OB

A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem?

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or knows she has it."

A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement?

"It can be done with frozen donor sperm."

The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?

"Pregnancy affects insulin production, so I'll need to make adjustments in my diet."

A nurse is working with a victim of intimate partner violence. The client has decided that she is going to leave the relationship. Which instructions by the nurse would be most appropriate? Select all that apply.

"Remember, it might take you several tries before you succeed." "Let's work on a safety plan so that it is ready for when you leave." "I can offer you choices, but you are the one who has to choose."

A pregnant woman who has been taking penicillin prophylactically because she had rheumatic fever as a child tells the nurse that she wants to stop taking it now that she is pregnant. Which of the following is the best response by the nurse?

"You should continue taking this drug because penicillin is not known to be a fetal teratogen."

A client has been diagnosed and treated for primary syphilis. What instruction should the nurse give this client about follow-up testing?

"You will need to be retested again in 6 months."

corpus luteum

(after ovulation, the ovarian follicle) LARGE PROGESTERONE, SMALL ESTROGEN

A nurse is assessing a victim of rape. Further assessment reveals that the client received rohypnol. The nurse understands that this drug can lead to memory loss for up to how many hours?

8

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?

HPV

A client presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole. What is the paramount nursing intervention in discharge planning? You Selected:

Instruct the client not to drink alcohol with this treatment.

How can pelvic inflammatory disease (PID) affect fertility?

It interferes with the transport of ova because of tubal scarring.

The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep it from becoming infected?

Normal vaginal pH is acidic (4 to 5), which protects from infection.

The nurse is caring for a client who is at 37 weeks' gestation and has a biophysical profile of 10. Which nursing action is best?

Schedule a health care provider appointment for one week

A client who is a victim of intimate partner violence fails to report the violence primarily because of which reason?

The client feels responsible for causing the incident

The nurse has completed a fertility assessment on a couple and is preparing outcomes for care. Which statement indicates that the couple wants to continue with the process, regardless of the outcome?

The couple desires to continue with testing after it is determined that one partner is fertile

The nurse is preparing a teaching session for a client considering tubal ligation. Which factor should the nurse prioritize in this session?

This is a permanent and irreversible procedure for birth control.

A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed?

a hysterosalpingography

behavioral contraception (5)

abstinence fertility awareness method withdrawal lactation amenorrhea standard days

A woman with a history of genital lesions caused by herpes simplex virus (HSV) has been admitted to the labor unit at 39 weeks' gestation. She said she was given medicine prophylactically a few weeks ago to prevent lesions at the time of birth. Which medication is safe to give to a pregnant women with HSV?

acyclovir

A pregnant woman with a history of mitral valve stenosis is to be prescribed medication as treatment. Which medication class would the nurse expect the client to be prescribed?

anticoagulant

A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client's amenorrhea? Select all that apply.

bradycardia hypotension reduced subcutaneous fat

After teaching a pregnant woman with iron deficiency anemia about nutrition, the nurse determines that the teaching was successful when the woman identifies which foods as being good sources of iron in her diet? Select all that apply.

dried fruits peanut butter meats

While providing care to a pregnant woman at the clinic, the nurse suspects that the client may be a victim of intimate partner violence. Which findings would lead the nurse to suspect this? Select all that apply.

irregular adherence to scheduled prenatal visits up and down weight gain not keeping up with scheduled treatments

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?

sore throat and flu-like symptoms

The estrogen content in the contraceptive pill performs which action?

suppress FSH

A pregnant woman is undergoing testing on her first prenatal visit. A blood specimen is obtained for a rapid plasma reagin test. The nurse explains that this test will evaluate for which condition?

syphilis

A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man?

the man will still have full erection capacity

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time?

three days before and three days after ovulation

What important information should the nurse give a client about the use of a diaphragm during menstruation?

toxic shock is possible

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 is thin, watery, and copious

sexual orientation

whom a person is attracted to sexually

Which statement made by a male client who has a history of perpetrating intimate partner violence reflects a known factor that is characteristic of this behavior?

"My classmates always called me a bully."

A pregnant woman comes to the clinic for her first evaluation. The woman is screened for hepatitis B (HBV) and tests positive. The nurse would anticipate administering which agent?

HBV immune globulin

menopause s&s

Hot flushes skin changes mood swings sleep cycle changes vaginal tissue atrophy painful intercourse decreased vaginal lubrication hair thins teeth loosen breasts droop/flatten backaches nipples smaller/flat pubic hair thick/dark abdomen loses muscle tone stress/urge incontincence bones lose mass

The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptive pills (OCPs) in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend?

IUD

When implementing an intervention for a client experiencing intimate partner violence, what is the primary goal?

The client will regain a sense of control in life

A couple comes to the clinic and informs the nurse that they have been trying to conceive for 6 months with no success. The husband states that they have sex at least 5 or 6 times per week to optimize their chance of success. What can the nurse educate the couple about the frequency of sex?

The couple should consider decreasing the frequency of coitus to 2 to 3 times per week to increase the male partner's sperm count.

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

When preparing a schedule of follow-up visits for a pregnant woman with chronic hypertension, which schedule would be most appropriate?

bi-monthly visits until 28 weeks, then weekly visits

transgender

individuals whose gender identity is NOT same as as assigned natal sex

gender identity

innate sense of of being male, female, or neither

A client who delivered her baby 3 months ago is seen in the clinic and tells the nurse that she and her husband have yet to resume a sexual relationship. The nurse notes that no contraception is currently being used. What is the most appropriate nursing diagnosis for this client?

Altered sexual pattern related to fear of pregnancy

A nurse is performing a physical examination of a pregnant woman. During examination, the nurse notices a bruise on the client's abdomen. Which action should the nurse take?

Ask the client to account for the bruise.

When initiating care for a client suspected of being a victim of human trafficking, what is the nurse's primary responsibility?

Building trust

The nurse is caring for a client at the ambulatory care clinic who questions the nurse for information about contraception. The client reports that she is not comfortable about using any barrier methods and would like the option of regaining fertility after a couple of years. Which method should the nurse suggest to this client?

CycleBeads or medroxyprogesterone injection

A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis?

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Explanation:

During the assessment, a client states, "I need something to calm my nerves and help me with sleeping. My spouse will not let me look for a job, and when I need money, I am told I cannot have any since I do not work." Which action by the nurse is most appropriate at this time?

Provide the client with education on intimate partner violence

An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition?

Use high-protein supplements.

Which is not a barrier?

contraceptive ring

The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only by prescription?

diaphragm

gender dysphoria

distress of individual experiences as result of gender identity and assigned sex not aligning

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

doxycycline

risks for breast cancer (9)

fam history BRCA mutation radiation to chest (age 10-30) never given birth dense breasts benign biopsy exogenous estrogen late or early menses

cisgender

gender identity DOES align with assigned natal gender

gender expression

how one presents to the world (male, female, neither)

genderqueer

individuals of either sex at birth who identify as a fluid combination

standard days method

no sex days 8-19

A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event?

ovulation

LH

peak around 14 days before menses/causes ovulation

When a pregnant client is victim of intimate partner violence during pregnancy, what complication is likely to occur after birth due to the abuse?

postpartum depression

A nurse at a local community clinic is developing a program to address STI prevention. What would the nurse least likely include in the program?

recommending screening for symptomatic individuals

gender role

set of expectations placed on basis of gender

The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her?

medroxyprogesterone acetate

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will:

increase a degree

FSH

maturation of ovarian follicles