Which test will most likely be used in the initial evaluation of the woman's organs of reproduction? 1 Biopsy 2 Cystogram 3 Laparoscopy 4 Hysterosalpingogram

Hysterosalpingogram

Which information would the nurse include as part of the teaching plan for an anxious client about to have her first routine Papanicolaou (Pap) smear? 1 Past statistics on the incidence of cervical cancer 2 Description of the early symptoms of cervical cancer 3 Explanation of why there is a small risk for cervical cancer 4 Information on how a Pap smear screens for precancerous and cancerous cells of the cervix

Information on how a Pap smear screens for precancerous and cancerous cells of the cervix

When teaching a client about using a diaphragm as a form of contraception, which instructions would the nurse provide about the diaphragm? 1 It may or may not be used with a spermicidal lubricant. 2 It should remain in place for at least 6 hours after intercourse. 3 It must be removed and replaced if intercourse occurs again within 2 hours. 4 It often appears puckered, but this will not interfere with its effectiveness.

It should remain in place for at least 6 hours after intercourse.

Which condition in the gynecological history of the client scheduled for hysterectomy causes the nurse to anticipate an abdominal, rather than a vaginal, hysterectomy? 1 Prolapsed uterus 2 Large uterine fibroids 3 Mild dysplasia of the cervical os 4 Urinary incontinence when coughing

Large uterine fibroids

A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-oophorectomy. Which concern would the nurse expect to be the most prominent for the client? 1 Acute pain 2 Risk for hemorrhage 3 Fear of chronic illness 4 Loss of childbearing potential

Loss of childbearing potential

A 40-year-old client who just had a hysterectomy states, "After this surgery, I don't expect to be interested in sex anymore." Which information would the nurse consider before responding? 1 Many women believe that their sexual function is related to their uterus. 2 Surgically forced menopause usually results in a decreased sex drive. 3 The loss of estrogen that results from this surgery will cause most women to experience a decrease in libido. 4 Body image changes that occur after this surgery prevent many women from resuming sexual activity.

Many women believe that their sexual function is related to their uterus.

The day after a hysterectomy, the client asks for sanitary pads because she feels that she is about to begin menstruating. Which information would influence the nurse's response? 1 Menstruation will not occur because the uterus has been removed. 2 It will take several weeks before regular menstruation is reestablished. 3 Abdominal cramping and menstruation are expected after surgery. 4 The appearance of frank vaginal bleeding is expected after this type of surgery.

Menstruation will not occur because the uterus has been removed.

A female client is scheduled for a hysterectomy. While discussing the preoperative preparations, the nurse determines that the client's understanding of the surgery is inadequate. Which nursing intervention would be performed? 1 Describing the proposed surgery to the client 2 Proceeding with the preoperative plan 3 Notifying the surgeon that the client needs more information 4 Explaining gently to the client that she should have asked more questions

Notifying the surgeon that the client needs more information

Which action would the nurse take when administering azithromycin to treat sexually transmitted infections (STIs). Select all that apply. One, some, or all responses may be correct. 1 Observing clients for hypertension and diaphoresis 2 For allergic clients, administering the antibiotic with diphenhydramine 3 Instructing clients to take the medication until they feel better 4 Treating sexual partners after the course of antibiotics has been completed 5 Obtaining specimens for culture before administering the first dose of the antibiotic

Obtaining specimens for culture before administering the first dose of the antibiotic

Which important intervention would be included in the nursing care provided immediately after a sexual assault? 1 Obtaining the assault history from the client 2 Reporting the assault to the police before the client is examined 3 Having the client void a clean-catch urine specimen 4 Testing the client's urine for seminal alkaline phosphatase

Obtaining the assault history from the client

A client with a 35-day menstrual cycle is trying to become pregnant. The nurse would counsel the client and her partner that the optimal timing of intercourse to achieve pregnancy would be on which day? 1 On the 12th day of the cycle 2 On the 14th day of the cycle 3 On the 21st day of the cycle 4 On the 25th day of the cycle

