OB PASSPOINT Exam 1

The nurse is obtaining blood for a human chorionic gonadotropin (hCG) level from a newly pregnant woman. What does the nurse teach this woman about the purpose of the hormone and why levels are evaluated?

"Elevated hCG levels indicate the endometrial lining is being prepared for implantation of the embryo."

The client comes to the clinic for oral birth control and has a history of smoking one pack of cigarettes per day. What should the nurse include in the client's teaching? Select all that apply.

"Taking oral birth control medication can cause a cerebrovascular accident (CVA)." "Taking oral birth control medication can cause a deep vein thrombosis (DVT)." "Taking oral birth control medication can cause an myocardial infarction (MI)."

A 22-year-old single female is discussing contraceptive methods with her health care provider and specifically asking about the ethinyl estradiol and etonogestrel vaginal insert. The nurse realizes the client needs further instruction when she makes which statement?

"This ring contains only progesterone for birth control."

An adolescent has been diagnosed with polycystic ovarian syndrome (PCOS). Which statement by the adolescent indicates the need for more teaching?

"Untreated PCOS will make getting pregnant impossible."

The husband of a client with cervical cancer says to the nurse, "The doctor told my wife that her cancer is curable. Is he just trying to make us feel better?" Which would be the nurse's most accurate response?

"When cervical cancer is detected early and treated aggressively, the cure rate is almost 100%."

A client has just begun taking an oral contraceptive that contains estrogen and progestin. The nurse should instruct the client to use additional methods of contraception for at least

7 days.

A menopausal woman with an intact uterus is taking a combined estrogen and progesterone replacement medication, conjugated estrogens/medroxyprogesterone acetate 0.625 mg/2.5 mg, for severe hot flashes. Combined hormonal therapy is given because estrogen alone:

Could be a risk factor for endometrial cancer.

An adolescent girl is being treated for anogenital warts caused by the human papillomavirus (HPV). What is the nurse's priority intervention for this client?

Educate the client about the accompanying risk of cervical cancer.

An adolescent presents to a community clinic for treatment of vulvar lesions associated with type 2 herpes simplex. Which intervention is appropriate to do at this time? Select all that apply.

Escort the adolescent to a private examination room. Provide the adolescent with literature about type 2 herpes simplex.

A nurse is preparing to provide contraceptive counseling for a client. What should the nurse plan to do first?

Explore her own personal beliefs and feelings about contraception.

The nurse is counseling a client with osteoporosis about dietary choices to slow bone loss. What foods should the nurse teach the client to avoid?

Foods and beverages high in caffeine

A client is diagnosed with osteoporosis. Which statements would the nurse include when teaching the client about the disease? Select all that apply.

Osteoporosis is common in females after menopause. Osteoporosis is a degenerative disease characterized by a decrease in bone density. Osteoporosis can cause pain and injury.

Which information should the nurse include when teaching a 55-year-old woman in the beginning of menopause? Select all that apply.

The average age of onset for menopause is 50 to 52 years. Hot flashes, especially at night, can occur in about 80% of women.

The nurse is teaching a client with a latex allergy about birth control methods to protect against sexually transmitted diseases. What information should be included in the teaching? Select all that apply.

Use of latex condoms, cervical caps, and/or diaphragms are contraindicated for men and women with latex allergy. A natural condom can be placed over a latex condom for protection.

Which woman is at greatest risk for bacterial vaginosis?

a 28-year-old who is sexually active

During the home visit, a breastfeeding client asks the nurse what contraception method she and her partner should use until she has her 6-week postpartal examination. Which method would be most appropriate for the nurse to suggest?

condom with spermicide

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), the physician orders diagnostic testing of the vaginal discharge. Which STD must be reported to the public health department?

gonorrhea

A client 6 weeks postpartum asks the nurse about taking medroxyprogesterone injections for birth control. What should the nurse determine prior to discussing options? Select all that apply.

if the woman is experiencing postpartum depression that the woman is not currently pregnant if the woman is breastfeeding

A menopausal woman is taking hormone replacement therapy. What warning sign of endometrial cancer should the nurse instruct the client to report to her health care provider?

irregular vaginal bleeding

The nurse is interviewing a client with newly diagnosed syphilis. In order to prevent the spread of the disease, the focus of the interview should include which approach?

obtaining a list of the client's sexual contacts

A client with heart failure is admitted to an acute care facility and is found to have a cystocele. When planning care for this client, the nurse is most likely to formulate which nursing diagnosis?

stress urinary incontinence

A client is taking a progestin-only oral contraceptive, or minipill. When teaching the client about this medication, a nurse should include information on signs and symptoms of

tubal or ectopic pregnancy.

Under which circumstance may a nurse communicate medical information without the client's consent?

when treating the client with a sexually transmitted disease