OB exam 3/final
A nurse is screening a client for intimate partner violence using indirect questions. Which question would the nurse most likely ask?
"Clients with your injuries are often abused. Is anything like this happening now?"
To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia? A highly variable skin rash A yellow-green vaginal discharge A nontender, indurated ulcer A localized gumma formation
A nontender, indurated ulcer
What is the leading cause of death for children over the age of 1?
Accidents/unintentional injuries
T or F Ethnicity and culture are interchangeable terms
F
T or F The definition of family and its structure have remained fairly constant over the years.
F
T or F You should assume what a family's beliefs are based on their religious affiliation
F
What rate is the number of infant deaths from 28 days old to 1 year old?
Infant mortality rate
A nurse is assessing a client who was a victim of rape and suspects that the client may be experiencing hyperarousal symptoms of posttraumatic stress disorder (PTSD). Which finding would lead the nurse to suspect this?
Irritability
A victim of rape is prescribed emergency contraception. After teaching the client about this therapy, the nurse determines that the teaching was effective based on which client statement?
It contains high doses of a typical birth control pill
What is the medication of choice for early syphilis?
Penicillin
What are the 3 date rate drugs?
Rohypnol GHB Ketamine
What model is used as a screening protocol to assess for violence?
SAVE
Women recovering from abusive relationships need to learn ways to improve their: Educational level by getting a college degree Earning power so they can move to a better neighborhood Self-esteem and communication skills to increase assertiveness Relationship skills so they will be better prepared to deal with their partners
Self-esteem and communication skills to increase assertiveness
A female sex trade worker has been diagnosed with secondary syphilis. Which findings would mostlikely correlate with this diagnosis?
Sore throat and flu-like symptoms
A patient presents with the following symptoms. What is the likely STI? chancre on spot where bacteria entered rash on hands and/or feet sore throat swollen lymph nodes flu-like symptoms
Syphilis
T or F Females are more susceptible to STIs
T
A woman with chlamydia runs the risk of what complication during pregnancy?
conjunctivitis (can lead to blindness) low birth weight
What issues will occur in the newborn if a mom with Gonorrhea gives birth vaginally (untreated)?
conjunctivitis that can lead to blindness
What medications treat Chlamydia?
doxycycline azithromycin
In which age range are women most vulnerable for intimate partner violence?
16 to 24
Which age is considered the age of majority? 14 16 18 21
18
How long after infection does the secondary stage of syphilis occur?
2 to 6 months after initial exposure
How long can the secondary stage of syphilis last?
2 years
What parenting style expects obedience from the child and discourages the child from questioning the family's rules. The parent provides low support and high control over the child
Authoritarian
What parenting style shows some respect for the child's opinions. Although parents still have the ultimate authority and expect the child to adhere to the rules, this style allows children to be different and believe that each child is an individual
Authoritative
A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply
Avoid using deodorant tampons. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose.
What nursing management do you want to provide a patient who has experienced female genital mutilation?
Be self-aware of feelings related to practice (mine) educate, especially impact on women's reproductive health
What medications together will treat coexisting infections of Chlamydia and Gonorrhea?
Ceftriaxone with Doxycycline or Azithromycin
A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States?
Chlamydia
When does physical abuse usually start or escalate?
During pregnancy
A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis?
Gonorrhea
What STI can cause arthritis?
Gonorrhea
What is the measure of prevalence of specific illness in a population over a given time?
Morbidity
The nurse is preparing a class for a group of students about homelessness. Which factors contribute to homelessness? Select all that apply. Decrease in the number of people living in poverty Rises in unemployment Exposure to abuse or neglect Cutbacks in public welfare programs Development of community crisis centers
Rises in unemployment Exposure to abuse or neglect Cutbacks in public welfare programs
What does the violence related screening protocol, SAVE, stand for?
Screen (for violence) Ask (direct and nonjudgemental questions) Validate (the client) Evaluate (the violence, educate and refer this client)
A nurse is conducting an awareness session on sexual abuse, and she is explaining the psychological profile of an average abuser. Which trait is often displayed by abusers?
They exhibit antisocial behaviors
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."
Is Gonorrhea curable?
Yes, with antibiotics
Which medications are appropriate to treat chlamydia trachomatis? Select all that apply.
azithromycin ofloxacin doxycycline
A woman with hepatitis B runs the risk of what complication during pregnancy?
carrier of hepatitis B (can lead to liver cancer or cirrhosis)
In female genital mutilation, what is cut off in type 1?
clitoris
A woman with bacterial vaginosis runs the risk of what complication during pregnancy?
neonatal sepsis
A woman with HIV runs the risk of what complication during pregnancy?
transmission of HIV to baby during childbirth or through breastfeeding
How often should a woman be checked after her Syphilis being treated in the primary or secondary stage?
6 and 12 months
How often should a woman be check after her Syphilis being treated in the latent stages?
6, 12 and 24 months
What HbA1C level determines a mom has diabetes?
6.5 or above (6)
A nurse is assessing a victim of rape. Further assessment reveals that the client received rohypnol. The nurse understands that this drug can lead to memory loss for up to how many hours?
8
What are the ABCDES of caring for abused women?
A: reassuring (you are not alone) B: expressing belief (violence is not ok, not your fault) C: confidentiality D: documentation E: education S: safety (action plan)
Maternal mortality rates are highest in what ethnic group?
African American
A patient presents with the following symptoms. What is the likely STI? (possibly asymptomatic) pain when urinating (itching of urethra or pain for men) urinary frequency cervical discharge (mucus or pus) inflammation of cervix (Can lead to PID, ectopic pregnancy or infertility)
Chlamydia
A sexually active 19-year-old presents to the clinic with postcoital bleeding, dysuria, and a yellow discharge. Her cervix upon exam is red and friable. What might the nurse suspect? Cervical cancer A tampon injury Primary syphilis Chlamydia
Chlamydia
What should the nurse do if a victim of intimate partner violence chooses not to disclose information about her abusive relationship during your interview? Confront the victim with the physical evidence and telltale signs of abuse Contact family members to tell you about their abusive relationship Call the local police department to inquire about domestic disturbance calls Respect the client's right of self-determination and provide her with resources
Respect the client's right of self-determination and provide her with resources
T or F Recurrent infection episodes of herpes simplex virus are usually less severe and prolonged than the initial episode
T
T or F The infant mortality rate is the lowest in the history of the United States, but it is still higher when compared with other industrialized countries
T
T or F The primary (first) episode of Herpes is usually the most severe
T
T or F Violence before pregnancy will usually escalate to physical abuse during pregnancy
T
During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply?
When you turn 21 years old
What kind of prevention involves activities geared toward helping severely abuse women and children recover and become productive members of society, as well as rehabilitating abusers to stop the cycle of violence?
Tertiary prevention
How are scabies diagnosed?
The appearance of burrows in the webs of the finger and the genitalia
The nurse is caring for clients in a community health clinic. Which clients does the nurse recognize need screening for sexually transmitted infections? Select all that apply.
An incarcerated 28 year old client. A pregnant woman in the third trimester. Initial examination after a sexual assault. Annual exam for a 24 year old sexually active woman.
What 2 STIs are often found infecting the patient at the same time?
Chlamydia and Gonorrhea
A patient presents with the following symptoms. What is the likely STI? (may be asymptomatic) pain when urinating urinary frequency vaginal discharge (yellow and foul smelling) inflamed cervix pain during sex
Gonorrhea
What are the stages of the cycle of violence (in order)?
tension building acute battering honeymoon
A nurse is working with a victim of intimate partner violence. The client has decided that she is going to leave the relationship. Which instructions by the nurse would be most appropriate? Select all that apply.
"Remember, it might take you several tries before you succeed." "Let's work on a safety plan so that it is ready for when you leave." "I can offer you choices, but you are the one who has to choose."
A nurse involved in presenting a community education program that focuses on rape prevention is asked, "Who is likely to commit rape?" What response made by the nurse best demonstrates an understanding of who is likely to commit rape?
"Research has yet to provide a reliable profile of those who engage in rape."
How long is the primary stage of syphilis?
1 to 6 weeks
What fasting glucose number determines a mom has diabetes?
126 or higher
How long can the latency stage of syphilis last?
20 years
What plasma glucose level determines a mom has diabetes?
200 or above
The nurse is caring for a client who is a victim of sexual violence. How can the nurse best support the necessary grieving process?
Actively listen to the client as he/she talks about the experience
A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?
Adolescents and young adults are the largest group to be diagnosed with an STI
Children of what ethnicities experience higher rates of abuse and neglect?
African American Alaska native
The nurse is caring for a victim of intimate partner violence who needs emotional support. What nursing actions are appropriate for this client? Select all that apply.
Allow the client to make as many decisions as possible. Encourage the client to attend support groups. Teach strategies for problem-solving and stress management.
A client at 36 weeks' gestation presents in the emergency department with a broken arm. The client states, "I fell while cooking dinner." During the assessment, the nurse notes no prenatal care for this pregnancy, as well as bruises in multiple stages of healing on the client's abdomen, arms, and chest. What action will the nurse perform next?
Ask the client how she acquired the bruises
What is the second leading cause of death in women?
Cancer
A woman is being cared for in the emergency department following a sexual assault. In addition to the physical exam and collection of the rape kit, what sexually transmitted infection (STI) testing should the nurse prepare to collect during the initial examination visit?
Chlamydia, trichomoniasis, gonorrhea and hepatitis B
T or F Natural childbirth classes were introduced in the early 1900s
F (1950s)
What rate is the annual number of deaths from any cause during pregnancy or within 42 day of termination (birth)
Maternal mortality rate
The nurse is planning care for a victim of physical abuse. What interventions should the nurse implement when addressing the victim's need to regain a sense of control over one's life? Select all that apply.
Providing reinforcement of stress management strategies Arranging for consult with social services care team member Supporting autonomy by encouraging effective decision making
What kind of prevention focuses on screening high-risk individuals of violence and dealing with victims and abusers in early stages to prevent abuse progressing.
Secondary prevention
T or F Advances in science and technology have led to increased ethical dilemmas in health care.
T
T or F Bacterial vaginosis can increase a woman's susceptibility to other STIs
T
T or F Childhood sexual abuse is a trauma that can affect every aspect of the victim's life.
T
T or F Most women who have had female circumcision cannot have a vaginal birth
T
T or F The cycle of violence intensifies over time
T
A nurse is using the SAVE model to assess a client for possible violence. When validating the client, which action would the nurse most likely perform?
Tell the client that the nurse believes the story
A nurse is describing the cycle of violence to a group at a community clinic. The nurse determines that the attendees have understood the information when they identify which phase as usually lasting the longest?
Tension building
The first phase of the abuse cycle is characterized by: The woman provoking the abuser to bring about battering Tension building and verbal or minor battery A honeymoon period that lulls the victim into forgetting An acute episode of physical battering
Tension building and verbal or minor battery
Nurses sometimes have difficulty assessing clients for intimate partner violence. Which screening protocol is most thorough when assessing for violence?
The SAVE model
What is the ultimate goal of the first prenatal visit?
To collect baseline data about the woman and her partner and to detect any risk factors that need to be addressed to facilitate a healthy pregnancy
What is the P-LI-SS-IT model used for?
To determine interventions for women with STIs
A patient presents with the following symptoms. What is the likely STI? (may be asymptomatic) pain when urinating urinary frequency vaginal discharge (yellow/green/gray and foul odor) pain during sex irritation/itching of genital area
Trichomoniasis
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
Trichomoniasis
What STI can also be transmitted through non-sexual ways such as damp towels or in poorly cleaned/maintained hot tubs?
Trichomoniasis
What parenting style does not provide rules or standards. The child's basic needs are often met but the parent is disconnected from the child's life
Uninvolved
A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case?
Use direct quotes and specific language
A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?
Vaginal odor smelling of fish
Is chlamydia curable?
Yes, with antibiotics
Which infection is characterized by a vaginal discharge that has a stale fish odor?
bacterial vaginosis
A woman with herpes runs the risk of what complication during pregnancy?
birth anomalies transplacental infection
What drug combination is used to treat PID?
cephalosporin with doxycycline
In female genital mutilation, what is cut off in type 2?
clitoris and labia minora
In female genital mutilation, what is cut off in type 3?
clitoris, labia, minora, labia majora and suturing of remaining tissue with only a small opening remaining
Preconception care involves obtaining what?
complete health history physical exam
What is the leading cause of infant mortalities?
congenital anomalies
The client is single, admits to not using condoms during sexual intercourse, and has had multiple partners over the past year. Which symptoms would alert the nurse to a possible gonorrheal infection? Select all that apply.
dysuria abnormal uterine bleeding mild sore throat abnormal vaginal discharge
What minor can consent for their own care?
emancipated minor
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.
What is the goal of Healthy People 2020?
health promotion, disease prevention
What effects can intimate partner violence have on maternal health?
insufficient/inconsistent prenatal care poor nutrition substance abuse inadequate weight gain depression
Which behaviors are forms of emotional abuse? Select all that apply.
insulting humiliating destroying another's property
What nursing management should you focus on and provide for a patient experiencing rape?
intervention/counseling supportive care evidence collection and documentation STI assessment pregnancy prevention PTSD assessment
What are significant predictors of infant mortality?
low birth weight and prematurity
What criteria must be present to diagnose PID?
lower abdominal tenderness Adnexal tenderness Cervical motion tenderness
A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider mostlikely prescribe?
metronidazole
A woman with syphilis runs the risk of what complication during pregnancy?
multisystem organ failure, structural damage, mental retardation (congenital syphilis)
What should be avoided in the treatment of a yeast infection (candidiasis)?
no sex no alcohol
A woman with Trichomoniasis runs the risk of what complication during pregnancy?
prematurity
Between how many weeks is a woman tested for gestational diabetes?
weeks 24 to 28
When should a woman be tested for GBS?
weeks 35 to 37
How is a woman who is GBS positive treated at birth?
with IV antibiotics
In preparing a talk about sexually transmitted infections (STIs) for high school students, the nurse should emphasize which group as being at high risk? Select all that apply.
women under the age of 25 years individuals with multiple sex partners women who are single
Which would the nurse identify as indicative of hyperarousal associated with PTSD? Reports of being emotionally numb complaints of difficulty sleeping Difficulty recalling exactly what happened Reports of recurring nightmares
Complaints of difficulty sleeping
A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?
Discuss the necessity of completing the antibiotic therapy.
A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent?
Doxycycline
What rate is the number of fetal deaths (20 weeks or greater)?
Fetal mortality rate
A client presents with the possible symptoms of herpes simplex virus (HSV). When assessing the client, the nurse would anticipate which assessment measure as being least likely to aid in confirming the diagnosis?
Papanicolau Test
Are the following aspects of an abuser, or a victim of abuse? Don't describe or believe they are being abused feelings of inadequacy Often abused as a child
Victim
Are the following aspects of an abuser, or a victim of abuse? feelings of insecurity, powerlessness, helplessness refusal to share power use violence as a means of control
abuser
What are the 4 phases of rape recovery?
acute phase (disorganization) outward adjustment phase (denial) reorganization integration and recovery
Besides drug therapy, what other ways can you instruct your HIV positive patient to enhance her immune system in conjunction with the use of drugs?
adequate sleep avoid infections (stay away from crowds, hand washing) decrease stress in life adequate intake of protein and vitamins drink 2 L per day to stay hydrated rest periods to prevent fatigue
A woman with Gonorrhea runs the risk of what complication during pregnancy?