On the 21st day of the cycle

A client is trying to become pregnant. The nurse would teach the client that a blood test for progesterone to evaluate fertility would be performed at which time? 1 One week after ovulation 2 Immediately after menses 3 One week before ovulation 4 Within 1 to 2 days of presumed ovulation

One week after ovulation

Which is the most reliable birth control method for the nurse to recommend to a client with type 1 diabetes? 1 Vaginal sponge 2 Oral contraceptive 3 Natural family planning 4 Diaphragm with a spermicidal gel

Oral contraceptive

The nurse caring for a client who has had a hysterectomy is concerned about the client's risk for postoperative thrombosis. The nurse remembers that, after pelvic surgery, the majority of pulmonary emboli begin as deep vein thromboses in which area? 1 Calf 2 Thoracic cavity 3 Pelvis and thighs 4 Extremities and abdomen

Pelvis and thighs

A 47-year-old client comes to the clinic for a Papanicolaou (Pap) smear. She tells the nurse that she has been experiencing hot flashes and that her periods have been occurring at longer, less-regular intervals, with a scanty flow. Which condition would the nurse suspect to be the likely cause of these changes? 1 Uterine cancer 2 Lack of estrogen 3 Early cervical carcinoma 4 Perimenopause

Perimenopause

Which activity would be part of the plan of care for a couple beginning their care in the fertility clinic? 1 Planning when to have intercourse 2 Having a procedure to retrieve the egg at ovulation 3 Visiting the fertility clinic daily 4 Taking medication to induce ovulation

Planning when to have intercourse

Which interventions would be expected in the immediate postoperative period after a vaginal hysterectomy and anterior and posterior repair of the vaginal wall? 1 Placement of a pessary 2 Insertion of a rectal tube 3 Use of a douche periodically 4 Presence of a urinary catheter

Presence of a urinary catheter

Which explanation of herpes genitalis would the school nurse provide to the high school health education class? 1 Painless in women 2 Curable with antibiotics 3 Transmitted by way of fomites such as toilet seats 4 Responsible for local as well as systemic reactions

Responsible for local as well as systemic reactions

The mammography results for a 37-year-old client with a breast mass are inconclusive. The client is undergoing further diagnostic tests to determine whether the mass is malignant. Which information would the nurse take into consideration before planning health teaching for this client? 1 Squamous cell carcinomas are neoplasms arising from glandular tissues. 2 Results of a biopsy are necessary before a specific form of therapy is selected. 3 Mammograms should be repeated to confirm the presence of malignancies. 4 Waiting for several weeks before receiving confirmation of cancer is helpful to the client.

Results of a biopsy are necessary before a specific form of therapy is selected.

Which disadvantage of the diaphragm for birth control would be emphasized to the client receiving instruction from the nurse regarding family planning methods? 1 Its failure rate is 50% when it is used alone. 2 It is physically uncomfortable when in place. 3 Thrombus formation and pulmonary emboli may occur. 4 Some women find its insertion and removal inconvenient.

Some women find its insertion and removal inconvenient.

Which instruction would the nurse provide to a client who would like to learn breast self-examination? 1 Squeeze the nipples to examine for discharge. 2 Use the right hand to examine the right breast. 3 Perform the examination while in a seated position. 4 Compress breast tissue to the chest wall with the palm to palpate for lumps.

Squeeze the nipples to examine for discharge.

Which factor can affect the accuracy of the temperature as an indicator of hormonal changes and fertility when using the basal body temperature method of contraception? 1. Stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourse

Stress

A 60-year-old woman is admitted for a vaginal hysterectomy and anterior and posterior repair of the vaginal wall. Which symptom would the client be likely to state as a reason that she is having surgery? 1 Hematuria 2 Dysmenorrhea 3 Pain on urination 4 Stress incontinence

Stress incontinence

Which signs or symptoms would the nurse expect the client admitted for repair of a cystocele and rectocele to report? 1 White vaginal discharge and itching 2 Sporadic bleeding and abdominal pain 3 Increased temperature and intractable diarrhea 4 Stress incontinence and low abdominal pressure

