EAQ Week 2
which nursing intervention would the nurse implement in the care of a client receiving oxytocin for the initiation of labor? select all that apply
- initiate use of an infusion pump - monitor fetal heart rate and rhythm - monitor maternal blood pressure and pulse rate - assess amount and characteristics of vaginal discharge - monitor frequency, rate, duration, and intensity of contractions
which action would the nurse take initially at the first surgeon's office visit after lumpectomy of the breast for a client about to undergo radiation therapy?
assessing the extent of wound healing
Which client care activity would a nurse safely delegate to an unlicensed health care worker?
assisting a client who is recovering from an abdominal hysterectomy to the bathroom
which newborn anomaly can occur if rubella is contracted during the 1st trimester of pregnancy?
cardiac anomalies
how would the nurse know if a client is in true labor?
contractions occur every 5 to 10 minutes; the cervix is dilated 2 cm and 75% effaced, and dilation has increased to 3 cm in 2 hours
a client complains to the nurse that her breasts become tender before her menstrual period. which would the nurse recommend that the client do 1 week before an expected menses?
decrease caffeine intake
which action would a nurse take when, after evaluating the amount of vaginal bleeding 1 hour postpartum, it is determined that a client's uterus has become relaxed and boggy?
massage the uterus until firm
which intervention by the nurse would be important while a client who has breast cancer and postlumpectomy chemotherapy receives outpatient radiation?
observing the irradiated site daily for skin redness or irritation
The nurse is obtaining the history of a client in the third trimester who is visiting the prenatal clinic for the first time. She tells the nurse she has two toddlers at home, that their father abandoned the family last month, and that she doesn't know what to do. Which would the nurse conclude about the client?
overwhelmed by the situation
which manifestations would a nurse expect in a client admitted for repair of a cystocele and rectocele?
stress incontinence and low abdominal pressure
a nurse is obtaining a health history from a client with newly diagnoses cervical cancer. which aspect of the client's life is MOST important for the nurse to explore at this time?
support system
which statement made by a pregnant client to the nurse indicates that the client does not understand the teaching about fetal growth and development?
the baby gets food from the amniotic fluid
a nurse is caring for four mother-baby couplets on the postpartum unit. which client is at the greatest risk for postpartum hemorrhage?
grand multipara who experienced labor that lasted 1 hour
which fundal height would a nurse expect when assessing a client at 16 weeks' gestation?
half the distance to the umbilicus
the nurse is teaching a prenatal breathing and relaxation class. which would the nurse suggest to ease back discomfort during labor?
having support persons use back massage techniques
a client is concerned about regaining her figure after the baby is born and wishes to diet during pregnancy. which advise would the nurse provide?
inadequate food intake can result in a low-birth-weight infant
a client has a steady boyfriend with whom she is having sexual relations and asks how she can protect herself from contracting HIV. which guidance would the nurse provide?
insist that her partner use a condom when having sex
Which statement made by the nursing student indicates a need for further teaching regarding the effects of aspirin in pregnant women?
it will cause Reye syndrome
Which drug may cause the formation of abnormally small eyes in the newborn if used during pregnancy?
nitrofurantoin
a woman who underwent infertility treatment is pregnant with twins. which drug would have been responsible?
clomiphene
which drug used to promote fertility may cause esophageal burns?
clomiphene
which technique would the nurse teach a client about when performing breast self-examination?
compress the nipples to check for discharge
which advice would a nurse give to a client receiving antibiotics and antifungal medications for the treatment of a recurring vaginal infection to compensate for the effects of these medications?
eat yogurt daily
which contest would the nurse emphasize in a prepared childbirth class?
education, exercise, and breathing techniques
which would the nurse emphasize in a class about childbirth?
education, exercise, and breathing techniques
which action would a nurse perform before administering the Rho(D) immune globulin (RhoGAM) to a postpartum client?
ensure that the client is Rh- and the neonate is Rh+
which would a nurse include in the teaching plan for a couple seeking information about family planning?
A condom must be held in place by the rim when the penis is withdrawn from the vagina.
A client is taking fertility drugs for the first time. The nurse would inform the client about which adverse effect of the drugs?
Constipation
which action must the nurse take to prevent a charge of client abandonment when transferring a client who recently gave birth to the postpartum unit?
Report the client's condition to the responsible staff member.
after a client undergoes a biopsy for suspected cervical cancel, the lab reports reveals a stage 0 lesion. which would a nurse conclude about this client's stage of cancer?
The lesion is carcinoma in situ
the mother of an infant in the neonatal intensive care unit expresses concern about her infant. which nursing intervention best facilitates mother-infant bonding?
encouraging the mother to touch her baby whenever possible
which response would a nurse give to a breastfeeding mother who asks how human milk compares with cow's milk?
fat in human milk is easier to digest and absorb than the fat in cow's milk
a pregnant client sees a partera for treatment. to which ethnic group does the client belong to?
hispanic
which immunization can be administered safely to a pregnant woman?
inactive influenza
a client is diagnosed as having cancer of the left breast. a simple mastectomy is performed. which would the plan of care include immediately after surgery?
placing the client in the semi-fowler position with the left arm elevated
which action involving client needs would a nurse delegate to an unlicensed health care worker?
providing ice chips to a client in early labor per the primary health care provider's prescription
Which action may the nurse delegate to a nursing assistant?
providing ice chips to a primigravida in early labor per order
a pregnant client tells the nurse, "i think i can feel the baby move now. it feels like butterflies in my stomach. my friend calls it feeling life" which term would the nurse include when discussing fetal movement with the client?
quickening
a pregnant client tells the nurse, "i'm sticking to my diet, and I don't eat anything containing salt." how would the nurse respond?
salt is necessary in your diet. use a little when you're cooking, but avoid processed meats and canned foods with salt.
a nurse understands the stages of parental adjustment that follow the birth of an at-risk infant who is in the neonatal intensive care unit. to better plan nursing care, the nurse bases observations and assessments on which recognition?
the mother should be reunited with her infant as soon as possible to enhance adjustment
which dietary information would the nurse emphasize when reinforcing a dietary program for a pregnant client with diabetes?
the need to eat a pregnancy diet that meets increases dietary needs and to adjust the insulin dosage as necessary
a young sexually active client at the family planning clinic is advised to have a pap smear. she has never had a pap smear. which would the nurse include in explanation of this produce?
the pap smear can detect cancer of the cervix
a client has just been informed that she has cervical polyps. the client asks the nurse whether she should worry about them. how would the nurse respond?
they're usually benign, and a biopsy rules out a malignancy
a client with heart disease and type 2 diabetes asks a nurse, "which contraceptive will i be able to use to prevent pregnancy?" how would the nurse respond?
you should use foam with a condom to prevent pregnancy. this is the safest method for women with your illnesses
On the first day after a mastectomy, a nurse encourages the client to perform exercises such as flexion and extension of the fingers and pronation and supination of the hand. The client asks why she has to do these exercises. The best response by the nurse is:
"They will help stimulate peripheral circulation."
a client has been taking methadone 40mg per day for treatment of an opioid addiction and tells the counselor that she is 3 months pregnant and receiving prenatal care. after being notified by the counselor, the nurse in the prenatal clinic would anticipate which recommendation for the client?
