Women's Health Test 1 PrepU's

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?

clamydia

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

A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms?

an azole antifungal agent

Which pharmacologic treatment would not be therapeutic for a woman with fibrocystic breast changes?

antihistamines

A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client

avoiding alcohol consumption

Which medications are appropriate to treat chlamydia trachomatis? Select all that apply.

azithromycin ofloxacin doxycycline

A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply.

-"The virus remains quiet until a stressful event occurs to reactivate it." -"Infections may be transmitted by individuals unaware that they have it." -"Transmission is through contact of infected mucous membranes."

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 ovaries? A. They receive sperm, provide an exit for menstrual flow, and serve as the birth canal. B. They produce female gametes or ova and secrete female sex hormones. C. They receive the fertilized ovum and provide housing and nourishment for a fetus. D. They are a small erectile structure that responds to sexual stimulation.

B

he nurse is educating a pregnant woman regarding expectations immediatley after the birth of her baby. Which would the nurse include in the teaching plan regarding colostrum? A. Colostrum is the breast milk that comes in after the inital yellow fluid, usually about day 3 B. Colostrum is a thick, waxy substance covering the baby that helps to protect the skin C. Colostrum is yellow fluid that preceeds breast milk and is healthy for the baby D. Colostrum is a hormone that promotes breast milk production when the baby is born

C

nurse is conducting an in-service education program about the female reproductive cycle for a group of nurses working at a women's health clinic. When describing the phases of the endometrial cycle, the nurse would explain that the proliferative phase of the endometrial cycle corresponds to which phase in the ovarian cycle? A. menstrual B. ischemic C. follicular D. secretory

C

A school nurse is talking to an adolescent, who asks her about why she has monthly menstrual cycles. The best explanation that the nurse can offer the adolescent regarding the menstrual phase is to tell her that: A. each month, her uterine lining thins out and vessels close to the surface begin to fill with blood. B. her uterus fills up with blood each month and is passed during the menstrual cycle. C. her hormones cause her to accumulate blood in the uterus from ovulation. D. the uterine lining is being shed due to lowering of hormone levels.

D

A nurse is reviewing the history of a client diagnosed with pelvic inflammatory disease. Which factors would the nurse identify as placing the client at increased risk for this condition? Select all that apply.

multiple sex partners intrauterine contraceptive device inserted 3 weeks ago vaginal douching approximately once a week

A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings?

human papillomias

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?

25

At what age should a woman with no risk factors begin mammography screening for breast cancer?

40

A 33-week gestation infant dies after 1 week of life in the neonatal intensive care unit. This infant's death rate would be classified under which statistical category? A. infant death under one month B. neonatal death C. postneontal death D. preterm gestational death

B

When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply.

BRCA1 gene menarche at age 11 being a 52-year-old female

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

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include?

This infection is the most common infectious cause of infertility

When developing a program for STI prevention, which action would need to be done first?

educating on how to promote sexual health

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?

latency

What is the medication of choice for early syphilis?

penecillin G benzathine

A breast tumor is most likely found in what part of the breast?

the upper outer quadrant

A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection?

viral culture of vesicular fluid

Yeast infection

vulvar burning and itching

A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition?

vulvovaginal candidiasis

A nurse is conducting a teaching program for a group of young adult women about the structures of the female reproductive system. After describing the internal structures, the nurse determines that the teaching was successful when the group identifies which structure as the neck of the uterus? A. cervix B. clitoris c. introitus D. fourchette

A

A nurse is preparing a teaching plan for a woman who is planning to become pregnant. Which hormone secreted by the corpus luteum would the nurse include in the discussion when describing how the endometrium is prepped for egg implantation? A. progesterone B. luteinizing hormone C. estrogen D. testosterone

A

A client diagnosed with human papillomavirus (HPV) asks the nurse if she will be at risk for developing cervical cancer. The nurse best responds by making which statement?

"Certain strains of the human papillomavirus (HPV) have been associated with causing cervical cancer."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

A nurse educator is presenting to a prenatal class ways in which to prevent common yeast infections that may occur during pregnancy. Which statement made by participants indicates that the teaching has been effective?

"I need to reduce my dietary intake of simple sugars and soda."

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement?

"I'll do the check about a week after my period."

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which response would be most appropriate?

"Inform all potential sexual partners about the infection, even if it is inactive."

