OB Week3

A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. What is the nurse's best response?

"A vaccine has been approved vaccines to prevent the human papillomavirus."

As part of a local college awareness program, a nurse is interviewing several of the participants about their views on rape. Which statement would lead the nurse to determine that teaching about rape is necessary?

"A woman can avoid being raped. If she doesn't want it to happen, then it won't."

A nurse is providing care to a client with pediculosis pubis. Which information would the nurse include when teaching the client about this condition?

"Remove the nits with a fine-toothed comb."

Which risk factors are associated with vaginal cancer? Select all that apply.

-advancing age -HIV infection -smoking

A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment?

Avoid alcohol.

Which instruction should the nurse give to a client with genital herpes to help control the infection?

Avoid sexual contact until sores heal.

A client with large uterine fibroids is scheduled to undergo a hysterectomy. Which intervention should the nurse perform as a part of the preoperative care for the client?

Teach turning, deep breathing, and coughing.

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 her that the nurse believes her story.

The nurse is working with a client who has been diagnosed with urge incontinence related to detrusor muscle contractions. Part of the educational material suggesting lifestyle changes should include information that which situation increases muscular contractions?

smoking

Which are modifiable risk factors for breast cancer? Select all that apply.

smoking alcohol consumption obesity duration of breastfeeding sedentary lifestyle

While performing a clinical breast examination, the nurse notes a firm and rubbery nodule that is well circumscribed and moves freely. How should the nurse counsel the client?

"It's most likely a fibroadenoma, but we may need to do a biopsy."

A 36-year-old was diagnosed with uterine fibroids (leiomyomas). The nurse teaches the client to expect which clinical manifestation?

abnormal uterine bleeding

Which medication is used to suppress viral load of the HSV-2 infection?

acyclovir

In the United States, what type of cancer accounts for one-third of cancer diagnoses and is the most common cancer in women?

breast cancer

Which type of elder abuse involves harm of self-worth?

emotional

What is the most common viral infection?

human papillomavirus (HPV)

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele?

protrusion of the bladder wall through the anterior vaginal wall

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer:

typically manifests with vague symptoms resulting in late diagnosis.

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.

A client diagnosed with uterine prolapse is to undergo surgery. The nurse would prepare a preoperative teaching plan for which surgery?

vaginal hysterectomy

The nurse is giving an educational event for a local women's group on self-examination of the breast. The nurse tells the women's group to raise their arms and inspect their breasts in a mirror. A member of the women's group asks the nurse why she needs to do this. What is the nurse's best response?

"It will help to observe for dimpling."

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."

The nurse is teaching a female client about early-stage pelvic organ prolapse. Which statement that centers on dietary and lifestyle changes will promote pelvic relaxation and decrease chronic problems later in life?

"You will need to increase fiber in your diet."

A nurse is conducting a health promotion program, encouraging lifestyle changes to help clients prevent various benign and treatable conditions. Which suggestions would the nurse most likely include? Select all that apply.

-high vegetable-fruit diet -regular exercise -low-fat diet -adequate fluid intake

A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage?

III

A client reports lumpy, tender breasts, particularly during the week before menses. She reports pain that often dissipates after the onset of menses. The nurse suspects the client has fibrocystic breast changes. Which should the nurse do next?

Perform a breast examination.

The nurse who counsels women who suffer from abuse understands that abuse can come in which different forms? Select all that apply.

sexual abuse emotional abuse physical abuse financial abuse

Pelvic infection is most commonly caused by:

sexual transmission.

After teaching a group of college students about the modes of transmission for herpes simplex virus, the nurse determines that additional teaching is needed when the group identifies which mode of transmission?

sharing contaminated needles

At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment?

"I have to stop breastfeeding because of mastitis."

A nurse is a guest speaker for a local college campus group discussing violence and rape. After discussing rape with the group, the nurse determines that additional discussion is needed when the group states which information?

"Most rape victims tell someone about the rape."

The nursing instructor is teaching a student about urinary incontinence and realizes that the student needs further instruction when she makes which statement?

"Urinary incontinence is an inevitable problem of aging."

How should the nurse counsel a postpartum client on how to prevent mastitis?

"Wash your hands thoroughly, and let your breasts dry after each feeding."