Stress incontinence and low abdominal pressure

Which change should the 39-year-old client scheduled for laparoscopic hysterectomy and bilateral salpingo-oophorectomy be taught to expect after surgery? 1 Depression 2 Weight gain 3 Urine retention 4 Surgical menopause

Surgical menopause

Which complaint from the client after a mastectomy would need to be reported to the primary health care provider? 1 Persistent itching of the incision 2 Decreased sensation around the incision 3 Swelling with erythema around the incision 4 Irregular-appearing skin near the incision

Swelling with erythema around the incision

A female client who is undergoing infertility testing is taught how to examine her cervical mucus. After listening to the instructions, the client says, "That sounds gross. I don't think I can do it." Which conclusion would the nurse make from this statement? 1 The client is unduly fastidious. 2 The client feels that having a baby is not that important. 3 The client may be uncomfortable with performing manual examination of the genitals. 4 The client is afraid that she is the cause of the infertility.

The client may be uncomfortable with performing manual examination of the genitals.

The nurse in the emergency department is assessing a client who has been physically and sexually assaulted. What is the nurse's priority during assessment? 1 The family's feelings about the attack 2 The client's feelings of social isolation 3 The client's ability to cope with the situation 4 Disturbance in the client's thought processes

The client's ability to cope with the situation

A 16-year-old female client in the family planning clinic has been diagnosed with a sexually transmitted infection (STI). The adolescent is concerned that her parents will discover that she has been sexually active and asks the nurse whether her parents will be contacted. Which explanation would the nurse give to the client about her concern? 1 They need to know about and sign a consent form for testing and treatment. 2 They will not be contacted because treatment at the clinic is confidential. 3 They will be notified when the insurance company is billed for testing and treatment. 4 They will remain uninformed if the adolescent ensures that her sexual contacts will come for testing.

They will not be contacted because treatment at the clinic is confidential.

Which complication would the nurse anticipate finding during the assessment of a client admitted with a diagnosis of severe procidentia (prolapse of the uterus)? 1 Edema 2 Fistulas 3 Exudate 4 Ulcerations

Ulcerations

Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands her self-care? 1 "When I have a baby, I don't want a cesarean." 2 "I can have sex as soon as the herpes sores have healed." 3 "When I finish the acyclovir prescription I will be cured." 4 "I must be careful when I have sex because herpes is a lifelong problem."

"I must be careful when I have sex because herpes is a lifelong problem."

The nurse is conducting teaching for a client being discharged after an abdominal hysterectomy. Which statement by the client indicates a need for further teaching? 1 "I know not to lift anything heavier than 10 lb (4.5 kg)." 2 "I'll eat a high-fiber diet." 3 "I'll avoid crossing my legs at the knees when I sit." 4 "I'm glad I'll be able to get back into my jogging routine."

"I'm glad I'll be able to get back into my jogging routine."

A 13-year-old adolescent whose menses began 2 years ago complains of lower abdominal pain that began 3 months ago midway between periods. How would the nurse respond to the adolescent? 1 "It requires a pelvic examination." 2 "This usually occurs when menses first begin." 3 "It usually disappears when there is regular ovulation." 4 "This is a common occurrence known as mittelschmerz."

"This is a common occurrence known as mittelschmerz."

The nurse is obtaining a health history from a client with endometriosis. Which consequences can occur as a result of this disorder? Select all that apply. One, some, or all responses may be correct. 1 Menopause 2 Metrorrhagia 3 Impaired fertility 4 Bowel strictures 5 Voiding difficulties

2 Metrorrhagia 3 Impaired fertility 4 Bowel strictures 5 Voiding difficulties

Which statements indicate that an obese postmenopausal client has understood the education provided by the nurse about the strategies to prevent bone loss? Select all that apply. One, some, or all responses may be correct. 1 "I need to go on a strict diet." 2 "I'll take 400 mg of vitamin D every day." 3 "I should take 1200 mg of calcium every day." 4 "Swimming or bike riding five times a week is good for me." 5 "Going to an aerobics class three times a week will help my bones."

