OB 3pt2
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic to have her diaphragm fit checked after which occurrence?
a weight gain of 10 lb (4.5 kg)
The nurse is educating a class of high school students on safe sexual practices. The nurse knows the group understood the content when a group member makes which statement?
"Abstinence is the only way to prevent the spread of sexually transmitted infections."
The nurse is assessing a 68-year-old female client. The client presents with mild lower abdominal pain, greenish-yellow vaginal discharge, and pain during urination. Which question is appropriate for the nurse to ask the client next?
"Are you currently sexually active?"
The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client?
"Avoid alcohol consumption for at least 24 hours after you take this medication."
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which statement is appropriate for the nurse to include in the response?
"Cervical caps are most effective when used along with a spermicidal agent."
A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client?
"Checking the strings is recommended following insertion."
After teaching a client diagnosed with candidiasis about preventive measures, the nurse determines additional teaching is needed when the client makes which statement?
"I can wear any style of pants as long as I wear cotton underwear."
A female client who has chosen the cervical cap as her method of contraception states that she knows how to use it. Which statement by the client would indicate to the nurse that the client does understand this method of contraception?
"I do not have any spermicidal allergies, so this method is OK for me."
A client is 6 weeks' postpartum and preparing to receive a depot medroxyprogesterone acetate injection. Which statement by the client requires follow up by the nurse?
"I need to be patient as it will take a few weeks before I can get pregnant again."
The nurse is teaching a woman diagnosed with genital herpes. The nurse will provide additional teaching if the client makes which statement?
"I should apply warm compresses to my lesions to relieve pain and itching."
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?
"I'm temporarily not contagious once the warts are destroyed."
A female client has been trying to conceive for 3 months. She tells the nurse, "I just know something is wrong with me." Which response by the nurse is best?
"It can take up to 1 year of regular, unprotected intercourse to conceive."
During a routine health visit for an 11-year-old girl, her mother asks the nurse, "My daughter just got her period about 4 months ago, but they haven't been very regular so far. How long might it take until she gets regular?" Which response by the nurse would be most appropriate?
"It can take up to 2 years once she starts for the periods to become regular."
A female client, who has been newly diagnosed with herpes simplex virus (HSV) ask the nurse how long it will take for the "sores" to go away. How should the nurse respond?
"It will take about 2 weeks for the outbreak to fully heal."
After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?
"It's okay to use petroleum jelly with a latex condom."
A couple is seeking guidance for their inability to conceive a child after trying for 15 months. They are morbidly obese but state they have friends with the same weight problem who have had no difficulty conceiving. What education can the nurse provide this couple to increase their chances of success?
"Obesity may interfere with effective penetration and deposition of sperm. We will look at several factors to discover what issues you may be encountering."
A couple is deciding about contraceptive measures. The male partner has decided to undergo a vasectomy. After teaching the client about this procedure, which client statement indicates the need for additional teaching?
"Right after surgery, my semen will be sperm-free."
A client is scheduled to have in vitro fertilization (IVF) in 1 week. Which statement made by the client indicates that the client needs further teaching?
"The primary care provider will transfer the egg and sperm into the fallopian tube where the egg will become fertilized."
The nurse educates a 15-year-old female client on ways to prevent pregnancy. Which statement will the nurse include in the teaching?
"The use of a condom is a method often recommended to prevent pregnancy for people your age."
A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infections. What is the nurse's best response?
"This STI is characterized by an infection of your cervix."
A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?
"This drug will help to suppress any symptoms of the infection."
A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?
"Withdraw the penis erect, holding the condom firmly against the penis."
A client with genital herpes asks the nurse about what to expect with the infection. Which response by the nurse is appropriate?
"You have to be extremely careful in the future. Even if you do not have symptoms, you could still spread the infection to others."
The nurse is caring for four female clients, all prescribed oral contraceptive pills (OCPs). The nurse will question giving an oral contraceptive pill to which client?
37-year-old client who has migraines with aura several times a week and smokes
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
The nurse is working with and teaching a young couple at the infertility clinic who have been trying to get pregnant for the past year. What percentage of couples are noted to get pregnant after trying during the proper time within the year?
85% to 90%
After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding?
Abnormal uterine shape
A priority nursing diagnosis based on Maslow's Hierarchy of Needs for a client with endometriosis would be:
Chronic Pain related to bleeding and endometrial pelvic implants.
A nurse is performing discharge teaching for a client who just had an uterine endometrial biopsy. What is the nurse's priority discharge teaching?
