NADN 165 Test 1 Chapters 1-8

A pregnant woman experiencing morning sickness has asked her nurse about ways to reduce or alleviate it. After receiving education and information from the nurse, which statement would indicate that the client understood the information?

"I'll discuss with my health care provider whether it is a good idea for me to use sea-bands."

Parents who recently experienced the death of their unborn child ask the nurse, "What is a fetal death?" What is the nurse's best response?

"It refers to the intrauterine fetal death at any time during pregnancy."

The nursing student demonstrates an understanding of fetal mortality rates when compared to the other mortality rates when she correctly describes the fetal mortality rate by which statement?

"The fetal mortality rate includes the intrauterine death of a fetus who is 20 weeks of gestation or more per 1,000 live births."

After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when a student makes which statement?

"The rate includes accidental causes for deaths."

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

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

A client diagnosed with pelvic organ prolapse is being taught how to perform pelvic floor muscle exercises. During the teaching session, the client asks the nurse, "How do these exercises help?" Which response by the nurse would be most appropriate?

"They help to increase the volume of your muscles which leads to stronger muscle contraction."

A client asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which statement should the nurse expect to include in the client's teaching plan?

As ovulation approaches, cervical mucus is abundant and stretchable.

The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape?

At the top of the fundus

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

Limit stress and emotional upset as much as possible.

A 58-year-old woman is diagnosed with uterine prolapse. Which nonsurgical treatments are available for this disorder? Select all that apply.

Pessaries Estrogen replacement therapy Kegel exercises

A client with high cholesterol levels tells the nurse that she is planning to use an herbal remedy to supplement the prescribed medication therapy. The nurse should instruct the client to perform which action?

Speak to the primary healthcare provider about using the herbal remedy

While performing a clinical breast examination on a client, the nurse inspects the breasts with the client in various positions. Place the positions in their proper sequence from first to last. All options must be used.

arms resting at the sides hands placed on the hips arms raised over the head hands on hips while standing

A nurse is working as part of a multidisciplinary group tasked with creating programs to address the major health issues affecting women. The group would most likely focus their efforts on which condition?

cardiovascular disease

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

chlamydia

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

dysuria

During a prenatal visit, a client tells the nurse, "I just started some herbal remedies and haven't told my doctor yet." Which action by the nurse would be most appropriate?

encouraging the client to let the primary care provider know

Which STI could be transmitted perinatally?

herpes simplex

A nurse is obtaining a health history from a female client who reports that she started menstruating at age 11 years. The nurse would document this as:

menarche, age 11.

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission?

sharing contaminated needles

When teaching the client how to use a contraceptive sponge, the nurse must tell the client that leaving the sponge in place longer than 30 hours may lead to:

toxic shock syndrome.

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

yearly mammograms for women starting at age 40

A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem?

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."

The mother of a 9-year-old girl is concerned because her daughter has already begun menstruating. The daughter is of normal height for her age and weighs 150 lbs (68 kg). The mother is concerned that this is not normal and asks about the factors that could be involved. Which response by the nurse would be best?

"It has become more common for girls to start their periods as early as 9; her weight may be a contributing factor."

The nurse is providing teaching to an adolescent girl on the function of the female reproductive system. Which statement by the client best reflects understanding of the material presented?

"My menstrual cycle lasts about 28 days each month but varies sometimes, which is normal."

A client presents to the office, upset, after finding a small lump in her breast. The nurse tries to reassure her that the lump does not automatically indicate cancer based on the understanding that what percentage of breast lumps discovered are caused by benign breast disorders?

80%

The client has heard of extended-cycle oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens?

84 active; 7 placebo

A 19-year-old female client has been diagnosed with pelvic inflammatory disease (PID) caused by untreated gonorrhea. Which instructions should the nurse offer when caring for the client? Select all that apply.

Avoid douching vaginal area. Complete the antibiotic therapy. Limit the number of sex partners.

When working in a local community health care center, a nurse is frequently asked about cervical cancer and ways to prevent it. Which information should the nurse provide? Select all that apply.

Encourage cessation of smoking and drinking. Encourage prevention of sexually-transmitted infections (STIs) to reduce risk factors. Counsel teenagers to avoid early sexual activity.

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that fertilization normally occurs in what structure of the woman's body?

Fallopian tube

The nurse is assessing a 16-year-old female on a routine well-child visit. Which assessment finding will the nurse predict this healthy female will report concerning her menstrual cycles?

Flow usually lasts 4 to 6 days.

The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include?

High-grade dysplasia progresses to invasive cervical cancer in about 2 years.

A nurse is reviewing the history and physical examination of a 30-year-old female client. Which findings would lead the nurse to suspect polycystic ovary syndrome? Select all that apply.

History of sleep apnea Irregular menstrual cycles Hair growth on face, neck and back

A client comes to the genitourinary clinic with very mild symptoms of pelvic organ prolapse (POP) that has just started in the last several days. What would be the treatment of choice for this client?

Kegel exercises

A nurse is doing a literature search on maternal mortality and finds that direct causes comprise the majority of maternal deaths. Direct causes are noted to be unpredictable reasons. Which action would be most appropriate to implement that would have the greatest impact on reducing these numbers?