3 "I should take 1200 mg of calcium every day." 5 "Going to an aerobics class three times a week will help my bones."

Which statement accurately describes the current advice regarding breast self-examination (BSE)? 1 BSEs clearly decrease mortality. 2 BSEs prevent unnecessary testing. 3 BSEs should be done immediately before menstruation. 4 BSE should be taught to all women.

BSE should be taught to all women.

When obtaining informed consent for sterilization from a developmentally challenged adult client, which condition must the nurse ensure has been met? 1 That a parent or guardian signs the consent 2 That the client is able to explain in detail what the procedure entails 3 That the client is able to comprehend the outcome of the procedure 4 That a parent or guardian has encouraged the client to make the decision

That the client is able to comprehend the outcome of the procedure

Which information would the nurse include as part of the teaching plan for the client requesting information on different methods of contraception? 1 Sperm cannot reach the ovum if the male uses coitus interruptus or withdrawal. 2 The rim of a condom must be held in place while the penis is withdrawn from the vagina. 3 Intrauterine devices (IUDs) must be removed after 1 year. 4 Individuals who use periodic abstinence should have intercourse on days when the woman has an increase in temperature.

The rim of a condom must be held in place while the penis is withdrawn from the vagina.

Which information would the nurse provide to the 35-year-old client who is scheduled for vaginal hysterectomy? 1 "You will stop ovulating." 2 "Surgical menopause will happen immediately." 3 "Sexual intercourse will be uncomfortable when you resume it." 4 "A hysterectomy doesn't affect the chronological age when hormonal menopausal symptoms usually occurs."

"A hysterectomy doesn't affect the chronological age when hormonal menopausal symptoms usually occurs."

Which response would the nurse provide to the mother questioning why her teenage daughter was foolish and became pregnant despite several discussions with the mother about birth control? 1 "Apparently your daughter wasn't listening to you." 2 "You should have made sure that her boyfriend understood birth control too." 3 "Teenagers often fail to use birth control because they forget to discuss it with their sexual partners." 4 "Although teenagers can intellectually discuss birth control, they often don't believe that they will become pregnant."

"Although teenagers can intellectually discuss birth control, they often don't believe that they will become pregnant."

Which instruction would the nurse include in the postoperative teaching for a client who has undergone laparoscopic surgery for a benign ovarian tumor? 1 "Resume usual activities after 12 hours." 2 "Expect shoulder pain for 12 to 24 hours." 3 "Douche with povidone-iodine twice a day." 4 "Report vaginal spotting that occurs during the first 3 days after the surgery."

"Expect shoulder pain for 12 to 24 hours."

Which comment from an adolescent after a sex education class alerts the nurse to have a private discussion with the student? 1 "I can't get pregnant if I have sex during my period." 2 "The pill may prevent me from getting pregnant, but I can still get a sexually transmitted infection (STI)." 3 "I won't get pregnant if I swim in a pool where a boy has just masturbated." 4 "A condom won't always protect me from getting pregnant, but it can help protect me from getting an STI."

"I can't get pregnant if I have sex during my period."

Which statement indicates that a client with genital herpes understands the nurse's teaching of how to limit transmission of the virus to her newborn? 1 "I should avoid kissing the baby on the lips." 2 "I have to wear gloves when I'm holding the baby." 3 "I should wash my clothes and my baby's clothes separately." 4 "I have to wash my hands with soap and water before handling the baby."

"I have to wash my hands with soap and water before handling the baby."

Which instruction would the nurse give to a client who will be scheduling a mammogram? 1 "Both breasts will be examined at the same time." 2 "Schedule the test for 1 week before menstruation." 3 "Each breast will be firmly compressed between 2 plates." 4 "Mammography is more accurate in premenopausal than in postmenopausal women."

"Mammography is more accurate in premenopausal than in postmenopausal women."