continue the prescribed methadone to prevent withdrawal symptoms
which risk is associated with estrogen therapy in a client who smokes?
thromboembolic disorders
a client is to receive oral terbutaline 5mg every 6 hr at home for preterm labor. when would the nurse advise the client to take the medication?
with food
a 47-year-old client tells the nurse that she has been experiences hot flashes and that her periods have been occurring at longer, less regular intervals, with a scanty flow. which would the nurse conclude is likely cause of these changes?
expected menopausal changes
a postpartum client is scheduled to have a tubal ligation and has asked that her husband not be told about the procedure because she told him that she is having exploratory surgery. the client's husband asks the nurse why his wife needs to have exploratory surgery. how would the nurse respond?
have you talked to your wife about your concerns?
a pregnant client with an infection tells the nurse that she has taken tetracycline for infections on other occasions and prefers to take it now. tetracycline is avoided in the treatment of infections in pregnant women for which reason?
it influences the fetus' teeth buds
a mother is concerned that her newborn will be exposed to communicable diseases when she goes home. which type of immunity would the nurse explain was transferred to the baby through the plancenta?
passive natural
which measure is important to be included in the care plan for the first postoperative day of a client with breast cancer after a left modified radical mastectomy?
placing the client in the semi-fowler position with the left arm and hand elevated
quickening usually occurs in which week?
20th week
a 30-year-old client with a 35-day menstrual cycle is trying to become pregnant. the nurse counsels the client and her partner about the optimal timing of intercourse during the cycle. which day of the cycle stated by the couple would indicate counseling has been effective?
21st day of the cycle
a student asks the nurse how long after ovulation it is possible for conception to occur. the nurse understands that an ovum is no longer viable after which time frame?
24hrs
The nurse is caring for a first-time mother at her first prenatal visit. The client confides, "i'm not sure about this." Which research-based knowledge guides a nurse regarding the emotional factors of pregnancy?
Ambivalence and anxiety about mothering are common
which client situation is a contraindication for the administration of clomiphene citrate?
12 weeks pregnant
which time during the menstrual cycle should a nurse in a fertility specialist's office stress as the optimal time to achieve pregnancy?
14 days before the next period is expected
if a client is 5ft3in tall and weight 125lb gains the recommended weight during pregnancy, how much would she weight at term?
150lb
which day of the month would a nurse tell a client who menstruates regularly every 30 days and last menses started on the first that ovulation would be expected to occur?
16
a 2-day-old infant who weighs 6 lb (2722g) is fed formula every 4 hours. newborns need about 73 mL of fluid per pound of body weight each day. which range of formula would the infant receive at each feeding?
2 to 3 oz
a postmenopausal client's history reveals that the client previously received hormonal replacement therapy (HRT) as treatment for osteoporosis. for which problem would HRT increase the client's risk?
Breast cancer
which drug would the nurse anticipate to be prescribed to a client seeking treatment for infertility?
Clomiphene
after a vaginal examination, the nurse determines that a client's cervix is 10cm dilated. which breathing pattern would the nurse encourage the client to use?
Expulsion breathing
a nurse is planning care for a client who gave birth to a preterm male infant. which response would the nurse anticipate the mother may experience?
Feelings of failure and loss of control
which factor puts a postpartum client at increased risk for postpartum hemorrhage?
Giving birth to a baby weighing 9 lb 8 oz
a couple wants to start a family. when talking with the nurse, the husband says, "well, i guess we're going to have to jump into bed three or four times a day, every day, until it works." which response would the nurse give?
Instructing them in the frequency and timing of intercourse to promote conception
a female client with Hodgkin's disease is to start chemotherapy and is concerned sterility may result. which information would the nurse consider before replying?
Ova can be harvested and frozen for future use.
A fetal monitor is applied to a client in labor. Which variation in fetal heart rate requires immediate intervention by the nurse?
Repeatedly drops abruptly to 90 beats/min unrelated to contractions
which type of surgery would a nurse need to obtain informed consent for when preparing a client with ruptured tubal pregnancy for immediate surgery?
Salpingectomy
after giving birth to her third child, a client tearfully says to the nurse, "how much more can i give of myself?" which principle would the nurse consider in the care of this mother?
Some parents experience feelings of being overwhelmed by multiple children.
a nurse is obtaining a health history from a client with newly diagnosed cervical cancer. which aspect of the client's life is MOST important for the nurse to explore at this time?
Support system
a male adolescent with cystic fibrosis (CF) whose parents are both carriers of the disease asks the nurse, "when i have children, could they have cystic fibrosis like me?" which information regarding men with CD would the nurse base the response on?
Usually they are unable to father children, although sexual function is not affected
a client who has become sexually active asks, "what's the most effective way to prevent pregnancy?" which method of prevention pregnancy would the nurse tell he is MOST effective?
abstaining from sexual intercourse
a client at 32 week's gestation visits the prenatal clinic because she is experiencing uterine contractions. she is to be treated at home with restricted activity and long periods of bed rest. which instruction would the teaching plan include when the client is advises to remain in bed?
"Assume a side position, with the head raised on a small pillow."
a client at 7 weeks' gestation elects to undergo an induced abortion. after receiving oral mifepristone, she returns to the clinic 2 days later to have misoprostol inserted vaginally. how long after the procedure would the nurse have the client return for a follow-up visit?
4 to 8 days
which information from the prenatal client's history indicates that there is a need for a serology test for toxoplasmosis?
the client takes care of a cat
a nurse determines that a client understands the discussion about using a cervical cap with a spermicide when the client states that, after intercourse, a cervical cap must be left in place for at least how long?
6 hrs
how many grams of protein will a nurse instruct a pregnant client to consume when discussing increased daily requirements during pregnancy?
60g
a few weeks after discharge, a postpartum client experiences mastitis and telephones for advice concerning breastfeeding. the nurse notifies the practitioner to have antibiotics prescribed. which would the nurse recommend that the client do?
Breastfeed often to keep the breasts empty
which test would a nurse at a fertility clinic counseling a couple about the cause of their infertility discuss as likely to be used to evaluate the woman's organs of reproduction?
Hysterosalpingogram
a pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. which would the nurse identify as the main reason that this medication is administered?
It acts as an anticonvulsant.
which instruction would the nurse give to a primigravida client who complains of morning sickness?
avoid long periods without food
which response would be given by a nurse caring for a client at the fertility clinic for a diagnostic workup who is prepared for a pap test and states "I don't want this test; i want to speak to the person in charge"?
inform the hcp of the client's request
a client returns from surgery with a closed suction drainage system in place and a dry sterile dressing covering the incision. which would the nurse do when observing this client for signs of bleeds?
inspect the bedclothes under the client's axillary area for signs of drainage
which information will the nurse include in the education for a client who has had a vasectomy?
intercourse can be resumed after semen analysis has been done
which suggestion would the nurse make to a mother who is not nursing to help limit breast engorgement?
place raw cabbage leaves over the breast
a client is admitted to the birthing unit because fluid is leading from her vagina. which would the nurse do to help determine whether the fluid is amniotic fluid?
test the fluid with nitrazine paper
a pregnant client tells the nurse that she thinks she has developed an allergy because her nose is often very congested and she has difficulty breathing. how would the nurse reply/
that is an expected occurrence; the increased hormones are responsible for the congestion
which response would a nurse give to a pregnant client who reports having a 1-year-old daughter with sickle cell anemia and asks, "will this baby also have sickle cell anemia even though my husband and I don't have it?"
the chance that another child will have sickle cell anemia is 25%
a couple interested in family planning ask the nurse about the cervical mucus method of family planning. the nurse explains that the couple would avoid intercourse when and a few days after the cervical mucus is which?
