RN: EVOLVE Sexuality
Which client statement indicates the need for further teaching regarding safe sexual practices related to their diagnosis of AIDS
"I can participate in anal intercourse safely without using condoms"
Which client statement leads the nurse to conclude that the client has been experiencing menorrhagia?
"I have severe bleeding during my menstrual periods?
Which statement would the nurse include in the teaching plan of a client anticipating discharge with AIDS?
"Was used dishes in hot, soapy water"
Which response would the nurse make when a female client confides to the nurse that she enjoys engaging in sex with multiple male adult sex partners simultaneously?
"What are you using for birth control and protection from sexually transmitted infections?"
A 16-year-old high school student comes to a community health center because of the fear of having contracted herpes. The teenager is upset and shares this information with the community health center nurse. Which response would the nurse provide?
"You sound worried. Let me make arrangements to have you examined"
Arrange the stages of the menstrual cycle in sequential order
1. Follicular phase 2. Ovulation 3. Follicular involution 4. Feedback mechanism
Arrange in order of occurrence the steps involved in the changes during puberty.
1. Triggering of GnRH by the hypothalamus 2. Movement of GnRH through a network of capillaries to the anterior pituitary gland. 3. Stimulation of production and secretion of FSH and LH 4. Stimulation of the gonadal response
Which is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?
130 pg/mL
At which age do males typically reach their peak height growth velocity?
14 years
The school nurse would teach the students that the ovum is no longer viable at which time interval after ovualtion?
24 hours
Which value indicates a normal vaginal pH?
4.2
Which chromosomal abnormality would the nurse suspect in a male adolescent with reduced muscle mass, minimally developed secondary sex characteristics and gynecomastia?
47, XXY
How long will a clients ovum stay viable for fertilization after its release?
72 hours
Which client is at higher risk for contracting HIV?
A client who shares equipent to snort or smoke drugs
Whe clinic nurse is planning care for a client with chlamydia. Which treatment would the nurse anticipate implementing?
Administration of 1 g of azithromycin orally in a single dose
Which term is used to indicate an absence of menstruation?
Amenorrhea
Which term would the nurse use in a report to describe the absence of menstrual periods in a 35-year-old non pregnant client
Amenorrhea
Which client may have concerns related to sexuality when hospitalized with a chronic illness?
An 18 year old
Which are the medical concerns in adolescent pregnancies?
Anemia Poor maternal weight gain Pregnancy-induced hypertension
Which statement is true for attachment in the newborn?
Attachment is the interaction between parent and child
Which medication of choice would be prescribed for a client who is diagnosed with chlamydia?
Axithromycin
Which medication of choice would be prescribed for a breast-feeding teenage mother diagnosed with syphilis?
Benzathine penicillin
Which statement describes gynecomastia?
Bilateral or unilateral enlargement of breast in adolescent boys An unusual physical change during groth and development of sexual organs
Which event is considered the first sign of puberty in girls?
Breast development
Which transformations occur during the mid-puberty stage of a normally developing adolescent female?
Breast enlargement and the growth of pubic hair
Which infection is the most common cause of ophthalima neonatorum in infants?
Chlamydia
Which sexually transmitted infection (STI) is most commonly reported?
Chlamydia
When caring for a transgender client, which factor would the nurse use to decide how to address the client?
Client's preference
Which complication would the nurse suspect in a client with genital herpes disease?
Cold Sores
Which complication would the nurse suspect in a client with genital herpes disease?
Cold sores
Which behavior pattern may be exhibited by teenagers in late adolescence?
Concealed temper Consistent emotions
Which medication may cause malformations of the male external genitalia?
Dutasteride
An adolescent male complains of painful urination and yellow-green mucosal discharge from the urethra without abdominal pain. Which condition would the nurse suspect?
Epididymitis
An adolescent reports scrotal pain, redness, dysuria and fever. The client is most likely experiencing?
Epididymitis
Which initial action would the nurse take when a client is seen openly masturbation in the recreation room?
Escorting the client from the room
A client is undergoing highly active antiretroviral therapy (HAART). Which viral disease could the client be suffering?
HIV
Which sexually transmitted infection causes condylomata acuminate?
HPV
A young pregnant adolescent is diagnosed with an ectopic pregnancy. Which risk factors contribute to ectopic pregnancy?