A nurse is caring for a female client with symptoms of first-degree pelvic organ prolapse. Which instruction related to dietary and lifestyle modifications should the nurse provide to the client to help prevent pelvic relaxation and chronic problems later in life?

Increase dietary fiber.

A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) discovers that there is a very high incidence of hepatitis B in the community. Which measure should the nurse take to ensure the prevention of the disease?

Instruct people to get vaccinated for hepatitis B.

The nurse has educated a client about confidentiality. explaining that which mandate against confidentiality requires that some injuries, reports, and/or situations must be reported?

laws

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which complication?

lymphedema

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which suggestion would the nurse include?

maintaining an ideal weight

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this?

"He tells me that he'll tell child services I'm a bad mother."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

A nurse is caring for a female client with urinary incontinence. Which instructions should the nurse include in the client's teaching plan to reduce the incidence or severity of incontinence? Select all that apply.

-Continue pelvic floor exercises. -Increase fiber in the diet. -Control blood glucose levels.

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of her 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.

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 caring for a client who has just given birth to a baby. Which information should the nurse give the client regarding hepatitis B vaccination for the baby?

Vaccine consists of a series of three injections given within 6 months.

A 27-year-old lactating client presents with the report of a solid, painless lump in her left breast. On examination, the nurse notes that the lump is mobile and slightly tender to pressure. The nurse suspects this is:

a fibroadenoma.

A nursing student attending a lecture on sexual violence learns that sexual violence is a public health problem. It is also considered to be:

a human rights violation.

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

The nursing instructor is teaching about Bartholin cysts and informs the students that Bartholin cysts are the most common cystic growth in the vulva. She describes this type of cyst as being:

a swollen, fluid-filled, sac-like structure.

A postmenopausal woman presents to the clinic with painless vaginal bleeding. The health care provider wants to assess for endometrial cancer. The nurse would anticipate the health care provider prescribing which procedure first?

a transvaginal ultrasound

A nursing student is going to speak at a local high school about women's health. She is planning to talk about sexually transmitted infections (STIs) as well as routine checks, along with guidelines for Pap smears. What should she include in the Pap smear guidelines about when to have a first Pap smear?

at the age of 21 or within three years of first sexual intercourse

A woman has been treated for a tumor of the left breast that has not responded to chemotherapy. The woman has just found out that she has the BRCA mutations and discusses her options with her primary care provider. Which treatment would be most difficult for this woman?

bilateral mastectomy

A client diagnosed with breast cancer is receiving chemotherapy. The nurse assesses the client for possible side effects of this therapy. Which side effect would the nurse report immediately to the health care provider?

bone marrow suppression

After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which sign?

breast symmetry

A client with pelvic organ prolapse is using lifestyle modifications and working to lose weight. The client asks the nurse, "Which type of exercise would be best?" The nurse would most likely suggest which exercise?

brisk walking

A nurse is assigned to care for a client who was brought to the emergency department. The client was a victim of human trafficking. When providing care to this client, which intervention would have priority?

building trust

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client?

clear information on the disease, management, and treatment

A nursing diagnosis of Risk for impaired tissue integrity would be most appropriate for which client?

client having reconstructive breast surgery

In which clients is it most important to understand the importance of an annual Papanicolaou test?

clients infected with the human papillomavirus (HPV)

What is the gold standard for HSV diagnosis?

culture

A nurse is reviewing the physical exam findings of a woman who has come to the clinic with reports of feeling a dragging sensation in her vagina. The exam reveals the posterior bladder wall protruding into the anterior vaginal wall. The nurse interprets this finding as indicative of which condition?

cystocele

A 16-year-old girl is seen in an emergency department following a rape. The management of a rape victim should be directed primarily toward:

decreasing guilt and increasing self-esteem.

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.

deep vein thrombosis hot flashes cataract

A nurse is conducting a discussion group at a local women's health center about violence and women. The nurse would include that women are at a higher risk for violence at which time?

during pregnancy

Working at the local health clinic, the nurse recognizes that STIs can often result in PID. When a client with a history of repeat STIs presents to the clinic reporting severe abdominal cramping and bleeding, the immediate concern is to ensure the client does not have:

ectopic pregnancy.

The primary care provider has just informed the client that her breast biopsy is positive for carcinoma. One of the nurse's first responsibilities is to assist with:

education.