While performing a clinical breast examination, the nurse notes a firm and rubbery nodule that is well circumscribed and moves freely. How should the nurse counsel the client?

"It's most likely a fibroadenoma, but we may need to do a biopsy."

A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infectious diseases. What is the nurse's best response?

"This STI is characterized by an infection of your cervix."

A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?

"This drug will help to suppress any symptoms of the infection."

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply?

"When you turn 21 years old."

A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?

"Withdraw the penis erect, holding the condom firmly against the penis."

A community health nurse is conducting a class on sexually transmitted infections (STIs). She states that "STIs are discriminatory." What would the nurse most likely use to support this statement?

"Women are diagnosed with two thirds of the new cases of STIs annually." "After only a single exposure, women are twice as likely as men to acquire STIs." "Certain infections can be transmitted to the newborn."

A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?

70%

A woman is to receive penicillin G 3,000,000 units IM q6h as syphilis treatment. The medication is available as 1,500,000 units/mL. How many milliliters will be administered in 24 hours? Record your answer using a whole number.

8

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.

The nurse is caring for clients in a community health clinic. Which clients does the nurse recognize need screening for sexually transmitted infections? Select all that apply.

An incarcerated 28 year old client. A pregnant woman in the third trimester. Initial examination after a sexual assault. Annual exam for a 24 year old sexually active woman

A client asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which statement should the nurse expect to include in the client's teaching plan? A. During ovulation, the cervix remains dry with scant mucus secretion. B. As ovulation approaches, cervical mucus is abundant and stretchable. C. About midway through the menstrual cycle, cervical mucus is clear and sticky. D. Cervical mucus disappears immediately after ovulation, resuming with menses.

B

A 15-year-old pregnant client living with her divorced mom is brought into the emergency department by her boyfriend requiring a dilatation and curettage (D & C) after a miscarriage. Who will the nurse approach to sign the consent for the D & C? A. the client's boyfriend B. the client C. the parent who has custody D. both the client's parents

C

A 47-year-old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to: A. pregnancy. B. an underlying endocrine problem. C. menopause. D. hormonal fluctuations.

C

A nurse is developing a plan of care for a 7-year-old client with precious puberty. Which would be the priority nursing diagnosis for this client? A. Risk for high-risk sexual behaviors related to early development of secondary sex characteristics. B. Risk for anxiety related to bullying activities from development of secondary sex characteristics. C. Risk for disturbance in body image related to early development of secondary sex characteristics. D. Risk for back pain related to early breast tissue development.

C

CHAPTER 5

CHAPTER 5

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? A. Ask the grandparents for permission. B. Administer the newborn vaccines. C. Call the primary care provider. D. Withhold the vaccines.

D

A group of nursing students are comparing the male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure? A. labia majora B. vagina C. vulva D. clitoris

D

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? A. fundus B. myometrium C. perimetrium D. endometrium

D

A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?

Discuss the necessity of completing the antibiotic therapy.

A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment?

Fluconazole

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection?

Gonorhhea

A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby?

Instill a prophylactic agent in the eyes of the newborn.

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?

It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

Which instruction should be given to a woman newly diagnosed with genital herpes?

Limit stress and emotional upset as much as possible.

A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis?

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease.

A 45-year-old woman comes into the OB/GYN clinic for her yearly check up. The woman mentions to the nurse that she has a dimpling of the right breast that has occurred in the last 2 weeks. She has not performed a self-breast examination. What assessment would be most appropriate for the nurse to make?

Palpate the area for a breast mass.

A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection?

Safety of antiviral therapy during pregnancy has not been established.

An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition?

Use high-protein supplements.

A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply

Wear only cotton panties and ventilated pantyhose. Avoid using deodorant tampons. Avoid the use of colored toilet tissue.