Habit of smoking Damage to fallopian tubes History of pelvic inflammatory disease
Which diagnostic criterion would the nurse use to explain AIDS to a client with HIV?
Has a CD4+ T-cell lymphocyte level less than 200 cells/uL (60%)
Which factor may be responsible for excessive hair growth in the pubic region and under the arms of a female adolescent?
Hight levels of estrogen
Which gland secretes gonadotropin-releasing hormone to help control the events of puberty?
Hypothalamus
Which cause may produce abnormal uterine bleeding?
Hypothyroidism Failure to ovulate Bleeding disorders Unidentified pregnancy Use of oral contraceptives Benign lesions of the uterus
Which test helps identify reproductive tract fibroids, tumors, and fistuals
Hysterosalpingography
Which statement by a male client dring a yearly physical examination indicates to nurse that the client may have a sexual excitement disorder?
I don't get hard during sex anymore
Which important information would the nurse determine regarding the care provided by a mother diagnosed with AIDS who has been caring for her baby despite not feeling well?
If the mother is breast-feeding her baby
Which potential complication is important for the nurse to include when teaching prevention strategies to clients with HIV?
Infection
Which conclusion would the school nurse make about a female teenager who has anorexia nervosa and states that she thinks she is pregnant even though she has had intercourse only once, more than a year ago?
Is lacking knowledge that the disease can cause amenorrhea
Which gonadotropin-releasing hormone agonist is used to treat endometriosis?
Leuprolide Nafarelin acetate
Which method of contraception may provide adolescents with the longest duration of protection>
Levonorgestrel intrauterine system
Which method of contraception may provide adolescents with the longest duration of protection?
Levonorgestrel intrauterine system
Which statement about levonorgestrel requires correction?
Levonorgestrel is taken in combination with methotrexate
A deficiency in which hormone causes breast atrophy in female clients?
Luteinizing hormone
Which over-the-counter medication is used to treat vulvovaginal candidiasis
Miconazole Clotrimazole
The nurse understands which is the medication of choice for a client who wants to abort her pregnancy at 3 months gestation?
Mifepristone
Arrange the events of an examination of a rape victim for a sexually transmitted infection in correct order.
Nucleic acid amplified testing for chlamydia and gonorrhea Wet mount and culture or point-of-care testing of a vaginal swab specimen for trichomoniasis Serum sample for HIV infection, Hep B, and syphilis Repetition of serological tests for syphilis and HIV infection
Which nursing action would a nurse take to confirm a tentative diagnosis of gonorrhea when obtaining the health history of a 16-year-old boy with a complaint of thick urethral discharge?
Obtaining a urethral specimen for a culture
Which part of the female reproductive system produces testosterone?
Ovary
Which part of the female reproductive system secretes androgens?
Overies
Which structure indicated in the figure is the primary reproductive organ of the female?
Overies
Which viral infection will cause the nurse to observe for warts on the hands, feet, or genitals?
Papillomavirus
Which therapy is indicated for a client admitted to the hospital after general pareses develops as a complication of syphilis?
Penicillin therapy
Which structure is included in the external genitalia of the male anatomy?
Penis Scrotum
Which structure is included in the external genitalia of the male anatomy?
Penis Scrotum
Which organism is responsible for causing dermatitis related to a STI?
Phthirus pubis
Which phase of a woman's sexual response is characterized by elevation of the uterus?
Plateau phase
Which congenital disorder may be present in an obese adolescent who has short stature, is hyperphagic and is diagnosed with hypogonadism
Prader-Willi syndrome
Which hormone is crucial in maintaining the implanted ovum at its site?
Progesterone
The nurse is teaching a birthing/ prenatal class about breast feeding. which hormone stimulates the production of milk during lactation?
Prolactin
Which age-related finding would a nurse expect when performing a male reproductive system assessment of an older adult client?
Reduced size of testes
Which risk of adolescent pregnancy would the community nurse teach?
Risk for premature birth
Which point is included in the World Professional Association for Transgender Health document regarding core principals of care for transgender clients?
Seeking informed consent before providing treatment
Which risk to the fetus is associated with a maternal diagnosis of chorioamnionitis?
Sepsis Bacteremia Pneumonia Cerebral palsy Respiratory distress syndrome
Which complication will occur as the result of administering sildenafil to a client who takes isosorbide dinitrate?
