411 Practice Questions Test 1

How should the nurse counsel a postpartum client on how to prevent mastitis? "If you notice that your breast is warm, hard, or red, stop feeding on that side and pump from that breast instead." "Be sure to keep your breasts covered when you are not feeding or pumping." "Wash your hands thoroughly, and let your breasts dry after each feeding." "Sterilize your bottles and pump equipment after each use."

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

The nurse is working with and teaching a young couple at the infertility clinic who have been trying to get pregnant for the past year. What percentage of couples are noted to get pregnant after trying during the proper time within the year? 75% to 80% 80% to 85% 70% to 75% 85% to 90%

85% to 90%

you should not take oral contraceptives if you have a history of ___

DVT

A woman at 34 weeks' gestation presents to labor and delivery with vaginal bleeding. Which finding from the obstetric examination would lead to a diagnosis of placental abruption (abruptio placentae)? Onset of vaginal bleeding was sudden and painful Fetus is in a breech position Uterus is soft between contractions Sonogram shows the placenta covering the cervical os

Onset of vaginal bleeding was sudden and painful

Genital warts are caused by the human papillomavirus (HPV). True False

True

The absence of menses is called _____________.

amenorrhea

true contractions start in the _____

back

A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent? doxycycline acyclovir podophyllum resin ceftriaxone

doxycycline

Screening for endometrial cancer is routinely performed. true or false

false

What would be the physiologic basis for a placenta previa? a uterus with a midseptum a placenta with multiple lobes low placental implantation a loose placental implantation

low placental implantation

Common side effects of oral contraceptives

nausea and bleeding

________ placenta previa occurs when the internal cervical os is completely covered by the placenta.

total

the chorion and amnion form the amniotic sac

true

At 24 weeks' gestation, a client's 1-hour glucose tolerance test is elevated. The nurse explains that, based on this finding, the client will need to take which action? Daily insulin injections for gestational diabetes Daily fingersticks for a fasting blood glucose level Monthly hemoglobin A1C levels to rule out diabetes A 3-hour glucose tolerance test for follow-up

A 3-hour glucose tolerance test for follow-up

During an examination, a client at 32 weeks' gestation becomes dizzy, lightheaded, and pale while supine. What should the nurse do first? Take the client's blood pressure. Ask the client to breathe deeply. Listen to fetal heart tones. Turn the client on her left side.

Listen to fetal heart tones.

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? gonorrhea syphilis human immunodeficiency virus Candida albicans

gonorrhea

A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a "silent killer"? ovarian cancer cervical cancer endometrial cancer vaginal cancer

ovarian cancer

A woman at 31 weeks' gestation presents to the emergency department with bright red vaginal bleeding, reporting that the onset of the bleeding was sudden and without pain. Which diagnostic test should the nurse prioritize? Nonstress test A transvaginal ultrasound Electronic fetal monitoring A digital cervical exam

A transvaginal ultrasound

A nurse is teaching a woman with urinary incontinence about foods and fluids that are considered bladder irritants. The nurse determines that additional teaching is needed when the woman identifies which substance as an irritant? apple juice chocolate watermelon tomatoes

apple juice

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? assessing fetal heart tones by use of an external monitor helping the woman remain ambulatory to reduce bleeding assessing uterine contractions by an internal pressure gauge performing a vaginal examination to assess the extent of bleeding

assessing fetal heart tones by use of an external monitor

A nurse is providing education to a client who is 8 weeks' pregnant. The client stated she does not like milk. What is a source of calcium that the nurse can recommend to the client? deep red or orange vegetables meat, poultry, and fish white bread and rice dark, leafy green vegetables

dark, leafy green vegetables

condylomata

genital warts (HPV)

A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy? high number of pregnancies multiple gestation pregnancy use of oral contraceptives history of endometriosis

history of endometriosis

the centimeters and the weeks should be ______

identical

When caring for a client with lactose intolerance, the nurse would be aware of which potential problem during pregnancy? inadequate protein for muscle development inadequate calcium for skeletal growth inadequate iron for red blood cell production inadequate folate for neural tube closure

inadequate calcium for skeletal growth

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable spontaneous abortion (miscarriage)? no passage of fetal tissue strong abdominal cramping slight vaginal bleeding closed cervical os

strong abdominal cramping

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation. 4, 1, 1, 1, 1 3, 2, 1, 1, 1 4, 2, 2, 1, 1 3, 2, 1, 2, 1

4, 1, 1, 1, 1

During pregnancy a woman's blood volume increases to accommodate the growing fetus to the point that vital signs may remain within normal range without showing signs of shock until the woman has lost what percentage of her blood volume? 40% 30% 20% 50%

40%

A client is being discharged from the gynecological unit after treatment for acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include? Provide the client with brochures on sexually transmitted infection prevention. Refer the client to the women's sexual health clinic. Discuss the necessity of completing the antibiotic therapy. Arrange for follow-up visits to her health care provider.

Discuss the necessity of completing the antibiotic therapy.