Practicing high standards of infection control

A nurse should instruct a client who has premenstrual syndrome (PMS) to make which of these lifestyle modifications?

Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule.

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Papanicolaou test. How could the nurse best educate the client before her procedure to make sure results are not affected?

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation?

a diaphragm and spermicide

A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

ceftriaxone

A nurse is caring for a woman who has just been diagnosed with cervical carcinoma in situ. The nurse should prepare the women for which treatment?

cervical conization with follow-up Papanicolaou test and colposcopy

A nurse is making a home visit to a postpartum client. Which action would be inappropriate for the nurse to perform when making the visit?

conducting a well-baby visit to start the child's immunizations

The nursing instructor is teaching a class on labor and birth. She lists the advantages of a home birth and then lists which disadvantages of home births? Select all that apply.

danger to baby if emergency arises danger to mother if emergency arises limited availability of pain medication

A nurse is developing an educational program for a group of pregnant women on preventing complications associated with pregnancy. The nurse would focus the teaching on which condition as a major cause of maternal mortality needing preventive measures?

embolism

A woman is diagnosed with polycystic ovarian syndrome (PCOS). Which treatment would the nurse not explain to the client?

estrogen replacement therapy

A 30-year-old female is attending a health fair for women. The nurse at the fair is reviewing risk factors for cervical cancer. Which important risk factor should the nurse include at the fair?

exposure to diethylstilbestrol (DES) in utero

The nurse works at the local public health office. Which is a major but often overlooked problem in this setting?

fetal mortality

A client presents for her annual Papanicolaou test. She wants to know about the risk factors that are associated with cervical cancer. Which risk factor for cervical cancer should the nurse inform the client about?

first intercourse within a year of first menarche

After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle?

follicular phase

A client diagnosed with fibroadenoma is worried about the chances of developing breast cancer. She also asks the nurse about various breast disorders and their risks. Which benign breast disorder should the nurse include as having the greatest risk for the development of breast cancer?

intraductal papilloma

The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client?

oral contraceptive pills (OCPs)

A young couple have presented to the office with concerns of possible infertility. A physical examination and complete history of the woman reveals type 2 diabetes mellitus, obesity, sleep apnea, and hypertension. The nurse would suspect:

polycystic ovary syndrome.

The nurse is teaching a premenopausal client about dietary and lifestyle modifications that can reduce the risk factors for developing pelvic organ prolapse (POP). The nurse is describing which type of prevention?

primary

The nurse is preparing to teach a client and her partner about the hormones involved in menstruation. Which hormone will the nurse point out is secreted by the corpus luteum?

progesterone

A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings?

the possibility of a chlamydia infection

The nurse is reviewing with a new client the diagnosis of polycystic ovarian syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome?

type 2 diabetes

A nurse is caring for a 25-year-old woman suspected of having follicular cysts. Which finding is not a clinical manifestation?

typically occur after menopause

A nurse is caring for a woman who has just been diagnosed with uterine prolapse. Which symptoms may interfere with her daily activities? Select all that apply.

urinary frequency low back pain pelvic pressure

A 25-year-old woman is at the primary care provider for her annual check up. The nurse educated the woman on risks for cervical cancer. Which question would be important to ask as part of a risk screening?

"Were you sexually active at an early age?"

As part of an education program for pregnant women and their partners, the nurse illustrates the various settings available for birth. The nurse determines that the program was successful when the group correctly chooses which statement about home births?

"Women giving birth at home have control over every part of labor."

A client has been following the conventional 28-day regimen for contraception. She is now considering switching to an extended oral contraceptive (OC) regimen. She is seeking information about specific safety precautions. Which is true for the extended OC regimen?

It carries the same safety profile as the 28-day regimen.

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

March 6

Prenatal education provided at a local clinic should include emphasizing to the mother to keep all routine prenatal visits. What is the rationale for this point?

Most pregnancy-related complications are preventable

The nursing instructor is introducing students to Healthy People 2020, which highlights the major health indicators of the 21st century that need to be addressed. The nurse informs the students that this includes national health goals for maternal, infant, and child health. Which goals would be included? Select all that apply.

Reduce fetal and infant death rates. Reduce maternal deaths. Increase infant birth weights. Reduce preterm births.

A client with abnormal uterine bleeding is diagnosed with small ovarian cysts. The nurse has to educate the client on the importance of routine check-ups. Which assessment is most appropriate for this client's condition?

Schedule an ultrasound every 3 to 6 months.

The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact?

The average menstrual flow lasts 4 to 6 days.

A woman has been referred for laser therapy for her diagnosis of cervical cancer. The client wants to know more about the procedure. Which information regarding laser therapy should the nurse give to the client?

The client may experience a watery brown discharge for a few weeks.

The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred?

Thin and copious

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

follicular

After teaching a local woman's community group about cervical cancer, the nurse understands that teaching has been successful when the group identifies which condition as a risk factor for cervical cancer?

genital herpes

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will:

increase a degree.