Women's Health Practice Questions

Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)? 1. "The IUD can remain in place for a year or more." 2. "I will not menstruate while the IUD is in." 3. "Pain during intercourse is a common side effect." 4. "The device will reduce my chances of getting infected."

1. "The IUD can remain in place for a year or more." Rationale: IUDs can remain in place for extended periods of time.

A nurse is reading the research article entitled "Efficacy of Informational Letters on hepatitis B Immunization Rates in University Students." In the article, the researchers analyzed the means by which the students learned about the hepatitis B vaccine and compared that information with whether or not the students actually received the vaccine. Table 3-1 describes the data. Which of the following interpretations of the data from Table 3-1 is correct? 1. When one considers those who "read/heard" about the vaccine, there is no significant difference between the percentage of students who received the immunization and those who did not receive the immunization. 2. The likelihood of students who receive the vaccine when they learned about it from the "Health History Form" was about 1.6 times that of the "Health History Form" students who did not receive the vaccine. 3. 44.4% of those who were not vaccinated received their information from "letters." 4. The largest percentage of students who received the vaccine learned about it from the "University Health Service (UHS) providers."

2. The likelihood of students who receive the vaccine when they learned about it from the "Health History Form" was about 1.6 times that of the "Health History Form" students who did not receive the vaccine.

A gravid, married client, 24 weeks' gestation, is found to have bacterial vaginosis.Her health care practitioner has ordered metronidazole (Flagyl) to treat the problem. Which of the following educational information is important for the nurse to provide the woman at this time? 1. The woman must be careful to observe for signs of preterm labor. 2. The woman must advise her partner to seek therapy as soon as possible. 3. The main side effect of the medicine is a copious vaginal discharge. 4. A repeat culture should be taken two weeks after completing the therapy.

1. The woman must be careful to observe for signs of preterm labor. Rationale: Clients with bacterial vaginosis are high risk for preterm labor.

A client has been diagnosed with pubic lice. Which of the following signs/symptoms would the nurse expect to see? 1. Macular rash on the labia. 2. Pruritus. 3. Hyperthermia. 4. Foul-smelling discharge.

2. Pruritus. Rationale: Pruritus is, by far, the most common symptom of pubic lice. Pubic lice, not to be confused with head lice, are commonly called crabs. They are insects, usually sexually transmitted, that invade pubic hair. Although they are not the same as head lice, the pubic infestation is treated with the same pediculocidal shampoos.

The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client. Which of the following data must the nurse consider before administering the medication? 1. The medicine must be administered subcutaneously in the upper arm. 2. The client must be taught to use sunscreen whenever in the sunlight. 3. The medicine is contraindicated if the woman has lung or esophageal cancer. 4. The client must use an alternate form of birth control for the first two months.

2. The client must be taught to use sunscreen whenever in the sunlight. Rationale: Women can develop dark patches on their skin when usingDepo-Provera. The patches often become darker in women who are in the sun without protection. It is strongly recommended that women who use Depo-Provera use sunscreen whenever they are exposed to the sun.

A 19-year-old client with multiple sex partners is being counseled about the hepatitis B vaccination. During the counseling sessions, which of the following should the nurse advise the client to receive? 1. The hepatitis B immune globulin before receiving the vaccine. 2. A vaccine booster every 10 years. 3. The complete series of three intramuscular injections. 4. The vaccine as soon as she becomes 21.

3. The complete series of three intramuscular injections. Rationale: The current recommendation by the Centers for disease control and Prevention (CDC) is that the hepatitis B vaccine series be administered during the neonatal period. For those who have not received the vaccine in infancy, it can be administered at any age. The second and third shots are ad-ministered 1 month and 6 months after the first, respectively.

A postpartum client has decided to use Depo-Provera (medroxyprogesterone acetate) as her contraceptive method. What should the nurse advise the client regarding this medication? 1. Take the pill at the same time each day. 2. Refrain from breastfeeding while using the method. 3. Expect to have no periods as long as she takes the medicine. 4. Consider switching to another birth control method in a year or so.

4. Consider switching to another birth control method in a year or so. Rationale: Many women who use Depo-Provera for over 2 years have been found to suffer from loss of bone density. Some of the changes in bone density may be irreversible.

The nurse in a pediatric clinic is caring for a 9-year-old girl who has been diagnosed with gonorrhea. Which of the following actions is appropriate for the nurse to take? 1. Notify the physician so the child can be admitted to the hospital. 2. Discuss with the girl the need to stop future sexual encounters. 3. Question the mother about her daughter's menstrual history. 4. Report the girl's medical findings to child protective services.

4. Report the girl's medical findings to child protective services. Rationale: Any time a sexually transmitted disease is discovered in a minor, the nurse has the legal obligation to report the finding to a child protection agency. In addition, if required by law, the health department should also be notified in order to track and follow up on sexually transmitted infections.

The nurse is teaching a client regarding the treatment for pubic lice. Which of the following should be included in the teaching session? 1. The antibiotics should be taken for a full 10 days. 2. All clothing should be pretreated with bleach before wearing. 3. Shampoo should be applied for at least 2 hours before rinsing. 4. The pubic hair should be combed after shampoo is removed.

4. The pubic hair should be combed after shampoo is removed. Rationale: To remove the nits or eggs, the pubic hair should be combed with a fine-toothed nit comb after the shampoo is removed

A nurse is reading a research article on the incidence of sexually transmitted diseases in one population as compared with a second population. The relative risk(RR) is reported as 0.80 and the 95% confidence interval (CI) is reported as 0.62 to1.4. How should the nurse interpret the results? 1. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless. 2. A 95% confidence interval is a statistically significant finding. 3. A relative risk of 0.80 is moderately powerful. 4. Because there is no P value reported for the CI, the nurse is unable to make any conclusions about the data.

1. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless. Rationale: Relative risk connotes the probability of an experimental event occurring in relation to the control. An RR 1 means that the rate of an experimental event occurring is the same as the rate of the control event occurring. An RR 1 means that the rate of an experimental event occurring is less than the rate of the control event occurring. An RR 1means that the rate of an experimental event occurring is greater than the rate of the control event occurring.

The parent of a newborn angrily asks the nurse, "Why would the doctor want to give my baby the vaccination for hepatitis B. It's a sexually transmitted disease, you know!" Which of the following is the best response by the nurse? 1. "The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy." 2. "It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older." 3. "Hepatitis B can be a life-threatening infection that is contracted by contact with blood as well as sexually." 4. "Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases."

3. "Hepatitis B can be a life-threatening infection that is contracted by contact with blood as well as sexually." Rationale: Hepatitis B is a very serious disease that can be transmitted sexually or via contact with blood and blood products. The vaccine is given in infancy to prevent future infections.

A nonpregnant young woman has been diagnosed with bacterial vaginosis (BV). The nurse questions the woman regarding her sexual history, including her frequency of intercourse, how many sexual partners she has, and her use of contraceptives. What is the rationale for the nurse's questions? 1. Clients with BV can infect their sexual partners. 2. The nurse is required by law to ask the questions. 3. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women. 4. The laboratory needs a full client history in order to know for which organisms and antibiotic sensitivities it should test.

3. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women. Rationale: This statement is true. The change in normal flora increases the woman's susceptibility to other organisms.