The nurse working with women who have been abused recognizes that the abuser's swearing, promising, or threatening to hit the victim is categorized as which type of abuse?

emotional

A client with breast cancer is receiving chemotherapy. To counteract the myelosuppressive effects of chemotherapy, the nurse recognizes the client may also be prescribed which drug?

filgrastim

The nurse working in the genitourinary clinic understands that the most common cause for women suffering from urinary incontinence is:

pelvic organ prolapse (POP).

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer:

penicillin G.

When a pregnant client is abused during her pregnancy, what complication is likely to occur after birth due to the abuse?

postpartum depression

A client who is a rape survivor has appeared to cope very well. However, at a routine visit several months later, she is describing nightmares and flashbacks. The nurse would suspect which condition?

posttraumatic stress disorder

A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client?

removal of breast tissue, axillary nodes, and some chest muscles

A nurse is conducting an in-service program for a group of clinic nurses about screening for abuse. One of the participants asks the nurse, "I find it difficult to ask the woman questions about this. What's the best kind of question?" Which response by the nurse would be most appropriate?

"There is no one best type of question. Use the type that makes you most comfortable."

A client has undergone an abdominal hysterectomy to remove uterine fibroids. Which interventions should a nurse perform as a part of the postoperative care for the client? Select all that apply.

-Administer antiemetics to control nausea and vomiting. -Administer analgesics promptly and use a patient-controlled analgesia (PCA) pump. -Ambulate frequently.

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

A nurse is preparing for a presentation about breast cancer to a local women's group. Which type of breast cancer would the nurse describe as being the most common type?

invasive ductal carcinoma

A nurse is caring for a client who has been admitted with an ear infection. While discussing her partner with the nurse, the client says that her lover's behavior is "threatening" and "intimidating" at times, even though he has not physically harmed her. She wants to know what emotional abuse is. Which statement best describes an example of emotional abuse?

destroying valued possessions or attacking pets

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? Select all that apply.

expands collapsed alveoli promotes faster clearance of inhaled anesthetics prevents postoperative atelectasis

While interviewing a client, the client tells the nurse, "Our budget is tight. My husband controls how all the money is spent. And he won't let me get a job either." The nurse suspects that the client may be experiencing which type of abuse?

financial

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease:

involves one or both ovaries and extends into the pelvis.

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

mammogram

The generation-to-generation continuum of violence refers to the fact that:

violence is a learned behavior, and children who witness abuse are more likely to become abusers themselves.

An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make?

vulvar cancer

A client is diagnosed with polycystic ovary syndrome. The nurse would include teaching about which therapies? Select all that apply.

weight loss antidiabetic agents ovulation induction agents

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 over age 40

A nurse is teaching a client how to use a pessary. The nurse determines that the teaching was successful based on which statement?

"I need to clean the pessary with soap and water."

A nurse is preparing a client for discharge following an abdominal hysterectomy for fibroids. After providing discharge teaching, the nurse determines that the teaching was successful based on which client statement?

"I should shower rather than take a tub bath."

After teaching a client with mastitis about caring for her breasts, the nurse determines that the client has understood the instructions when she makes which statement?

"I will express milk with a breast pump until infection is resolved."

A client who has had a mastectomy is to undergo breast reconstruction with augmentation. After teaching the client about the procedure, the nurse determines that the teaching was successful based on which client statement?

"I'll use the same technique for breast self-exam as before."

A client is to have a vaginal hysterectomy to repair her stage IV uterine prolapse. The nurse realizes she needs more education when she states:

"I'm not going home with a Foley catheter in place."

A nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids. The nurse determines that the teaching was successful based on which statement?

"If I use hormone therapy, my fibroids may grow back when I stop the medication."

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."

The nurse is conducting a presentation about urinary incontinence for a local women's group. During the presentation, which statement by a member of the group would the nurse need to clarify?

"It's normal for a woman to develop incontinence as she ages."

A woman has just confided in the nurse that her partner slapped and kicked her that morning. What is the best response by the nurse?

"It's very brave of you to tell me all this. Help is available if you choose it."

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."

The nurse has just finished a presentation about intimate partner violence at a local group meeting and realizes more teaching is needed when one person comments:

"That was interesting, but it will never happen here. It only happens in the poor side of town."

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 infectious diseases. What is the nurse's best response?

"This STI is characterized by an infection of your cervix."

A woman is being treated for human immunodeficiency virus (HIV) at an inpatient health clinic. Which statement made by the woman shows she understands the progression of the infections?