Sever hypotension
Which stage of HIV would a client with CD4+ T cell count of 325 cells/mm3 be classified?
Stage 2
Which immediate action would the nurse take for an adolescent boy with schizophrenia who exposes his genitals to a nurse?
State that this behavior is unacceptable
Which adolescent behavior increases the risk of injury?
Substance Abuse Unprotected sex
Why is an infection caused by Neisseria gonorrhoeae particularly troublesome for a female client?
Symptoms are often overlooked
Which sexually transmitted infection is caused by Treponema pallidum?
Syphilis
Which priority objective would the nurse add to the plan of care for a male client who is withdrawn, shy, has low self-esteem and is afraid to talk to members of the opposite sex?
The client will increase his self-esteem
A medication is administered to a client in her third trimester of pregnancy. Which statement regarding the medication administration is correct?
The dose of a medication may need to be increased for pregnant clients.
Which medication is responsible for neonatal hypoglycemia?
Tolbutamide
Which terms might the nurse use to describe a client who was born a man but lives as a woman?
Transgender Transwoman
Which organism would the nurse identify as causing syphilis?
Treponema pallidum
Which sexually transmitted infection is caused by protozoa?
Trichomoniasis
Which organization has a publication that includes the objective, :Aiming to develop a system to identify clients who are lesbian, gat, bisexual, trans, and queer/ questioning (LGBTQ+)?
U.S. Department of Health and Human Services (USDHHS)
Which medication may be used for emergency contraception?
Ulipristal Levonorgestrel
Which intervention would the nurse recommend to relieve symptoms of a yeast infection?
Using a sitz bath
Which statement describes varicocele?
Varicocele occurs most often on the left side.
Which population would the nurse include in a community education session on sexually transmitted infections?
Adolescents Homosexual men Transgender clients Multiple sex partners Intravenous drug users
Which term refers to the Cowper gland?
Bulbourethral
Which nutrient deficiency in the pregnant adolescent may result in decreased birthweight as a consequence of low bone mineral density in the fetus
Calcium
Which additional fact would the nurse teach the client with gonorrhea in addition to being highly infectious?
Can produce sterility
Which herbal therapies would be beneficial to a client with menstrual cramping?
Catnip Fennel Black haw
Which sexually transmitted infection is caused by Chlamydia trachomatis?
Cervicitis
Which method is a barrier type of contraception?
Condom Diaphragm Lea's shield
Which sexually transmitted infection is cause by human papillomavirus?
Condylomata acuminata
The nurse understands which medication places a clients offspring at risk for vaginal cancer
Diethylstilbestrol
Which issue must be adressed before a client with syphilis can be treated?
Existence of allergies
Which vaccine is used to prevent human papilloma virus infection?
Gardasil
Which sexually transmitted infection is caused by a virus?
Genital warts
Which manifestation indicates tertiary syphilis?
Gummas
Which factor influences acne in adolescent women the most?
Hormonal imbalance
Which manifestation is associated with hypoestrogenism?
Hot flashes Amenorrhea Reduced bone density
Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?
Human chorionic gonadotropin (hCG)
Which hormone is crucial for ovulation and complete maturation of the ovarian follicles?
Luteinizing hormone
Fallopian tubes
Massages the overies
Which structure is removed during circumcision?
Prepuce
Which structure of the penis would the nurse tell the parents is removed when educating new parents about circumcision?
Prepuce
A young pregnant adolescent is diagnosed as having bacterial vaginosis. Which complications related to bacterial vaginosis may occur?
Preterm labor and birth Intraamniotic infection Postpartum endometritis
Which identity may fail to develop if an adolescent lacks physical evidence of maturity?
Sexual
Which is the priority intervention for a 13-year-old who reports that she has been sexually abused by her grandfather for almost 2 years?
Providing a safe, nonjudgmental environment
On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time?
Quickening
Which gland helps in lubricating the female urinary meatus
Skene glands
A medication is administered to a client in her 3rd trimester of pregnancy. Which statement is correct:?
The dose of the medication may need to be increased for pregnant clients.
The waiting area of a health care facility displays a pink triangle. Which view does this signify?
The health care facility welcomes LGBTQ+
Which sexually transmitted infection is caused by bacteria?
Syphilis Gonorrhea