eye infection (can lead to blindness)
What is HAART therapy?
highly active antiretroviral therapy involving the use of 3 ARV drugs
What are the pregnancy goals for Healthy People 2020?
increase prenatal care availability by 10 percent increase participation in birth classes increase proportion of moms gaining recommended weight amount (not below or above) increase amount of mom's who received prenatal care
What stages of Syphilis are considered the most infectious?
primary, secondary and early latent stage
In female genital mutilation, what is done in type 4?
surgical procedures to tighten the vagina
Is HPV curable?
No
What does P-LI-SS-IT stand for?
Permission Limited Information Specific Suggestions Intensive Therapy
A woman with HPV runs the risk of what complication during pregnancy?
None
A nurse is caring for a female client who is undergoing treatment for genital warts due to human papillomavirus (HPV). Which information should the nurse include when educating the client about the risk of cervical cancer? Select all that apply.
Obtaining a Papanicolau test routinely helps early detection of cervical cancer. Recurrence of genital warts increases risk of cervical cancer. Use of latex condoms is associated with a lower rate of cervical cancer.
A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis?
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease.
The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer:
Penicillin
What parenting style has little control over the behavior of their children. Rules or standards may be inconsistent, unclear, or nonexistent. This style allows their children to determine their own standards and rules for behavior
Permissive
The nurse is caring for a client who is seeking care after being raped. What is the primary reason the nurse does not leave the client alone during the emergency room stay?
Promotes the client's sense of safety
As a nurse, what interventions should the nurse perform for an abused patient?
educate about community services provide emotional support offer a safety plan
What nursing management should you perform for a patient that is hospitalized with PID?
maintain hydration (IV fluids) pain meds semi-fowlers position (to facilitate pelvic drainage) Education (to prevent recurrence )
How long should you place a child in time out for?
use 1 minute per year of the child's age. Do not exceed 5 minutes.
During an emergency situation, what kind of informed consent can be obtained via telephone?
verbal (must have 2 witnesses listening)
Which instruction should be given to a woman newly diagnosed with genital herpes?
Limit stress and emotional upset as much as possible
A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?
Metronidazole
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 anti fungal agent
Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection?
Dysuria
What act requires a person be treated without consent if they present to the emergency room or can't afford care?
EMTALA (emergency medical treatment and labor act)
When developing a program for STI prevention, which action would need to be done first?
Educating on how to promote sexual health
The primary goal of intervention in working with abused women is to: Set up an appointment with a mental health counselor for the victim Convince them to set up a safety plan to use when they leave Help them to develop courage and financial support to leave the abuser Empower them and improve their self-esteem to regain control of their lives
Empower them and improve their self-esteem to regain control of their lives
T or F The tendency for violence is inherited.
F (learned behavior)
The increase in blood volume from pregnancy will cause what vital signs in the mother to increase?
HR Respirations
When preparing a presentation for a local woman's group on women's health problems, what would the nurse include as the number-one cause of mortality for women in the United States? Breast cancer Childbirth complications Injury resulting from violence Heart disease
Heart Disease
What strain of Hepatitis is spread through sexual contact?
Hep B
Which STI could be transmitted perinatally?
Herpes simplex
A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection?
Viral culture of vesicular fluid
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
In what types of care can a minor seek medical attention without the consent of their parents?
pregnancy/prenatal care contraception STIs and communicable diseases (testing and treating) substance abuse mental illness
What kind of prevention is aimed at breaking the abuse cycle through community educational initiatives by health care workers, law enforcement, teachers and clergy?
primary prevention
When caring for victim of intimate partner violence, the nurse uses the ABCDES framework to provide interventions. Which components are part of this framework? Select all that apply.
reassurance that the victim is not alone in this situation maintenance of confidentiality of the information reported education about the cycle of violence and its escalation plan of action and resources for safety for when the victim decides to leave
What tests will diagnose PID?
transvaginal ultrasound endometrial biopsy laparoscopic examination
What are the late symptoms of Syphilis which usually means the infection is incurable at this point?
tumors of skin/bones/liver CNS symptoms cardiovascular symptoms
What STI can cause inflammation of the rectum and lining of the eye and can infect the throat?