"When my T-cell count drops below 200 cells, the HIV turns to AIDS."

A nurse is conducting a class for a group of young women at a women's health center on risk reduction for ovarian cancer. Which information would the nurse most likely include as risk reduction strategies? Select all that apply.

-breastfeeding -avoidance of feminine hygiene spray use -pregnancy before age 30 -bilateral tubal ligation

It is important for a nurse working in pediatrics to understand problems that children face when they have grown up around abuse. Studies indicate that children who witness intimate partner violence are at risk for developing which problems? Select all that apply.

-psychiatric disorders -developmental problems -school failures -violence against others -low self-esteem

Place the three phases of intimate partner violence in the order in which they occur. All options must be used.

1 tension-building phase 2 acute violence phase 3 honeymoon phase

A nurse is providing continuing care to a client that was raped. The nurse anticipates that the client will progress through the phases of recovery. Place the behaviors below in the order in which the nurse would expect to assess them as the client moves toward recovery. All options must be used.

1-Client exhibits shock and disbelief. 2-Client returns to work, denying the need for counseling. 3-Client attempts to make adjustments in her life to cope. 4-Client verbalizes beginning feelings of safety.

At what age should a woman with no risk factors begin mammography screening for breast cancer?

40

The nursing student correctly identifies that ovarian cancer occurs more frequently in which age group?

55-77 years old

After finding a breast mass on a routine examination and undergoing diagnostic studies, a woman is diagnosed with a fibroadenoma. The treatment plan focuses on watchful waiting. When would the nurse instruct the client to return for reevaluation?

6 months

The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response?

Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall.

After conducting a class for college students about cervical cancer prevention, the nurse determines that the class understands that steps can be taken to help prevent cervical cancer based on which statement?

More than 90% of squamous cervical cancers contain HPV DNA.

A client comes to the clinic with her partner. The client has multiple bruises on her arm and neck. The nurse suspects that the client is a victim of abuse. Which action would the nurse do first?

Move the client to an area away from the partner.

A nurse observes telltale signs of injuries from physical abuse on the face and neck of a female client. When questioned, the client tells the nurse that the injuries are the result of a physical attack by her partner and that she has developed palpitations thereafter. Which action should the nurse take to gain the trust of the client and enhance the nurse-client relationship?

Offer referrals so the client can get help that will allow her to heal.

A 24-year-old female client with a family history of cervical cancer is in the office. For which test should the nurse prepare the client to detect early stages of cervical cancer?

Papanicolaou test

The nurse is assessing a woman who is a victim of intimate partner violence and recognizes a belief that is common among victims of abuse. Which belief would the nurse most likely identify?

The woman is inadequate in some way.

Walter is an 11-year-old boy who was raised in a home where his father beat his mother on a regular basis. Which statement is true regarding children being raised in a home where they have witnessed intimate partner violence?

They are at increased risk for being abused.

An OB/GYN nurse is teaching a new female client how to perform breast self-examination. Which step is recommended for this examination?

To examine the right breast, put a pillow or folded towel under the right shoulder.

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

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 nurse assesses and suspects vulvar cancer based on which assessment finding?

fleshy, ulcerated mass on the labia majora

A client is to receive brachytherapy as part of her treatment plan for breast cancer. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client identifies which condition as a possible side effect?

inflammation

Which behaviors are forms of emotional abuse? Select all that apply.

insulting humiliating destroying another's property

When assessing a client, a nurse determines that the client has a rectocele based on which finding?

sagging of the rectum, which pushes against or into the posterior vaginal wall

All options are characteristics of malignant breast disease except:

smooth, firm, rubbery masses.

The nursing instructor is teaching a class on gynecologic (GYN) malignancies and realizes a need for further instruction when a student makes which statement?

"Cervical cancer is the most common GYN malignancy."

The endometrial biopsy of a client reveals cancerous cells, and the primary health care provider has diagnosed it as endometrial cancer. Which responsibilities of the nurse are part of the treatment of the client? Select all that apply.

-Make sure the client understands all the available treatment options. -Offer the family explanations and emotional support throughout the treatment. -Inform the client about the possible advantages of a support group.

A nurse is assessing a client who comes to the clinic reporting urinary incontinence. The nurse suspects that the client may be experiencing urge incontinence based on which findings? Select all that apply.