Clear and stretchable
at what point in the pregnancy would the nurse tell a couple who plans to have an amniocentesis that the test will be scheduled?
after the 14th week of pregnancy
which of the following medications would the nurse administer if toxicity from an intravenous infusion of magnesium sulfate were to occur?
calcium gluconate
which drug would place a client's offspring at risk for vaginal cancer?
Diethylstilbestrol
which intervention is important in the preoperative plan of care of a client scheduled for a modified radical mastectomy?
allowing her to express her feelings about surgery
while client care activity mays a nurse safely delegate to a nursing assistant?
assisting a client who is recovering from an abdominal hysterectomy to the bathroom
which instruction would the nurse teach a client receiving chemotherapy and a daily steroid who has a white blood cell count of 1200/mm3 (1.2x10^9/L) and a red blood cell count of 4.7 million/mm3 (4.7x10^12/L)?
avoid large crowds and persons with infections
which activity must be performed by the nurse in the postpartum unit who plans to delegate some of the tasks to the nursing assistant before a client's discharge from the hospital?
comparing the identification bands of mother and infant
A pregnant client interested in childbirth education asks how the Lamaze method differs from the Read method. Which would the nurse explains about the Lamaze method?
it provides relaxation and techniques that can be used during labor
on the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. how many the nurse respond?
it seems that you've changed your mind about rooming in
a nurse is assessing a female client with suspected primary syphilis. which sign of primary syphilis would the nurse expect the client to exhibit?
An indurated painless nodule on the vulva that is draining
which method of contraception would a nurse place emphasis on when counseling a client with type 1 diabetes?
diaphragm
a client asks how human milk compares with cow's milk. how would the nurse respond?
fat in human milk is easier to digest and absorb than the fat in cow's milk
a new mother who wishes to breastfeed her infant asks a nurse whether she needs to alter her diet. how would the nurse respond?
you'll need extra amounts of the same foods you've been eating plus more fluids
when discharging a new mother, which instruction would the nurse give to help prevent postpartum infection?
wash your hands before and after changing your sanitary napkins
which teaching should the LPN reinforced to a client during the early postop period after a modified radical mastectomy regarding limiting edema in the affected arm?
use pillows to elevate the affected arm above the level of the heart
how would the nurse describe dysmenorrhea?
uterine pain during the menstrual period
while admitting to the birthing unit a client who is in labor, the nurse asks the client about her marital status. the client refuses to answer, because very agitated, and tells the nurse to leave. how would the nurse respond?
ask questions that are restricted to the client's present situation
which information is essential for the nurse to explain when teaching a client who is scheduling a vasectomy?
at least 15 ejaculations to clear the tract of sperm must occur before the semen is checked
which complication is a primipara with a second-degree laceration and repair likely to experience during the postpartum period?
Difficulty voiding spontaneously
a client with severe preeclampsia who was admitted to the high-risk unit anxiously asks the nurse, "will my baby be all right?" how would the nurse response?
we will do everything we can for your baby to be healthy, including monitoring your baby's condition continuously. would you like to listen to the baby's heartbeat?
a client asks a nurse to explain how an IUD prevents pregnancy. how would the nurse respond?
it produces a spermicidal intrauterine environment
a client with a benign ovarian tumor undergoes laparoscopic surgery. which would the nurse include in the postoperative teaching?
Expect shoulder pain for 12 to 24 hours
which complication would a nurse look for in a client diagnosed with preeclampsia? select all that apply
- weight gain - heart failure - seizure activity - pulmonary edema - cerebral hemorrhage
Which goal would the nurse identify for the client who has dysmenorrhea?
Easing the pain of the client's menstruation
how would a nurse who works in a fertility clinic help ease the feeling of isolation that infertile couples often experiences?
Explore ways to promote communication with family and friends.
which condition would the nurse anticipate will result in the client being instructed by the health care provider not to breastfeed?
HIV
which statement regarding estradiol is true?
estradiol is slowly absorbed from skin
an adolescent at 10 week's gestation indicates that her dietary intake consists mainly of soft drinks, candy, french fries, and potato chips. which is the reason that the nurse would consider this diet inadequate?
The nutritional composition of the diet places her at risk for a low-birthweight infant.
a client who recently gave birth confides to the nurse that she hopes that her baby will "be good" and sleep through the night. which instruction would the nurse include in the plan of care to ensure the client is able to cope with the nighttime demands of a newborn?
explain the period of PURPLE crying
what may happen when clomiphene is coadminstered with methyldopa to promote ovulation?
impaired fertility
Which action can a woman take to improve the health of her baby before she becomes pregnant?
state taking prenatal vitamins
which statement is true regarding the administration of methylergonovine?
to control postpartum blood loss
during a pelvic examination, the nurse suspects a vaginal infection because of the presence of a white curdlike vaginal discharged. which other finding supports a fungal vaginal infection?
an itchy perineum
which statement confirms the reason for a client's fundus being 3 cm above the umbilicus and displaced to the right 8hr postpartum?
i went to the bathroom but i can't seem to urinate
which question would the nurse ask when gathering data from a 37-year-old client 6 weeks postpartum who requests a prescription for medroxyprogesterone? select all that apply
are you currently taking any medication?
A client is being treated for hypertension and obesity with a regimen of diet and exercise. During the past month, she has lost 8lb, and her blood pressure has decreased to 154/98 mmHg. The client states that she is using self-control strategies to reduce her blood pressure and weight. Which is the nurse's MOST therapeutic response?
acknowledging the client's achievement while encouraging continuation of her current program
a primigravida who attended childbirth preparation classes with her partner is admitted to the birthing suite at term. she is experiencing contractions occurring every 5 to 8 min, has a bloody show and vaginal examination reveals that the cervix is dilated 3xm and 75% effaced. the fetus is at +1 station in the occiput anterior position, and the membranes are intact. the client is relaxed and asks the nurse if she can walk around. in light of the nurse's observations and the client's knowledge of the physiology and mechanism of labor, how would the nurse respond?
its all right for you to walk as long as your feel comfortable and your membranes are intact
Which exercise would the nurse teach a mother to increase the tone of the muscles of the pelvic floor during preparation for childbirth classes?
kegel exercises
which risk factor for endometrial cancer, as stated by the client, indicates the need for further teaching?
late-onset menarche
a client who underwent masetctomy because of breast cancer is now undergoing chemotherapy, which has caused hair loss. the client states, "i feel like ive lost my sense of power. which response would the nurse give?
losing power seems important to you
which action would the nurse take when the client's uterus is palpated 30 min after giving birth and is found to be relaxed, and the lochia is excessive?
massaging the uterus
a client who is at 28 weeks' gestation and in active labor is crying. she says "i just know that this baby is going to die. what's the use of doing all this to save it?" what would the nurse conclude about the client?