Client should call clinic with the date of her next menses
A nurse is developing a plan of care with a client and significant other; both have been diagnosed as being sterile. Which outcome should receive priority in the plan?
Clients state they are taking steps to remain close in light of stress.
A newly married couple is meeting with the nurse to discuss a temporary method of birth control that is both a natural form and does not employ birth control pills/devices, in keeping with their religious beliefs. Which method should the nurse point out will best meet their request to delay conception until they are ready?
CycleBeads
The nurse is caring for a client at the ambulatory care clinic who questions the nurse for information about contraception. The client reports that she is not comfortable about using any barrier methods and would like the option of regaining fertility after a couple of years. Which method should the nurse suggest to this client?
CycleBeads or medroxyprogesterone injection
When conducting a health history with a couple who are experiencing subfertility, the nurse will include which of the following? Select all that apply.
General health Medication history Sexual history Surgical history
A couple who has not conceived after 6 years of not using birth control are being seen in the infertility clinic. In assessing the client's psychosocial response to infertility, which might the nurse expect to find? Select all that apply.
Guilt related to the lack of conception Anger toward others who have conceived Fear of the possible outcome of the testing
A 45-year-old client and her spouse are present in the clinic. Results of fertility testing indicate that the client has damage to her fallopian tubes. Which would be the most appropriate infertility option for this client?
In vitro fertilization
A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize?
Insert the product by applicator in the vagina prior to intercourse.
A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby?
Instill a prophylactic agent in the eyes of the newborn.
What is an advantage of a cervical cap over a diaphragm?
It can be left in place longer.
A client has been following the conventional 28-day regimen for contraception. She is now considering switching to an extended oral contraceptive pills (OCPs) regimen. She is seeking information about specific safety precautions. Which is true for the extended OCP regimen?
It carries the same safety profile as the 28-day regimen.
The nurse is teaching a client about a vasectomy. The nurse determines the session is successful when the client correctly chooses which fact concerning the vasectomy?
It's usually done as an office procedure.
Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control?
LAM causes suppression of the ovulation process.
A client has opted to use an intrauterine device (IUD) for contraception. About which effect of the device on monthly periods should the nurse inform the client?
Periods become lighter.
A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis?
Practice monogamy.
A nurse is planning care for a client and her husband recently diagnosed with multiple sclerosis and wanting to prevent pregnancy for now. What is the most appropriate nursing diagnosis for this couple?
Readiness for enhanced knowledge regarding contraception options
A nurse should instruct a client who has premenstrual syndrome (PMS) to make which lifestyle modification?
Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule.
A nurse supervisor observes a nurse massage a client's injection site after giving a dose of depot medroxyprogesterone acetate (Depo-Provera). What is the priority response by the nurse supervisor?
Remind the nurse that this injection should absorb slowly.
Which information is important for a woman to understand before undergoing a scheduled tubal ligation?
She must think of the procedure as irreversible.
The nurse has been working with a subfertile couple through the process of determining their best plan of action to conceive a child. Which action should the nurse prioritize to provide emotional support to this couple?
Speak both separately and together with both partners.
A 30-year-old client would like to try using basal body temperature (BBT) as a fertility awareness method. Which instruction should the nurse provide the client?
Take temperature before rising, and record it on a chart.
The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate?
Tell the client she will need to learn to live with the problems.
The nurse is preparing to teach a client how to conduct the basal body temperature method to determine her fertile window. Which instruction should the nurse prioritize?
Temperature should be taken prior to any activity every morning.
A nurse is teaching a female client about fertility awareness as a method of contraception. The nurse should mention to the client that this method relies on which assumption?
The "unsafe period" is approximately 6 days.
The nurse is caring for a client diagnosed with human papillomavirus (HPV). Which information is a priority for the nurse to highlight for the health care provider?
The client reports an increase in urination and thirst.
Which of these findings should a nurse investigate first when assessing a female client who has been unable to conceive for 14 months?
The client was diagnosed with thyroid cancer 2 years ago.
The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus?
Thin, slippery, and stretchy
A nurse is providing medication teaching related to oral contraceptive pills (OCPs) that a client is being given to prevent unwanted pregnancy. Which is the most important intervention for the nurse to include?
Use a second form of contraception for the initial seven days on the OCPs.
An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition?
Use high-protein supplements.
A nurse is providing follow-up teaching to a client regarding the medically induced termination of her pregnancy. Which assessment finding should the nurse tell the client to report to the health care provider? Select all that apply.
