NUR 113 WRAP 1

The nurse is assessing a client who presents with an open sore on his penis. Which question by the nurse best elicits additional data related to this​ finding? A. "Do you think you have a​ disease?" B. "Are you​ promiscuous?" C. "Have you had sexual intercourse​ recently?" D. "When did you initially notice this open​ area?"

D

A nurse is caring for a client who wants more information about fertility​ awareness-based contraceptive methods. Which statement made by the nurse provides the client with correct​ information? A. "To use the calendar rhythm​ method, a woman must record her menstrual cycles for 6 months to identify the shortest and longest​ cycles." Your answer is correct. B. "The calendar method is the most reliable fertility​ awareness-based method of​ contraception." C. "For women, the fertility window occurs between days 19 and 26 of the menstrual​ cycle." D. "The calendar rhythm method is based on the assumption that ovulation tends to occur about 7 days before the start of a​ woman's next menstrual​ period."

A

The nurse is providing care to a client in labor who experiences spontaneous rupture of membranes. The fetus is in the vertex position. The nurse notes that the amniotic fluid is meconium stained. Based on this​ data, which is the priority action by the​ nurse? A. Beginning continuous fetal heart rate monitoring B. Administering oxygen at 2 liters per minute C. Notifying the healthcare provider that birth is imminent D. Changing the​ client's position in bed

A

When palpating the fundus of a woman on her first day​ postpartum, the nurse finds that the​ woman's uterus is higher than expected and is deviated to the right. She is not having excessive uterine bleeding. Which is the priority nursing action for this​ client? A. Ask the client to void and then reassess fundal height. B. Ask another nurse to assess the client to verify the findings. C. Notify the​ client's midwife of this condition. D. Perform a straight catheterization on the client and then reassess fundal height.

A

Which of the following statements is true with regard to​ women's sexual health during the postpartum​ period? A. Women who use diaphragms as their primary means of contraception should be refitted for these devices no more than 6 weeks after giving birth. Your answer is correct. B. Hormonal contraceptives can affect the quantity and quality of breast milk and increase the risk for deep vein thrombosis​ (DVT) if used in the first month after giving birth. C. Condoms and spermicides should not be used for contraception in the immediate postpartum​ period, because they increase a​ woman's risk for uterine infection. D. The lactational amenorrhea method is the most reliable form of contraception during the postpartum​ period, but only if a woman is breastfeeding exclusively.

A

The nurse is planning care for a client who had a cesarean birth 4 hours ago. Which actions should be included in this​ client's plan of​ care? Select all that apply. A. Encourage deep breathing and coughing every 2 to 4 hours. B. Encourage the use of​ breathing, relaxation, and distraction. C. Encourage to ambulate to the bathroom to void. D. Withhold all analgesics. E. Discourage leg exercises.

A B

The nurse is conducting a history and physical assessment of a sexually active teenage client. Which findings should the nurse identify as consistent with genital​ herpes? Select all that apply. A. Dysuria B. Fever C. Vaginal discharge D. Headache E. Low blood pressure

A B C D

A client is prescribed an oral contraceptive that contains estrogen and progesterone. What information should the nurse include when educating the client about this​ contraceptive? Select all that apply. A. Breast tenderness may occur when taking oral contraceptives that contain estrogen. Your answer is correct. B. The estrogen portion of the contraceptive may cause an increase in appetite and subsequent weight gain. C. Acne and oily skin are common side effects of the progesterone component in combined oral contraceptives. Your answer is correct. D. The progesterone portion of the contraceptive may cause headaches and nausea. E. Taking an oral contraceptive that contains progesterone can lead to an increase in blood pressure.

A C

A female client tells the nurse she would like to wait to start a​ family, even though her partner seems interested in having children in the near future. The client then asks the nurse what she should do. Which response from the nurse is​ best? A. "What would you do if you became pregnant​ now?" B. "You and your partner need to discuss the decision to start a​ family." C. ​"Maybe you should babysit a​ friend's child for a while to see whether you really want​ children." D. ​"If you​ don't want to start a​ family, then you​ don't have​ to."