Fibrocystic breast changes are most common in women post menopause. true or false

False

screening for endometrial cancer is routinely performed True False

False

Cervical ____________ is the precursor to cervical cancer.

dysplasia

diplopia is seen in _______ patients

pre eclampsia

The following hourly assessments are obtained by the nurse on a client with preeclampsia receiving magnesium sulfate: 97.3oF (36.2oC), HR 88, RR 12 breaths/min, BP 148/110 mm Hg. What other priority physical assessments by the nurse should be implemented to assess for potential toxicity? reflexes lung sounds magnesium sulfate level oxygen saturation

reflexes

A woman in week 16 of her pregnancy calls her primary care provider's office to report that she has experienced abdominal cramping, vaginal spotting, and the passing of tissue. The nurse instructs the client to bring the passed tissue to the hospital with her. What is the correct rationale for this instruction? to determine the stage of development of the fetus to determine whether infection is present to determine whether gestational trophoblastic disease is present to determine whether the fetus is viable

to determine whether gestational trophoblastic disease is present

A client has undergone a mastectomy for breast cancer. Which instruction should the nurse include in the postoperative client teaching plan? Restrict intake of medication. Breathe rapidly for an hour. Elevate the affected arm on a pillow. Avoid moving the affected arm in any way.

Elevate the affected arm on a pillow.

At a prenatal checkup with a client at 7 weeks' gestation, the nurse would identify what as a normal finding? Fetal heart sounds are heard. Gender identity is determined with ultrasound. Quickening is detected by the mother. The fetus would have a startle reflex.

Fetal heart sounds are heard.

A pregnant woman has been admitted to the hospital due to preeclampsia with severe features. Which measure will be important for the nurse to include in the care plan? Plan for immediate induction of labor. Admit the client to the middle of ICU where she can be constantly monitored. Institute and maintain seizure precautions. Institute NPO status.

Institute and maintain seizure precautions.

A pregnant woman states that she would like to take a tub bath but has heard from her aunt that this could be dangerous to the baby. Which instruction should the nurse give to the client? Avoid tub baths at all times during pregnancy, as they may be dangerous for the fetus. Tub baths are fine, but avoid using soap, as this may prove a teratogen to the fetus. Long soaks in very hot water are encouraged during pregnancy to promote relaxation. Tub baths are fine unless you are unstable on your feet or are experiencing vaginal bleeding.

Tub baths are fine unless you are unstable on your feet or are experiencing vaginal bleeding.

A nurse is assessing pregnant clients for the risk of placenta previa. Which client faces the greatest risk for this condition? a 23-year-old multigravida client a client with a history of alcohol use disorder a client who had a myomectomy to remove fibroids a client with a structurally defective cervix

a client who had a myomectomy to remove fibroids

The nurse discovers a new prescription for Rho(D) immune globulin for a client who is about to undergo a diagnostic procedure. The nurse will administer the Rho(D) immune globulin after which procedure? nonstress test amniocentesis contraction stress test biophysical profile

amniocentesis

___________ is routinely offered to all older pregnant women for early detection of chromosomal abnormalities.

amniocentesis

oliguria is _______

less than 30 ml an hour seen in preeclampsia

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication? penicillin G fluconazole miconazole metronidazole

metronidazole

A pregnant client diagnosed with hyperemesis gravidarum is prescribed intravenous fluids for rehydration. When preparing to administer this therapy, which solution would the nurse anticipate being prescribed initially? normal saline albumin dextrose 5% and water 0.45% sodium chloride

normal saline

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? "I'll have a portion of my breast removed, and then they'll do high-dose radiation in the operating room." "After the lumpectomy, I'll have to wait about 6 months before I can begin to receive the radiation." "The radiation will be targeted to the area near my underarm to get at the lymph nodes." "After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks."

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

The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client? "You may crush or chew this tablet if you have difficulty swallowing medications." "We need to complete a pregnancy test first, to be sure you can take this medication." "Once you are healed, you need to come back to get the human papillomavirus (HPV) vaccination." "Avoid alcohol consumption for at least 24 hours after you take this medication."

"Avoid alcohol consumption for at least 24 hours after you take this medication."

The nurse is caring for a client diagnosed with candida vaginitis. The nurse knows additional teaching is needed when the client makes which statement? "Eating yogurt can may help limit future infections." "Douching is an effective way to cleanse the vaginal area after intercourse." "I should wear cotton underwear to prevent future infections." "Low blood sugar levels are a way to control vaginal infections." SUBMIT ANSWER

"Douching is an effective way to cleanse the vaginal area after intercourse."

The nurse is completing the teaching for a newly pregnant client with a BMI of 23. Which statement by the client indicates an understanding of weight gain during this pregnancy? "I need to gain less than 25 pounds (11 kg) during this pregnancy." "I need to gain 25 to 35 pounds (11 to 16 kg) during this pregnancy." "I need to gain 1 pound (0.45 kg) per week throughout this pregnancy." "I need to gain 0.5 pounds (0.23 kg) per week during this pregnancy."

"I need to gain 25 to 35 pounds (11 to 16 kg) during this pregnancy."

The nurse is teaching a client with gestational diabetes about complications that can occur either following birth or during the birth for the infant. Which statement by the mother indicates that further teaching is needed by the nurse? "My baby may be very large and I may need a cesarean birth to have him." "Beginning at 28 weeks' gestation, I will start counting with my baby's movements every day." "I may need an amniocentesis during the third trimester to see if my baby's lungs are ready to be born." "If my blood sugars are elevated, my baby's lungs will mature faster, which is good."

"If my blood sugars are elevated, my baby's lungs will mature faster, which is good."

A couple is deciding about contraceptive measures. The male partner has decided to undergo a vasectomy. After teaching the client about this procedure, which client statement indicates the need for additional teaching? "I will be able to go back to work in a day or two." "I will be awake and will get local anesthesia." "I will have this done in my urologist's office." "Right after surgery, my semen will be sperm-free."

