Maternal final
Which of the following symptoms described by a woman is characteristic of premenstrual syndrome (PMS)? A. "I feel irritable and moody a week before my period is supposed to start." B. "I have lower abdominal pain beginning the third day of my menstrual period." C. "I have nausea and headaches after my period starts, and they last 2 or 3 days." D. "I experience abdominal bloating and breast pain after a couple of days of my period."
A. "I feel irritable and moody a week before my period is supposed to start."
Which statement made by the client indicates the nurse's teaching about the IUD is effective? A. "I will need to have the IUD replaced every year." B. "This device will keep me from getting a sexually transmitted infection." C. "I will need to check the attached string every month." D. "I will need to have my IUD placed one week after my period."
C. "I will need to check the attached string every month."
Which of the following contraceptive methods best protects against sexually transmitted infections or HIV? A. Barrier methods B. They all protect the same C. Hormonal methods D. Periodic abstinence
A. Barrier methods
A client comes to a community clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the client for which clinical manifestation in the primary stage? A. Chancre B. Copper-colored rash involving the trunk and extremities C. Condyloma lata D. Flu-like symptoms
A. Chancre
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couples infertility? A. The client is 36 years old. B. The client was 13 years old when she started to menstruate. C. The client works as a dental hygienist 3 days a week. D. The client jogs 2 miles every day
A. The client is 36 years old.
A woman who has a seizure disorder and takes barbituates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurse's most appropriate response would be: A. "This is a good choice for your age and personal history." B. "Your current medications will decrease the effectiveness of the pill." C. "This is a hightly effecive method, but it has some side effects." D. "The pill will decrease the effectiveness of your seizure medication."
B. "Your current medications will decrease the effectiveness of the pill."
A nurse is teaching a community health class of women and explains that an STI is associated with an increase in risk for infertility in women. Which STI should the nurse identify? A. HPV B. Chlamydia C. Syphilis D. HSV - 2
B. Chlamydia
An absence of what may facilitate the occurrence of bacterial vaginosis? A. Vaginal mucosa B. Lactobacillus acidophilus C. Antibodies D. Gardnerella vaginalis
B. Lactobacillus acidophilus
The client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following? A. Whether or not the ovaries are maturing properly. B. Whether or not the fallopian tubes are obstructed. C. If the endometrium is fully vascularized. D. If the cervix is incompetent.
B. Whether or not the fallopian tubes are obstructed.
Which statement by the client would alert the nurse that she should not take oral contraceptives? A. "I try to have my boyfriend wear a condom every time we have sex." B. "I am slightly overweight and have a difficult time fitting exercise into my schedule." C. "I am try to limit cigarettes to one pack a week." D. "I drink one to two alcohol drinks a few times a week."
C. "I am try to limit cigarettes to one pack a week."
A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, "My abdomen feels bloated, my clothes are very tight, and my urine is very dark." Which if the following is the appropriate statement for the nurse to make at this time? A. "Please take take a urine sample to the lab so they can check it for an infection." B. "Those changes indicate that you are likely already pregnant." C. "It is important for you to come into the office to be examined today." D. "Abdominal bloating is an expected response to the medication."
C. "It is important for you to come into the office to be examined today."
Which best describes the signs and symptoms of trichomoniasis in women? A. Dysuria and thin milky-white vaginal discharge B. Condition is asymptomatic C. Malodorous, frothy yellow-green vaginal discharge D. Foul, fishy odor and thick clumpy white vaginal discharge
C. Malodorous, frothy yellow-green vaginal discharge
Which of the following statements concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate? A. Premenstual dysphoric disorder (PDD) is a milder form of premestrual syndrome (PMS) and more common in younger women. B. Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea. C. PMS is a complex, poorly understood condition that may include any of a hundred symptoms. D. The causes of PMS are now well established.
C. PMS is a complex, poorly understood condition that may include any of a hundred symptoms.
A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. The response provided by the nurse should be based on which of the following? A. It is unlikely that any of these factors is affecting his fertility. B. Daily alcohol consumption could be altering his sperm count. C. Sperm may be malformed when exposed to the heat of the sauna. D. Cancer survivors have the same fertility rates as healthy males.
C. Sperm may be malformed when exposed to the heat of the sauna.
Concerning endometriosis, nurses should be aware that it: A. is characterized by the presence and growth of endometrial tissue inside the uterus. B. is found more often in African-American women than Caucasian or Asian women. C. may worsen with repeated cycles or remain asymptomatic and disappear after menopause. D. is unlikely to affect sexual intercourse or fertility.
C. may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
Amenorrhea is most commonly a result of: A. stress. B. excessive exercise. C. eating disorders. D. pregnancy.
D. pregnancy.
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction? A. "Any sexually active individuals can be infected with chlamydia." B. "All pregnant women should be screened for chlamydia." C. "Treatment is also required for individuals who are asymptomatic." D. "Individuals can only spread the infection if symptomatic."
D. "Individuals can only spread the infection if symptomatic."
A man smokes two packs of cigarettes per day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is: A. "Your sperm count seems to be okay in the first semen analysis." B. "Only marijuana cigarettes affect sperm counts." C. "Smoking can give you lung cancer, even though it has no effect on sperm." D. "Smoking can decrease the quality of your sperm."
D. "Smoking can decrease the quality of your sperm."
What important aspects do all the fertility awareness methods (FAMs) have in common? A. They all require the woman to be able to touch her genitals to measure cervical mucous. B. They all rely on measuring body temperature. C. They all involve abstinence at some point. D. They all require the cooperation of the woman's partner(s).
D. They all require the cooperation of the woman's partner(s).
When counseling a woman for primary dysmenorrhea, which of the following nonpharmacologic interventions would be used? A. Increasing intake of red meat and simple carbohydrates. B. Reducing intake of diuretic foods such as peaches and asparagus. C. Temporarily substituting physical activity for a sedentary lifestyle. D. Using a heating pad on the abdomen to relieve cramping.
D. Using a heating pad on the abdomen to relieve cramping.