-frequency -nocturia

A nurse is about to start a shift in the emergency department and is receiving report about a client who was a victim of statutory rape. The nurse understands that for this situation the client must be under which age?

18 years

A nurse is reviewing the medical records of several female clients. The nurse would identify a woman with which body mass index as being at increased risk for breast cancer?

27

The nursing student is studying violence and abuse against the older woman. While researching it, she learns that laws require health care professionals to report elder or vulnerable person abuse. How many states currently have these laws?

50

A nurse is performing a physical examination of a pregnant woman. As she is examining her, she notices a bruise on her abdomen. Which action should the nurse take?

Ask the client to account for the bruise.

A pregnant client discloses to the nurse that she has been abused by her husband for the past 4 years. Which statement is true regarding violence against pregnant women?

Partner abuse may increase during pregnancy.

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 nurse is caring for a 45-year-old client using a pessary to help decrease leakage of urine and support a prolapsed vagina. Which recommendation is most commonly provided to a client regarding pessary care?

Remove the pessary twice weekly, and clean it with soap and water.

A nurse prepares a woman with an abnormal Pap smear for further diagnostic evaluation. Which procedure would the nurse expect to be done?

colposcopy

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 caring for clients who have a history of genital herpes infection. The client most at risk for an outbreak of genital herpes is the client who reports:

genital pruritus and paresthesia.

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. For which symptom related to this condition should the nurse assess?

genital vesicular lesions

The nurse in the sexual health clinic is obtaining a health history of a client who is addicted to heroin, reporting chronic flu-like symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect?

hepatitis A

The nurse in a sexual health clinic is reviewing the history of a 30-year-old homosexual client who is an IV drug addict and diagnosed with a sexually transmitted infection. Which therapy would the nurse expect to include in his care?

hepatitis A and hepatitis B recombinant vaccine

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?

trichomoniasis

After conducting an in-service program on breast cancer for a group of staff nurses, the leader determines that additional discussion is needed when the group identifies which aspect as influencing the staging of the cancer?

tumor location

A nurse is providing care to a client diagnosed with stage II breast cancer. Which finding would the nurse interpret as characteristic of this stage?

tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which response would be most appropriate?

"Inform all potential sexual partners about the infection, even if it is inactive."

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"

The high school nurse is teaching a class of adolescents the characteristics of sexually transmitted infections (STIs). Which characteristics are related to STIs? Select all that apply.

-They cause infections that lead to PID. -They can cause infertility. -They cause significant side effects and/or death in newborns.

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 presents to the office reporting severe lower abdominal pain. Ultrasound reveals an ovarian cyst. The client asks, "Is the cyst benign?" The nurse responds, explaining that ovarian cysts are benign approximately how often?

90%

A nurse is working at a cancer treatment center and is developing programs for specific ethnic groups related to breast cancer. The nurse would target which ethnic group because it has the highest breast cancer mortality rate in the United States?

African American

A nurse is developing a plan of care for a woman who is a victim of abuse. Which action would be most appropriate for the nurse to include in the plan?

Allow the woman to participate in her care.

When health care professionals detect signs of elder abuse in clients, the law requires them to do what?

Report the abuse to the state authorities.

What is the most common breast mass in women?

fibroadenoma

Which occurrence is a biologic indicator of posttraumatic stress disorder (PTSD)?

flashbacks

A nurse is working as part of a team to address the prevention of sexually transmitted infections in the community. Based on the nurse's understanding of the groups at highest risk, the team would most likely focus their efforts on which population?

those under age 25

A postmenopausal client is told at her routine gynecological exam that the primary care provider has found a cyst on her right ovary. The nurse notices that this does not cause worry for this client. What should the nurse and/or care provider tell this client?

"After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise."

A woman diagnosed with breast cancer is to undergo a lumpectomy followed by radiation therapy. When reviewing the treatment plan with the client, the nurse determines that the woman has understood the information based on which client statement?

"After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks."

A woman with uterine prolapse has undergone a vaginal hysterectomy and is being discharged home with an indwelling urinary catheter in place. The client will be using a leg bag during the day. Which instructions would the nurse most likely include in the client's discharge teaching plan? Select all that apply.

"Be sure to empty your leg bag frequently throughout the day." "Clean your perineal area each day with a mild soap and water."