The nurse is teaching a woman how to perform breast self-examination. Which statement indicates that the client requires further education? 1 "I examine my breasts about a week after my period starts." 2 "I've been looking for dimpling and checking for lumps." 3 "My breasts are so tender right before my period that I hate doing it." 4 "My grandmother examines her breasts on the first Monday of each month."

"My breasts are so tender right before my period that I hate doing it."

A client at 16 weeks' gestation is being treated for Trichomonas vaginalis infection. Which statement best indicates to the nurse that the client has learned measures to prevent a recurrence? 1 "After having sex I'll insert a vaginal suppository." 2 "My partner has to get treated before we have sex again." 3 "I need to urinate immediately after having sexual intercourse." 4 "Douching immediately after sexual intercourse will help protect me."

"My partner has to get treated before we have sex again."

A 37-year-old woman with a history of fibroids and menorrhagia that have not been responsive to hormonal treatments is admitted with severe menorrhagia with resulting anemia. She also has depression and pelvic pain. She is crying and states, "I don't know what to do—my primary health care provider is recommending a hysterectomy, but I haven't had children yet!" Which response would the nurse provide? 1 "There are so many children up for adoption, looking for a mother." 2 "This must feel so difficult for you. Children are really important to you?" 3 "You really have no choice but to follow the recommendation; the primary health care provider is right." 4 "Believe me when I tell you that kids are so difficult to raise—you're better off without them."

"This must feel so difficult for you. Children are really important to you?"

Which response would the nurse provide to the client who asks if contraception is needed while she is breast-feeding? 1 "As long as you aren't having periods, you won't need a contraceptive." 2 "It would be best to delay sexual relations until you have your first period." 3 "You should use contraceptives because ovulation may occur at any time without a period." 4 "Breast-feeding suppresses ovulation, so you don't need to worry about pregnancy."

"You should use contraceptives because ovulation may occur at any time without a period."

A client undergoing presurgical testing before a total abdominal hysterectomy says to the nurse, "After I have this surgery I know my husband will never come near me again." Which response would the nurse give? 1 "You're underestimating his love for you." 2 "You're wondering about the effect on your sexual relations." 3 "You're worried that the surgery will change how others see you." 4 "You're concerned about how your husband will respond to your surgery."

"You're concerned about how your husband will respond to your surgery."

The nurse is assessing a client who is being admitted for surgical repair of a rectocele. Which signs or symptoms would the nurse expect the client to report? Select all that apply. One, some, or all responses may be correct. 1 Painful intercourse 2 Crampy abdominal pain 3 Bearing-down sensations 4 Urinary stress incontinence 5 Recurrent urinary tract infections

1 Painful intercourse 3 Bearing-down sensations

Which action would the nurse include in the plan of care for a client who is being treated for a sexually transmitted infection and reports fever and irregular bleeding? Select all that apply. One, some, or all responses may be correct. 1 The use of analgesics 2 Abdominal palpation 3 Complete blood count 4 Culture of the cervical canal 5 Administration of antibiotics as prescribed 6 Teaching about negative effects of douching

1 The use of analgesics 2 Abdominal palpation 3 Complete blood count 4 Culture of the cervical canal 5 Administration of antibiotics as prescribed 6 Teaching about negative effects of douching

A client has noted a yellowish green vaginal discharge 4 days after a vaginal hysterectomy, and she will be coming to the office for evaluation. Which additional symptoms would the nurse expect if pelvic infection is present? Select all that apply. One, some, or all responses may be correct. 1 Abdominal pain 2 Urinary frequency 3 Rising temperature 4 Decreased pulse rate 5 Decreased blood pressure

1. Abdominal pain 3. Rising temperature

Which time during the menstrual cycle would the nurse stress as the optimal time to achieve pregnancy? 1 Midway between periods 2 Immediately after a period ends 3 14 days before the next period is expected 4 14 days after the beginning of the last period