A nurse is presenting a program for a local women's group about STIs. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge?

candidiasis

A client is diagnosed with chlamydia and is receiving azithromycin as treatment. In addition to this medication, the nurse anticipates that the client will also be prescribed which drug?

ceftriaxone

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely?

chancres at the vaginal site

A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess?

characteristic "stale fish" odor

A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent?

doxycycline

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

dysuria

he client is single, admits to not using condoms during sexual intercourse, and has had multiple partners over the past year. Which symptoms would alert the nurse to a possible gonorrheal infection? Select all that apply.

dysuria abnormal uterine bleeding mild sore throat abnormal vaginal discharge

Clients who have had PID are prone to which complication?

ectopic pregnancy

A client is diagnosed with pediculosis infection. When teaching the client about measures to treat and minimize the transmission, which measures would the nurse include? Select all that apply.

following the manufacturer's instructions for the medication not sharing any personal items with others removing any nits with a fine toothed comb

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. For which symptom related to this condition should the nurse assess?

genital vesicular lesions

The nurse in the sexual health clinic is obtaining a health history of a client who is addicted to heroin, reporting chronic flu-like symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect?

hepatitis A

A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata?

human papillomavirus

What is the most common viral infection?

human papillomavirus (HPV)

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?

irritation of vaginal walls

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

mammogram

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?

metronidazole

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?

metronidazole

Which medications are appropriate to treat vaginal candidiasis? Select all that apply

miconazole fluconazole

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?

sore throat and flu-like symptoms

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding?

yeast infections

The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?

"Put the condom on just before orgasm."

The client is a 1-year-old girl from a low-income family presenting with a vitamin D deficiency and anemia. What assistance program would you recommend to the child's young mother? A. ECI B. WIC C. CHIP D. SCHIP

B

When assessing the postpartum client 2 hours after giving birth, which finding indicates the need for further action? A. The fundus is firm and located at the level of the umbilicus. B. The fundus is firm and deviated sharply to the right side of the abdomen. C. The fundus is firm and located one fingerbreadth below the level of the umbilicus. D. The fundus is firm and located 1 fingerbreadth above the level of the umbilicus.

B

he nurse, while teaching a group of pregnant woman about the production of breast milk, describes colostrum and compares it with mature breast milk. Which information about colostrum would the nurse include in the description? a. high sugar content b. high maternal antibody content c. low mineral content d. limited protein content

B

A nurse is preparing a presentation for a local prenatal group about the White House initiative called the Prevention of Infant Mortality Association. Which information would the nurse expect to address when discussing this initiative? (Select all that apply.) A. The Head Start program was established by this initiative. B. The association was formed to address the poor working and living conditions of American children. C. The initiative's primary goal was to increase the quality of life for children. D. The association was convened in 1950s by President Dwight Eisenhower. E. The association assisted in creating a registration procedure for all births and deaths.

B, C, E

A mother comes to the clinic nurse concerned about whether her adolescent daughter is sexually active. She requests a physical examination of the daughter's hymen. Which statement by the nurse accurately addresses this issue? A. The hymen normally stretches to accommodate sexual penetration and is not a good indicator of virginity. B. If the hymen is torn, then this proves that the daughter is sexually active. C. A torn hymen can result from heavy exertion or the use of tampons and is not a reliable method of determining virginity. D. Sexual activity by adolescents is expected and the daughter should not have to undergo the examination.

C

A young mother is expressing frustration of not being able to breastfeed her infant. A potential cause could be the lack of the hormone: A. estrogen. B. oxytocin. C. prolactin. D. luteinizing hormone.

C

After completing an assessment, the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal? A. Chronic health problems B. Acute health problems C. The potential for improvement in health D. Potential problems

C

A nurse is assessing a female client. When obtaining the client's history, the client tells the nurse that her menstrual cycle is usually 30 days and that she expects her next menstruation on March 20. Based on the client's information and the nurse's understanding of the female reproductive cycle, the nurse would identify ovulation as most likely occurring at which time? A. March 27 B. March 13 C. March 1 D. March 6

D OVULATION TYPICALLY HAPPENS 14 DAYS PRIOR TO WHEN YOUR PERIOD STARTS

A client with a family history of cervical cancer is to undergo a Papanicolau test. During the client education, what group should the nurse include as at risk for cervical cancer?

clients who have genital warts

During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis?

condylomata acuminata

The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include?

clamydia

In which clients is it most important to understand the importance of an annual Papanicolaou test?

clients infected with the human papillomavirus (HPV)

A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition?

gonorrhea

A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis?

gonorrhea

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Applying the guidelines from the American Cancer Society, the nurse would emphasize which recommendation?

yearly mammograms for women over age 40

The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape? A. At the top of the fundus B. Just below the pubis symphysis C. At the level of the corpus D. At the uterine isthmus

A

The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment? A. alkaline fluid B. secretions from seminiferous tubules C. acidic fluid D. presence of testosterone

A

Which characteristics of a female client would likely warrant intervention? Select all that apply. A. The client's vaginal environment is alkaline. B. Each of the client's fallopian tubes is approximately 6 cm long. C. A peak in luteinizing hormone levels occurs prior to the client's ovulation. D. The client typically loses around 30 mL of blood during menstruation. E. The client's clitoris is covered by the prepuce.