Vaginal bleeding of more than two pads per hour Severe depression or sadness Severe abdominal pain
A client with liver disease is seen in the clinic wanting to begin contraception. The nurse recognizes that which type of contraception is best for this client?
Vaginal estrogen/progestin (contraceptive) ring
A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed?
a hysterosalpingography
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
a painless genital ulcer that appeared about 3 weeks after unprotected sex
A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD?
a woman who has one partner and three children
A client prescribed oral contraceptive pills (OCPs) has presented for a routine visit. Which finding, if reported by the client upon assessment, should the nurse prioritize?
abdominal pain
Which medication is used to suppress viral load of the HSV-2 infection?
acyclovir
A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms?
an azole antifungal agent
A healthy 28-year-old female client is planning a pregnancy with the support of a female partner. What does the nurse anticipate will be the first method of assisting this client to achieve a pregnancy?
artificial insemination
A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client's amenorrhea? Select all that apply.
bradycardia hypotension reduced subcutaneous fat
A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely?
chancres at the vaginal site
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common bacterial STI in the United States would the nurse expect to include?
chlamydia
A nurse is conducting a class for a group of young adults at the health clinic about contraceptive options. The nurse determines that the teaching was successful when the group identifies which type as protective against sexually transmitted infections?
condom
A sexually active client comes to the clinic requesting some form of birth control but is concerned about the bad side effects she has heard are caused by oral contraceptive pills (OCPs). Which information should the nurse point out about the positive aspects of this type of contraceptive? Select all that apply.
decreased incidence of dysmenorrhea decreased acne improved cycle regularity decreased acute pelvic inflammatory disease
The nurse should carefully screen a client who insists on using only oral contraceptive pills (OCPs) for which contraindication?
deep vein thrombosis
The nurse is assessing the health history of a male partner. Which data is most likely to be related to an infertility problem?
employment as a taxi driver
A woman at the fertility clinic for the first time asks, "What could have caused my infertility?" After teaching the woman about possible causes, the nurse determines that the teaching was successful when the woman identifies which condition as a common cause? Select all that apply.
endometriosis pelvic inflammatory disease (PID) anovulation
Which definition best explains the term "subfertility/infertility"?
failure to achieve pregnancy after 1 year of unprotected intercourse
A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report:
female adolescents are more susceptible to STIs due to their anatomy.
A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment?
fluconazole
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?
genital herpes
A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition?
gonorrhea
The nurse in the sexual health clinic is obtaining a health history of a client who suffers from heroin use disorder. The client reports chronic flulike symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection does the nurse suspect?
hepatitis A
The community health nurse is teaching sexually transmitted infections to a high school health class. The nurse determines that the teaching was successful when the group identifies what potential cause for intellectual disability in the newborn?
herpes type 2 (genital herpes)
A client is desiring to start birth control and is questioning the nurse concerning the best options. Which option should the nurse point out is the most reliable?
hormonal implant
The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives (OCs) in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend?
intrauterine device
The nurse informs the client that a diaphragm is an example of which type of contraception?
mechanical barrier
The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her?
medroxyprogesterone acetate
A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?
metronidazole
Which medications are appropriate to treat vaginal candidiasis? Select all that apply.
miconazole fluconazole
A healthy 28-year-old female client who has a sedentary lifestyle and is a chain smoker is seeking information about contraception. The nurse informs this client of the various options available and the benefits and the risks of each. Which should the nurse recognize as contraindicated in the case of this client?
oral contraceptive pills (OCPs)
What are methods for delivering hormonal contraception? Select all that apply.
orally transdermally vaginally implantation injection
A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply.
ovulation tubal transport impaired implantation
The nurse is caring for a woman who had a dilatation and curettage (D&C) 1 hour prior. What assessment finding would alert the nurse to immediately intervene?
pulse rate of 122 beats/min
A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply.
semen analysis ovulation monitoring tubal patency
A couple who is in for fertility testing ask the nurse what tests are commonly performed to assess fertility. The nurse replies that there are only three primary tests that are used. What are these tests?
semen analysis, ovulation monitoring, and tubal patency assessment
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
syphilis
A male client is being evaluated for subinfertility. What additional data should a nurse obtain?
testosterone, Rh factor, blood type, UA
A male client asks the nurse to explain which structure is cut during a vasectomy. What response should the nurse give the client?
the vas deferens
A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time?
three days before and three days after ovulation
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.
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
trichomoniasis
The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms?
trichomoniasis