she is experiencing anticipatory grief and withdrawing from bonding
which client behavior indicates that a woman needs further teaching regarding breastfeeding her newborn?
she leans forward to place her breast in the infant's mouth
which comfort measure will the nurse recommend for a client who is 8 weeks' gestation with painful herpetic lesions?
sit in warm bath water
which drug would be excluded from the prescription of a lactating mother being treated for heart problems?
tenormin
a 16-year-old girl at 28 weeks' gestation arrives at the prenatal clinic with her mother for a routine sonogram. before the procedure the girl asks that the nurse not reveal the fetus's sex. afterward the mother asks the nurse the sex of the fetus. which response would be appropriate by the nurse at this time?
that information is not available at this time
a woman is being prepared for a contraction stress test (CST). which information would the nurse provide the client before the test?
the fetal heart rate (FHR) will be monitored for about 20 min before the test begins
a nurse teaches a nursing student about the physiologic changes that occur during pregnancy and their impact on drug disposition and dosing. which statement by the nursing student indicates the need for further education?
the hepatic metabolism of a drug is decreased
a client who has had a caesarean birth seems upset. she has been having difficulty breastfeeding for 2 days and now asks the nurse to bring her bottle of formula. which action would the nurse take?
observing the client's breastfeeding technique
a client seeks advise about oral contraceptives. which statement would the nurse make to the client if she is a smoker?
oral contraceptives can cause thrombophlebitis
during discharge teaching, a breastfeeding postpartum client asks the nurse, "when will i begin to ovulate again? how would the nurse respond?
ovulation may occur before you begin to menstruate
which statement describing dysmenorrhea would a nurse recall when caring for a 37-year-old client with endometriosis visiting the women's health clinic because of dysmenorrhea and dyspareunia?
pain with menses
the nurse understands that megestrol is MOST often used to treat which issue?
palliative management of cancer
which color does the nurse teach a group of new mothers that the lochial discharge will be on the fourth postpartum day?
pinkish brown
twenty four hours after an uncomplicated labor and birth, a client's complete blood count reveals a WBC count of 17,000/mm3. how would the nurse interpreter this WBC count?
an expected response to the process of labor and birth
a woman who has phenylketonuria (PKU) visits the fertility clinic for genetic counseling. she tells the nurse that she ate a low-phenylalanine diet until she was 18 years old. which response would the nurse give?
return to the low-phenylalanine diet before becoming pregnant
a client elects to have her pregnancy terminated after finding out at 16 weeks' gestation that she is carrying a fetus with Down syndrome. which would the nurse conclude about an abortion at this stage of the pregnancy?
an opportunity for the client to express feelings about her decision should be provided
which instructions for avoiding a dvt would a nurse include during the discharge conference of a client after a hysterectomy?
avoid sitting for long periods
which treatment would the nurse plan to implement for the client who is found to have chlamydia?
azithromycin 1 g orally in a single dose
when a client who has had a mastectomy returns from surgery, a dressing and a portable wound drainage system to the axillary area are in place. the nurse notes an excessive amount of serosanguineous drainage on the mastectomy dressing. which action would the nurse take?
checking the function of the drainage system
the practitioner orders doxycycline for a sexually active woman with a history of a mucopurulent discharge and bleeding associated with cervical dysplasia, dysuria, and dyspareunia. with which infection are these clinical findings and medication therapy commonly associated?
chlamydial infection
which drug helps to achieve sufficient maturation of the ovarian dollicles?
choriogonadotropin alfa (hCG)
which action would a nurse recommend to do 1 week before an expected menses for a 24-year-old client who complains that her breasts become tender before her menstrual period?
decrease caffeine intake
which method will the nurse include when discussing barrier methods of contraception with a client?
diaphragm
which statement by a client who is being treated for a sti confirms that she understands instructions regarding future sexual contacts?
i won't have unprotected sex again, and ill tell my partners to be tested for sti
a nurse who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. which response would the nurse give tot he requesting supervisor?
i would prefer another assignment that is not contrary to my beliefs
the nurse is conducting teaching for a client being discharged after an abdominal hysterectomy. which statement by the client indicates a need for further teaching?
im glad ill be able to get back into my jogging routine next week
which symptom of mild anxiety would a nurse expect in a client who suspects that she is 6 weeks pregnant and appears mildly anxious as she is waiting for her first obstetric appt?
increased alertness
which response would a nurse give to a new mother who has begun breastfeeding and asks for assistance removing the baby from her breast?
insert your finger in the corner of the baby's mouth to break the suction
Which statement by a female client with gonorrhea who asks, "what can i do to keep from getting another infection in the future?" indicates that the teaching by the nurse was effective?
my partner has to use a condom all the time
which alteration in present circumstances will put added stress on the couple counseled by a nurse in the fertility clinic regarding steps to increase their chances of conceiving?
planning when to have intercourse
which factor would a nurse explain to a nursing class can alter the effectiveness of the basal body temperature method of contraception?
stress
Which response would be given by a nurse caring for a client admitted for a lumpectomy who begins to cry and states, "i found the lump a few months ago, but i didn't go to the doctor because of what it could be"?
this has been frightening for you
a client who is schedule for an amniocentesis says, "i', glad that this tell will show if my baby is well.". how would the nurse respond?
"Potential defects caused by chromosomal errors can be detected."
which contraception prevents ovulations, alters the cervical mucus, and prevents endometrial growth and enhancement for fertilization? select all that apply
- medroxyprogesterone acetate - hormonal implants - norelgestromin transdermal patch - progesterone-only oral contraceptive - progesterone and estrogen oral contraceptive
which statement would the nurse make when educating the client on administration of vitamin K in the newborn? Select all that apply
- vitamin k helps the blood to clot - newborns are deficient in vitamin K - newborns are susceptible to hemorrhagic disease - vitamin K is administered via an inject in the thigh - vitamin K is routinely administered within 1hr of birth
the nurse is teaching a group of adolescents about the female reproductive system. a student asks how long after ovulation it is possible for conception to occur. the accurate response by the nurse is based on the knowledge that an ovum is no longer viable after which time period?
24 hours
a client in labor who is prepared and plans to participate in the labor and birth process states that she is in severe discomfort. the nurse administers the prescribed butorphanol. which phase of labor is the safest time for the nurse to administer this medication?
Active phase
which response would a nurse give to a female client with Hodgkin disease stating total nodal irradiation who is planning a family and expresses concern that the radiation therapy includes the pelvic area?
The eggs in the ovaries can be removed and frozen for future use.
the nurse is evaluating dietary teaching related to oral contraceptive use. the nurse determines that the client understood the teaching when the client states, "while i'm taking birth control pills i should increase my intake of foods containing ------."
Folic acid
a client is admitted with a diagnosis of stage 0 cervical cancer. which would the nurse emphasize to help the client understand her diagnosis and prognosis?
Five-year survival rates for this cancer are nearly 100% with early treatment.
a primigravida at 8 weeks' gestation is visiting the prenatal clinic for the first time. which would an examination reveal at this time?
Goodell's sign
a client is to undergo a tuberculin test as part of her prenatal workup. before administering the test, which information about the client would the nurse obtain?
earlier tuberculin test's result was positive
at a client's first visit to the prenatal clinic, the nurse asks the client when she had her last menstrual period so the estimated date of birth (EBB) can be determined. the client responds, January 21st. according to the Naegele's rule, which is the month and day of the client's EDB?