"Right after surgery, my semen will be sperm-free."

The nurse is teaching a prenatal class about preparing for their expanding families. What is helpful advice from the nurse? "Caring for your new infant is instinctual and will come naturally to you." "Your old coping methods will adequately get you through this period of adjustment." "Expect your other children to react positively to their new brother/sister." "The hormones of pregnancy may cause anxiety or depression postpartum."

"The hormones of pregnancy may cause anxiety or depression postpartum."

A client in her first trimester arrives at the emergency room with reports of severe cramping and vaginal spotting. On examination, the health care provider informs her that no fetal heart sounds are evident and orders a dilatation and curettage (D&C). The client looks frightened and confused and states that she does not believe in induced abortion (medical abortion). Which statement by the nurse is best? "You have experienced an incomplete abortion (miscarriage) and must have the placenta and any other tissues cleaned out." "The choice is up to you but the health care provider is recommending an induced abortion (medical abortion). "Unfortunately, the pregnancy is already lost. The procedure is to clear the uterus to prevent further complications." "I know that it is sad but the pregnancy must be terminated to save your life."

"Unfortunately, the pregnancy is already lost. The procedure is to clear the uterus to prevent further complications."

A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week? 2/3 lb (0.30 kg) 2 lb (0.90 kg) 1.5 lb (0.68 kg) 1 lb (0.45 kg)

1 lb (0.45 kg)

A student nurse asks the instructor what percentage of clinically recognized pregnancies end in miscarriages during the first trimester. Which response from the nurse is the most accurate? 15% to 20% 5% to 10% 21% to 30% 31% to 40%

15% to 20%

A nurse is teaching a pregnant woman how to perform fetal movement (kick) counts. The nurse determines that the teaching was successful when the client states that she will call her health care provider if it takes longer than what time frame to reach 10 kicks? 3 hours 2 hours 4 hours 1 hour

2 hours

The recommended amount of weight gain during pregnancy is ____ to _____ pounds.

25-35

A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every: 1 week. 2 weeks. 4 weeks. 3 weeks.

4 weeks.

A primipara at 36 weeks' gestation is being monitored in the prenatal clinic for risk of preeclampsia. Which sign or symptom should the nurse prioritize? Weight gain of 1.2 lb (0.54 kg) during the past 1 week Pedal edema A dipstick value of 2+ for protein A systolic blood pressure increase of 10 mm Hg

A dipstick value of 2+ for protein

A client reporting she recently had a positive pregnancy test has reported to the emergency department stating one-sided lower abdominal pain. The health care provider has prescribed a series of tests. Which test will provide the most definitive confirmation of an ectopic pregnancy? Qualitative human chorionic gonadotropin (hCG) test Quantitative human chorionic gonadotropin (hCG) test Pelvic examination Abdominal ultrasound

Abdominal ultrasound

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which nursing intervention may help foster the client's self-esteem? Schedule an appointment for follow-up care. Explain the cause of the sexually transmitted infection (STI). Affirm the client's good judgment in seeking treatment. Provide the client with a telephone number for obtaining accurate information.

Affirm the client's good judgment in seeking treatment.

A client in the third trimester of pregnancy has to travel a long distance by car. The client is anxious about the effect the travel may have on her pregnancy. Which instruction should the nurse provide to promote easy and safe travel for the client? Apply a padded shoulder strap properly. Use a lap belt that crosses over the uterus. Activate the air bag in the car. Always wear a three-point seat belt.

Always wear a three-point seat belt.

The nurse is comforting and listening to a young couple who just suffered a spontaneous abortion (miscarriage). When asked why this happened, which reason should the nurse share as a common cause? The age of the mother Maternal smoking Lack of prenatal care Chromosomal abnormality

Chromosomal abnormality

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 taken an aspirin before the testing. Client is just going to start her menses. Client has not applied deodorant on the day of testing. Client has not consumed fluids 1 hour before testing.

Client has not applied deodorant on the day of testing.

An 18-year-old pregnant client is hospitalized as she recovers from hyperemesis gravidarum. The client reveals she wanted to have an abortion (elective termination of pregnancy) but her cultural background forbids it. She is very unhappy about being pregnant and even expresses a wish for a miscarriage. Which action by the nurse is most appropriate? Contact the health care provider to report the client's feelings. Share the information with the client's family. Encourage the client to be positive about the situation. Continue to monitor the client's hyperemesis gravidarum.

Contact the health care provider to report the client's feelings.

A nurse is caring for a young woman who is in her 10th week of gestation. She comes into the clinic reporting vaginal bleeding. Which assessment finding best correlates with a diagnosis of hydatidiform mole? Dark red, "clumpy" vaginal discharge Brisk deep tendon reflexes and shoulder pain Painful uterine contractions and nausea Bright red, painless vaginal bleeding

Dark red, "clumpy" vaginal discharge

An infant is born to a mother with gestational diabetes. Which long-term maternal complication is associated with this diagnosis? Heart disease Weight gain that is not lost after the pregnancy Increased risk of development of type 2 diabetes Development of long-term hypertension

Increased risk of development of type 2 diabetes

A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor? It causes changes in cervical mucus that make it less receptive to penetration by sperm. It causes anovulation due to interference with secretion of pituitary hormones. It causes sperm-agglutinating antibodies to be produced in the vagina. It interferes with the transport of ova due to tubal scarring.