A & B

The nurse is answering questions from a newborn's parents concerning a circumcision. Which structure will the nurse point out is removed during the procedure? a. prepuce B. rugae C. corpus spongiosum D. tunica albuginea

A

CHAPTER 6

CHAPTER 6

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. A primary function of the female breast is to produce milk. B. Progesterone is primarily responsible for the growth of breast tissue. C. Striated muscle in the nipples contract causing them to become erect. D. The breasts contain a limited supply of blood vessels.

A

An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement? A. initiating more holistic care B. reduction of health care costs through the utilization of nonlicensed care providers C. increasing use of alternative treatment modalities D. meeting the work needs of pregnant and breastfeeding women

C

The nurse is caring for a 16-year-old boy with injuries from a car accident. Which activity describes the nurse's manager role? A. Teaching the mother cast care B. Discussing driving safety with the teen C. Facilitating return to school by working with the school nurse D. Changing dressings covering the skin abrasions

C

The nurse is reviewing the role of the mammary glands in the reproductive process with a birth class. What should the nurse tell the class is the name of the ducts in the mammary glands that form a small reservoir for milk? A. nipple B. areola C lactiferous D. lobules

C

Which of a client's cells are most likely to reproduce by meiosis? A. Cervix B. Endometrium C. Ova D. Breast tissue

C

A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care? A. offering increased WICC availability B. increasing the education level of parents C. reducing the number of home births D. increasing the number of women receiving prenatal care

D

A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health? A. "Asking every client about intimate partner and family violence is the best way to elicit accurate information." B. "The nurse should screen for these problems at every client encounter." C. "The nurse is not legally responsible for reporting suspected intimate partner violence." D. "Since families are more stable than in the past, nurses are not as concerned about these problems as they used to be."

B

A nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal assessment findings on a female physical assessment. The nurse determines the session is successful when they correctly point out which structure's secretions assist with sexual intercourse? A. vestibule B. Bartholin's glands C. introitus D. labia minora

B

A nurse receives a phone call from the neighbor of the laboring client she is caring for, inquiring on the status of the baby. Which is the appropriate response by the nurse? A. "The baby has not been born yet." B. "Let me transfer you to the client." C. "We do not have a client by that name." D. "The baby should be here any time."

B

The nurse is presenting to a shelter for women and children who experienced intimate partner or family violience and is asked by a participant, "What does the No Child Left Behind Act mean?" How should the nurse best respond? A. "Nutritional supplementation and education to low-income families and pregnant women will be provided." B. "It is a Federal program that will ensure all children in classrooms receive up-to-date research-based curriculum." C. "It has lead to increased research and treatment of major health issues concerning children." D. "This act provides increased funding for newborn screening grants and neonatal education."

B

A client is returning with a third vaginal infection within a six-month period. During the health assessment, the nurse should ask about the client's use of which products? Select all that apply. A. yogurt B. deodorants C. douches D. herbs

B & C

A healthy client without a primary care provider is exploring the options available for a health care provider to assist with her pregnancy. Which health care provider can the nurse point out as a best option? A. Clinical nurse specialist (CNS) B. Lay midwife C. Women's health nurse practitioner (NP) D. Certified nurse midwife

D

A nurse is assisting with the pelvic examination of a female client. The client has given birth to two living children, ages 5 and 2 years. The nurse would expect the client's cervical os to appear as which shape on examination? A. round B. oval C. star D. slit-like

D

A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement? A. "Maintaining a physically active lifestyle is strongly encouraged." B. "Environmental quality is directly related to health care." C. "Obesity, drug use, and smoking are major problems." D. "Immunizations may be the cause of some illnesses being seen currently."

D

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely: A. become pregnant. B. experience endometrial regeneration. C. ovulate. D. shed her uterine lining.

