Adaptive Quiz 10 - Sexuality (nursing 1010)

Arrange in order the steps involved in the changes that occur during puberty. 1. Triggering of GnRH by the hypothalamus 2. Movement of GnRH through a network of capillaries to the anterior pituitary gland 3.Stimulation of production and secretion of FSH and LH 4. Stimulation of the gonadal response

1 2 3 4 Some events trigger the production of gonadotropin-releasing hormone (GnRH) by the hypothalamus. GnRH travels through a network of capillaries to the anterior pituitary gland and stimulates the production and secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). When the levels of these hormones increase, they in turn stimulate the gonadal response.

A client is admitted to the hospital after general paresis develops as a complication of syphilis. Which therapy should the nurse anticipate will most likely be prescribed for this client? 1 Penicillin therapy 2 Major tranquilizers 3 Behavior modification 4 Electroconvulsive therapy

1 Penicillin therapy Massive doses of penicillin may limit central nervous system damage if treatment is started before neural deterioration from syphilis occurs. Tranquilizers are used to modify behavior, not to treat general paresis. Behavior, not paresis, is treated with behavior modification. Electroconvulsive therapy is used to treat certain psychiatric disorders.

Which organism is responsible for causing dermatitis related to a sexually transmitted infection? 1 Phthirus pubis 2 Candida albicans 3 Campylobacter jejuni 4 Ureaplasma urealyticum

1 Phthirus pubis Phthirus pubis is responsible for dermatitis related to sexually transmitted infections. Candida albicans may lead to vulvovaginitis. Campylobacter jejuni may cause proctitis. Ureaplasma urealyticum may cause salpingitis, infertility, reproductive loss, and ectopic pregnancies.

On a routine prenatal visit, what is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? 1 Quickening 2 Palpitations 3 Pedal edema 4 Vaginal spotting

1 Quickening The recognition of fetal movement commonly occurs in primigravidas at 18 to 20 weeks' gestation; it is felt about 2 weeks earlier in multigravidas. Palpitations should not occur in the healthy primigravidas. Pedal edema may occur at the end of the pregnancy as the gravid uterus presses on the femoral arteries, impeding circulation. Immediate follow-up care is required when it occurs this early in the pregnancy. Vaginal spotting at this time requires immediate follow-up care.

Which identity may fail to develop if an adolescent lacks physical evidence of maturity? 1 Sexual identity 2 Group identity 3 Family identity 4 Health identity

1 Sexual identity A lack of physical evidence of maturity can predispose the adolescent to a failure to establish a sexual identity. Adolescents depend on these physical clues because they want assurance of maleness or femaleness and do not wish to be different from their peers. In an adolescent who does not have a feeling of acceptance and belonging, establishment of a group identity may fail to occur. Failure of a family to foster an adolescent's independence yet balance the family structure may hamper the development of family identity. Healthy adolescents evaluate their own health on the basis of feelings of well-being, ability to function normally, and absence of symptoms.

A nurse is planning to provide discharge teaching to the family of a client with acquired immunodeficiency syndrome (AIDS). Which statement should the nurse include in the teaching plan? 1 Wash used dishes in hot, soapy water." 2 Let dishes soak in hot water for 24 hours before washing." 3 You should boil the client's dishes for 30 minutes after use." 4 Have the client eat from paper plates so they can be discarded.

1 Wash used dishes in hot, soapy water." A person cannot contract human immunodeficiency virus (HIV) by eating from dishes previously used by an individual with AIDS; routine care is adequate. Washing used dishes in hot, soapy water is sufficient care for dishes used by the AIDS client. Dishes do not need to soak for 24 hours before being washed. The client's dishes do not need to be boiled for 30 minutes after use. Paper plates are fine to use but are not indicated to prevent the spread of AIDS.

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. What other finding supports a fungal vaginal infection? 1 A foul odor 2 An itchy perineum 3 An ischemic cervix 4 A forgotten tampon

2 An itchy perineum An itchy perineum usually occurs with candidiasis, a fungal infection; pruritus is the most common symptom. An odorous, frothy greenish discharge occurs with trichomoniasis, a protozoal infestation. Ischemia of the cervix is not associated with candidiasis; candidiasis causes vaginal and cervical inflammation. A forgotten tampon may cause bacterial, not fungal, vaginitis.

The nurse is educating new parents about circumcision. Which structure of the penis would this nurse tell the parents is removed during circumcision? 1 Glans 2 Prepuce 3 Epididymis 4 Vas deferens

2 Prepuce Circumcision is a procedure that involves removal of the prepuce, a skin fold over the glans. The glans is the tip of the penis. The epididymis is the internal structure that promotes transportation of the sperm. The vas deferens carries the sperm from the epididymis to the ejaculatory duct.

Why is a Neisseria gonorrhoeae infection particularly troublesome for a female client? 1 The medication is expensive. 2 It is difficult to treat with antibiotics. 3 Symptoms are often overlooked. 4 Treatment has many adverse effects.

3 Symptoms are often overlooked. Many female clients who contract gonorrhea are asymptomatic or have minor symptoms that are often overlooked, making it possible for them to remain a source of infection. There is no evidence to support that the medication to treat the infection is expensive. The infection can be treated with one intramuscular injection of ceftriaxone. There is no evidence to support that the medication to treat this infection has many adverse effects.

A male client has discharge from his penis. Gonorrhea is suspected. To obtain a specimen for a culture, the nurse should: 1 Instruct the client to provide a semen specimen 2 Swab the discharge when it appears on the prepuce 3 Teach the client how to obtain a clean catch specimen of urine 4 Swab the drainage directly from the urethra to obtain a specimen

4 Swab the drainage directly from the urethra to obtain a specimen Swabbing the drainage directly from the urethra obtains a specimen uncontaminated by environmental organisms. Instructing the client to provide a semen specimen is not as accurate as obtaining the purulent discharge from the site of origin. Swabbing the discharge when it appears on the prepuce will contaminate the specimen with organisms external to the body. Teaching the client how to obtain a clean catch specimen of urine will dilute and possibly contaminate the specimen.