October 28th
which client is MOST at risk for osteoporosis?
a 66-year-old white woman, 5ft, 1in tall and 100lb, who is a paralegal
which response will be made by a nurse caring for a client scheduled for hysterectomy who starts to sob and says "i told my husband that after this operation i'll be only half a woman. he told me not to worry, but i know that he was just putting up a front"?
you think this operation will affect how your husband feels about you as his wife?
a new mother wishes to breastfeed her infant and asks the nurse whether she needs to alter her diet. how would the nurse respond?
you'll need greater amounts of the same foods you've been eating and more fluids
at which point in the monthly cycle would the nurse instruct a client taking a progesterone oral contraceptive (minipill) to take one pill daily?
entire menstrual cycle
which statement describes what would be observed by a nurse caring for a pregnant woman engaging in the practice of pica?
inedible items are being ingested
a client who is scheduled to have an abdominal panhysterectomy asks how the surgery will affect her periods? how would the nurse respond?
"You will not have any more periods."
After a client has a spontaneous abortion at 12 weeks' gestation, the nurse notes that she and her partner are visibly upset. The partner has tears in his eyes, and the client is sobbing quietly with her face turned to the wall. Which response would the nurse give?
"i'll be here if you want to talk."
A client has just given birth to an infant with Down Syndrome. The mother is crying and asks the nurse what she is suppose to do now. Which response would the nurse give?
"tell me what you know about Down syndrome."
which positive aspect of menopause would the nurse include during a discussion with a client? select all that apply
- absence of monthly periods
which test would the nurse expect the hcp to order to assess the status of the fetus? select all that apply
- amniocentesis - ultrasonography - biophysical profile - fetal movement counts - contraction stress testing
Which birth control agent requires administration once every 3 months?
Intramuscular progestin
a client is scheduled to have a contraction stress test (CST) to determine fetal well-being. which type of fetal heart rate (FHR) decelerations constitutes a nonreassuring outcome?
Late
which information is the focus of the nurse's anticipatory guidance during the first trimester of pregnancy?
Physical changes of pregnancy
A client at 40 weeks' gestation is admitted to the birthing unit in labor. During the initial examination the nurse uses Leopold maneuvers to palpate the abdomen. For which would this intervention assess?
Position of the fetus
which hormone maintains pregnancy?
Progesterone
While inspecting her newborn who was born at 37 weeks' gestation, the client becomes concerned and asks, "what's this sticky white stuff all over him?" How would the nurse respond?
This is vernix. It helps protect the baby while in the uterus
the clinic nurse is planning care for a client found to have chlamydia. which treatment would the nurse plan to implement?
administration of azithromycin 1g orally in a single dose
a client who is pregnant for the first time tells the nurse, "im worried about gaining too much weight because i've heard that it's unhealthy." how would the nurse respond?
a 25-lb weight gain is recommended; however, the pattern of weight gain is more important than the total amount
which client is appropriate to assign to a certified nursing assistant?
a client who is 12hr postpartum
a nurse is counseling a pregnant client with iron-deficiency anemia about when and how to take supplemental iron. which time of day and with which drink is iron absorption most efficient?
before breakfast with orange juice
which side effect would the nurse warn the client might occur when taking oral contraceptives while smoking heavily?
blood clots
which finding will prompt the nurse to increase fluid intake in a client who has just had a cesarean birth, is receiving iv fluids, and has an indwelling cath?
dark amber urine
which action is the nurse implementing when instructing a nursing assistant to give perineal ice packs to client B while the nurse administers misoprostol to client c?
delegation
as part of an infertility workup involving both partners, a male client is to have a semen analysis. which instruction would the nurse include as part of his teaching?
deliver the specimen to the lab within 2hr of obtaining it
which would the nurse tell a 26-year-old client when preparing her for the mammogram?
each breast will be firmly compressed between two plates
which goal would a nurse in a clinic expect to achieve in a woman with dysmenorrhea?
easing the pain of the client's menstruation
which action would the nurse recommend for a client with a fourth-degree perineal laceration after birth to protect the area from additional trauma?
eat a high-fiber diet with increased fluid intake
supportive nursing care at the beginning of the mother-infant relationship would include which intervention?
encouraging the mother to help out with simple aspects of her newborn's care
which is the PRIORITY nursing intervention before a client undergoes amniocentesis:?
ensuing that informed consent has been obtained from the client
which measurement would cause a nurse to conclude that a primigravida who is unsure of the date of her last menstrual period is at 22 weeks' gestation?
fundus at the umbilicus
which action related to hydration status in the laboring client would the nurse delegate to the nursing assistant?
give ice chips to maintain hydration
a 37-year-old woman history of fibroids, menorrhagia pelvic pain, and depression is admitted to the unit with severe menorrhagia. she has been undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids, without success. the laboratory reports hemoglobin and hematocrit reading of 6.8 g/dL and 20.2 (20%), respectively. the client begins to sob and cries, "i don't know what to do, my phcp is recommending a hysterectomy, but I haven't had children yet!" which response would the nurse provide?
this must be so difficult for you. children are really important to you?
A young woman has been using oral contraceptives and misses her regular menstrual period. She visits the women's health clinic and tells the nurse that she may be pregnant because she missed taking her contraceptive pills for 1 week when she had the flu. Which response would be given by the nurse?
you may be right. one of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective
a postpartum client tells the nurse that she wishes to breastfeed. when the nurse brings her newborn to be breastfed, the client asks whether she may drink a small glass of wine to help her relax. which response would be given by the nurse?
you seem a little tense. tell me how you feel about breastfeeding
which response would the nurse give when a client who has had a mastectomy sees her incision for the first time and exclaims, "i look horrible! will it ever look better?"
you seem shocked by the way you look now
after treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. which response would the nurse give?
increase your daily fluid consumption
a client who has syphilis tells the nurse that it must have been contracted from a toilet seat. the nurse knows that this cannot be true because of while property of the causative agent of syphilis?
it is inactivated when exposed to a dry environment
a nurse is reviewing discharge information with a client who only speaks Spanish. which person is appropriate for the nurse to use as an interpreter to facilitate client understanding?
medical interpreter
which instruction would a nurse include when teaching about the correct use of a female condom?
remove the condom before standing up
which statement illustrated a psychologic reaction to pregnancy that usually occurs in the first trimester?
"I'm excited about the baby, but I'm not sure that I'm ready to be a mother."
which factor is associated with increased vaginal pH? select all that apply
- antibiotics - menopause - hyperglycemia - unprotected sex - menstrual period
which information will the nurse include when discussing the use of a female condom with a client? select all that apply
- any type of lubricant can be used
which would the nurse implement before administering magnesium sulfate to a client with preeclampsia? select all that apply
- assess cardiac status - assess sedation level - assess deep tendon reflexes - report respiratory depression - implement seizure precautions - have calcium gluconate available
which pain relief measure would the nursing assistant carry out for a client in labor? select all that apply
- back massage - pelvic rocking - warm shower - music of client's choice - alternate side-to-side positioning
which lifestyle changes will the nurse recommend for a client with premenstrual dysphoric disorder? Select all that apply
- increase exercise - decrease alcohol intake - decrease caffeine intake - avoid foods high in sugar - practice stress mgmt
which content would be included in client education before discharging a client from the postpartum unit? Select all that apply
- infant care needs - need for follow-up care - incisional or perineal care - methods of contraception - signs to report to hcp
which intervention would the nurse implement in a client with preeclampsia? select all that apply
- pad the bed rails - encourage intake of fluids - monitor deep tendon reflexes - immediately report hyperreflexia - assess urine for protein every hour
a 12 weeks' gestation, a client who is Rh- expels the total products of conception. which is the nursing action after it has been determined that she has not been previously sensitized?
