womens
A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse? "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later." "No spermicide is used with the cervical cap, so it's less messy." "The diaphragm can be left in place longer after intercourse." "Repeated intercourse with the diaphragm is more convenient."
Correct! "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later."
The nurse escorts an Ethiopian woman to an office for a first time appointment with the provider. It says on her chart that she made the appointment to discuss a "woman's problem" with a provider. The nurse taking a patient history seeks to observe cultural values and appropriately asks: "Is your problem of the breast, uterus, or vagina?" "What do you call your problem?" "Do you need extra time to change into the patient gown?" "Are you able to provide a urine sample before changing for an exam?"
Correct! "What do you call your problem?"
Risk factors to develop breast cancer are cumulative. Which of the following patients has the highest risk to develop breast cancer? 21 yr old, mother diagnosed with breast cancer 55 yr old, has BRCA 1 gene mutation 60 yr old, never had children 62 yr old, obese
Correct! 55 yr old, has BRCA 1 gene mutation
Which contraceptive method best protects against STIs and HIV? Barrier methods Hormonal methods Same protection with all methods Periodic abstinence
Correct! Barrier methods
The leading cause of death for women in the U.S. and globally is... Infection or sepsis Diabetes Cardiovascular disease Hemorrhage
Correct! Cardiovascular disease
Pelvic inflammatory disease is diagnosed when someone presents with severe abdominal pain and on exam is found to have: Cervical motion tenderness and purulent cervical discharge Erythematous rash on perineum and abdominal/pelvic tenderness Hirsutism and fever Amenorrhea and green vaginal discharge
Correct! Cervical motion tenderness and purulent cervical discharge
Post radical mastectomy, including the left breast and dissection of axillary lymph nodes from the left side, the nurse implements strategies to minimize risk for patient development of lymphedema through the following: Communicate with the patient and provider team to avoid blood draws from the left arm Educate patient on the need to place the arm in a dependent position below heart level To enhance "compression" and limit swelling, place the B/P cuff on the patient's left arm Improve circulation and drainage through consistent use of hand weights of 20 lbs or over during the first 4 post operative weeks
Correct! Communicate with the patient and provider team to avoid blood draws from the left arm
Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse first take when meeting with a new client to discuss contraception? Determine the woman's level of knowledge concerning contraception and her commitment to any particular method. Obtain data about the frequency of coitus Assess the woman's willingness to touch her genitals and cervical mucus Evaluate the woman's contraceptive life plan
Correct! Determine the woman's level of knowledge concerning contraception and her commitment to any particular method.
If consistently and correctly used, which of the barrier methods of contraception has the lowest failure rate? Diaphragms used with spermicide Male condoms Female Condoms Spermicides
Correct! Diaphragms used with spermicide
A woman who has exploratory surgery and is found to have endometrial tissue outside her uterus is going to be diagnosed with what condition? Endometriosis Endometritis Pelvic Inflammatory Disease Uterine leiomyomas
Correct! Endometriosis
Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse? Family planning Birth control Contraception Assisted Reproductive Technology
Correct! Family planning
The following medication is NOT contraindicated during pregnancy: Heparin Ibuprofen Coumadin Isotretinoin
Correct! Heparin
A recently graduated nurse is attempting to understand the reason for increasing health care spending in the United States. Which information gathered from her research best explains the rationale for these higher costs compared with other developed countries? Homogeneity of the population Increased use of health care services along with lower prices Limited access to technology Higher rate of obesity among pregnant women
Correct! Higher rate of obesity among pregnant women
Importantly, the nurse must be aware of which information related to the use of IUDs? IUDs containing copper can provide an emergency contraception option if inserted within five days of unprotected intercourse Return to fertility can take several weeks after the device is removed IUDs offer the same protection against STIs as the diaphragm Consent forms are not needed for IUD insertion
Correct! IUDs containing copper can provide an emergency contraception option if inserted within five days of unprotected intercourse
The following vaccines are included in the recommendations for all pregnant women: Hepatitis B and Pneumococcal HPV and HZV Influenza and TdaP VAR and MMR