It interferes with the transport of ova due to tubal scarring.

Which instruction should be given to a woman newly diagnosed with genital herpes? Obtain a Papanicolaou test every 3 years. Limit stress and emotional upset as much as possible. Have your partner use a condom when lesions are present. Use a water-soluble lubricant for relief of pruritus.

Limit stress and emotional upset as much as possible.

A client at 25 weeks' gestation presents with a blood pressure of 152/99 mm Hg, pulse 78 beats/min, no edema, and urine negative for protein. What would the nurse do next? Notify the health care provider Document the client's blood pressure Assess the client for ketonuria Provide health education

Notify the health care provider

A female client with metastatic breast disease is receiving trastuzumab as part of her immunotherapy. The client has nausea, fatigue, diarrhea, appears jaundice, and has a distended abdomen. What would the nurse do next? Notify the health care provider. Assess the client's white blood cell count. Continue to monitor the client. Decrease the trastuzumab infusion rate.

Notify the health care provider.

A nurse working in the Family Birthing Center is answering the nurse hotline phone. A client calls in to schedule her annual Papanicolaou test. How could the nurse best educate the client before her procedure to make sure the results are not affected? It is safe to use tampons 72 hours before testing. Make sure the appointment is 5 days after the last menses. The client may douche at least 48 hours before testing. Refrain from sexual intercourse 48 hours before testing to ensure clear results.

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

The nurse is assessing a 37-year-old woman who has presented in active labor and notes the client has an increased risk for placental abruption (abruptio placentae). Which assessment finding should the nurse prioritize? An increased blood pressure and oliguria Sharp fundal pain and discomfort between contractions Pain in a lower quadrant and increased pulse rate Painless vaginal bleeding and a fall in blood pressure

Sharp fundal pain and discomfort between contractions

The client is 32 weeks' pregnant and has been referred for a biophysical profile (BPP) after a nonreassuring nonstress test (NST). Which statement made by the client indicates that the nurse's explanation of the procedure was effective? The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume. The BPP is a blood test to detect placental problems. The BPP is a diagnostic procedure whereby a needle is inserted into the amniotic sac to obtain fluid. The BPP is a screening for neural tube defects.

The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume.

The nurse is assisting a pregnant client who underwent a nonstress test that was ruled reactive. Which factor will the nurse point out when questioned by the client about the results? The results indicate a stress test is needed for further evaluation. The fetus is developing at a fast rate but doing fine. The fetal heart rate increases with activity and indicates fetal well-being. There is no evidence of congenital anomalies or deformities.

The fetal heart rate increases with activity and indicates fetal well-being.

Hyperemesis gravidarum is a severe form of morning sickness.

True

A young mother gives birth to twin boys who shared the same placenta. What serious complication are they at risk for? TORCH syndrome Twin-to-twin transfusion syndrome (TTTS) HELLP syndrome ABO incompatibility

Twin-to-twin transfusion syndrome (TTTS)

A nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity? educating about HPV testing in women over age 30 teaching about the importance of regular Papanicolaou test encouraging treatment for genital warts administering HPV vaccine

administering HPV vaccine

During pregnancy, the cardinal rule concerning medications and herbal remedies is that all drugs cross the placenta and have a potential impact on the fetus. What is one disease where treatment must continue during pregnancy? gastritis gout cholelithiasis asthma

asthma

The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out? pelvic support muscles lose tone dense breast tissue is replaced with adipose tissue the uterus and ovaries decrease in size bone mineral density decreases

bone mineral density decreases

A specialty nurse working in the OB-GYN clinic cares for pregnant women who have been diagnosed with cancer during pregnancy. What are the most common cancers diagnosed during pregnancy? lung and endometrial ovarian and breast breast and cervical cervical and ovarian

breast and cervical

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 uterine cancer lung cancer ovarian cancer

breast cancer

A woman is diagnosed with endometrial polyps after undergoing a hysteroscopy. When reviewing the documentation about the findings of this procedure, the nurse would expect to see the polyps being described as which color? cherry-red mucopurulent greenish-yellow grayish-white

cherry-red

Before beginning the initial prenatal examination, a nurse should instruct a client to complete what procedure before undressing? clean-catch urine ultrasound for fetal measurements initial blood tests measurement of fundal height

clean-catch urine

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? touching the client's hand for comfort remaining cheerful through all of the interactions clear information on the disease, management, and treatment offering words of hope to the client

clear information on the disease, management, and treatment

During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk for developing which diagnosis? genital herpes gonorrhea condylomata acuminata candidiasis

condylomata acuminata

A nurse is interviewing a pregnant woman who has come to the clinic for her first prenatal visit. During the interview, the client tells the nurse that she works in a day care center with 2- and 3-year olds. Based on the client's history, the nurse would be alert for the development of which condition? cytomegalovirus chlamydia gonorrhea toxoplasmosis

cytomegalovirus

A pregnant client in her first trimester visits the health care facility for regular checkups. The nurse instructs the client to increase her dietary intake of folic acid based on the understanding that folic acid is important for which action? decreasing risk of breast cancer increasing maternal energy level decreasing incidence of birth defects increasing resistance to diseases

decreasing incidence of birth defects

A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition? hypertension isoimmunization diabetes late maternal age

diabetes

A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition? isoimmunization hypertension late maternal age diabetes