Administering Rho(D) immune globulin within 72 hours
the mother of a pregnant teenager asks the nurse how her daughter could have been so foolish because birth control had been discussed with her many times. how would the nurse respond?
although teenagers can intellectually discuss birth control, they often don't believe that they will become pregnant
a couple requests fertility drugs because, despite having a 28-day menstrual cycle and temperature readings that demonstrate an ovulatory pattern, the woman has been unable to conceive. which guidance would the nurse provide to this couple?
an examination of semen will be needed
on the third postpartum day a client who is breastfeeding calls the clinic complaining of hot, hard, aching breasts. which recommendation would the nurse include in the response?
apply warm, moist cloths to both breasts before nursing
which statement to a nurse on the postpartum unit by a client who is formula feeding her newborn indicates that more teaching is needed?
applying heat to my breasts will help ease the discomfort
a client reports increased vaginal discharge, milky gray in color with a "fishy" odor that both she and her husband have noticed. a wet smear is performed and the presence of "clue cells" confirmed. which type of infection would the nurse suspect?
bacterial vaginosis
the nurse obtains the health history from a client who is seeking contraceptive information. which factor in the clients history indicates that oral contraceptives are contraindicated?
blood pressure 162/110 mm Hg
which drug is derived from a natural source and may be prescribed for the treatment of osteoporosis?
calcitonin
which advice would be given by a nurse when a woman recently discharged after hysterectomy calls the clinic reporting tenderness, redness, ann swelling in her right calf?
call an ambulance to go to the emergency dept
a client has just been told that she has cervical erosion. the nurse would explain that early treatment of the erosion can help prevent which condition?
cancer of the cervix
which finding would the nurse recognize as a toxic effect of doxorubicin in a client on a combination therapy protocol after modified radical mastectomy for breast cancer?
cardiac dysrhythmias
a client who states she uses tampons seeks advise from the nurse on the prevention of toxic shock syndrome. what should the nurse instruct the client to do?
change the tampon about every 4 hrs
which condition identified by the client indicates understanding of when prescribed oral contraceptives need to be stopped immediately and the health care provider notified?
chest pain
A pregnant client tells the nurse that her husband is a chain smoker. Which information would the nurse's teaching include?
continued exposure to secondhand smoker is related to fetal growth restriction
A client who recently was told by her health care provider she has extensive terminal metastatic carcinoma of the beast tells the nurse she believes an error has been made. She states that she does not have breast cancer and she is not going to die. Which stage of death and dying is the client experiencing?
denial
a 28-year-old woman comes into the clinic and tells the nurse that she fears that she is infertile because she has been tryign to become pregnant for 2 years. while collecting the health history, the nurse learns that the client experiences irregular and infrequent menstrual period. the client is overweight and has severe acne and alopecia. the hcp diagnosed polycystic ovarian syndrome (pcos). which intervention would the nurse provide?
discussing weigh loss, exercise, and a balanced low-fat diet
during the examination of a client who is 16-weeks gestation, the nurse notes bruises on the client's face and abdomen, but there are no bruises on her legs and arms. further assessment is required to confirm which condition?
domestic abuse
a nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. which type of block is MOST appropriate for this client?
epidural
which response would a nurse give after advising regular physical examinations when discussing future health management with a client who has had a total hysterectomy and states "it won't be so hard to go now that i won't need the pelvic examination and pap smear"
explain why regular pelvic examinations and pap smears of vaginal secretions will still be necessary in the future
which intervention would a nurse use to achieve the cooperation of an extremely anxious pregnant client during her first pelvic examination?
explaining the procedure and maintaining eye contact while touching the client gently
before an amniocentesis, parents express anxiety about the safety of the fetus during the test. which nursing intervention promotes the parent's ability to cope?
explaining the procedure, step by step
a couple who wishes to have a child are referred for genetic counseling. they tell the nurse that they have a family history of an inheritable problem; they believe that genetic clinics favor abortion when the studies reveal a defective fetus. how would the nurse respond regarding genetic counseling?
families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed
which factor puts a postpartum client at increase risk for postpartum hemorrhage?
giving birth to a baby weighing 9lb 8oz
which hormone levels do not need to be monitored during the administration of menotropins for infertility?
gonadotropin-releasing hormone
the nurse is teaching a class to expectant mothers in their first trimester of pregnancy. in addition to discussing the need for 0.6mg per day of folic acid replacement, which dietary choice that is high in folic acid would the nurse recommend?
half cup of cooked spinach
when an adolescent client tells the nurse, "i have this awful pain during my period; it never stops," the nurse would encourage her to do take which action?
having a gynecologic exam
which action would a nurse take in caring for a client who is ambivalent and is considering an abortion because of financial difficulties?
helping the client express her feelings
while a nurse is teaching a woman how to perform breast self-examination, which statement made by the client indicates the need for further education?
my breast are so tender right before my period that i hate doing it
a client at 16 weeks' gestation is being treated for Trichomonas vaginalis. which statement indicates to the nurse that the client has learned measures to prevent a recurrence?
my partner has to be treated before we have sex again
a mother is seeing her newborn who has visible birth defects for the first time. when she sees her baby, she becomes disturbed and pushes away stating, "oh, take the baby away. i never want to see it again." which conclusion would the nurse make based on this behavior?/
the response is a common one in a new mother who is finding it difficult to accept that her newborn is less than perfect
which statement indicates that a couple in which both are carriers of an autosomal recessive disorder has understood the teaching by a genetic counselor?
there is a 1-in-4 chance of having a child with the disorder
A couple tells the nurse that their 2-year-old child has just been found to have cystic fibrosis and there is no family history of this disorder. They ask about the chances of their having another child with cystic fibrosis. Knowing that this disorder has an autosomal-recessive mode of inheritance, how would the nurse response?
there is a 25% chance the baby will be affected and a 50% chance that the baby will be a carrier
which characteristic of an adolescent would a nurse learn can cause infants born to very young mothers to be at risk for neglect or abuse?
they are involved in seeking their own identity
which response would the nurse provide to a client who asks, "why do i need an annual clinical breast exam if i already perform monthly breast self-exams?"
this exam allows your health care provider to recognize warning signs you may overlook
the health care provider of a woman who had a mastectomy has prescribed a reach to recovery visit. which would the nurse identify as the reason for the referral?
to prevent social isolation
A woman arrives at the prenatal clinic stating that her pregnancy test is positive and asks for information regarding an abortion. Which is the nurse's legal responsibility?
to provide the client with correct, unbiased information
when teaching a client how to self-administer a medicated douche, the nurse would instruct the client to lie in a supine position and direct the douche nozzle in which direction?
toward the sacrum
a client is instructed to eat a nutrient-rich diet as a means of supporting the body's natural defense mechanisms. which would the nurse encourage the client to include in her diet?
vitamin a, c and e and selenium
which vitamin and other dietary supplement would the nurse recommend to prevent osteoporosis?
vitamin d and calcium citrate
which technique would a nurse emphasize when teaching a breastfeeding mother about cleansing her nipples?
wash the breasts and nipples with water when bathing
a client diagnosed with a urinary tract infection would be encouraged to take which action?
washing the hands thoroughly after urinating and defecating
a client who is pregnant for the first time and is carrying twins is scheduled for a cesarean birth. what would the nurse tell the client to expect?
we'll be encouraging you to walk early after surgery
When encouraging a client to cough and deep breath after a bilateral mastectomy, the client says, "Leave me alone! Don't you know I'm in pain?" What is the nurse's best response?
what's your pain level right now?
a nurse who is teaching a class regarding childbearing and contraceptive options explains that fertilization of the ovum by the sperm occurs during a very specific time frame. which statement describes when fertilization occurs?
when one sperm penetrates the wall of the ovum
the nurse is teaching a class about childbearing and contraceptive options. when does the fertilization of the ovum by the sperm occur?
when one sperm penetrates the wall of the ovum
which question would the nurse ask a client before a pap test?
when was your last menstrual period?
when a client who is pregnant and follows a strict vegetarian (Vega) diet asks what foods she needs to eat to meet daily essential amino acids, the nurse would instruct her to include which foods?
whole-grain cereals and nuts
which response would a nurse give tot a 45-year-old client scheduled for hysterectomy who expresses concern because she heard from friends that she will experience severe symptoms of menopause after surgery?
women may experience symptoms of menopause if their ovaries are removed with their uterus
which food would the nurse teach a group of geriatric clients with decreased circulating estrogen to include in their diets?
yogurt
a pregnant woman asks the nurse when she may expect her baby to be born. she tells the nurse that her last menstrual period began on April 14 according to naegele's rule, which is the client's expected date of birth (edb)
January 21st
a client has abdominal surgery to remove adhesions. which intervention would this client's postoperative plan of care include?
encouraging the client to ambulate in the hallway
before administering a tuberculin test as part of a client's prenatal workup, which information about the client would the nurse obtain?
has an earlier tb test been positive
which statement would alert the nurse to client feeling of being incomplete as a woman after undergoing a total hysterectomy?
i feel washed out; there isn't much left
Which statement would help the nurse determine whether a woman who has herpes simplex virus 2 (HSV-2) on her genitals understands her self-care?
i must be careful when i have sex because herpes is a lifelong problem
which statement by a breastfeeding mother indicates that the nurse's teaching about stimulating the let-down reflex has been successful?
i will apply warm packs and massage my breasts before each feeding
Which explanation would a nurse use when writing a teaching plan about osteoporosis?
it involves a decrease in bone substance
as the nurse places a newborn in the mother's arms, she asks, is my baby normal? which response would the nurse give?
lets unwrap your baby so you can see for yourself
Which ovulation stimulant is derived from the urine of postmenopausal women?
menotropins
The nurse determines that teaching regarding infant safety t]o a prenatal class has been effective when one of the future parents makes which statement?
my mother can't believe that babies are suppose to sleep on their backs, not their stomachs
which complication related to a prolonged pregnancy would a nurse suspect is the reason that a nonstress test is ordered for a client at 42 weeks' gestation?
placental insufficiency
a woman has been admitted for a vaginal hysterectomy and anterior and posterior repair of the vaginal wall. which intervention would the nurse tell the client to expect in the immediate postoperative period?
presence of a urinary catheter
which chemical may be responsible for Braxton hicks contractions occurring during the final weeks of pregnancy?
prostaglandins
which response would a nurse give to a woman visiting the clinic for an annual physical examination who is found to have herpes genitalis and asks how it can be diagnosed without any tests?
you have blisters on the skin around your vagina
a couple has been using oral contraceptives to delay pregnancy. when the wife misses her regular menstrual period, she decides to find out whether she is pregnant. she tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. how would the nurse response?
you may be correct. the effect of contraceptive pills depends on their being taken on a regular schedule
when a client who had a mastectomy sees her incision for the first time, she exclaims, "i look horrible! will it ever look better?" which response would the nurse give?
you seem shocked by the way you look now
a client asks the nurse whether contraception is needed while she is breastfeeding. how would the nurse reply?
you should use contraceptives because ovulation may occur at any time without a period
an adolescent comes to the clinic and is upset because she may have contracted herpes. which response would the nurse give?
you sound worried. let me make arrangements to have you examined
which factor is associated with abnormal uterine bleeding? select all that apply
- hyperthyroidism - thrombocytopenia - spontaneous abortion - polycystic ovarian syndrome - lesions in the reproductive tract
a client asks the nurse what she should do if she forgets to take the pill for 1 day. how would the nurse respond?
"On the next day take one pill in the morning and one before bedtime."
a client's husband expresses delight after the birth of a healthy daughter but appears anxious and tends to avoid physical contact with his newborn. later he says to the nurse, "my wife seems so wrapped up in the baby, i hope she has time for me." how would the nurse respond?
you feel that you'll have to fend for yourself. tell me more about your concerns
which condition does IV penicillin treat when given during active labor?
Group B streptococcus
a primipara who had a prolonged labor asks whether she may undress her child. how would the nurse respond?
this is important for you. of course you can undress your baby
A couple at the prenatal clinic for a first visit tells the nurse that their 2-year-old child has just been diagnosed with cystic fibrosis. They state there is no family history of this disorder. They ask the nurse what the chances are for their having another child with cystic fibrosis. Based on the knowledge that this disorder has an autosomal recessive mode of inheritance, how should the nurse respond?
"There is a 25% chance the baby will be affected and a 50% chance that the baby will be a carrier."
which maternal sexually transmitted infection is related to neonatal complications if left untreated?
- herpes - candidiasis - trichomoniasis - bacterial vaginosis - condyloma acuminatum
when observing the electronic fetal monitor as a client enters the second stage of labor, the nurse identifies early decelerations of the fetal heart rate with a return to the baseline at the end of each contraction. which condition would this indicate?
fetal head compression
which preoperative teaching would a nurse include in a client pregnant for the first time and carrying twins who is scheduled for a cesarean birth?
frequent ambulation is begun within 24hr
when reviewing the dietary calcium intake of a 16-year-old who is 12 weeks pregnant, which question or statement would the nurse make?
how many servings of dairy do you generally consume each day?
which pregnancy hormone is thought to be responsible for nausea and vomiting during the first trimester?
human chorionic gonadotropin (hCG)
the school nurse is discussing issues related to premarital sex with a group of adolescents. they are asked to write an essay on what they have learned about preventing pregnancy. which comment alerts the nurse to have a private discussion with the student?
i can't get pregnant if i have sex during my period
a nurse is discussing sexuality with a teenager girl who has cystic fibrosis. which statement best reflects the teenager's understanding of healthy sexuality?
i won't have sex unless i use a condom
during labor a client tells the nurse that she and her husband are very concerned because the baby will be born 2 months early. how would the nurse respond?