14 days before the next period is expected

A client at the women's health clinic tells the nurse that she has endometriosis. Which factors associated with endometriosis would the nurse anticipate the client will report? Select all that apply. One, some, or all responses may be correct. 1 Insomnia 2 Ecchymosis 3 Rectal pressure 4 Abdominal pain 5 Skipped periods 6 Pelvic infections

3 Rectal pressure 4 Abdominal pain

For which amount of time would the family planning nurse instruct the client to leave a cervical cap with spermicide in place after intercourse? 1 6 hours 2 5 hours 3 3 hours 4 2 hours

6 hours

An adolescent woman who has become sexually active asks the nurse, "What's the most effective way to prevent a pregnancy?" Which method of preventing pregnancy should the nurse tell her is most effective? 1 Birth control pills 2 Spermicidal foam 3 Condoms 4 An intrauterine device

An intrauterine device

A client who is to undergo dilation and curettage and conization of the cervix for cancer appears tense and anxious. Which approach would the nurse use to support the client emotionally? 1 Explaining that these procedures are considered minor surgery 2 Asking whether something is troubling the client and whether she'd like to talk about it 3 Stating that the procedures are routine and asking what the client is really worried about 4 Explaining that everyone is fearful before the surgery even though there is little reason to worry

Asking whether something is troubling the client and whether she'd like to talk about it

When speaking with the nurse, the husband of a couple who wants to start a family says, "Well, I guess we're going to have to jump into bed 3 or 4 times a day, every day, until it works." Which response would the nurse provide? 1 Telling them to continue intercourse as usual until conception occurs 2 Instructing them in the optimal frequency and timing of intercourse to promote conception 3 Discouraging this because sperm production decreases with frequent sexual intercourse 4 Agreeing that the frequency of intercourse must increase but twice daily is sufficient to promote conception

Instructing them in the optimal frequency and timing of intercourse to promote conception

Which is the reason that the bacterium Escherichia coli would be the probable causative agent in a client with cystitis? 1 It thrives in the kidneys. 2 It is a virulent bacterium. 3 It inhabits the intestinal tract. 4 It competes with fungi for host sites.

It inhabits the intestinal tract.

After a vaginal hysterectomy and an anterior and posterior repair of the vaginal wall a client is returned to her room. Which action would the nurse include in the plan of care for this client? 1 Check vaginal packing. 2 Elevate the lower extremities. 3 Observe the dressing for bleeding. 4 Start sitz baths on the following morning.

Observe the dressing for bleeding.

Which statement is an accurate description of dysmenorrhea? 1 Pain with menses 2 Endometrial hyperplasia 3 Bleeding between menses 4 Heavy bleeding with menses

Pain with menses

Which information would the nurse include in the explanation of a Papanicolaou (Pap) test to the client in the Family Planning Clinic? 1 The Pap smear screens for cancer of the cervix. 2 Vaginal bleeding like a period is expected after a Pap smear. 3 Colposcopy will be used to visualize the cervix. 4 Scraping the cervix is the most uncomfortable part.

The Pap smear screens for cancer of the cervix.

Which factor reassures the nurse that the married 35-year-old client who is scheduled to undergo a tubal ligation understands and is emotionally ready for the procedure? 1 The client has a son and daughter and feels that her family is complete. 2 She believes that the surgery will relieve her monthly dysmenorrhea. 3 The client knows that her husband does not want her to have any more children. 4 She has just had a complicated birth and never wants to give birth again.

The client has a son and daughter and feels that her family is complete.

Which statement by the 35-year-old client indicates she has understood postoperative instructions given by the nurse after a cervical conization procedure? 1 "I'll abstain from sex for 48 hours." 2 "I know I'll have blood-tinged vaginal discharge for 3 to 5 days." 3 "I know I need to use sterile gloves for the sterile dressing change." 4 "I'll be sterile after the procedure, but I already have my children."

"I know I'll have blood-tinged vaginal discharge for 3 to 5 days."