diabetes

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? dysuria hematuria erectile dysfunction painful ejaculation

dysuria

A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? hemolysis elevated lipoproteins low platelet count liver enzyme elevation

elevated lipoproteins

A nurse is preparing a teaching session for a group of menopausal women experiencing urinary incontinence. When describing how incontinence develops, the nurse includes a discussion about maintaining bladder sphincter tone, describing which hormone as playing an important role? estrogen progesterone follicle-stimulating hormone luteinizing hormone

estrogen

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? valacyclovir azithromycin metronidazole penicillin

metronidazole

what should you never do when someone has placenta previa

nothing goes up the vagina

what is the most important action after breast biopsy? apply ice observe for bleeding carefully transport specimen to the lab reposition the client for comfort

observe for bleeding

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? "I'll feel my breasts using my thumb and index finger." "I'll do the check about a week after my period." "I will check my breasts every other week." "I don't have to check under my arm if I don't feel any breast lumps."

"I'll do the check about a week after my period."

During a routine examination, a 14-year-old client states, "I do have unprotected sex." Which reply by the nurse is most appropriate? "You really need to be tested for sexually transmitted infections (STIs)." "Do you understand the risks involved in having unprotected sex?" "Have you received the human papillomavirus (HPV) vaccine?" "Let me teach you how to properly apply a condom."

"Let me teach you how to properly apply a condom."

The nurse is caring for a client requesting oral contraceptive pills (OCPs). She has multiple sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use condoms because I am allergic to latex." Which response by the nurse is appropriate? "Do you understand the potential ramifications of having multiple sexual partners?" "We can have you allergy tested to see if certain condoms may work for you." "You can still use condoms because they make latex-free condoms." "I will let the health care provider know you desire oral contraceptive pills."

"You can still use condoms because they make latex-free condoms."

A nurse is preparing a nursing care plan for a client who is admitted at 22 weeks' gestation with advanced cervical dilation (dilatation) to 5 cm, cervical insufficiency, and a visible amniotic sac at the cervical opening. Which primary goal should the nurse prioritize at this point? Give birth vaginally Bed rest to maintain pregnancy as long as possible Notification of social support for loss of pregnancy Education on causes of cervical insufficiency for the future

Bed rest to maintain pregnancy as long as possible

What special interventions would the nurse implement in a client who is carrying twin fetuses? Demonstrate to the client how to perform fetal movement (kick) counts after 32 weeks. Schedule non-stress tests (NST) starting at 16 weeks. Assist the physician on doing uterine ultrasounds every 2 weeks to monitor fetal size and placental information. Remind the client to monitor her intake since she does not need any more food for a multiple pregnancy than she would ingest for a singleton pregnancy.

Demonstrate to the client how to perform fetal movement (kick) counts after 32 weeks.

Apparent vaginal bleeding is a consistent finding in women with abruptio placentae. True False

False

The nurse is educating a woman about the importance of folic acid before conception and during pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins and minerals. What food source would the nurse recommend to add to the woman's diet? Yogurt and low-fat milk Green leafy vegetables Green and iced tea Oily fish such as salmon

Green leafy vegetables

What is a positive sign of pregnancy? Hegar sign fetal movement felt by examiner positive pregnancy test uterine contractions

Hegar sign

A 24-year-old woman presents with vague abdominal pains, nausea, and vomiting. An urine hCG is positive after the client mentioned that her last menstrual period was 2 months ago. The nurse should prepare the client for which intervention if the transvaginal ultrasound indicates a gestation sac is found in the right lower quadrant? Bed rest for the next 4 weeks Intravenous administration of a tocolytic Immediate surgery Internal uterine monitoring

Immediate surgery

A client at 27 weeks' gestation is admitted to the obstetric unit after reporting headaches and edema of her hands. Review of the prenatal notes reveals blood pressure consistently above 136/90 mm Hg. The nurse anticipates the health care provider will prescribe magnesium sulfate to accomplish which primary goal? Decrease protein in urine Prevent maternal seizures Decrease blood pressure Reverse edema

Prevent maternal seizures

A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide? Mix one scoop of powder with an ounce of water. Serve the formula at room temperature. Refrigerate any leftover formula. Feed the infant every 8 hours.

Serve the formula at room temperature.

A nurse working in an OB clinic meets a female who is 4 to 6 weeks pregnant. Lab results reveal she is positive for syphilis, so she is treated with IM penicillin. Later in the pregnancy, she is retested, and her serum titer results continue to increase. How should the nurse interpret these results? The initial IM penicillin did not treat the syphilis. The female has been reinfected with syphilis. The female's syphilis is immune to the usual penicillin treatment. The serum titer usually remains high for up to a year, so no further treatment is required.

The female has been reinfected with syphilis.

The nurse is developing a presentation about urinary incontinence for a local women's group. Which of the following would the nurse be least likely to include in the discussion? Urinary incontinence can be treated. Urinary incontinence can be prevented. Urinary incontinence is a normal part of aging. Urinary incontinence can often be cured.

Urinary incontinence is a normal part of aging.