if you're concerned, lets talk about it
which information would be reinforced with a new father who is acting as a coach during labor?
let his wife know the progress she is making and tell her that she is doing a good job
which intervention is required for a client with a radium implant for cancer of the cervix?
limiting the client's activity to avoid dislodging the radium insert
the nurse is caring for a client with vaginal bleeding caused by placenta previa. which nursing intervention would be initiated to delay the birth of the fetus?
maintaining bed rest
which fertility drug may be prescribed to treat infertility in a client found to have a hormonal deficiency at the pituitary level?
menotropins
which drug would be excluded from the prescription for a client undergoing treatment for infertility?
methyldopa
the nurse is caring for a client who has contracted a trichomonal infection. which oral drug would the nurse anticipate that the health care provider will most likely prescribe?
metronidazole
a 17-year-old client states that her sister had an ectopic pregnancy and had to have her fallopian tube removed. the nurse determines that this client needs additional information when she makes which statement?
my sister is lucky, because she won't have a period again
when teaching a client, the nurse explains that the risk for which neonatal disorder can be lowered with intake of folic acid?
neural tube defects
which neonatal disorder would a nurse teach a pregnant client can be prevented by a folic acid supplement taken during the first trimester?
neural tube defects
a female client is scheduled for a hysterectomy. while discussing the preoperative preparations, the nurse determines that the client's understanding of the surgery is inadequate. which would the nurse's next intervention?
notifying the surgeon that the client needs more information
which action would a nurse take after determining that a client's understanding of a scheduled hysterectomy is inadequate?
notifying the surgeon that the client needs more information
which findings would the Leopold maneuvers assess for?
position of the fetus
which risk factor will the nurse discuss with a pregnant client diagnosed with bacterial vaginosis?
preterm delivery
a primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. which hormone maintains pregnancy?
progesterone
Which can occur in a case dysfunctional labor?
prolonged latent phase of cervical dilation
which drug impairs fertility when administered along with fertility drugs?
promethazine
a nurse is teaching a class of expectant parents about nutritional needs during pregnant. what information would the nurse include?
protein needs increase to at least 60g per day during pregnancy
which instruction would the nurse include in the discharge plan of an older adult client with a low body mass index (BMI) found to have osteoporosis?
providing instructions relative to diet and exercise
which change in their family life cycle would a nurse discuss when assessing a young couple planning to start a family?
realign relationships with extended family
while assessing a client who is in her 26th week of gestation, the nurse identifies the presence of striae gravidarum. how would the nurse describe the condition?
reddish streaks on the abdomen and breasts
when counseling a pregnant client who maintains a vegetarian diet, what would the nurse include in the plan of care to ensure optimal nutrition during the pregnancy?
refer the client to a dietitian to help plan her daily menu
the nurse would take action in response to which fetal heart rate?
repeatedly drops abruptly to 90 beats per min unrelated to contractions
a client with a nontender palpable breast mass has an inconclusive mammogram. she is undergoing further diagnostic tests to determine whether the mass is malignant. which information would the nurse take into consideration before planning health teaching for this client?
results of a biopsy are necessary before a specific form of therapy is selected
a 41-year-old woman and her husband have been married for 3 years and have used no form of contraception during this time. they are being seen in the infertility clinic for the initial consult. neither the woman nor her husband has children from previous relationships. which test would the nurse expect to be ordered first by the hcp?
semen analysis
which weight-bearing exercise will the nurse recommend for the client newly diagnosed with osteoporosis? select all that apply
stair climbing
which would the nurse consider before preparing to teach a new mother about breastfeeding?
suckling stimulates the release of oxytocin
which development near and around the incision of a mastectomy noted by the client would be reported to her practitioner?
swelling with erythema
an adolescent who gave birth 1 day ago confides to the nurse that she hopes that her baby will be good and sleep through the night. which would the nurse include in the plan of care to facilitate a realistic expectation of a nighttime newborn schedule?
talk softly and cuddle the baby when crying occurs
the mother who just gave birth to an infant with down syndrome is crying and asks the nurse what she is suppose to do now. which response would the nurse give?
tell me what you know about down syndrome
which factor in the history of a married 35-year-old client scheduled for tubal ligation contributes to the healthy resolution of any emotional problem associated with sterilization?
the client has a son and daughter and feels that her family is complete
which purpose is served when the nurse instructs a client to drink 8oz of fluid and not void before a sonogram that is to be followed by amniocentesis?
to improve visualization of the fetus
a woman in labor hears the health care provider tell the nurse that the fetal lie is longitudinal. the mother asks what this means in relation to her labor and birth of the baby. how would the nurse response?
a vaginal birth is possible
which would a nurse include in the discharge instructions for a woman who has undergone breast-conserving surgery (lumpectomy) for breast cancer?
emphasizing the importance of breast self-examination
a nurse in the fertility clinic is instructing a client who will be using progesterone gel vaginally in the treatment of luteal phase infertility. when discussing the side effects of progesterone, which would the nurse tell the client to expect?
Enlarged, tender breasts
a client attending a prenatal class about nutrition tells the nurse that she is strict vegetarian (vegan). which would the nurse encourage the client to eat that includes all the essential amino acids?
Whole grain cereals and nuts
a nurse is caring for a client in preterm labor who is receiving a course of corticosteroids to promote fetal lung maturity. which test would be used to accurately determine fetal lung maturity?
aminocentesis
a client with a diagnosis of cervical cancer states, "i haven't had a pap smear for more than 5 years. i probably wouldn't be in the hospital today if i'd had those tests more often." which is the appropriate response?
you feel as though you've neglected your health
which complication associated with douching will the nurse discussing with the clients? select all that apply.
- cervicitis - candidiasis - bacterial vaginosis - ectopic pregnancy - pelvis inflammatory disease
A client who is to undergo dilation and curettage and conization of the cervix for cancer appears tense and anxious. Which approach would suppose the client emotionally?
Asking weather something is troubling the client and whether she would like to talk about it
a client presents to the clinic for an appointment for a mammogram. Which guidance would the nurse provide the client in preparation for the test?
during the procedure, each breast will be compressed firmly between two plates
A client undergoes dilation and curettage (D&C) after an early miscarriage (spontaneous abortion). The nurse finds her crying later in the day. Which is the appropriate statement by the nurse?
this must be a very hard experience for you to deal with
after 5 years of unprotected intercourse, a childless couple comes to the fertility clinic. the husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. which response would the nurse make to this comment?
this must be very difficult for you with this added pressure
a client at 16 weeks' gestation is scheduled for a sonogram, followed by amniocentesis. the nurse instructs the client to drink 8 oz of fluid and not void before the sonogram. which explains the reason for this instruction?
to improve visualization of the fetus
Which response would a nurse give to a client visiting the prenatal clinic for the first time who tells the nurse that she has heard conflicting stories about sex during pregnancy and asks about continuing sexual activity?
with an uncomplicated pregnancy, there are no limitations on sexual activity
which statement by a pregnant woman indicates the need for additional teaching
during pregnancy, its safe for me to use my regular herbal remedies
which information about the client's activities in the history indicates tot he nurse at the prenatal clinic that there is a need for a serology test for toxoplasmosis?
the client cares for a neighbor's cat