A woman in her sixth month of pregnancy comes in for her first prenatal examination. She reports headache and abdominal pain of several months' duration. She appears somewhat hurried or nervous. What questions would the nurse ask next?

"Do you feel safe at home?"

A client with genital herpes asks the nurse about what to expect with the infection. Which response would be most appropriate?

"Even though you don't have symptoms, you could still spread the infection."

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase three of the cycle of violence?

"He tells me that he is sorry and that he will never hit me again."

A nurse is assessing a client for abuse. Which statement by a client would the nurse interpret as suggesting financial abuse?

"He won't let me go out to find a job."

When screening a client about intimate partner violence, which question by the nurse would be most appropriate?

"How does your partner treat you?"

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?

Abuse in homosexual relationships may go unreported for fear of harassment.

A nurse is caring for a rape victim who was just brought to the local emergency care facility. Which intervention should the nurse perform to minimize risk of pregnancy in this client?

Administer prescribed emergency contraceptive pills.

To properly assist a victim of abuse, which action would be most appropriate for the nurse to do?

Document the details.

A client has undergone a mastectomy for breast cancer. Which instruction should the nurse include in the postoperative client teaching plan?

Elevate the affected arm on a pillow.

The nurse is discussing health care promotion with a client newly diagnosed with genital warts associated with the human papilloma virus (HPV). What preventive measure suggested by the nurse will have the greatest impact on reducing the client's risk of developing vulvar cancer?

Having an annual genital examination performed by a primary health care provider.

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 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 woman is crying because she just recently received the results of her biopsies, and they confirm that she has invasive breast cancer. Which response by the nurse is the most appropriate?

Listen to the woman talk, and remain silent for a while

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Pap smear procedure. 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 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.

A nurse is educating a woman diagnosed with small ovarian cysts on follow-up care. Which instruction would be appropriate?

Schedule ultrasound every 3 to 6 months.

A client who is abused fails to report the abuse primarily because of which reason?

She feels responsible for causing the incident.

A nurse is providing discharge teaching to a client who needs Kegel exercises to strengthen the pelvic floor muscles. Which guideline would be appropriate to teach the client?

Squeeze the muscles in your rectum as when you are trying to prevent passing flatus.

A nurse needs to provide preoperative care to a woman who is undergoing a scheduled hysterectomy. Her diagnosis is uterine fibroids. Which preoperative instruction should the nurse provide?

The client should turn, cough, and deep-breathe.

Which statement is false regarding screening for intimate partner violence in women?

Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics.

The nurse would expect which client to be at a high risk for developing a pelvic support disorder?

a 60-year-old mother with four children

A nurse at the college health care clinic is developing a campaign to educate the students about HPV. She would emphasize that the primary prevention for HPV includes which measure?

administering HPV vaccine

A nurse is preparing a presentation for a group of women who are of age to have children about the risk for cancer during pregnancy. When describing the risk, which cancer would the nurse most likely include as being the most common cancer occurring during pregnancy?

breast

A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer?

clients who have genital warts

A 41-year-old female client arrives at a health care setting reporting dull nipple pain with a burning sensation, accompanied by pruritus around the nipple. The primary care provider suspects mammary duct ectasia. Which prescription should the nurse question?

cool compresses to the affected area

A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?

70%

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 age group diagnosed with an STI.

A pregnant client and her husband are at their first prenatal visit. While performing the admission history, the nurse notes several new and old bruises on the woman's neck and body. She is silent and withdrawn. The husband answers all the questions. Based on these observations, the nurse suspects intimate partner violence. Which is the most appropriate nursing intervention at this time?

Ask the husband to wait in the lobby while the client is being examined.

Mammography is recommended for a client diagnosed with intraductal papilloma. Which factor should the nurse ensure when preparing the client for a mammography?

Client has not applied deodorant on the day of testing.

A 55-year-old client presents to the clinic with persistent vulvar pruritus, burning, and a lump. She states she has had the symptoms for 5 months and has been trying to treat them with over-the-counter creams. She has a history of multiple sexual partners and HPV and is a smoker. What should the nurse do next?

Prepare the client for a biopsy of the lesion.

A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client?

The test is conducted because of abnormal results in Pap smears.

When establishing a rapport with the client, it is important that a nurse remain nonjudgmental, be alert for subtle clues of abuse, and avoid classifying the client as:

a chronic complainer.