D

The nurse is caring for a child who is scheduled to begin chemotherapy. When planning education for the parents what action by the nurse is most correct? A. Obtain a large classroom to allow the nurse to stand at the front and present information. B. Provide written information to the family and allow them to self-review with instructions to contact the nurse if there are additional questions. C. Provide a video of information to the family with instructions to contact the nurse if there are additional questions. D. Obtain a small conference room and arrange the chairs in a circle for both the nurse and family members to sit.

D

The nurse is caring for several families enrolled in Medicaid in the prenatal settinng. Which statement by an expectant mother would alert the nurse to assess the family further? A. "In my culture, we have family help us care for the baby in our home for several months." B. "My sister-in-law is due to have her baby the same month as our baby is due." C. "I plan to give birth in a hospital setting with my family at my side." D. "We just moved here from another state and I am still getting used to the new town."

D

The nurse is organizing health information to teach a client basic principles that will help maintain wellness in the family. Which actions should the nurse prioritize in this teaching? A. medication administration B. assisting in understanding a treatment C. teaching insulin injection techniques D. encouraging yearly checkups for all clients.

D

A 23-year-old sexually active woman tells the nurse practitioner that she is worried because she has been having abnormal vaginal bleeding, dysuria, and weird vaginal discharge. What sexually transmitted infection would the nurse suspect?

gonorrhea

A group of women are attending a community presentation regarding the leading health concerns of women. Which interventions should the nurse recommend to have the greatest impact on the leading cause of death? A. weight control and being knowledgeable about family history of cardiovascular disease B. yearly gynecological exams C. regular neurological exams to note any cognitive or behavioral changes early D. prompt attention to respiratory tract infections

A

A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and notes that the numbers have changed over the last several decades. The best explanation would be: A. increases are noted because of the growing number of pregnancies to teen mothers. B. improved prenatal care has reduced the numbers of fetal deaths. C. expectant mothers are seeking prenatal care later, resulting in decreases in the number. D. increases are noted due the increasing number of older mothers becoming pregnant.

B

A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus? A. Detection of genetic mutations in children B. Identification of human genes and functions C. Genetic testing in adults D. Treatment of gene mutations

B

Pediatric nurses are developing more home care and community-based services for children with chronic illnesses because: there are fewer positions for nurses in institutions providing acute care. A. uninsured families can access these services. B.increasing numbers of children live with chronic disabilities due to advances in health care that allow children with formerly fatal diseases to survive. C. disability and chronic illness have increased with the appearance of more genetic abnormalities. D. more disabilities are occurring in children because many women are delaying pregnancy and giving birth to babies later in life. E. there are fewer positions for nurses in institutions providing acute care

B

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? A. hot flashes B. urinary incontinence C. breast development D. irritability and insomnia

C

A nurse working in a pediatrician's office has requested that a generic brand of cotton swabs be ordered in place of a more expensive brand name. Which trend in today's health care environment is most related to this nurse's action? A. increasing use of technology B. increasing health insurance coverage cost C. initiating cost containment D. increasing reliance on home care

C

A nurse is providing education to a client with infertility concerns. Which statement by the client indicates appropriate understanding of the Spinnbarkeit Test? A. "I will need to purchase an over-the-counter ovulation kit that will tell me when I am currently ovulating." B. "At midpoint in my menstrual cycle, I need to come to the clinic for a cervical exam looking for color changes to my cervical mucus." C. "I will need to purchase a microscope and look for a fern-like pattern from a sample of my cervical mucus to indicate when I am ovulating." D. "Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it in to long strands, indicating I am close to ovulating."

D

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

genital herpes

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? A. vagina B. uterus C. rugae D. fundus

A

An anatomy professor is teaching a class of pre-nursing students about the female reproductive system. One student asks, "Where is the opening to the vagina?" The best answer the professor can give is: A. in what is called the vestibule, which is located between the labia minora. B. between where you pee and where you poop. C. by the Bartholin glands. D. between the labia majora and by the paraurethral glands.

A

It is important that couples who wish to practice natural forms of birth control understand that the mucus-secreting glands of the cervix can store live sperm for up to: A. 48 hours. B. 24 hours. C. 12 hours. D. 36 hours.

