OB Exam 4

A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies?

mammogram

A client was in labor for more than 36 hours and now reports urine leaking from her vagina. On examination the nurse would be inspecting for

urethrovaginal fistula

how to interview a patient for IPV

wait patiently for the client to answer avoid the use of technical language

The nurse is educating women on characteristics of perpetrators of intimate partner violence. What characteristics of abusers will the nurse include in the teaching? Select all that apply.

· A history of oxycodone and diazepam use disorder · 10 different employers in the past 18 months · Arrested twice in the last year · Dominates the control in personal and social situations

A nurse is caring for a 16-year-old immigrant. The nurse wishes to assess if the client is a victim of human trafficking. Which questions should the nurse ask? Select all that apply.

· Can you leave your job or situation if you wish? · Can you come and go as you please? Is there a lock on your door at home so you cannot get out?

risk factors for pelvic organ prolapse

· Delivery of first child at age 18 years · Hysterectomy 3 years ago · History of 4 term pregnancies · Vaginal birth · Chronic cough · Lifting · Obesity · Estrogen deficiency · Straining with chronic constipation · Birth trauma

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

A client with breast cancer is receiving tamoxifen. After teaching the client about this drug, the nurse determines that the teaching was successful when the client identifies that she is at increased risk for which conditions? Select all that apply.

DVT, hot flashes, cataract

risk factors for cervical cancer

HPV

early detection of breast cancer

Mammography · Breast self exam · Clinical breast exam · Yearly mammograms starting at age 40

The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response?

Tamoxifen reduces the incidence.

after an abnormal pap test, the nurse would expect the patient to receive a

colposcopy

A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time?

encourage her to turn, cough, and deep breathe at frequent intervals

recommendations for cervical cancer screening (pap smear)

have it by age 21 do not have sex for 48 hours prior

symptoms of sexually abused women

headaches substance use disorder chronic pelvic pain social withdrawal

what can you ask a patient you suspect of being a victim of IPV

how does your partner treat you

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

hysterectomy

The nurse is conducting a class on rape prevention for a group of young adults and is describing the various types of date rape drugs. Which drug would the nurse describe as causing a separation in perception and sensation?

ketamine

endometrial cancer symptoms

onset of painless, bright red postmenopausal bleeding

"A client has an abnormal Papanicolaou test that is classified as ASC-US. Based on the nurse's understanding of this classification, the nurse would expect which procedure?

repeat pap test in 4-6 months

After teaching a class at a local college campus on date rape, the nurse determines that the teaching was successful when the class identifies which substance as the most common date rape drug?

rohypnol

A client with advanced breast cancer who has had both chemotherapy and radiation therapy is to start endocrine therapy. Which agent would the nurse expect the client to receive

tamoxifen

A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy using a selective estrogen receptor modulator (SERM). Which agent would the nurse expect the client to receive?

tamoxifen

phases to intimate partner violence

tension building phase acute violence phase honeymoon phase

Most common causes of genital fistulas are

trauma during labor and birth, female genital cutting

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 Hepatitis B

The nurse is teaching a group of young adult women about the different benign breast disorders. When describing fibrocystic breast changes, which characteristics would the nurse include?

· Clear nipple discharge may or may not be present · The pain is cyclic and usually decreases after the onset of menses · These changes are most common between the ages of 20 and 50 · The lesions move freely when the breast is palpated

A nurse is providing postoperative care to a client who has had surgery to remove a malignant tumor from her breast. The nurse encourages the client to cough and deep breathe based on the understanding that this activity accomplishes which actions?

· Expands collapsed alveoli · Promotes faster clearance of inhaled anesthetics · Prevents postoperative atelectasis

preventing cervical cancer

· Immunization for HPV · Consistent use of barrier contraceptives · Steps to prevent STIs · Cessation of drinking and smoking · Counsel teenagers to avoid early sexual activity Begin screening for cervical cancer at age 21 or within 3 years of first sexual intercourse

Self care for woman with fibrocystic breasts

· Limit salt · Wear a supportive bra · Avoid caffeine

A group of nurses is preparing a violence prevention program. The group is researching information about risk factors for intimate partner violence related to the individual. Based on their research, which risk factors would the nurses expect to address? Select all that apply.

· Low academic achievement · Victim of childhood violence · Heavy alcohol consumption

what would lead the nurse to believe that their patient is a victim of IPV

· Reference to a friend who is being abused · Evasive answers to questions asked · Display of anger toward health care providers · Overprotectiveness of partner

The nurse is caring for a pregnant client admitted for abdominal trauma following an assault. The nurse will monitor the client for which potential complications? Select all that apply.

· Spontaneous abortion (miscarriage) · Placental abruption (abruptio placentae) · Uterine rupture Preterm labor

The nurse educator is teaching new nurses on risk factors for intimate partner violence to watch for when caring for pregnant clients. Which risk factors will the nurse include in the teaching? Select all that apply.

· Uncertainty of the baby's father · Unwanted pregnancy · Unemployed mother

A nurse is conducting a presentation on violence and abuse for a community health program. When describing this concept, which information would the nurse include? Select all that apply.

· Violence against women often goes unrecognized and unreported. In some countries, violence against women is considered acceptable behavior.

A perimenopausal woman reports experiencing increasing discomforts with intercourse and problems with lubrication. What information should the nurse include in the information provided to the client? Select all that apply

· Water-soluble lubricants can be used to reduce the dryness. · Falling estrogen levels cause these vaginal changes and associated dryness.