The nursing instructor is teaching about urinary incontinence and informs the students that dysfunction of either the bladder, the urethra, or the levator muscle can cause incontinence. She also lists which contributing factors for incontinence? Select all that apply.

fluids such as alcohol and caffeinated and carbonated drinks constipation habitual "preventive" emptying advancing age pregnancy and birth obesity

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

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection. Which assessment finding would be most indicative of trichomoniasis?

green vaginal discharge

A young refugee has come to the clinic for medical care. On examination, the nurse discovers she underwent female genital cutting as a young girl. The nurse recognizes this practice is primarily based on:

her culture.

The nurse is aware of three different phases in the cycle of violence. Which is not one of those phases?

hopeless stage

The nursing student correctly identifies which major causative factor in the development of cervical cancer?

human papillomavirus (HPV)

A 30-year-old client asks the nurse about risk factors for ovarian cancer. Which risk factor should be included in client education?

infertility

On a follow-up visit, a woman who was a victim of rape states that she has joined a rape survivor advocacy group. The nurse interprets this as indicating that the woman is in which phase of rape recovery?

integration and recovery

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?

metronidazole

After teaching a class about intimate partner violence to a group of young adults, the nurse determines that additional teaching is needed based on which statement by the group?

"Women who are battered typically come from lower socioeconomic groups."

A nurse is screening a client for abuse using indirect questions. Which question would the nurse most likely ask?

"Women with your injuries are often abused. Is anything like this happening now?"

A woman with uterine prolapse has undergone a vaginal hysterectomy and is being discharged home with an indwelling urinary catheter in place. The client will be using a leg bag during the day. Which instructions would the nurse most likely include in the client's discharge teaching plan? Select all that apply.

-"Clean your perineal area each day with a mild soap and water." -"Be sure to empty your leg bag frequently throughout the day."

A nurse is interviewing a rape victim who was assaulted 6 month ago. Which questions should the nurse ask the client to know the extent of physical symptoms of PTSD? Select all that apply.

-"Do you have heart palpitations or sweating?" -"Do you ever feel as you are reliving the event?" -"Are you having trouble sleeping?"

A nurse is working with a woman who is a victim of violence. The woman has decided that she is going to leave the relationship. Which instructions by the nurse would be most appropriate? Select all that apply.

-"Let's work on a safety plan so that it is ready for when you leave." -"Remember, it might take you several tries before you succeed." -"I can offer you choices, but you are the one who has to choose."

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 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? Select all that apply.

-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 woman has been given the diagnosis of uterine fibroids. Prescribed treatment consists of gonadotropin-releasing hormone (GnRH). The nurse is teaching her client about the side effects of this medication. Which side effect would be important to include in the explanation?

vaginal dryness

A client has been diagnosed with cervical cancer during her second trimester of pregnancy. She decides to delay treatment until after the baby is born. The nurse prepare her for birth by explaining the birth will most likely be:

via cesarean section.

A client diagnosed with pelvic organ prolapse is prescribed conservative measures to treat the condition. When developing the client's teaching plan, the nurse would include which measures as first line therapy? Select all that apply.

-Kegel exercises -weight loss regimen -avoidance of straining

The nurse is developing a teaching plan for a client diagnosed with genital herpes simplex (HSV). Which would the nurse include? Select all that apply.

-The management of genital herpes includes antiviral therapy. -The need to use good hand washing technique to prevent spread. -Educate the client to abstain from sexual activity until HSV lesions resolve. -The goal is for recurrences to be less frequent over time.

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. -Violence against women in some countries is considered acceptable behavior.

A nurse is participating at a health fair and is presenting information on ways to reduce one's risk for cancer. Which information would the nurse include? Select all that apply.

-annual cholesterol level checks starting at age 45 -alcohol intake of no more than 1 drink per day -blood pressure evaluations at least every 2 years

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 medication is the most effective treatment for trichomoniasis?

metronidazole

A 40-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate?

pelvic organ prolapse

A nurse is explaining to a client that pessaries have been used through the ages as a nonsurgical means of treating pelvic organ prolapse. The nurse describes the pessaries of today as being primarily constructed of:

silicone.

A nurse is conducting a presentation for a local women's group about urinary incontinence. During the presentation, several of the women voice statements about their beliefs related to this condition. Which statements would the nurse identify as misconceptions that need to be corrected? Select all that apply.

-"It is a condition that cannot be prevented." -"It is an inevitable part of aging." -"It is an acceptable part of being a woman."

The nurse is conducting a class on rape prevention for a group of young adult women 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

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 who has experience in caring for women who have been abused knows that goals for a client of abuse may fall into which categories? Select all that apply.

primary prevention secondary prevention tertiary prevention

The postmenopausal woman who has bleeding and spotting and cannot tolerate a endometrial biopsy in the office would have which test done to rule out endometrial cancer?

transvaginal ultrasound

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 client is waiting for the results of an endometrial biopsy for suspected endometrial cancer. She wants to know more about endometrial cancer and asks the nurse about the available treatment options. Which treatment information should the nurse give the client?

Surgery involves removal of the uterus, fallopian tubes, and ovaries; adjuvant therapy is used if relevant.

A nurse is describing the cycle of violence to a group of women at a community clinic. The nurse determines that the women have understood the information when they identify which phase as usually lasting the longest?

tension building

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would demonstrate which behavior?

moderate to severe violence with people both within and outside his family

The nurse working in an OB clinic realizes that a pregnant client who has been abused before can expect to be abused during her pregnancy. What is the strongest predictor that a pregnant woman will be abused during her pregnancy?

prior abuse

Which symptom is an early symptom of vulvar cancer?

pruritus with genital burning

A nurse is providing teaching about lifestyle modifications to address a client's pelvic organ prolapse. The nurse understand that the majority of these changes focus on:

reducing intra-abdominal pressure.

The nurse is reviewing information with a client who was just diagnosed with endometrial cancer. Which treatment option should the nurse review for this diagnosis?

removal of uterus, fallopian tubes, and ovaries

A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?

suicide risk

A nurse is caring for a client with pelvic organ prolapse. As part of the client's workup, the nurse obtains a postvoid residual urine specimen via catheterization. Which specimen amount would lead the nurse to suspect that additional testing will be needed?

120ml

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction?

Apply warm compresses to the affected breast.

The nurse is giving instructions on pessary usage for a client diagnosed with uterine prolapse. Which instruction is important for the nurse to provide?

Call the health care provider if you experience painful urination.

A nurse is conducting a seminar for a local women's group on decreasing the risk factors for cancer. Which guidance would the nurse most likely include?

Choose a low-fat, high-vegetable diet.

A nurse is working in a community hospital situated in an area with a history of grievous assaults on women, including rape. The nurse discovers that most rape victims come to the hospital but leave without seeking medical treatment. Which intervention should the nurse perform to ensure that rape victims get legal and medical aid?

Ensure that the appropriate law enforcement agencies are apprised of the incident.

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

Limit stress and emotional upset as much as possible.

A 45-year-old woman comes into the OB/GYN clinic for her yearly check up. The woman mentions to the nurse that she has a dimpling of the right breast that has occurred in the last 2 weeks. She has not performed a self-breast examination. What assessment would be most appropriate for the nurse to make?

Palpate the area for a breast mass.

A nurse is educating a 25-year-old client with a family history of cervical cancer. Which test should the nurse inform the client about to detect cervical cancer at an early stage?

Papanicolaou test

A woman with ovarian cancer has been told that she is in stage III of the cancer. The nurse is reviewing the information with her. Which statement would help in the woman's understanding of stage III ovarian cancer?

The growth has spread to the lymph nodes and other areas/organs in the abdominal cavity.

When teaching a group of young adult women about the cycle of violence, the nurse would describe which behavior as eventually disappearing as the violence becomes accelerated over time?

apologies for the pain and abuse

Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which component is critical to the success of the plan?

avenues for referral

When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply.

being a 52-year-old female menarche at age 11 BRCA-1 gene

A client has presented reporting symptoms that suggest a gonorrheal infection. After laboratory testing confirms this diagnosis, the nurse anticipates that the client will also be treated for which infection?

chlamydia

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

A young woman is seen in the GYN clinic for a follow-up visit and is told that her recent Pap smear has come back abnormal. Which test can the nurse expect the primary care provider to prescribe for this client?

colposcopy

A nurse is providing care to a client with uterine fibroids who is prescribed a progestin antagonist. Which medication would the nurse most likely expect the client to receive?

mifepristone

A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client?

ovarian cancer