A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? an azole antifungal agent a quinolone antibiotic an antiviral agent a penicillin antibiotic

an azole antifungal agent

The nurse cares for a client recently diagnosed with syphilis who has no known drug allergies. Which medication will the nurse expect the health care provider to prescribe? benzathine penicillin G metronidazole miconazole doxycycline

benzathine penicillin G

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? burning on urination painless chancre dry, hacking cough diffuse skin rash

burning on urination

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? foul-smelling discharge vaginal bleeding vesicles on the labia chancres at the vaginal site

chancres at the vaginal site

A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess? erythema in the vulvovaginal area characteristic "stale fish" odor dysfunctional uterine bleeding heavy yellow discharge

characteristic "stale fish" odor

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? rectocele cystocele uterine prolapse enterocele

cystocele

The four most common types of genital prolapse are _____________, rectocele, enterocele, and uterine prolapse.

cystocele

The nurse cares for a client diagnosed with urinary incontinence. When implementing the plan which does the nurse take first provides privacy for the client to toilet establishes client's voiding pattern assists the client to the toilet every 2 hours turns water faucet on when the client is on the toilet

establishes client's voiding pattern

Braxton Hicks contractions

false labor start in the front

Which measure would the nurse include in the plan of care for a woman with prelabor rupture of membranes if her fetus's lungs are mature? labor induction administration of corticosteroids reduction in physical activity level observation for signs of infection

labor induction

Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with preterm premature rupture of membranes (PPROM) has completed how many weeks of gestation? less than 40 weeks less than 39 weeks less than 37 weeks less than 38 weeks

less than 37 weeks

A nurse is reviewing the medical record of a pregnant client. The physical exam reveals that the placenta is implanted near the internal os but does not reach it. The nurse interprets this as which condition? placenta accreta low-lying placenta placenta percreta placenta increta

low-lying placenta

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

mammogram

epistaxis

nosebleed

A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which assessment should the nurse prioritize before administering a new dose? anxiety level blood pressure patellar reflex heart rate

patellar reflex

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 uterine fibroids (uterine myomas) urinary incontinence endocervical polyps

pelvic organ prolapse

A nurse is collecting data from a client to identify risk factors associated with HIV infection. Which are risk factors of increased risk of HIV? select all that apply perinatal exposure pregnancy having a monogamous partner being an older woman occupational exposure

perinatal exposure being an older woman (vaginal dryness so you're more exposed) occupational exposure

The nurse is admitting a G3 P2 client at 38 weeks' gestation who arrived reporting painless bleeding from the vagina leading to the diagnosis of placenta previa. When questioned by the client as to what caused this, which most likely factor should the nurse point out in her answer? morbidly obese maternal age more than 30 years living in coastal areas previous cesarean birth

previous cesarean birth

The nurse is reviewing with a new client the diagnosis of polycystic ovary syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome? type 2 diabetes cellulitis celiac disease migraine

type 2 diabetes

After teaching the pregnant woman about ways to minimize flatulence and bloating during pregnancy, the nurse understands that which client statement indicates the need for additional teaching? "I'll try to drink more fluids to help move things along." "I'll increase my time spent on walking each day." "I'll switch to chewing gum instead of using mints." "I'll stay away from foods like cabbage and brussels sprouts."

"I'll switch to chewing gum instead of using mints."

A primigravida 28-year-old client is noted to have Rh negative blood and her husband is noted to be Rh positive. The nurse should prepare to administer RhoGAM after which diagnostic procedure? Contraction test Biophysical profile Nonstress test Amniocentesis

Amniocentesis

What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy? Ask her to describe her intake for the last 24 hours. Ask her to describe her total intake for a week. Assess her skin for hydration and color. Assess a list she makes describing a good diet.

Ask her to describe her intake for the last 24 hours.

A client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by a partner. During the admission process, which action is a priority for the nurse to complete? Document findings of abuse. Assess the client for suicide risk. Obtain the client's vital signs. Administer medications as prescribed.

Assess the client for suicide risk.

The nurse is assessing a new client who is being admitted with gestational hypertension. Which nursing diagnosis should the nurse prioritize for this client? Risk for injury related to fetal distress Deficient fluid volume related to vasospasm of arteries Decreased reflexes due to medication administration Imbalanced nutrition related to decreased sodium levels

Deficient fluid volume related to vasospasm of arteries

A nurse is caring for a client for whom estrogen replacement therapy has been recommended for pelvic organ prolapse. Which nursing intervention is the most appropriate for the nurse to implement before the start of the therapy? Discuss the cost of estrogen replacement therapy. Evaluate the client to validate her risk for complications. Discuss the effective dose of estrogen required to treat the client. Discuss the dietary modifications following therapy.

Evaluate the client to validate her risk for complications.

A woman reports that her last menstrual period (LMP) occurred February 1, 2017. Using the Naegele rule, what would be her estimated date of delivery (EDD)? November 8, 2018 November 8, 2017 October 1, 2018 October 1, 2017

November 8, 2017

The nurse is preparing to teach a pregnant client with iron deficiency anemia about the various iron-rich foods to include in her diet. Which food should the nurse point out will help increase the absorption of her iron supplement? Dried beans Fortified grains Dried apples Orange juice

Orange juice

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? Schedule the client for cryoablation. Perform a breast examination. Determine if the client has had a mammography. Have the client follow up in 1 week.

Perform a breast examination.