B

Upon delivery of the​ newborn, which nursing intervention promotes parental​ attachment? A. Taking the newborn to the nursery for the initial assessment B. Placing the newborn on the maternal chest C. Placing the newborn on the bed next to the mother D. Placing the newborn under the radiant warmer

B

A client wants to use the vaginal sponge as a method of contraception. Which statements indicate that the client needs further instruction about use of this​ method? Select all that apply. ​ A. "I can insert the sponge up to 24 hours before having​ sex." ​B. "I need to add spermicidal cream to the sponge prior to having​ sex." ​C. "I need to use a lubricant prior to insertion of the​ sponge." ​D. "I need to moisten the sponge with water prior to​ use." ​E. "I should never leave the sponge in for more than 6​ hours."

B C E

A public health nurse is educating a group of adults about the incidence and prevalence of sexually transmitted infections​ (STIs). Which statement should be​ included? ​A. "Men are disproportionately affected by STIs as compared to women and​ infants." B. ​"The incidence of STIs is highest among young Caucasian​ females." ​C. "Women often experience few early manifestations of​ infection, which causes them to delay diagnosis and​ treatment." ​D. "Males have higher rates of gonorrhea and​ chlamydia, whereas women have higher rates of​ syphilis."

C

A client in the fourth stage of labor is experiencing perineal trauma. Which nursing diagnosis is the priority at this​ time? A. Fear B. Anxiety C. Acute Pain D. Health-Seeking Behaviors

C

A client tells the nurse she plans to use oral contraceptives for birth control. Given this​ information, which client behavior would cause the nurse the most​ concern? A. The client has several sexual partners. B. The client is being treated for bipolar disorder. C. The client smokes a pack of cigarettes each day. Your answer is correct. D. The client drinks two glasses of wine per day.

C

The laboring​ client's fetal heart rate baseline is 120 beats per minute​ (bpm). Accelerations are present to 135 bpm. During​ contractions, the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction. Which nursing action is​ appropriate? A. Applying oxygen via mask at 10 liters per minute B. Preparing for imminent delivery C. Documenting the fetal heart rate D. Assisting the client into the Fowler position

C

The nurse is instructing a pregnant client on how the​ baby's condition is evaluated during labor. Which client statement indicates appropriate understanding of the information​ presented? A. ​"During labor, the nurse will regularly check my cervix by doing a pelvic​ exam." B.​ "During labor, the nurse will look at the color and amount of bloody show that I​ have." ​C. "During labor, the nurse will assess the​ baby's heart rate with a Doppler​ ultrasound." ​D. "During labor, the nurse will verify that my contractions are strong but not too close​ together."

C

The nurse is providing care to the client during the second stage of labor. Which nursing action is​ appropriate? A. Encouraging the client to void every​ 1-2 hours B. Administering antibiotics for a positive group beta strep C. Assessing fetal heart rate every 5 minutes Your answer is correct. D. Assessing maternal temperature every​ 1-2 hours after amniotic membranes have ruptured

C

The nurse is providing education to sexual partners about the importance of treatment for a chlamydia infection. Which client statements indicate this teaching was​ effective? Select all that apply. A. "Severe vaginal itching can be a consequence of​ chlamydia." B. "Rashes commonly occur with this​ disease." C. "Chlamydia can spread to the uterus and fallopian tubes and result in​ infertility." Your answer is correct. D. "Chlamydia can cause inflammation of the tube that carries urine from the bladder to outside the​ body." E. "Chlamydia can result in pregnancy​ complications."

C D E

The nurse is providing postpartum care to a client from a different culture. What nursing actions are appropriate to include in the​ client's plan of​ care? Select all that apply. A. Restrict interactions with the client. B. Limit client visitors to the immediate family. C. Assess for any specific foods or fluids to hasten recovery. D. Assess for any assistance required during breastfeeding. E. Ask if there are any specific customs the client wants to follow.

C D E

During a postpartum examination of a client who delivered an​ 8-pound newborn 6 hours​ ago, the nurse assesses the​ following: fundus firm and at the​ umbilicus, and moderate lochia rubra with a steady trickle of blood noted from the vagina. Which assessment finding requires immediate​ follow-up? A. Fundus at the umbilical level B. Firm fundus C. Moderate lochia rubra D. Steady trickle of blood

D