A

Morbidity rates among children are most highly associated with which cause? A. Environmental factors B. Suicide and homicide C. Firearms at home D. School violence

A

The nurse, while teaching a group of pregnant women about the production of breast milk, describes colostrum and compares it with mature breast milk. Which characteristic would the nurse identify as associated with colostrum? A. high mineral content B. low protein content C. high sugar content D. low maternal antibody content

A

The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium? A. the increasing level of estrogen B. the level of the FSH C. the dropping level of LH D. the decreasing level of the progesterone

A

The school nurse is teaching a health education class on the male reproductive system. The nurse determines the class is successful when the students correctly point out which structure produces sperm? A. testes B. seminal vesicles C. prostate gland D. scrotum

A

12-year-old girl expresses concern to the nurse because she has not begun her period yet, whereas almost all of her friends have already begun menstruating. She asks when the nurse thinks she will begin her period. The nurse notes that the girl has grown 6 inches in the past year and a half and has developed breast buds and pubic hair in the past year. Which response would be best for the nurse to give the girl? A. "Your body is giving a lot of signs that you will probably start your period in no more than a year, which is completely normal." B. "It looks like you are a late bloomer! It's difficult to say when you'll get your period; some girls start as late as age 17." C. "The age that you start your period is highly genetic; ask your mother when she began her period." D. "Most girls have already begun their period by your age. We should run a few tests to make sure you don't have a hormone problem."

A

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that that fertilization normally occurs in what structure of the woman's body? A. Fallopian tube B. Ovarian surface C. Uterine isthmus D. Uterine corpus

A

A nurse is caring for a 31-year-old pregnant client who is subjected to intimate partner violence. The client has developed a feeling of hopelessness and does not feel confident in dealing with the situation at home, which makes her feel suicidal. Which nursing intervention should the nurse offer to help the client deal with her situation? A. Provide emotional support to empower the client to help herself. B. Help the client understand the legal impact of her situation to help protect her. C. Counsel the client's partner to refrain from subjecting his partner to violence. D. Introduce the client to a women's rights group.

A

To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups? A. Teach injury prevention and proper safety practices. B. Provide guidance regarding proper nutrition. C. Help integrate exercise practices and programs into the lifestyles of individuals and communities. D. Advocate for more research into control of environmental toxins.

A

When providing family-centered care for a new mother and infant, which is the appropriate action by the nurse? A. Encourage rooming-in to develop bonding. B. Have the infant stay in the nursery. C. Oversee care provided by the mother. D. Limit interactions by other family members.

A

Which physician is known as the "Father of Pediatrics"? A. Abraham Jacobi b. John Bowlby C.Ren Spitz D. Joseph Brennaman

A

With sexual stimulation the penis becomes erect. What is the physiologic cause of an erection? A. Penile sinuses fill up with blood. B. The corpus cavernous vasodilates. C. The fascia becomes firm. D. Veins in the shaft of the penis vasoconstrict.

A

Cost containment in the health care field has become a sought-after necessity because of rising costs and the influence of managed care. Nurses are instrumental in assisting with cost containment of health care by prioritizing which strategy? A. Alternative birth systems B. Health promotion C. Client teaching D. Quality improvement

B

A group of nursing students are examining the data of the local hospitals to determine the potential maternal needs of the community. Which factor will be the best statistical indicator of the adequacy of prenatal care? A. Number of prenatal visits B. Maternal mortality rate C. Infant measurements at birth D. Infant mortality rate

B

A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client? a. If ovulation occurs on Day 14 of her menstrual cycle, she should have intercourse one week later on Day 21. b. Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle. c. It is recommended to check her mucus and have intercourse when the mucus is opaque and scant. d. If she has irregular menstrual cycles, that should not interfere with her conceiving as long as she has intercourse on the same days every month.

B

A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion. What would be the most appropriate response from the nurse to this client? A. "Have you notified the father?" B. "I'll put together the information that you will need." C. "I don't know of any health care providers who will perform them." D. "Are you sure you want to do that?

B

After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when a student makes which statement? A. "The duration of the pregnancy is a concern." B. "The rate includes accidental causes for deaths." C. "The time frame is typically for a specified year." D. "It addresses pregnancy-related causes."

B

An adolescent client asks the nurse about how the ovaries work. The nurse would include which information in her reply? A. The ovaries secrete glycogen and lipids to nourish the immature ova. B. Storage of ova and maturation of them is one of the main functions of the ovaries. C. The ovaries aid in sexual arousal during intercourse. D. Each month, the ovaries enlarge and trigger menstruation.