The nurse understands the need to be aware of the potential of bleeding disorders in pregnant clients. Which disorder should she be aware of that occurs in the second trimester? Ectopic pregnancy Cervical insufficiency Placenta previa Spontaneous abortion (miscarriage) Hydatidiform mole (molar pregnancy)

Placenta previa

A woman in labor suddenly reports sharp fundal pain accompanied by slight dark red vaginal bleeding. The nurse should prepare to assist with which situation? Possible fetal death or injury Premature separation of the placenta Placenta previa obstructing the cervix Preterm labor that was undiagnosed

Premature separation of the placenta

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? central nervous system (CNS) involvement cord compression infection fetal distress related to hypoxia

fetal distress related to hypoxia

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? cord compression infection central nervous system (CNS) involvement fetal distress related to hypoxia

fetal distress related to hypoxia

A pregnant woman is diagnosed with placental abruption (abruptio placentae). When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? gradual onset of symptoms absence of pain fetal heart rate within normal range firm, rigid uterus on palpation

firm, rigid uterus on palpation

A nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for: infant nutritional needs. family dynamics. cultural differences. genetic conditions and disorders.

genetic conditions and disorders.

The nurse is creating an educational pamphlet for pregnant mothers. Which is the bestdescription of fetal development for the nurse to emphasize? length, weight, sex sex and systems developed gestational age, length, weight, and systems developed age in weeks and systems developed

gestational age, length, weight, and systems developed

The nurse is assessing a client at 12 weeks' gestation at a routine prenatal visit who reports something doesn't feel right. Which assessment findings should the nurse prioritize? visible fetal skeleton on ultrasound, absence of quickening, enlarged abdomen elevated hCG levels, enlarged abdomen, quickening vaginal bleeding, increased hPL levels gestational hypertension, hyperemesis gravidarum, absence of FHR

gestational hypertension, hyperemesis gravidarum, absence of FHR

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis? flu-like symptoms lesions on the vulva green vaginal discharge urinary incontinence

green vaginal discharge

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which symptoms would the nurse expect the client to exhibit? heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin ulcerated chancre, aortic valve insufficiency, lymphadenopathy fever, malaise, sore throat papular lesion, rash, headache

heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin

The nurse in the sexual health clinic is obtaining a health history of a client who suffers form heroin use disorder. The client reports chronic flulike symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect? syphilis herpes simplex hepatitis A trichomoniasis

hepatitis A

Which STI could be transmitted perinatally? gonorrhea chlamydia trichomoniasis herpes simplex

herpes simplex

A nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? maternal age of 28 years history of occasional use of OTC pain relievers history of exercising twice a week history of diabetes for 4 years

history of diabetes for 4 years

A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata? human papillomavirus herpes virus Treponema pallidum Haemophilus ducreyi bacillus

human papillomavirus

When teaching about estrogen progesterone contraceptives, which findings should be reported? bleeding, nausea, rash tachycardia, weakness, syncopal episodes hypertension, calf tenderness, breast nodules bradycardia, pruritus, changes, hypertension

hypertension, calf tenderness, breast nodules main complication of contraceptives is DVT

A 25-year-old client at 22 weeks' gestation is noted to have proteinuria and dependent edema on her routine prenatal visit. Which additional assessment should the nurse prioritize and convey to the RN or health care provider? initial BP 140/85 mm Hg; current BP 130/80 mm Hg initial BP 120/80mm Hg; current BP 130/88 mm Hg initial BP 110/60 mm Hg; current BP 112/86 mm Hg initial BP 100/70 mm Hg; current BP 140/90 mm Hg

initial BP 100/70 mm Hg; current BP 140/90 mm Hg

The nurse informs the client about which measure to reduce the risk of ovarian cancer? not breastfeeding using perineal talc or hygiene sprays avoiding the use of oral contraceptive pills (OCPs) maintaining a healthy weight

maintaining a healthy weight

A 28-year-old primigravida client with type 2 diabetes comes to the health care clinic for a routine first trimester visit reporting frequent episodes of fasting blood glucose levels being lower than normal, but glucose levels after meals being higher than normal. What should the nurse point out that these episodes are most likely related to? tissue sensitivity to insulin increases insulin resistance is starting to decrease normal response to the pregnancy using too much insulin at this stage of the pregnancy

normal response to the pregnancy

The compulsive ingestion of nonfood substances is termed ________.

pica

The nurse explains to the client who had a radical mastectomy why the patient should exercise the affected arm?

prevents lymphoma

The patient with cervical cancer has poor appetite, what should the nurse do? provide small, frequent meals provide a high fiber snack provide additional fluids at meal times provide food when client requests it

provide small, frequent meals

A client at 37 weeks' gestation presents to the emergency department with a BP 150/108 mm Hg, 1+ pedal edema, 1+ proteinuria, and normal deep tendon reflexes. Which assessment should the nurse prioritize as the client is administered magnesium sulfate IV? urine protein ability to sleep hemoglobin respiratory rate

respiratory rate

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis? painful dysuria pain-free crusty genital lesions yellow vaginal discharge sore throat and flu-like symptoms

sore throat and flu-like symptoms

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? hepatitis B syphilis genital herpes condylomata acuminata

syphilis

Nagele's rule to determine the expected date of birth is inaccurate for women with irregular menstrual cycles.

true

A nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (GnRH) medication for uterine fibroids (uterine myomas). For which side effect of GnRH medications should the nurse monitor the client? vaginal dryness urinary tract infections vaginitis increased vaginal discharge

vaginal dryness

The nurse is assisting a client who has just undergone an amniocentesis. Blood results indicate the mother has type O blood and the fetus has type AB blood. The nurse should point out the mother and fetus are at an increased risk for which situation related to this procedure? Baby developing postbirth jaundice Placental abruption (abruptio placentae) Baby developing hemolytic anemia Preterm birth

Baby developing postbirth jaundice

The nurse cares for a pregnant client at the first prenatal visit and reviews expected changes that will occur during pregnancy. Which information will the nurse include in the education? Pregnancy typically causes a decrease in respiratory rate. Hemoglobin levels rise significantly during pregnancy. During pregnancy blood volume can increase by at least 40%. Blood pressure decreases in the third trimester.