Which statement indicates to the nurse that the client understands how to calculate her fertile period using the calendar method of birth control? 1 "I will subtract 11 days from the length of my longest cycle." 2 "I will subtract 18 days from the length of my shortest cycle." 3 "I will abstain from having sex after the 10th day of my cycle." 4 "I will abstain from sex from the 10th day before the middle of my average cycle."

"I will subtract 18 days from the length of my shortest cycle."

The nurse is teaching clients how to determine the estimated time of ovulation by taking their basal body temperature. Which is the expected change in the basal temperature during ovulation? 1 A slight drop followed by an increase 2 A sudden rise followed by a decrease 3 A marked increase, after which the temperature gradually increases more 4 A marked decrease, after which the temperature remains lower

A slight drop followed by an increase

The nurse is assessing a female client with suspected primary syphilis. Which sign of primary syphilis would the nurse expect the client to exhibit? 1 Flat, wartlike plaques around the vagina and anus 2 An indurated painless nodule on the vulva that is draining 3 Glistening patches in the mouth covered with a yellow exudate 4 A maculopapular rash on the palms of the hands and soles of the feet

An indurated painless nodule on the vulva that is draining

During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal infection because of the presence of a white curdlike vaginal discharge. Which other finding supports a fungal vaginal infection? 1 A foul odor 2 An itchy perineum 3 An ischemic cervix 4 A forgotten tampon

An itchy perineum

Which time in the menstrual cycle would the nurse recommend the client come in for intrauterine device (IUD) insertion? 1 Anytime in the cycle 2 Between the 1st and 4th days 3 Between the 14th and 16th days 4 Between the 25th and 28th days

Anytime in the cycle

Which information is essential for the nurse to explain to the client who has scheduled a vasectomy? 1 Recanalization of the vas deferens is impossible. 2 Unprotected coitus is safe within 1 week to 10 days. 3 Some impotency is to be expected for several weeks after the procedure. 4 At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked.

At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked.

Which discharge instruction would the nurse give the client to decrease the risk of thromboembolic events after an abdominal hysterectomy? 1 Avoid sitting for long periods of time. 2 Limit fluids to less than 2000 mL per day. 3 Have a blood coagulation test every 2 weeks. 4 Continue with hormone replacement therapy.

Avoid sitting for long periods of time.

A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color with a "fishy" odor. A wet smear is performed and the presence of "clue cells" confirmed. Which type of infection would the nurse suspect? 1 Candidiasis 2 Trichomoniasis 3 Bacterial vaginosis 4 Group B Streptococcus

Bacterial vaginosis

Which symptom would the client in a women's health educational session be taught to report as a possible early indication of cervical cancer? 1 Abdominal heaviness 2 Pressure on the bladder 3 Foul-smelling discharge 4 Bloody spotting after intercourse

Bloody spotting after intercourse

Which client statement confirms that the client who is being treated for a sexually transmitted infection (STI) has understood the nurse's instruction regarding future sexual contacts? 1 "If I have sex, nothing I do will really prevent me from getting another STI." 2 "If I get another STI, I can take any antibiotic, because I'm not allergic to any of them." 3 "I won't have unprotected sex again, and I'll tell my partners to be tested for STIs." 4 "I have to ask my partners if they have an STI, and if they say no I'll know that I can have sex."

"I won't have unprotected sex again, and I'll tell my partners to be tested for STIs."

A client has just been informed by the primary health care provider that she has cervical polyps. The client asks the nurse whether she should be concerned. How would the nurse respond? 1 "They're often malignant, so they have to be removed." 2 "Cervical polyps are usually precursors of uterine cancer." 3 "They're usually benign, and a biopsy rules out a malignancy." 4 "Cervical polyps don't cause bleeding unless they're malignant."

"They're usually benign, and a biopsy rules out a malignancy."

Which explanations would the nurse provide to the students in a sex education course regarding the etiology for an increase in gonorrhea prevalence? Select all that apply. One, some, or all responses may be correct. 1 Symptoms of the disease are vague. 2 Screening blood tests are expensive. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment. 5 Diagnostic tests for the causative organism are not yet available.

1 Symptoms of the disease are vague. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment.