Maternity and Women's Health Nursing: Women's Health

Which behavior indicates to a nurse that a new mother is in the taking-hold phase? 1.Calling the baby by name 2.Talking about the labor and birth 3.Touching the baby with her fingertips 4.Being involved with the infant's need to eat and sleep

1.Calling the baby by name

Four days after a vaginal hysterectomy a client calls the follow-up service and tells the nurse that she has a yellowish-green vaginal discharge. The nurse advises the client to return to the clinic for an evaluation. Which symptoms are suggestive of a vaginal infection? (Select all that apply.) 1.Abdominal pain 2.Urinary frequency 3.Rising temperature 4.Decreased pulse rate 5.Decreased blood pressure

1.Abdominal pain 3.Rising temperature

After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over the area being radiated. The area is sensitive but not painful. She states that she has been using tepid water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What does the nurse conclude from this information? 1.Further teaching on skin care is necessary. 2.No other intervention is needed at this time. 3.The radiation team should be notified of this problem. 4.Health teaching on the side effects of radiation is needed.

1.Further teaching on skin care is necessary.

A client in preterm labor is to receive a tocolytic medication, and bedrest is prescribed. Which position should the nurse suggest that the client maintain while on bedrest? 1.Lateral 2.Supine 3.Fowler 4.Semi-Fowler

1.Lateral

The clinic nurse is providing home care instructions for a client with pelvic inflammatory disease. What resting position should be recommended by the nurse? 1.Sims 2.Fowler 3.Supine with knees flexed 4.Lithotomy with head elevated

2.Fowler

A strict vegetarian (vegan) becomes pregnant and asks the nurse whether there is anything special she should do in regard to her diet during pregnancy. What is most the important measure for the nurse to instruct the client to take? 1.Eat at least 40 g/day of protein. 2.Drink at least 1 quart/day of milk. 3.Take a vitamin supplemented with iron every day. 4.Plan to eat from specific groups of vegetable proteins each day.

4.Plan to eat from specific groups of vegetable proteins each day.

A nurse instructs a client who is taking oral contraceptives to increase her intake of dietary supplements. Which supplement should be increased? Calcium Vitamin C Vitamin E Potassium

Vitamin C

A nurse is planning care for a client who gave birth to a preterm male infant. What most common response does the nurse anticipate that the mother may experience? 1.Feelings of failure and loss of control 2.Thoughts related to guilt and withdrawal 3.Fear of forming a healthy relationship with her son until he is out of danger 4.Need for increased attachment behaviors because of her son's life-threatening condition

1.Feelings of failure and loss of control

The nurse is obtaining a health history from a client with endometriosis. What consequences can occur as a result of this disorder? (Select all that apply.) 1.Menopause 2.Metrorrhagia 3.Ovarian cancer 4.Bowel strictures 5.Voiding difficulties

2.Metrorrhagia 4.Bowel strictures 5.Voiding difficulties

After 8 postpartum hours the nurse determines that a client's fundus is 3 cm above the umbilicus and displaced to the right. Which statement is most significant in confirming the reason for the location of the uterus? 1."I've been so thirsty the past few hours." 2."I went to the bathroom, but I can't seem to urinate." 3."I've changed my pad once since I got to my room." 4."I've had a lot of contractions, especially while I was nursing."

2."I went to the bathroom, but I can't seem to urinate."

The mother of a pregnant teenager asks the nurse how her daughter could have been so foolish because birth control had been discussed with her many times. How should the nurse respond? 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."

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

On the first day after a mastectomy, a nurse encourages the client to perform exercises such as flexion and extension of the fingers and pronation and supination of the hand. The client asks why she has to do these exercises. The best response by the nurse is: 1."They preserve muscle tone." 2."They prevent joint contractures." 3."They help us assess the extent of lymphedema." 4."They will help stimulate peripheral circulation."

4."They will help stimulate peripheral circulation."

A couple in their late 30s, expecting their first child, plans to have an amniocentesis. At what point in the pregnancy should the nurse tell the couple that the test it will be scheduled? 1.When quickening is felt 2.During the last trimester 3.At the 10th week of gestation 4.After the 14th week of pregnancy

4.After the 14th week of pregnancy

A client who has had a mastectomy asks what the term ERP-positive means. How should the nurse explain this finding? 1.The client has a need for supplemental estrogen therapy. 2.The client's estrogen level has been depleted to zero during surgery. 3.The type of cancer the client has responds poorly to hormone therapy that reduces estrogen. 4.The tumor cells generally exhibit a positive response to hormone therapy that reduces estrogen

4.The tumor cells generally exhibit a positive response to hormone therapy that reduces estrogen

A client is scheduled for a modified radical mastectomy. What nursing intervention is most important in the client's preoperative plan of care? 1.Allowing her to express her feelings about surgery 2.Encouraging range-of-motion exercise of the arms 3.Increasing her knowledge about postoperative expectations 4.Arranging for a visit by a woman who has had a mastectomy

1.Allowing her to express her feelings about surgery

What should be included in nursing care immediately after a sexual assault? 1.Obtaining the assault history from the client 2.Informing 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

1.Obtaining the assault history from the client

A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby move. The nurse replies that quickening usually occurs in the: 1.24th week 2.20th week 3.16th week 4.12th week

2.20th week

A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? 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.

2.Expect shoulder pain for 12 to 24 hours.

A nurse on the postpartum unit discusses breast care with a client who is formula feeding her newborn. Which statement indicates to the nurse that more teaching is needed? 1."The discomfort will be better after a couple of days." 2."I need to ask my husband to bring me my new bra." 3."Applying heat to my breasts will help ease the discomfort." 4."Pain medication will help with the pain from engorgement."

3."Applying heat to my breasts will help ease the discomfort."

A nurse teaches a client with asthma about her illness during pregnancy. Which statement by the client indicates that the nurse's teaching has been effective? 1."Prednisone is safe to use during pregnancy." 2."My asthma will get worse as my pregnancy progresses." 3."I can use my albuterol inhaler if it's absolutely necessary." 4."I'll have to have a cesarean to prevent a severe attack during labor."

3."I can use my albuterol inhaler if it's absolutely necessary."

On her second visit to the fertility clinic, a client whose temperature charts demonstrate an ovulatory pattern and a regular menstrual cycle requests fertility drugs. What is the nurse's best intervention? 1.Scheduling an endometrial biopsy 2.Making arrangements for a culdoscopy 3.Asking the client to have her partner's semen examined 4.Calling the health care provider to prescribe the fertility drug

3.Asking the client to have her partner's semen examined

A client is taking a progesterone oral contraceptive (minipill). The nurse instructs the client to take one pill daily during the: 1.Five days of the ovulatory cycle 2.Latter part of the ovulatory cycle 3.First week of the menstrual cycle 4.Entire menstrual cycle

4.Entire menstrual cycle

A pregnant client is experiencing nausea and vomiting. The nurse determines that this discomfort: 1.Is always present during early pregnancy 2.Will disappear when lightening occurs 3.Is a common response to an unwanted pregnancy 4.May be related to an increased human chorionic gonadotropin level

4.May be related to an increased human chorionic gonadotropin level

A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What should preoperative teaching include? 1.Frequent ambulation is begun within 24 hours. 2.Discharge from the hospital occurs in 5 to 7 days. 3.Enemas are required for effective bowel movements. 4.Sponge baths are taken until incisional healing is complete

1.Frequent ambulation is begun within 24 hours.

A nurse is caring for an adolescent in labor an hour after she was admitted to the birthing unit. The adolescent is anxious and tense. She cries during contractions and asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current vital signs and reviews her history and admission information. What nursing interventions are essential before epidural anesthesia is administered? (Select all that apply.) 1.Performing a baseline vaginal examination 2.Telling the adolescent what to expect with each procedure 3.Identifying risk factors that contraindicate epidural anesthesia 4.Having the parents sign a consent form for the epidural anesthesia 5.Explaining the need to stay in one position while the epidural catheter is in place

1.Performing a baseline vaginal examination 2.Telling the adolescent what to expect with each procedure 3.Identifying risk factors that contraindicate epidural anesthesia

A histogram (hysterosalpingography [HSG]) is performed to determine whether a client has a tubal obstruction. The nurse explains to the client that infertility caused by a defect in the tube is most often related to: 1.A tubal injury 2.Past infection 3.A fibroid tumor 4.A congenital anomaly

2.Past infection

Methods of relieving back pain are explained during a childbirth class. What activities identified by the client permit the nurse to conclude that the teaching has been understood? (Select all that apply.) 1.Tailor sitting 2.Pelvic rocking 3.Forward tilting 4 .Sacral pressure 5.Kegel exercises

2.Pelvic rocking 3.Forward tilting 4 .Sacral pressure

A nurse is teaching a class of expectant parents about nutritional needs during pregnancy. What information should the nurse include? 1.Carbohydrate needs decrease during pregnancy. 2.Protein needs increase to at least 70 g/day during pregnancy. 3.Phosphorus and calcium needs decrease gradually throughout pregnancy. 4.Caloric needs increase gradually up to 100 more kcal/day throughout pregnancy

2.Protein needs increase to at least 70 g/day during pregnancy.

A nurse is teaching a woman how to perform breast self-examination. Which statement indicates that the client needs 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."

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

A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge plan for this client? 1.Encouragement of gradual weight gain 2.Monitoring for decreased urine calcium 3.Instructions relative to diet and exercise 4.Safety factors in the use of opioids and nonsteroidal anti-inflammatory drugs

3.Instructions relative to diet and exercise

A pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. What does the nurse identify as the main reason that this medication is administered? 1.It acts as a diuretic. 2.It has a sedative effect. 3.It acts as an anticonvulsant. 4.It has an antihypertensive effect

3.It acts as an anticonvulsant.

A nurse is preparing a client with a ruptured tubal pregnancy for immediate surgery. What type of surgery should the informed consent include? 1.Myomectomy 2.Hysterectomy 3.Salpingectomy 4.Oophorectomy

3.Salpingectomy

A breastfeeding mother asks the nurse what she can do to ease the discomfort caused by a cracked nipple. What should the nurse instruct the client to do? 1.Stop nursing for a few days and allow the nipple to heal 2.Manually express milk and feed it to the baby in a bottle 3.Start feedings on the unaffected breast until the affected breast heals 4.Use a breast shield to keep the baby from making direct contact with the nipple

3.Start feedings on the unaffected breast until the affected breast heals

A new mother wishes to breastfeed her infant and asks the nurse whether she needs to alter her diet. How should the nurse respond? 1."Eat as you have been during your pregnancy." 2."Drink a lot of milk—the added calcium will help you make milk." 3."Your body produces the milk your baby needs as a result of the vigorous suckling." 4."You'll need greater amounts of the same foods you've been eating and more fluids."

4."You'll need greater amounts of the same foods you've been eating and more fluids."

At a client's first visit to the prenatal clinic, the nurse asks the client when she had her last menstrual period so the estimated date of birth (EDB) can be determined. The client responds, "January 21." According to Nägele's rule, what is the month and day of the client's EDB? 1.October 21 2.October 28 3.November 21 4.November 28

2.October 28

The nurse discusses the recommended weight gain during pregnancy with a newly pregnant client who is 5 feet 3 inches tall and weighs 125 lb. The nurse explains that with the recommended weight gain, at term the client should weigh about: 1.150 lb 2.140 lb 3.135 lb 4.130 lb

1.150 lb

A client in her 30th week of gestation is in preterm labor, and the practitioner prescribes betamethasone (Celestone). The client asks the nurse why she is being given this drug. As a basis for the response the nurse takes into consideration that it: 1.Prevents chorioamnionitis 2.Increases uteroplacental exchange 3.Promotes neonatal pulmonary maturity 4.Is used to treat fetal respiratory distress syndrome

3.Promotes neonatal pulmonary maturity

A woman in the family planning clinic has decided to use the diaphragm for contraception. What should the nurse teach her about using a diaphragm? 1.Completely cover the outside of the diaphragm with spermicidal jelly or cream. 2.Douche within 1 hour of intercourse to enhance the effectiveness of the diaphragm. 3.Correct placement of the diaphragm leaves an inch between the diaphragm and the vaginal wall. 4.Insert the diaphragm before intercourse and leave it in at least 6 hours after intercourse to kill all the sperm

4.Insert the diaphragm before intercourse and leave it in at least 6 hours after intercourse to kill all the sperm

A 24-year-old client complains to the nurse in the women's health clinic that her breasts become tender before her menstrual period. What should the nurse recommend that the client do 1 week before an expected menses? 1.Take salt tablets daily 2.Increase protein intake 3.Eliminate daily exercise 4.Decrease caffeine intake

4.Decrease caffeine intake

At 12 weeks' gestation, a client who is Rh negative expels the total products of conception. What is the nursing action after it has been determined that she has not been previously sensitized? 1.Administering RhoGAM within 72 hours 2.Making certain that RhoGAM is administered at the first clinic visit 3.Withholding the RhoGAM because the gestation lasted only 12 weeks 4.Withholding the RhoGAM because it is not used after delivery of a stillborn

1.Administering RhoGAM within 72 hours

After an abdominal hysterectomy the client returns to the unit with an indwelling catheter. The nurse notes that the urine in the client's collection bag has become increasingly sanguineous. What complication does the nurse suspect? 1.An incisional nick in the bladder 2.A urinary infection from the catheter 3.Disseminated intravascular coagulopathy 4.Uterine relaxation with increased bleeding

1.An incisional nick in the bladder

A nurse is reviewing a postmenopausal client's history, which reveals that the client previously received hormonal replacement therapy (HRT) as treatment for osteoporosis. For which problem does HRT increase the client's risk? 1.Breast cancer 2.Rapid weight loss 3.Accelerated bone loss 4.Vaginal tissue atrophy

1.Breast cancer

When seeing her preterm infant son in the neonatal intensive care unit for the first time, a mother exclaims, "He's so little! How will I ever be able to take care of him?" The nurse explains to the mother that she: 1.Will be encouraged to participate in his care as much as possible 2.May watch his care to familiarize herself with the specific routines 3.Should find someone with preterm care training to help at home for the first week 4.Will be able to care for him in a special nursery for a few days before his discharge

1.Will be encouraged to participate in his care as much as possible

A couple expresses a desire to use the rhythm method of birth control. The woman tells the nurse that she menstruates every 32 days. What should the nurse teach the couple about when the client's ovulation probably occurs? 1.On the 14th day of the cycle 2.10 days after the first day of bleeding 3.14 days before the start of the next menses 4.2 to 3 days after the last day of menstrual bleeding

3.14 days before the start of the next menses

A 30-year-old client with a 35-day menstrual cycle is trying to become pregnant. The nurse counsels the client and her partner about the optimal timing of intercourse during the cycle. The nurse determines that the counseling has been effective when the couple state that they should have intercourse on the: 1.12th day of the cycle 2.14th day of the cycle 3.21st day of the cycle 4.25th day of the cycle

3.21st day of the cycle

A client is to undergo a tuberculin test as part of her prenatal workup. Before administering the test, what information about the client should the nurse obtain? 1.Whether she has had a previous tuberculin test 2.Whether the client is prone to respiratory diseases 3.Whether an earlier tuberculin test's result was positive 4.Whether the client's family has a history of tuberculosis

3.Whether an earlier tuberculin test's result was positive

A client who has had recurrent infections before and during pregnancy should be instructed to eat a nutrient-rich diet as a means of supporting the body's natural defense mechanisms. What should the nurse encourage the client to include in her diet? 1.Fat-soluble vitamins 2.Dietary fiber and oat bran 3.Low-fat foods with essential fatty acids 4.Vitamins A, C, and E and selenium

4.Vitamins A, C, and E and selenium

A client who has had a cesarean birth seems upset. She has been having difficulty breastfeeding for 2 days and now asks the nurse to bring her a bottle of formula. What is the nurse's initial action? 1.Obtaining the requested formula 2.Administering the prescribed pain medication 3.Observing the client's breastfeeding technique 4.Notifying the practitioner of the client's request to switch feeding methods

3.Observing the client's breastfeeding technique

A female client with Hodgkin's disease is to start chemotherapy. She and her husband have been trying to have a child and are quite concerned when they learn that sterility may result. On what information should the nurse base the reply? 1.Ova can be harvested and frozen for future use. 2.Chemotherapy is not radical enough to destroy ovarian function. 3.Ovarian function will be temporarily destroyed but will return in time. 4.Radiation can be substituted for chemotherapy to preserve ovarian function.

1.Ova can be harvested and frozen for future use.

A nurse is teaching a class of expectant parents about changes that are to be expected during pregnancy. What changes does the nurse explain result from the melanocyte-stimulating hormone? (Select all that apply.) 1.Chloasma 2.Linea nigra 3.Effacement 4.Morning sickness 5.Cervical softening 6.Urinary frequency

1.Chloasma 2.Linea nigra

The nurse explains to a woman in her 24th week of pregnancy that absorption of medications taken orally during pregnancy may be altered as a result of: 1.Delayed gastrointestinal emptying 2.A reduced glomerular filtration rate 3.Developing fetal-placental circulation 4.Increasing secretion of hydrochloric acid

1.Delayed gastrointestinal emptying

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. What should the nurse tell the client about the primary reasons for the catheter? (Select all that apply.) 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.

A nurse evaluates that a client who is taking oral contraceptives understands the related dietary teaching when the client states, "While I'm taking birth control pills I should increase my intake of foods containing: 1.Calcium." 2.Folic acid." 3.Vitamin A." 4.Vitamin D."

2.Folic acid."

A client presents to the clinic with complaints of nausea and amenorrhea and reports that she obtained a positive result on a home pregnancy test. Which component of the history is most indicative of pregnancy? 1.Her menses is a week late. 2.Her urine immunoassay test is positive, 3.She reports that she has urinary frequency, 4.She complains that she has nausea every morning

2.Her urine immunoassay test is positive,

Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? 1.A normal decrease in WBCs 2.An expected response to the process of labor and birth 3.A sign of an acute sexually transmitted viral infection 4.A sign of a bacterial infection of the reproductive system

2.An expected response to the process of labor and birth

A husband sits in the waiting room while his wife is getting her infertility prescription refilled by the clinic pharmacist. As the nurse sits down beside him, he blurts, "It's like there are three of us in bed—my wife, me, and the doctor." What feeling is reflected by this statement? 1.Guilt 2.Anger 3.Depression 4.Unworthiness

2.Anger

A nurse is counseling a client with type 1 diabetes who has requested contraceptive information. On which method of contraception should the nurse place the most emphasis? 1.Rhythm 2.Diaphragm 3.Oral contraceptive 4.Intrauterine device

2.Diaphragm

A 63-year-old woman with the diagnosis of estrogen-receptor positive cancer of the breast undergoes lumpectomy and radiation therapy, and tamoxifen (Nolvadex) is prescribed. The client asks the nurse how long she will have to take the medication. The nurse responds: 1."You'll have to take it for the rest of your life." 2."You'll need to take it for 10 days, like an antibiotic." 3."You'll need to take it for 5 years, after which it will be discontinued." 4."You'll need to take it for several months, until the bone pain subsides."

3."You'll need to take it for 5 years, after which it will be discontinued."

A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do first when repetitive late decelerations of the fetal heart rate are observed? 1.Administer oxygen 2.Place the client on the left side 3.Discontinue the oxytocin infusion 4.Check the client's blood pressure

3.Discontinue the oxytocin infusion

What is the safest and most reliable birth control method for the nurse to recommend to a client with type 1 diabetes? 1.Vaginal sponge 2.Oral contraceptive 3.Rhythm method with a condom 4.Diaphragm with a spermicidal gel

4.Diaphragm with a spermicidal gel

What must the LPN observe first when planning to promote mother-infant attachment? 1.Mother-infant interaction 2.Mother-father interaction 3.The infant's physical status 4.The mother's ability to care for her infant

1.Mother-infant interaction

A client who wishes to postpone having children until she and her husband are financially sound tells the nurse she has been taking oral contraceptive pills for several years. What finding indicates a potential risk in regard to continued use of birth control pills? 1.Dysmenorrhea 2.Lack of ovulation 3.Midcycle bleeding 4.Increased blood pressure

4.Increased blood pressure

A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which adverse reactions to the radiotherapy should the client be monitored? (Select all that apply.) 1.Nausea 2.Hemorrhage 3.Restlessness 4.Vaginal discharge 5.Increased temperature

2.Hemorrhage 5.Increased temperature

A hysterectomy is scheduled for a client with endometrial cancer. Before the surgery, what should 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

2.Indwelling urinary catheter

A client gives birth to a baby weighing 7 lb 2 oz and decides to breastfeed. The nurse is instructing the client regarding breastfeeding. What should the nurse tell the client to expect? 1.Weight loss will occur rapidly. 2.Lochial flow will be increased. 3.Uterine involution will be delayed. 4.Cold compresses will promote lactation.

2.Lochial flow will be increased.

A pregnant client with an infection tells the nurse that she has taken tetracycline (Tetracyn) for infections on other occasions and prefers to take it now. The nurse tells the client that tetracycline is avoided in the treatment of infections in pregnant women because it: 1.Affects breastfeeding adversely 2.Influences the fetus's teeth buds 3.Causes fetal allergies to the medication 4.Increases the fetus's tolerance to the medication

2.Influences the fetus's teeth buds

A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural analgesia. What common response to regional anesthesia does the nurse anticipate? 1.Urticaria 2.Lightheadedness 3.Elevated temperature 4.Sensation of chilliness

2.Lightheadedness

After treatment for a bladder Infection; a client asks whether there is anything she can do to prevent cystitis in the future. What is the best response by the nurse? 1.Avoid regular use of tampons. 2.Decrease intake of prune juice. 3.Increase daily fluid consumption. 4.Cleanse the perineum from back to front

3.Increase daily fluid consumption

Thirty minutes after a client gives birth, the nurse palpates the client's uterus. It is relaxed and the lochia is excessive. What is the nurse's initial action? 1.Check vital signs 2.Massage the uterus 3.Notify the practitioner 4.Elevate the foot of the bed

2.Massage the uterus

A client had a cesarean birth 3 days ago. Where should the nurse, while palpating her fundus, expect to locate the fundus if each line represents 1 cm? 1.a 2.b 3.c 4.d

3.c TIP: Three days after birth, the fundus should be located 3 cm below the umbilicus; 12 hours after birth it should be located about 1 cm above the umbilicus; each following day it drops 1 to 2 cm.

After a modified radical mastectomy a client has two portable wound drainage systems in place. What is an important intervention as the nurse cares for these drainage systems? 1.Irrigating the tubes with normal saline to ensure patency 2.Attaching the tubes to straight drainage to monitor the output 3.Leaving the drains open to the air to ensure maximum drainage 4.Compressing the drainage receptacles after emptying them to maintain suction

4.Compressing the drainage receptacles after emptying them to maintain suction

A couple interested in family planning ask the nurse about the cervical mucus method of family planning. The nurse explains that with this method the couple must avoid intercourse when and a few days after the cervical mucus is: 1.Clear and thick 2.Yellow and thin 3.Cloudy and viscid 4.Clear and stretchable

4.Clear and stretchable

What client behavior indicates to the nurse that a woman needs further teaching about breastfeeding her newborn? 1.When she leans forward to place her breast in the infant's mouth 2.If she holds the infant level with her breast while in a side-lying position 3.If she touches her nipple to the infant's cheek at the beginning of the feeding 4.When she puts her finger in the infant's mouth to break the suction after the feeding

1.When she leans forward to place her breast in the infant's mouth

A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and lower abdominal pain. After an examination the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. 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. The nurse explains that her parents will: 1.Need to know to sign a consent form for testing and treatment 2.Not be contacted, because treatment at the clinic is confidential 3.Be notified when the insurance company is billed for testing and treatment 4.Remain uninformed if the adolescent ensures that her sexual contacts will come for testing

2.Not be contacted, because treatment at the clinic is confidential

A primigravida at 8 weeks' gestation is visiting the prenatal clinic for the first time. What should an examination reveal at this time? 1.Lightening 2.Quickening 3.Goodell's sign 4.Braxton Hicks sign

3.Goodell's sign

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

4.Loss of childbearing potential

The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The nurse tries to help him understand the situation by stating that: 1.Having four children is tiring and assistance may be needed. 2.His wife probably has the postpartum blues, but it will soon pass. 3.This behavior is common after birth, and he should not be too concerned. 4.Women often express themselves by crying, and he should allow her to continue.

1.Having four children is tiring and assistance may be needed.

When a mother sees her newborn son assume a fencing position as she turns his head, she becomes concerned. What should the nurse explain about this reflex? 1.It is expected in the healthy newborn. 2.It should disappear around 2 months of age. 3.This is suspicious and the practitioner will be notified. 4.This may indicate a minor neurological problem and will be monitored.

1.It is expected in the healthy newborn

A nurse is teaching a breastfeeding mother about cleansing her nipples. What technique should the nurse emphasize? 1.Wash the breasts and nipples with water when bathing. 2.Wipe the nipples with sterile water before each feeding. 3.Swab the nipples with an alcohol sponge after each feeding. 4.Rub the breasts and nipples with soapy water when showering.

1.Wash the breasts and nipples with water when bathing.

The school nurse is teaching a group of 16-year-old girls about the female reproductive system. One student asks how long after ovulation it is possible for conception to occur. The most accurate response by the nurse is based on the knowledge that an ovum is no longer viable after: 1.12 hours 2.24 hours 3.48 hours 4.72 hours

2. 24 hours

A client is admitted with a diagnosis of torsion of the testes. How should the nurse respond when the client asks, "Why do I have to have surgery right now?"? 1."There's no other way to control the pain." 2."Irreversible damage occurs after a few hours." 3."The extreme swelling can cause the testicle to rupture." 4."The reduction in testicular blood flow leads to rapid death of sperm."

2."Irreversible damage occurs after a few hours."

During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse respond? 1."You may use oral contraceptives — they're almost completely effective in preventing pregnancy." 2."You should use foam with a condom to prevent pregnancy — this is the safest method for women with your illnesses." 3."You'll find that the intrauterine device is best for you, because it prevents a fertilized ovum from implanting in the uterus." 4."You have little to worry about regarding becoming pregnant in the near future because women with your illnesses usually become infertile."

2."You should use foam with a condom to prevent pregnancy — this is the safest method for women with your illnesses."

A client at 10 weeks' gestation phones the prenatal clinic to report that she is experiencing some vaginal bleeding and abdominal cramping. The nurse arranges for her to go to the local hospital. The vaginal examination reveals that her cervix is dilated 2 cm. What diagnosis should the nurse expect? 1.Septic abortion 2.Inevitable abortion 3.Threatened abortion 4.Incomplete abortion

2.Inevitable abortion

After a mastectomy, a client returns from surgery with a closed suction drainage system in place and a dry sterile dressing covering the incision. What should the nurse do when observing this client for signs of bleeding? 1.Empty the output in the portable suction unit hourly 2.Inspect the bedclothes under the client's axillary area for signs of drainage 3.Turn the client on the affected side to look for blood that may flow backward 4.Reinforce the operative site with a pressure dressing if drainage appears on the dressing

2.Inspect the bedclothes under the client's axillary area for signs of drainage

A couple, married for 5 years, want to start a family. When talking with the nurse the husband says, "Well, I guess we're going to have to jump into bed three or four times a day, every day, until it works." What is the nurse's best response? 1.Telling them to continue intercourse as usual until conception occurs 2.Instructing them in the 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

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

A nurse is planning a childbirth education class about maternal psychological and physiological changes as pregnancy nears term. Which problems and concerns should the nurse include in the presentation? (Select all that apply.) 1.Food cravings increase. 2.Nesting needs increase. 3.Dependency needs decrease. 4.Anxiety about childbirth increases. 5.Gastrointestinal motility decreases

2.Nesting needs increase. 4.Anxiety about childbirth increases. 5.Gastrointestinal motility decreases

A nurse is discussing immunizations needed to confer active immunity with a pregnant client during her first visit to the prenatal clinic. What information should the nurse consider including that the client will understand with regard to active immunity? 1.Protein antigens are formed in the blood to fight invading antibodies. 2.Protein substances are formed by the body to destroy or neutralize antigens. 3.Blood antigens are aided by phagocytes in defending the body against pathogens. 4.Sensitized lymphocytes from an immune donor act as antibodies against invading pathogens

2.Protein substances are formed by the body to destroy or neutralize antigens.

Rho(D) immune globulin (RhoGAM) is prescribed for an Rh-negative client who has just given birth. Before giving the medication, the nurse verifies the newborn's Rh factor and reaction to the Coombs test. Which combination of newborn Rh factor and Coombs test result confirms the need to give Rho(D) immune globulin ? 1.Rh positive with a positive Coombs result 2.Rh positive with a negative Coombs result 3.Rh negative with a positive Coombs result 4.Rh negative with a negative Coombs result

2.Rh positive with a negative Coombs result

A female client with Hodgkin disease is to start total nodal irradiation. She and her partner, who are planning a family, become concerned when they learn that the radiation therapy includes the pelvic area. Before responding what must the nurse consider? 1.Irradiation of the area will result in permanent sterilization. 2.The eggs in the ovaries can be removed and frozen for future use. 3.The radiation may be intense enough to cause sterilization of one ovary. 4.Ovarian function will be destroyed temporarily, but function will return after therapy

2.The eggs in the ovaries can be removed and frozen for future use.

A multipara who is admitted to the hospital for repair of a rectocele and cystocele asks a nurse why these problems happened to her. How should 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?"

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

What is the best nursing intervention to achieve the cooperation of an extremely anxious pregnant client during her first pelvic examination? 1.Distracting the client by asking her preference regarding the infant's sex 2.Assisting the practitioner so the client's examination can be completed quickly 3.Explaining the procedure and maintaining eye contact while touching the client gently 4.Encouraging the client to squeeze the nurse's hand, close her eyes, and hold her breath

3.Explaining the procedure and maintaining eye contact while touching the client gently

What nursing care is required for a client with a radium implant for cancer of the cervix? 1.Spending time with the client to alleviate her anxiety 2.Wearing a lead-lined apron for self-protection while in the room 3.Limiting the client's activity to avoid dislodging the radium insert 4.Using disposable sheets for protection from exposure to laundry personnel

3.Limiting the client's activity to avoid dislodging the radium insert

A client comes to the fertility clinic for hysterosalpingography using radiopaque contrast material to determine whether her fallopian tubes are patent. When preparing for the test, the nurse explains to the client that she: 1.Will receive a local anesthetic and the pain will lessen 2.Will have to rest in bed for 8 hours after the test is completed 3.May have some persistent shoulder pain for 14 hours after the test 4.May become nauseated during the test, but the nausea will subside

3.May have some persistent shoulder pain for 14 hours after the test

A 38-year-old client attends the prenatal clinic for the first time. A nurse explains that several tests will be performed, one of which is the serum alpha-fetoprotein test. The client asks what the test will reveal. What should the nurse include in the reply? 1.Trisomy 21 2.Turner syndrome 3.Open neural tube defects 4.Chromosomal aberrations

3.Open neural tube defects

What is the focus of the nurse's anticipatory guidance during the first trimester of pregnancy? 1.Birthing process 2.Signs of complications 3.Physical changes of pregnancy 4.Role transition into parenthood

3.Physical changes of pregnancy

A nurse is planning to administer Rhogam (Rh immune globulin). Which situation requires the administration of this medication? 1.Maternal blood type B-, B- newborn 2.Maternal blood type A+, Rh-negative newborn 3.Rh-negative woman who has had an amniocentesis 4.Rh-positive mother who gave birth to an Rh-positive infant

3.Rh-negative woman who has had an amniocentesis

A client had a fourth-degree perineal laceration during the birth of her neonate. What should the nurse recommend to protect the area from additional trauma? 1.Take sitz baths at least three times each day. 2.Apply a premoistened anesthetic pad to the area. 3.Avoid straining at stool with the use of an enema. 4.Eat a high-fiber diet with increased fluid intake

4.Eat a high-fiber diet with increased fluid intake

What nursing intervention should be implemented routinely after a client has a vacuum aspiration abortion? 1.Giving the client the prescribed oxytocic medication 2.Preparing the client for discharge within 30 minutes 3.Teaching the client about the various methods of birth control 4.Encouraging the client to take the prescribed antibiotic medication

4.Encouraging the client to take the prescribed antibiotic medication

What is the priority nursing intervention during the 2 hours after a cesarean birth? 1.Evaluating fluid needs to maintain optimum hydration 2.Monitoring the incision to help prevent the onset of infection 3.Encouraging bonding to promote mother-infant interaction 4.Evaluating the lochia to identify the complication of hemorrhage

4.Evaluating the lochia to identify the complication of hemorrhage

At a client's first prenatal visit, the healthcare provider performs a pelvic examination, stating that the client's cervix is bluish purple, which is known as the Chadwick sign. The client becomes concerned and asks whether something is wrong. The best response is "This is expected; it: 1.Helps confirm your pregnancy" 2.Is not unusual, even in women who are not pregnant" 3.Occurs because the blood is trapped by the pregnant uterus" 4.Is caused by increased blood flow to the uterus during pregnancy"

4.Is caused by increased blood flow to the uterus during pregnancy"

A left modified radical mastectomy is performed on a client with breast cancer. What is the most important measure to be included in the care plan for the first postoperative day? 1.Having someone from Reach to Recovery visit the client 2.Emptying the portable wound drainage system after each shift 3.Keeping the left arm and shoulder immobile until drainage ceases 4.Placing the client in the semi-Fowler position with the left arm and hand elevated

4.Placing the client in the semi-Fowler position with the left arm and hand elevated

Although a client in labor is prepared and plans to participate in the labor and birth process, she states that she is in severe discomfort. The nurse administers the prescribed butorphanol (Stadol). Which phase of labor is the safest time for the nurse to administer this medication? 1.Early phase 2.Active phase 3.Transition phase 4.Expulsion phase

2.Active phase

A client has just been informed by the health care provider that she has cervical polyps. The client asks the nurse whether she should worry about them. How should 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."

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

Which action involving client needs may a nurse delegate to a nursing assistant? 1.Assessing a newly admitted client's contraction pattern 2.Discussing pain management options with a laboring client 3.Providing ice chips to a primigravida in early labor per order 4.Obtaining a sterile urine specimen for a suspected urinary tract infection

3.Providing ice chips to a primigravida in early labor per order

The nurse is teaching a client who is scheduling a vasectomy. What information is essential that the nurse explain to the client? 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.

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

A primigravida complains of morning sickness. What should the nurse plan to teach her? 1.Increasing her fluid intake 2.Eat three small meals a day 3.Increase the calcium in her diet 4.Avoid long periods without food

4.Avoid long periods without food

The day after a client has a cesarean birth, the indwelling catheter is removed. The nurse concludes that urinary function has returned when the: 1.Client has 90 mL of residual urine after voiding 2.Client's daily urinary output is at least 1500 mL 3.Client's urinalysis indicates that no bacteria are present 4.Client voids 300 mL of urine within 4 hours of catheter removal

4.Client voids 300 mL of urine within 4 hours of catheter removal

A woman in labor hears the health care provider tell the nurse that the fetal lie is longitudinal. The mother asks the nurse what this means in relation to her labor and birth of the baby. How should the nurse respond? 1."A vaginal birth is possible." 2."We're anticipating a cesarean delivery." 3."It has no relevance to the labor and birth." 4."Labor probably will be long, and you might have back pain."

1."A vaginal birth is possible."

On the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. How should the nurse respond? 1."It seems that you've changed your mind about rooming in." 2."I think you're having difficulty caring for the baby." 3."All right. I'll inform the other nurses of your decision." 4."You must be tired. I'll bring the baby back at feeding time."

1."It seems that you've changed your mind about rooming in."

A client with mild preeclampsia is told that she must remain on bedrest at home. The client starts to cry and tells the nurse that she has two small children at home who need her. How should the nurse respond? 1."Let's explore your available current support and opportunities for child care." 2."Are you worried about how you'll be able to handle this problem?" 3."You can get a neighbor to help out, and your husband can do the housework in the evening." 4."You can prepare light meals and the children can go to nursery school a few hours each day."

1."Let's explore your available current support and opportunities for child care."

A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information about the client's activities in the history indicates to the nurse that there is a need for this test? 1.The client takes care of a cat. 2.The client works as a dog trainer. 3.The client uses chemical cleaners. 4.The client consumes raw vegetables

1.The client takes care of a cat.

The nurse instructs a pregnant client in the sources of protein that can be used to meet the increased daily requirement during pregnancy. How many grams of protein should the client eat each day? 1.65 g 2.60 g 3.55 g 4.50 g

2.60 g

When a client is being given an intravenous infusion of magnesium sulfate, the nurse should have its antidote readily available. Which of the following medications would the nurse administer if toxicity were to occur? 1.Protamine sulfate 2.Calcium gluconate 3.Sodium bicarbonate 4.Naloxone hydrochloride

2.Calcium gluconate

A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? 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

2.Expect shoulder pain for 12 to 24 hours.

Which statements by a client with hyperemesis gravidarum would confirm that the client needs further teaching? (Select all that apply.) 1."I'll start drinking protein shakes." 2."I'll start drinking plenty of fluids." 3."I'll start limiting my carbohydrates." 4."I'll lie down for at least 2 hours after I eat." 5."I'll be sure to schedule rest periods throughout the day so I won't get tired."

3."I'll start limiting my carbohydrates." 4."I'll lie down for at least 2 hours after I eat."

A client who is scheduled for an amniocentesis says, "I'm glad that this test will show if my baby is well." How should the nurse respond? 1."The test will confirm your baby's health." 2."It will identify any congenital defects." 3."New technologies have made these tests even more reliable." 4."Potential defects caused by chromosomal errors can be detected."

4."Potential defects caused by chromosomal errors can be detected."

A new mother who wishes to breastfeed her infant asks a nurse whether she needs to alter her diet. How should the nurse respond? 1."Just keep eating as you have been during your pregnancy." 2."Drink more milk; you need the calcium to make your own milk." 3."Don't worry; your body will produce the amount of milk your baby needs." 4."You'll need extra amounts of the same foods you've been eating, plus more fluids."

4."You'll need extra amounts of the same foods you've been eating, plus more fluids."

What antidote to the side effects of terbutaline (Brethine) should a nurse have available? 1.Levodopa (l-Dopa) 2.Furosemide (Lasix) 3.Ritodrine (Yutopar) 4.Propranolol (Inderal)

4.Propranolol (Inderal)

A client has just given birth to an infant with Down syndrome. The mother is crying and asks the nurse what she is supposed to do now. What is the nurse's best response? 1."Tell me what you know about Down syndrome." 2."I would just continue to rest and recover from your delivery." 3."You really need to pull yourself together for your baby." 4."Should I call in a chaplain or social worker for you?"

1."Tell me what you know about Down syndrome."

What should a nurse include in the teaching plan for a couple seeking information about family planning? 1.A condom must be held in place by the rim when the penis is withdrawn from the vagina. 2.Diaphragms are effective even when the partners choose not to use a spermicidal cream. 3.When the coitus interruptus method is used, sperm cannot reach the ovum if the man withdraws before ejaculation. 4.When periodic abstinence is used, the woman should have intercourse on days when she has an increase in temperature

1.A condom must be held in place by the rim when the penis is withdrawn from the vagina.

A nurse is teaching a prenatal class about the changes that occur during the second trimester of pregnancy. What cardiovascular changes should the nurse include? (Select all that apply.) 1.Cardiac output increases. 2.Blood pressure decreases. 3.The heart is displaced upward. 4.The blood plasma volume peaks. 5.The hematocrit level is lowered

1.Cardiac output increases. 2.Blood pressure decreases. 3.The heart is displaced upward.

The nurse teaches a client about the increased need for vitamin A to meet the demands imposed by rapid fetal tissue growth during pregnancy. Which foods should the nurse encourage the client to ingest to meet this increased need? (Select all that apply.) 1.Carrots 2.Citrus fruits 3.Fat-free milk 4.Sweet potatoes 5.Extra egg whites

1.Carrots 4.Sweet potatoes

A nurse is obtaining a health history from a client with newly diagnosed cervical cancer. What aspect of the client's life is most important for the nurse to explore at this time? 1.Sexual history 2.Support system 3.Obstetrical history 4.Elimination patterns

2.Support system

A nurse in the fertility clinic is instructing a client who will be using progesterone gel vaginally in the treatment of luteal phase infertility. When discussing the side effects of progesterone, what should the nurse tell the client to expect? 1.Enlarged, tender breasts 2.Increased vaginal secretions 3.Additional facial and body hair 4.Decreased basal body temperature

1.Enlarged, tender breasts

A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the nurse emphasize while helping the client understand her diagnosis and prognosis? 1.Five-year survival rates for this cancer are nearly 100% with early treatment. 2.Radiation therapy is as successful as surgery in the treatment of this type of cancer. 3.Cancer has probably extended into the vaginal wall and may require a radical hysterectomy. 4.Stage 0 indicates that the cancer is invasive and may require surgery in addition to radiation therapy

1.Five-year survival rates for this cancer are nearly 100% with early treatment.

What should the nurse teach a formula-feeding mother about breast engorgement when it occurs? 1.Wear a tightly fitted brassiere. 2.Take two aspirin every 4 hours. 3.Cease drinking milk for 2 weeks. 4.Apply warm compresses to the breasts

1.Wear a tightly fitted brassiere.

A client who underwent mastectomy because of breast cancer is now undergoing chemotherapy, which has caused hair loss. The client states, "I feel like I've lost my sense of power." What is the nurse's best response? 1."Hair does not empower a person." 2."Losing power seems important to you." 3."Knowledge is power; I'll give you some pamphlets to read." 4."Hair loss is common; it will grow back, so you shouldn't worry."

2."Losing power seems important to you."

A client at 16 weeks' gestation is being treated for Trichomonas vaginalis. 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."

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

Which statement made by a pregnant client to a nurse indicates that the client does not understand the teaching about fetal growth and development? 1."The baby is smaller if the mother smokes." 2."The baby gets food from the amniotic fluid." 3."The baby's oxygen is provided by the mother." 4."The baby's umbilical cord has two arteries and one vein."

2."The baby gets food from the amniotic fluid."