B

The nurse is admitting a client to the emergency clinic and notes that the client's gender expression is different than the gender noted in the driver's license and insurance documentation. What is the nurse's best response? A. The nurse should communicate with the client by the gender indicated on the driver's license. B. The nurse should communicate with the client based on the client's preferred pronoun. C. The nurse should refer to the client using the pronoun based on the legal documented gender. D. The nurse needs to clarify the conflict between the driver's license and the client's appearance. E. The nurse should avoid using any gender specific pronouns or anything that relates to either gender.

B

The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. What would prevent informed consent from being obtained? A. Determining the mother cannot read the form B. Learning the mother is not the custodial parent C.Finding out the mother is younger than 18 years of age D. Establishing the mother was never married

B

The nurse is focusing on health promotion for a 6-year-old girl. Which intervention best supports Healthy People goals? A. Explaining proper diet in the child's terms B. Recommending a helmet for biking C. Providing information about after-school child care D. Discussing needed amount of sleep

B

The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females? A. appearance of pubic hair, breast budding, menarche B. Appearance of pubic hair, menarche, breast budding C. menarche, breast budding, appearance of pubic hair D. breast budding, appearance of pubic hair, menarche

D

The nurse educates a client who is confused about her ovarian cycle. Which client statement would best validate her understanding of the education? A. "I will ovulate every month on Day 21 of my cycle." B. "When I ovulate, there is a follicle on my uterus that forms showing that an ova was released." C. "My menstrual cycles are controlled by progesterone production." D. "Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."

D

The nurse is assessing a 16-year-old female on a routine well-child visit. Which assessment finding will the nurse predict this healthy female will report concerning her menstrual cycles? A. There's abundant clear mucus at the beginning B. Menstruation began at age 15. C. The usual cycle is 36 days. D. Flow usually lasts 4 to 6 days

D

The nurse is teaching a client the advantages and disadvantages of self-care. The nurse determines the session is successful when the client correctly chooses which point as best describing self-care? A. Immediate compliance with the directions of health care providers B. Passively accepting the advice of health care workers C. Going to the drug store and buying medications as needed D. Gaining information about and taking an active role in wellness

D

A client is attempting to become pregnant and is using varied methods to identify ovulation. What assessment finding would most clearly suggest that the client is ovulating? A. The client's progesterone levels are peaking B. The client menstruated eight days ago C. The client has clear, thin cervical mucus D. Cervical mucus is absent

C

A client, 6 hours post-birth, 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: A. neonatal mortality rate. B. maternal morbidity rate. C. maternal mortality rate. D. neonatal morbidity rate.

C

A single, 18-year-old woman in her second trimester presents at the clinic with vaginal bleeding. She confides to the nurse in confidence that she has been using cocaine to "calm her nerves" and hopes it didn't harm her baby. What would be the nurse's best response to this situation? A. Explain the effects of cocaine on the fetus and tell the mother that she must quit for her baby's sake. B. Tell the doctor about the mother's drug use and ask him to intervene in the situation. C. Consult with the health care facility's institutional ethics committee for an appropriate response. D. Refer the mother to a drug and alcohol rehabilitation program and follow up with her recovery.

C

The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. Based on this information, what is the specific hormone that functions primarily during pregnancy? A. estrone B. estriol C. progesterone D. estradiol

C

What makes the area of family nursing a difficult arena to provide care at times? A. The presence of family in the hospital rooms B.Family-centered care plans and use of community areas in acute care settings C. Family members who might not agree on treatments and a plan of care D. Nurses having different values from families

C

Which statement best describes the pattern of maternal mortality since World War II? A. It has steadily increased. B. After decreasing until the 1960s, it has increased steadily. C. It has steadily decreased. D. It has remained constant.

C

client asks the nurse questions about female hygiene and wants to know if she should douche to clean her vagina. Which response by the nurse would be most appropriate? A. "Only douche if the vagina has an odor." B. "If you want, douching is ok." C. "Only douche if you have itching and burning." D. "You do not need to douche; the vagina is self-cleaning."