During pregnancy blood volume can increase by at least 40%.

The school nurse is counseling a sexually active 16-year-old adolescent about the various forms of contraception. She is afraid of getting pregnant or contracting a sexually transmitted infection because her boyfriend refuses to use a condom. In answering the client's questions as to which option will be best suit her needs, which form should the nurse recommend? Oral contraceptive Tubal ligation Female condom Coitus interruptus

Female condom

A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? G3, T1, P0, A2, L1 G3, T0, P1, A1, L1 G2, T1, P2, A1, L2 G2, T0, P1, A1, L1

G3, T0, P1, A1, L1

After a regular prenatal visit, a pregnant client asks the nurse to describe the differences between placental abruption (abruptio placentae) and placenta previa. Which statement will the nurse include in the teaching? Placental abruption requires "watchful waiting" during labor and birth. Placental abruption results in painless, bright red vaginal bleeding during labor. Placenta previa causes painful, dark red vaginal bleeding during pregnancy. Placenta previa is an abnormally implanted placenta that is too close to the cervix.

Placenta previa is an abnormally implanted placenta that is too close to the cervix.

The nurse is assessing a client who believes she is pregnant. The nurse points out a more definitive assessment is necessary due to which sign being considered a probable sign of pregnancy? Nausea and vomiting Positive home pregnancy test Fatigue Amenorrhea

Positive home pregnancy test

The nurse is assessing a 24-year-old pregnant client who reports excessive vaginal discharge that is messy and unpleasant but without a strong odor, itching, or irritation present. Which response should the nurse prioritize? Decrease her fluid intake. Douche frequently with mild soap and water. See her primary care provider. Use sanitary pads.

Use sanitary pads.

A nurse working in the newborn nursery hears an innocent murmur on auscultation of a 24-hour-old infant's chest. The nurse recognizes this as most likely the result of which condition? attached umbilical cord stump congenital defect dysfunctional foramen ovale delayed fetal shunt closure

delayed fetal shunt closure

Urinary frequency is a common complaint during the _______ and third trimesters.

first

A woman at 10 weeks' gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize? report of frequent mild nausea blood pressure of 120/84 mm Hg fundal height measurement of 18 cm history of bright red spotting 6 weeks ago

fundal height measurement of 18 cm

A pregnant client has been admitted with reports of brownish vaginal bleeding. On examination, there is an elevated human chorionic gonadotropin (hCG) level, absent fetal heart sounds, and a discrepancy between the uterine size and the gestational age. The nurse interprets these findings to suggest which condition? ectopic pregnancy gestational trophoblastic disease placental abruption (abruption placentae) placenta previa

gestational trophoblastic disease

A woman has presented to the emergency department with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured? nausea referred shoulder pain vaginal spotting breast tenderness

referred shoulder pain

A nurse is instructing a client on birth control methods. The client asks about the cervical mucus method. When should the nurse tell the client she is fertile in relation to her mucus? when it does not stretch Cervical mucus is not a reliable indicator. when it is thick when it is thin, watery, and copious

when it is thin, watery, and copious

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? breast self-examination at least yearly for women over age 20 clinical breast examinations every 2 years for women over age 30 yearly mammograms for women starting at age 40 mammograms every 3 years for women between the ages of 20 and 39 years

yearly mammograms for women starting at age 40

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement? "I don't have to check under my arm if I don't feel any breast lumps." "I will check my breasts every other week." "I'll do the check about a week after my period." "I'll feel my breasts using my thumb and index finger."

"I'll do the check about a week after my period."

A 28-year-old client with a history of endometriosis presents to the emergency department with severe abdominal pain and nausea and vomiting. The client also reports her periods are irregular with the last one being 2 months ago. The nurse prepares to assess for which possible cause for this client's complaints? Molar pregnancy Placenta previa Healthy pregnancy Ectopic pregnancy

Ectopic pregnancy

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis? irritation of vaginal walls spontaneous abortion (miscarriage) being postmenopausal trauma to the bladder

irritation of vaginal walls

Which measure would the nurse include in the plan of care for a woman with prelabor rupture of membranes if her fetus's lungs are mature? reduction in physical activity level administration of corticosteroids observation for signs of infection labor induction

labor induction

A woman is confused after finding out the ultrasound results predict a different due date for the birth of her baby. Which factor should the nurse point out is most likely the reason for the miscalculation of the fetal age? not seeking prenatal care in the beginning amount of weight gain of mother in early weeks of pregnancy mistaking implantation bleeding for last menstrual period (LMP) an error in math when calculating

mistaking implantation bleeding for last menstrual period (LMP)

The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client? spermicides condoms oral contraceptive pills (OCPs) coitus interruptus

oral contraceptive pills (OCPs)

The nurse is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds every 2 hours to detect which condition? pulmonary hypertension pulmonary edema pulmonary emboli pulmonary atelectasis

pulmonary edema