Correct! Influenza and TdaP
Which statement regarding the term contraceptive failure rate is the most accurate? It varies from couple to couple, depending on the method and the users The contraceptive failure rate increases over time as couples become more careless It refers to the minimum rate that must be achieved to receive a government license The contraceptive failure rate refers to the percentage of users expected to have an accidental pregnancy over a 5-year span
Correct! It varies from couple to couple, depending on the method and the users
A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage. Based on this information, what family form best describes this family? Married-blended family Extended family Nuclear family Same-sex family
Correct! Married-blended family
To minimize the risk for developing urinary incontinence, women are provided with instructions for performing the following exercises: Core: Abdomen Pelvic Floor Exercises Pelvic Rock Thigh toning
Correct! Pelvic Floor Exercises
A patient who presents with chronic amenorrhea and has an ongoing problem with acne may be at risk for what gynecologic disorder? Polycystic Ovarian Syndrome Uterine fibroids Endometriosis Cervical Cancer
Correct! Polycystic Ovarian Syndrome
Which methods help alleviate the problems associated with access to health care for the maternity client? Provide transportation to prenatal visits. Provide child care to enable a pregnant woman to keep prenatal visits increase the number of providers that will care for Medicaid clients Provide low-cost or no-cost health care insurance Provide job training.
Correct! Provide transportation to prenatal visits. Correct! Provide child care to enable a pregnant woman to keep prenatal visits Correct! Increase the number of providers that will care for Medicaid clients Correct! Provide low-cost or no-cost health care insurance Provide job training.
The following are known risks for the development of cervical cancer: (SELECT ALL THAT APPLY): Sex as a teenager Many sex partners Infection with human papilloma virus Family history of cervical cancer
Correct! Sex as a teenager Correct! Many sex partners Correct! Infection with human papilloma virus Correct! Family history of cervical cancer
A woman will be taking oral contraceptives using a 28-day pack. What advice should the nurse provide to protect this client from an unintended pregnancy? Limit sexual contact for one cycle after starting the pill Use condoms and foam instead of the pill for as long as the client takes an antibiotic Take one pill at the same time every day Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle
Correct! Take one pill at the same time every day
Commonly noted benign conditions of the breast are fibrocystic breasts and fibroadenomas of the breast. True False
Correct! True
A neighborhood friend confides in you that she is concerned over being able to express a clear to milky colored nipple discharge from both of her nipples. As a nurse, you understand that... this is likely Galactorrhea and could indicate an underlying condition of the pituitary gland this is a common finding in those with breast cancer this is a symptom that accompanies those with duct ectasia and you ask if she is also experiencing burning or itching this is a routine characteristic of fibrocystic breasts
Correct! this is likely Galactorrhea and could indicate an underlying condition of the pituitary gland
Your patient is pregnant for the third time. She has had no abortions, one delivery at 38 weeks and one preterm delivery (delivery before 37 weeks). She has two living children. Using the five‑digit GTPAL system, select the correct description of her obstetric history. G2, T2, P0, A1, L2 G1, T2, P0, A2, L2 G2, T1, P2, A0, L2 G3, T1, P1, A0, L2
G3, T1, P1, A0, L2
Which of the following is NOT classified as a TORCH infection: Group B streptococcus Human immunodeficiency Virus Hepatitis B Rubella
Group B streptococcus
You are making a routine follow-up call to a woman who gave birth 6 days ago. She starts crying and says that she is exhausted, can't stop crying and doesn't want to get dressed. You tell her: I think you feel this way because of the postpartum blues. Most women have this happen sometime in the first couple of weeks after birth. You should start to feel better in a few days. Who can you ask for help in the meantime? This sounds like postpartum anxiety. Let me make an appointment for you to come see the nurse-midwife to talk about starting an antianxiety medication for you. I am concerned that you have postpartum depression. Are you having trouble bonding with your baby? Get dressed! You will feel better if you take a shower and put on something that isn't pajamas or maternity clothes!
I think you feel this way because of the postpartum blues. Most women have this happen sometime in the first couple of weeks after birth. You should start to feel better in a few days. Who can you ask for help in the meantime?