A nurse at a women's health clinic confirms that client teaching regarding the use of an oral contraceptive is understood when the client states, "I: 1.Can stop the pill and try to get pregnant right away" 2.May miss two periods and not worry about being pregnant" 3.Will put a baby's picture on my bathroom mirror so I'll see it every morning" 4.Am so glad we won't have to use condoms even if I miss just one pill during the month"

3.Will put a baby's picture on my bathroom mirror so I'll see it every morning"

A nurse is giving discharge instructions to a client who has undergone anterior colporrhaphy. The nurse knows the teaching has been understood if the client says: 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."

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

A client asks the nurse what she should do if she forgets to take the pill one day. How should the nurse respond? 1."Take your pills as instructed." 2."Call your practitioner immediately." 3."Continue as usual, and there shouldn't be a problem." 4."On the next day take one pill in the morning and one before bedtime."

4."On the next day take one pill in the morning and one before bedtime."

The nurse is caring for a group of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage? 1.Breastfeeding in the birthing room 2.Receiving a pudendal block for the birth 3.Having a third stage of labor that lasts 10 minutes 4.Giving birth to a baby weighing 9 lb 8 oz

4.Giving birth to a baby weighing 9 lb 8 oz

A primigravida at 12 weeks' gestation complains of nausea and vomiting during a visit to the prenatal clinic. Which pregnancy hormone should the nurse explain is thought to be responsible for nausea and vomiting during the first trimester? 1.Estrogen 2.Progesterone 3.Human placental lactogen (hPL) 4.Human chorionic gonadotropin (hCG)

4.Human chorionic gonadotropin (hCG)

A pregnant couple is attending preparation-for-childbirth classes. Which exercise should the nurse teach the mother to increase the tone of the muscles of the pelvic floor? 1.Pelvic tilt 2.Half sit-ups 3.Pelvic rocking 4.Kegel exercises

4.Kegel exercises

A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same cancer. Which risk factor stated by the client after an education session on risk factors indicates that further teaching is needed? 1.Obesity 2.High-fat diet 3.Hypertension 4.Late-onset menarche

4.Late-onset menarche

A nurse is caring for a client with vaginal bleeding caused by placenta previa. What is the best nursing intervention to delay the birth of the fetus? 1.Maintaining bed rest 2.Planning for an ultrasound test 3.Preparing for a nonstress test 4.Administering oxygen by way of a mask

1.Maintaining bed rest

A 30-year-old woman is to undergo total abdominal hysterectomy for noninvasive endometrial cancer. The nurse anticipates the client may have difficulty adjusting emotionally to this type of surgery. What is the most common reason for this difficulty? 1.Loss of femininity 2.Body image changes 3.Diminished sexual desire 4.Slow postmenopausal recovery

1.Loss of femininity

The nurse has completed a prenatal class for women who are expecting their first babies. Which statement by a pregnant woman indicates the need for additional teaching? 1."During pregnancy it's safe for me to use my regular herbal remedies." 2."My doctor will tell me if it's safe for me to take my allergy medications." 3."I should avoid all x-rays unless absolutely necessary and tell the technician that I'm pregnant." 4."I'm only 18 weeks pregnant, so it's safe for me to go through the airport security check when I go on vacation next month."

1."During pregnancy it's safe for me to use my regular herbal remedies."

A 37-year-old woman is admitted to the unit with severe menorrhagia. During a conversation, the nurse learns that the client has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been undergoing hormone therapy in hopes of easing the symptoms and reducing fibroids' size, without success. The lab reports hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The client begins to sob and cries, "I don't know what to do — the doctor is recommending a hysterectomy, but I haven't had children yet!" What is the best response by the nurse? 1."There are so many orphans looking for a mother." 2."This must be so difficult for you. Children are really important to you?" 3."You really have no choice but to follow the recommendation; the doctor is right." 4."Believe me when I tell you that kids are so difficult to raise — you're better off without them."

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

A married couple has been using oral contraceptives to delay pregnancy. When the wife misses her regular menstrual period, she decides to find out whether she is pregnant. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. How should the nurse respond? 1."That's the trouble with using contraceptive pills. People frequently forget to take them." 2."You may be correct. The effect of contraceptive pills depends on their being taken on a regular schedule." 3."Let's find out whether you really are pregnant. If you are, you may want to consider having an abortion." 4."Contraceptive pills are unpredictable. You could have become pregnant even if you had taken them regularly."

2."You may be correct. The effect of contraceptive pills depends on their being taken on a regular schedule."

A young client tells the nurse that her mother complains about having dysmenorrhea and asks the nurse what this means. How should the nurse describe dysmenorrhea? 1.Cessation of menstrual periods 2.Spotting between menstrual periods 3.Uterine pain during the menstrual period 4.Scant bleeding at the time of an expected menstrual period

3.Uterine pain during the menstrual period

A pregnant client whose first child has Down syndrome is about to undergo amniocentesis. The client tells the nurse that she does not know what she will do if this fetus has the same diagnosis. The client asks the nurse, "Do you think abortion is the same as killing?" How should the nurse respond? 1."Some people think that that's what an abortion is." 2."No, I don't think so, but it's your decision to make." 3."I really can't answer that question. Are you ambivalent about abortion?" 4."I don't want to answer that question at this time. How do you feel about it?"

3."I really can't answer that question. Are you ambivalent about abortion?"

A client underwent a mastectomy 24 hours ago. Which information will the nurse include in the plan of care? 1.The drainage container will be kept level with the affected arm. 2.The affected arm will be abducted at the shoulder with the elbow extended. 3.The hand and elbow of the affected arm will be elevated above the shoulder. 4.The elbow and shoulder of the affected arm will be elevated, with the hand resting on the abdomen

3.The hand and elbow of the affected arm will be elevated above the shoulder.

A client who menstruates regularly every 30 days asks a nurse on what day she is most likely to ovulate. Because the client's last menses started on January 1, the nurse should tell her that ovulation should occur on which day in January? 1.7 2.16 3.24 4.29

2.16

A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which adverse side effect alerts the nurse to notify the health care provider? 1.Respiratory rate of 18 breaths/min 2.2+ patellar reflex response 3.Magnesium blood level of 5 mEq/L 4.Urine output of less than 100 mL in 4 hours

4.Urine output of less than 100 mL in 4 hours

A nurse is evaluating a client's understanding regarding postoperative concerns after mastectomy. Which development near and around the incision noted by the client should be reported to her practitioner? 1.Persistent itching 2.Decreased sensation 3.Swelling with erythema 4.Irregular-appearing skin

3.Swelling with erythema

After a client has a spontaneous abortion at 12 weeks' gestation, the nurse notes that she and her partner are visibly upset. The partner has tears in his eyes, and the client is sobbing quietly with her face turned to the wall. At this time, what is the nurse's most therapeutic statement? 1."I'll be here if you want to talk." 2."Try to relax — it'll speed the healing process." 3."With any luck you'll get pregnant again soon." 4."It's best that this happened early rather than having the baby die after it was born."

1."I'll be here if you want to talk."

At 6 weeks' gestation a client is found to have gonorrhea. What medication does a nurse expect the health care provider to prescribe? 1.Ceftriaxone (Rocephin) 2.Levofloxacin (Levaquin) 3.Sulfasalazine (Azulfidine) 4.Trimethoprim/sulfamethoxazole (Bactrim)

1.Ceftriaxone (Rocephin)

A client who has just had a cesarean birth is receiving IV fluids and has an indwelling catheter. The client's fluid intake will need to be increased when the nurse identifies: 1.Dark amber urine 2.Urinary suppression 3.Tinges of blood in the urine 4.Cloudiness of the urine

1.Dark amber urine

The nurse discusses fetal weight gain with a pregnant client. When does it usually show a marked increase? 1.During the third trimester 2.During the second trimester 3.At the end of the first trimester 4.No difference is observed

1.During the third trimester

A client is receiving antibiotics and antifungal medications for the treatment of a recurring vaginal infection. What should the nurse encourage the client to do to compensate for the effect of these medications? 1.Eat yogurt daily 2.Avoid spicy foods 3.Drink more fruit juices 4.Take a multivitamin every day

1.Eat yogurt daily

A primigravida, unsure of the date of her last menstrual period, is told by the nurse that she appears to be at 22 weeks' gestation. What data support this conclusion? 1.Fundus at the umbilicus 2.Fundus just over the symphysis 3.Fundal height of 9 inches (18 cm) 4.Fundal height of 14 inches (28 cm)

1.Fundus at the umbilicus

A pregnant client asks the nurse for information about toxoplasmosis during pregnancy. What should the nurse teach the client? 1.Pork and beef should be cooked thoroughly. 2.Toxoplasmosis is a disease that is most prevalent in foreign countries. 3.Raw shellfish are intermediary hosts and should be avoided during pregnancy. 4.Salad dressings made with mayonnaise should be avoided during the summer months

1.Pork and beef should be cooked thoroughly.

A pregnant client asks a nurse for information about toxoplasmosis during pregnancy. What should the nurse teach the client about how to prevent the transmission of toxoplasmosis? 1.Pork and beef should be cooked well before being eaten. 2.Salads with mayonnaise dressing should be avoided during the summer. 3.Raw shellfish are intermediary hosts and should be avoided during pregnancy. 4.Toxoplasmosis is a disease that is prevalent in underdeveloped countries, not in developed ones

1.Pork and beef should be cooked well before being eaten.

A 36-year-old client undergoes a modified radical mastectomy. The nurse determines that the client understands the schedule for self-examination of her remaining breast when she states that she will examine her breast: 1.Seven days after each menstrual period 2.Several days before an expected menstrual period 3.Halfway between menstrual periods, preferably after showering 4.On the same date every month, regardless of when menstruation occurs

1.Seven days after each menstrual period

An adolescent who gave birth one day ago confides to the nurse that she hopes that her baby will be good and sleep through the night. What should the nurse include in the plan of care to facilitate a realistic expectation of a nighttime newborn schedule? 1.Talk softly and cuddle the baby when crying occurs 2.Keep the baby awake for longer periods during the day 3.Ensure sleep by adding cereal to the baby's bedtime bottle 4.Put a soft, brightly colored toy next to the baby at bedtime

1.Talk softly and cuddle the baby when crying occurs

After a client undergoes a biopsy for suspected cervical cancer, the laboratory report reveals a stage 0 lesion. What does a nurse conclude about this client's stage of cancer? 1.The lesion is carcinoma in situ. 2.There is early stromal invasion. 3.There is parametrial involvement. 4.The cancer is confined to the cervix

1.The lesion is carcinoma in situ.

Laboratory studies reveal that a pregnant client's blood type is O, and she is Rh positive. The client asks whether her newborn will have a problem with blood incompatibility. Before responding, the nurse must remember that fetal problems may develop if the fetus is: 1.Type A or B 2.Born preterm 3.Type O and Rh positive 4.Born to a diabetic mother

1.Type A or B

A woman questions the nurse about the effectiveness of oral contraceptives. What most important factor about the effectiveness of oral contraceptives should be included in the reply to this question? 1.User motivation 2.Simplicity of use 3.Reliability record 4.Identified risk factors

1.User motivation

A client who is in preterm labor at 34 weeks' gestation is receiving intravenous tocolytic therapy. The frequency of her contractions increases to every 10 minutes, and her cervix dilates to 4 cm. The infusion is discontinued. Toward what outcome should the priority nursing care be directed at this time? 1.Reduction of anxiety associated with preterm labor 2.Promotion of maternal and fetal well-being during labor 3.Supportive communication with the client and her partner 4.Helping the family cope with the impending preterm birth

2.Promotion of maternal and fetal well-being during labor

A nurse is teaching a client how to self-administer a medicated douche. In which direction should the nurse instruct the client to direct the douche nozzle? 1.To the left 2.To the right 3.Toward the sacrum 4.Toward the umbilicus

3.Toward the sacrum

A pregnant client with iron-deficiency anemia is prescribed a daily iron supplement. What nutrient should the nurse suggest that the client include in her diet to potentiate the effect of the iron supplement? 1.Biotin 2.Lecithin 3.Vitamin C 4.Vitamin B complex

3.Vitamin C

A client who is scheduled to have a hysterectomy starts to sob and says, "I told my husband that after this operation, I'll be only half a woman. He told me not to worry, but I know that he was just putting up a front." How should the nurse respond? 1."It's frightening to think that your husband rejects you as a woman." 2."You think this operation will affect how your husband feels about you as his wife." 3."Try not to worry about it right now. The most important thing is for you to get well." 4."I'll try to have your surgery postponed. You both need time to adjust to the effects of a hysterectomy."

2."You think this operation will affect how your husband feels about you as his wife."

The clinic nurse is planning care for a client found to have chlamydia. Which treatment should the nurse plan to implement? 1.Administration of acyclovir (Zovirax) 250 mg orally in a single dose 2.Administration of azithromycin (Zithromax) 1 g orally in a single dose 3.Administration of ceftriaxone (Rocephin) 250 mg intramuscularly in a single dose 4.Administration of benzathine penicillin G 2.4 million units intramuscularly in a single dose

2.Administration of azithromycin (Zithromax) 1 g orally in a single dose

A client who is to undergo dilation and curettage, and conization of the cervix for cancer appears tense and anxious. What is the best approach for the nurse 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 everybody is fearful before the surgery even though there is little reason to worry

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

A practitioner orders doxycycline (Vibramycin) for a sexually active woman with a history of a 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

2.Chlamydial infection

A nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. Which type of block is most appropriate for this client? 1.Spinal 2.Epidural 3.Pudendal 4.Inhalation

2.Epidural

When teaching a client about using a diaphragm as a form of contraception, the nurse should tell her that the diaphragm: 1.May or may not be used with a spermicidal lubricant 2.Should remain in place for at least 6 hours after intercourse 3.Must be inserted with the dome facing down to be maximally effective 4.Often appears puckered but that this will not interfere with its effectiveness

2.Should remain in place for at least 6 hours after intercourse

A nurse is planning to teach a new mother about breastfeeding. What should the nurse consider before preparing the client to breastfeed? 1.Oxytocin stimulates milk production. 2.Suckling stimulates the release of oxytocin. 3.Estrogen stimulates the secretion of lactogenic hormones. 4.Placental separation stimulates the release of progesterone.

2.Suckling stimulates the release of oxytocin.

A woman arrives at the prenatal clinic stating that her pregnancy test is positive. She asks the nurse for information about an abortion. After verifying that the woman is at 8 weeks' gestation, the nurse counsels her that having an abortion is controversial and that many women have long-lasting feelings of guilt after an abortion. What is the nurse's legal responsibility? 1.To share her own thoughts on abortion with the client 2.To provide the client with correct, unbiased information 3.To ask why the client wants information about abortion 4.To notify the health care provider because this is beyond the scope of nursing practice

2.To provide the client with correct, unbiased information

A 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. What is the most professional response that this nurse could give to the requesting supervisor? 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."

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

The nurse determines that a young female client who is being treated for a sexually transmitted infection (STI) understands instructions regarding future sexual contacts. Which statement confirms the nurse's conclusion? 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."

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

A primigravida is admitted to the birthing suite at term with contractions occurring every 5 to 8 minutes and a bloody show. She and her partner attended childbirth preparation classes. Vaginal examination reveals that the cervix is dilated 3 cm and 75% effaced. The fetus is at +1 station in occiput anterior position, and the membranes are intact. The client is cheerful and relaxed and asks the nurse whether it is all right for her to walk around. In light of the nurse's observations regarding the contractions and the client's knowledge of the physiology and mechanism of labor, how should the nurse respond? 1."I can't make a decision on that; I'll have to ask your health care provider." 2."Please stay in bed; walking could interfere with effective uterine contractions." 3."It's all right for you to walk as long as you feel comfortable and your membranes are intact." 4."You may sit in a chair, because your contractions cannot be timed when you walk and I won't be able to listen to the baby's heart."

3."It's all right for you to walk as long as you feel comfortable and your membranes are intact."

A nurse is teaching a prenatal class about infant safety. After the class several of the students are heard discussing what they have learned. The nurse determines that the teaching has been effective when one of the future parents states: 1."My mother has already made the cutest pillowcases for the baby's pillows." 2."I just bought a new baby seat that can be strapped into the front seat of the car. 3."My mother can't believe that babies are supposed to sleep on their backs, not their stomachs." 4."At my shower I was given a baby tub that has a special safety strap that lets me leave the baby alone in it."

3."My mother can't believe that babies are supposed to sleep on their backs, not their stomachs."

A young woman has been using oral contraceptives. When she misses her regular menstrual period, she visits the women's health clinic and tells the nurse that she may be pregnant because she missed taking her contraceptive pills for 1 week when she had the flu. How should the nurse respond? 1."It's too late to worry about that now. You may want to consider having an abortion." 2."Contraceptive pills are unpredictable. You probably would've become pregnant even if you had taken them regularly." 3."You may be right. One of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective." 4."That's the trouble with birth control pills. They're so effective that women tend to believe that they won't get pregnant even if they skip pills for a few days."

3."You may be right. One of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective."

The nurse teaches a high school sex education class that herpes genitalis infection cannot be cured but that the disease is marked by remissions and exacerbations. What else should the students be taught about this infection? 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

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

A nurse in the postpartum unit must complete several interventions before a client's discharge from the hospital. The nurse plans to delegate some of the tasks to the nursing assistant. Which activity must be performed by the nurse? 1.Taking the neonate's picture 2.Placing the infant car seat in the car 3.Comparing the identification bands of mother and infant 4.Preparing the discharge gift packages and distributing them to parents

3.Comparing the identification bands of mother and infant

How does the nurse know whether a client is in true labor? 1.Contractions occur every 10 minutes with no change in frequency over 2 hours, and the cervix is closed. 2.Contractions are not evident; the cervix is dilated 3 cm and 50% effaced, and there is no change after 4 hours of staying out of bed. 3.Contractions occur every 5 to 10 minutes; the cervix is dilated 2 cm and 75% effaced, and dilation has increased to 3 cm in 2 hours. 4.Contractions are irregular, occurring every 10 to 15 minutes; the cervix is dilated one fingertip and is 50% effaced, and there is no change with 4 hours of bedrest

3.Contractions occur every 5 to 10 minutes; the cervix is dilated 2 cm and 75% effaced, and dilation has increased to 3 cm in 2 hours.

A nurse in the fertility clinic works with couples who have been trying to become pregnant for more than 1 year. How can the nurse help ease the feeling of isolation that infertile couples often experience? 1.Teach them about infertility and its treatment 2.Identify activities that are interesting and satisfying 3.Explore ways to promote communication with family and friends 4.Explain to them that men and women cope differently with stressful situations

3.Explore ways to promote communication with family and friends

A couple in their late 30s who wish to have a child are referred for genetic counseling. They tell the nurse that they have a family history of an inheritable problem but have reservations about genetic counseling because they believe that genetic clinics favor abortion when the studies reveal a defective fetus. How should the nurse respond regarding genetic counseling? 1.Abortion is suggested only when the fetus is found to have a severe defect that is not compatible with life. 2.Recommendations are made to consider adoption when defects are predicted. 3.Families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed. 4.After the probability of a defect is determined, the couple's own practitioner helps the couple decide on the appropriate action.

3.Families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed.

A client measuring at 18 weeks' gestation visits the prenatal clinic stating that she is still very nauseated and vomits frequently. Physical examination reveals a brown vaginal discharge and a blood pressure of 148/90 mm Hg. What condition does the nurse suspect the client is experiencing? 1.Dehydration 2.Choriocarcinoma 3.Hydatidiform mole 4.Threatened abortion

3.Hydatidiform mole

A nurse understands the stages of parental adjustment that follow the birth of an at-risk infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse bases observations and assessments on the recognition that the: 1.Parents should be encouraged to visit their newborn within a day of birth 2.Mother should not see the infant until she has completed the necessary grief work 3.Mother should be reunited with her infant as soon as possible to enhance adjustment 4.Nurse should wait until the parents ask to see their newborn before suggesting a visit

3.Mother should be reunited with her infant as soon as possible to enhance adjustment

A client appears at the clinic after getting a positive result on a home pregnancy test. She states that her last menstrual period began 10 weeks ago. The client expresses fear because she has been recently found to have syphilis. What prescriptions will the nurse expect to receive from the health care provider because of this information? (Select all that apply.) 1.A wait-and-see approach 2.Recommendation for elective abortion 3.Screening and testing of sexual partners 4.None; the syphilis will most likely not affect the fetus in utero 5.Intramuscular benzathine penicillin G, 2.4 million units, one dose

3.Screening and testing of sexual partners 5.Intramuscular benzathine penicillin G, 2.4 million units, one dose

A woman comes into the clinic and states that she is thinking about becoming pregnant. What can the woman do to improve the health of her baby before she becomes pregnant? 1.Go buy maternity clothes 2.Start running 3 miles a day 3.Start taking prenatal vitamins 4.Buy a crib for the baby to sleep in

3.Start taking prenatal vitamins

A new mother who has begun breastfeeding asks for assistance removing the baby from her breast. What should the nurse teach her? 1."Pinch the baby's nostrils gently to help release the nipple." 2."Let the baby nurse as long as desired without interruption." 3."Pull your nipple out of the baby's mouth when the baby falls asleep." 4."Insert your finger in the corner of the baby's mouth to break the suction."

4."Insert your finger in the corner of the baby's mouth to break the suction."

A 17-year-old client tells the nurse that her sister had an ectopic pregnancy about 3 months ago and had to have her fallopian tube removed. The nurse determines that this young woman needs additional information when she states: 1."Pelvic infections can cause this to happen." 2."This kind of thing could happen to my sister again." 3."I guess I'll have to wait a while to become an aunt." 4."My sister is lucky, because she won't have a period again."

4."My sister is lucky, because she won't have a period again."

A nurse is obtaining a health history from a primigravida on her first visit to the prenatal clinic. Before discussing the client's health habits with her, what does the nurse consider the most important factor in the survival of the client's newborn? 1.Reproductive history 2.Adequacy of prenatal care 3.Health habits and social class 4.Gestational age and birthweight

4.Gestational age and birthweight

During the postpartum period a nurse determines that a client's rubella titer is negative. What action should the nurse plan to take? 1.Checking for allergies to penicillin 2.Alerting the staff in the newborn nursery 3.Assuring the client that she has active immunity 4.Obtaining a prescription for immunization at discharge

4.Obtaining a prescription for immunization at discharge

Before the administration of Rho(D) immune globulin (RhoGAM) the nurse reviews the laboratory data of a pregnant client. Which blood type and Coombs test result must a pregnant woman have to receive RhoGAM after giving birth? 1.Rh-positive and Coombs positive 2.Rh-negative and Coombs positive 3.Rh-positive and Coombs negative 4.Rh-negative and Coombs negative

4.Rh-negative and Coombs negative

A nurse is planning care with a client for the recovery period after a laparoscopic hysterectomy and bilateral salpingo-oophorectomy. What should be included among the changes that the client should expect after surgery? 1.Depression 2.Weight gain 3.Urine retention 4.Surgical menopause

4.Surgical menopause

Contraceptives that contain estrogen-like and/or progesterone-like compounds are prepared in a variety of forms. Which contraceptives should the nurse tell clients have a hormonal component? (Select all that apply.) 1.Oral drugs 2.Diaphragm 3.Cervical cap 4.Female condoms 5.Foam spermicide. 6.Transdermal agents

1.Oral drugs 6.Transdermal agents

The nurse presents a program on breast self-examination. After a return demonstration the nurse concludes that she needs to review certain aspects of the teaching program. Which behavior by one of the students supports this conclusion? 1.Palpating each breast while in the sitting position 2.Checking her breasts for any deviation from what is expected 3.Palpating each breast with the palmar surface of her extended fingers 4.Checking her breasts for symmetry while holding her arms above her head

1.Palpating each breast while in the sitting position

A nurse is caring for several new mothers in the birthing unit, all in the taking-in phase of the postpartum period. What information is most appropriate for these clients at this time? 1.Perineal care 2.Infant feeding 3.Infant hygiene 4.Family planning

1.Perineal care

The nurse is caring for a client who is in the taking-in phase of the postpartum period. The area of health teaching that the client will be most responsive to is: 1.Perineal care 2.Infant feeding 3.Infant hygiene 4.Family planning

1.Perineal care

What instruction should a 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."

1."Remove the condom before standing up."

As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you didn't have to look at the pad it's embarrassing for me." What is the best nursing response? 1."This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems." 2."There can be more blood loss than you might realize. We can determine how much you've lost with a formula." 3."Examining the pad is a common practice that helps us keep you safe. It's a necessary part of the job, and I don't mind." 4."Looking at your pad is a procedure we follow to determine the extent of your bleeding so we can give you the necessary care."

1."This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems."

A client who is scheduled to have an abdominal panhysterectomy asks how the surgery will affect her periods. How should the nurse respond? 1."You won't have any more periods." 2."Your periods will become more regular." 3."Your periods will become lighter and then disappear." 4."You'll notice that the time between periods will be longer."

1."You won't have any more periods."

A nurse is caring for a postpartum client. Where does the nurse expect the fundus to be located if involution is progressing as expected 12 hours after birth? 1.2 cm below the umbilicus 2.3 cm above the umbilicus 3.1 cm above the umbilicus 4.3 cm below the umbilicus

3.1 cm above the umbilicus

A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a recent immigrant from Asia, and the nurse explores the foods that the client usually eats. Which foods should the nurse counsel the client to avoid during pregnancy? (Select all that apply.) 1.Yogurt 2.Oily fish 3.Apricots 4.Raw shellfish 5.Herbal supplements 6.Soft-scrambled eggs

4.Raw shellfish 5.Herbal supplements 6.Soft-scrambled eggs