Chlamydia
A nurse is working with a client who is anticipating the possibility of leaving a relationship with intimate partner violence. In helping the client make the decision to leave or to stay in the abusive situation, which action would be most important for the nurse to take?
Explain to the client how to develop a safety plan for leaving the relationship.
T or F Trichamoniasis is one of the most common causes of vaginal discharge
F (candida)
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
The nurse is caring for a client believed to be a victim of human trafficking. What action is mostimportant for the nurse to perform?
Gain the client's trust
A patient presents with the following symptoms. What is the likely STI? itching/tingling/pain in genital area small pustules/blister-like lesions on genitals that crust over pain while urinating fever/headache/malaise/muscle aches
Herpes
T or F Most women experiencing intimate partner violence do not describe themselves as being abused
T
Nurses play an important role in screening and assessment of any client abuse/violence. Which of the following statements is correct? Most clients are extremely reluctant to come forth with private matters. Any intimate partner violence questions should be asked in the presence of both partners. To invite disclosure, assure the woman that you won't document her statements. The best statement to make to the abused victim is: "You don't deserve this."
The best statement to make to the abused victim is: You don't deserve this.
A 13-year-old immigrant from Asia is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed circumcision wounds. The client can understand limited English but cannot speak the language fluently. The service of an interpreter is employed. What should the nurse keep in mind when interacting with this client?
Use pictures and diagrams to supplement the questions and answers of the client's understanding.
A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata?
Human Papillomavirus
How should nurses counsel women about the risks of preconception, antepartum, and postpartum substance abuse?
In a nonjudgemental manner
What is the believed reason for the high infant mortality rate in the United States?
Increase of low-birth-weight infants
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.
A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?
It is recommended to formula-feed your newborn as it is transmitted through your breast milk."
T or F Health care provider can provide emergency treatment to a child without consent if they have made reasonable attempts to contact the child's parent or legal guardian
T
During a prenatal examination the nurse observes bruises on a woman's arms and a black eye. When asked about the bruises, the client states, "It was an accident. My husband just had a bad day at work, and I was late getting his dinner. But he is being so kind now; he brought me flowers yesterday. He is looking for a new job, so it won't happen again." This client is in which phase of the cycle of violence?
The honeymoon phase
A client presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole. What is the paramount nursing intervention in discharge planning?
Instruct the client not to drink alcohol with this treatment
A nurse is preparing a presentation for a local community group about intimate partner violence. Which statement would be most appropriate for the nurse to include in the presentation?
Intimate partner violence in homosexual relationships may go unreported for fear of harassment.
Which factor would most likely be responsible for a pregnant women's failure to receive adequate prenatal care in the United States? Belief that it is not necessary in a normal pregnancy Use of denial to cope with pregnancy Lack of health insurance to cover expenses Inability to trust traditional medical practices
Lack of health insurance to cover expenses
In what situations may a minor be emancipated?
Member of armed forces marriage court-determined emancipation financial independence and living apart from parents pregnancy mother less than 18 years of age
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
What rate is the number of infant deaths (in the first 28 days of life)?
Neonatal mortality rate
The nurse working in the obstetrics clinic is completing an assessment and concerned about possible signs of intimate partner violence during pregnancy. Further abuse screening is completed if the nurse documents which? Select all that apply.
Poor attendance at prenatal visits Unrealistic fears Weight fluctuations Difficulty with physical exams Noncompliance with treatment
If a yeast infection is not treated before birth, what infection can the newborn develop?
Thrush
When caring for an adolescent, in which instance must the nurse share information with the parents, no matter which state care is provided in? Pregnancy counseling Depression Contraception Tuberculosis
Tuberculosis