D

A woman experiencing menopausal symptoms asks the nurse about herbal remedies for managing her symptoms. Which response by the nurse would be most appropriate? A. "Herbal remedies have been proven quite reliable in alleviating the symptoms of menopause." B. "You should avoid herbal remedies and ask your primary care provider for hormone replacement therapy." C. "Your symptoms are not severe enough to warrant any treatment or therapy." D. "Most of the information about herbal therapies is based on reports by those who have used them, not scientific studies."

D

After teaching nursing students about the trends in women and cancer in the United States, the nurse educator concludes that learning has taken place when the students make which statements? Select all that apply. A. Women living in North America have the lowest rate of breast cancer in the world. B. Black women are more likely than white women to get breast cancer. C. Lung cancer has the lowest survival rate in the United States of any cancer. D. Lung cancer is the number-one killer of women in the United States. E. Lung cancer has the highest survival rate of any cancer for women. F. Cancer is the second leading cause of death among women. Cancer is the second leading cause of death among women.

D,E,F

A nurse is conducting a health class for a group of adolescents about male and female reproduction. When describing the testes, the nurse would explain that these organs are important for manufacturing which hormone? A. testosterone B. estrogen C. luteinizing hormone D. progesterone

A

The nursing instructor is discussing culture with a group of nursing students. Which aspects should be included in the discussion of this topic? Select all that apply. A. level of education B. primary language spoken by the family C. a person's race D. a sense of personal space E. religious beliefs of the individuals

B, D, E

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client? A. If fertilization does not occur, the corpus luteum degenerates, and hormonal levels fall. B. An ovum matures and is released. C. Withdrawal of hormones causes the endometrial cells to change, and menstruation begins. D. While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.

D

Which nursing intervention would best demonstrate evidence-based practice in maternal-child health care? A. Decentralizing care to allow clients to be closer to home B. Placing adults and children with similar diseases on the same unit C. Minimizing parental interaction with preterm infants D. Family-centered pediatric care

D

A sex education class is being conducted at a local women's center. The attendees ask the professional conducting the class about why they experience sensations of increased warmth during sex and redness of the neck and chest. Which information would the professional provide to explain this experience? Select all that apply. A. Vessels in the pelvis are receiving more blood and can cause a warm sensation. B. Respirations will decrease during sex, which allows the body to warm up faster. C. A person's heart rate increases during sex, making them warmer. D. The blood pressure will increase, which can cause a feeling of warmth. E. The color change is coincidental and not a part of the sexual response.

A, C, & D

A nurse is conducting a teaching session on sudden infant death syndrome (SIDS) for expectant parents. Which information should the nurse include? Select all that apply. A. Maintain neutral temperatures and avoid overheating. B. Allow the infant to sleep with a bottle. C. Sharing a room allows for monitoring of the infant. D. Place the infant on his or her back to sleep. E. Co-bedding or sharing a bed creates parental bonding.

A, C, D

Before World War II women moved from home to hospital births. What was the primary reason for that shift in maternity care? A. They were convinced that setting would lessen the pain of labor. B. They were convinced that setting would improve birth outcomes. C. They were convinced that setting would provide them with natural birth. D. They had no other options as many could not afford midwives

B

The nurse is reviewing the medical records of several infants. Which would the nurse know is at highest risk for death according to the infant mortality rate in the United States? A. An infant born at 38 weeks' gestation B. An infant born at a low birth weight C. An infant born to adolescent parents D. An infant born to a 43-year-old mother

B

The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred? A. Thick and tacky B. Thin and copious C. Mucus is not visible at ovulation D. Scant amount

B

The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact? A. The average age for menarche is 11 to 13 years. B. The average menstrual flow lasts 4 to 6 days. C. Total blood loss each month averages 45 to 80 mL of blood. D. Menarche is the start of puberty.

B

Which statement best expresses the role of the corpus luteum? A. During the luteal phase, the corpus luteum secretes glycogen. B. The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation. C. Increasing amounts of cervical mucus are produced as a result of the luteinizing hormone produced by the corpus luteum. D. The corpus luteum promotes the increased production of estrogen before ovulation.

B

A nursing instructor is teaching a session investigating infant mortality as a standard measurement of the quality of health care in the country. The instructor determines the session is successful when the students correctly choose which factors as contributing to the high numbers of deaths in the United States? Select all that apply. A. Male gender of infant B. Maternal complications C. Maternal age of 30 to 34 years of age D. Preterm births E. Congenital deformities and chromosomal abnormalities

B, D, E