OB Exam 3
A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when
Her periods have stopped for 1 year
Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?
Herpes simplex virus 2 (HSV-2)
A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide?
"An ovum must be fertilized within 24 hours of ovulation."
What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?
"Dress in layers of cotton clothing."
A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the client has the HPV. The woman asks, "What is that? Can you get rid of it?" Which is the best response for the nurse to provide?
"HPV stands for 'human papillomavirus.' It is a sexually transmitted infection that may lead to cervical cancer."
What symptom described by a woman is characteristic of premenstrual syndrome (PMS)?
"I feel irritable and moody a week before my period is supposed to start."
A woman currently uses a diaphragm and spermicide for contraception. She asks the nurse what the major differences are between the cervical cap and diaphragm. The nurse's most appropriate response is
"The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later"
A 36-year-old woman has been diagnosed as having uterine fibroids. When planning care for this client, the nurse should know that:
-Menorrhagia is a common finding in a woman who has fibroids
The nurse is checking a newborn's 5-minute Apgar score based on the following assessment. The heart rate is 160 beats/minute; he has positive respiratory effort with a vigorous cry; his muscle tone is active and well flexed; he has a strong gag reflex and cries with stimulus to the soles of his feet; his body is pink, with his hands and feet cyanotic. Which is the newborn's 5-minute Apgar score?
10
Which woman is at the greatest risk for psychological complications after hysterectomy?
19-year-old woman who had a ruptured uterus after giving birth to her first child
A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with
Candidiasis
The nurse would tell the patient to expect what after she had an intrauterine device (IUD) inserted?
A string should be felt in the vagina
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?
An increase in the pulse rate from 88 to 102 beats/ minute
The nurse reminds a group of high school students that the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases is to:
Abstain from sex
The nurse warns that the effectiveness of oral contraceptives is decreased in women who are taking
Anticonvulsants for treatment of epilepsy
With regard to sexually transmitted infection, which is not part of the nurse role in primary prevention?
Avoid panicking client who may avoid treatment if she is told she is at serious risk
On a vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish white vaginal discharge with a "fishy" odor; complaint of pruritus. On the basis of these findings, the nurse suspects that this woman has
Bacterial vaginosis (BV)
Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include
Bed rest in a semi-Fowler position
The nurse suggests which herb that is used for discomforts associated with menopause, such as hot flashes?
Black cohosh
The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?
Clear and slippery
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
Cryosurgery
Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception?
Determine the woman's level of knowledge about contraception and commitment to any particular method
Fibrocystic changes in the breast most often appear in women in their 20s and 30s. Although the cause is unknown, an imbalance of estrogen and progesterone may be the cause. The nurse who cares for this client should be aware that treatment modalities are conservative. Which proven modality may offer relief for this condition?
Diuretic administration
During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as
Dysmenorrhea
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to
Endometriosis
Which sexually transmitted infection is not bacterial and thus not treatable with antibiotics?
Genital herpes
Which statement about genital herpes is inaccurate?
Genital herpes is also known as genital warts
injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who
Have difficulty remembering to take oral contraceptives daily
The nurse learns that the most common cause of pathologic hyperbilirubinemia is which of the following?
Hemolytic disorders in the newborn
A nurse is caring for a pregnant woman who has herpes genitalis. The nurse provides instructions to the woman about treatment modalities that may be necessary for this condition. Which statement made by the woman indicates an understanding of these treatment measures?
I do not need to abstain from sexual intercourse.
In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms?
Include complex carbohydrates and fiber in the diet.
The nurse is providing instructions to the mother of a breastfed newborn who has hyperbilirubinemia. Which instruction should the nurse provide to the mother?
Increase the frequency of breastfeeding
A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. Which condition is this client experiencing?
Intraductal papilloma
With regard to endometriosis, nurses should be aware that
It may worsen with repeated cycles or remain asymptomatic and disappear after menopause
The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level?
It raises the level of low-density lipoproteins
One of the alterations in cyclic bleeding that occurs between periods is called
Metrorrhagia
When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused by
Lack of exercise
With regard to the most common bacterial sexually transmitted infections, which statement is not accurate?
Medications for pelvic inflammatory disease can be discontinued once symptoms disappear
Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a patient with this condition should be aware that the optimal pharmacologic therapy for pain relief is
NSAID
A 25 year old woman has a family history of breast cancer. The nurse reviews the procedure for breast self examination (BSE) and tells her that the best time for a woman to perform a breast self examination is
One week after the beginning of her period
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of
Pregnancy
The two primary areas of risk for sexually transmitted infections (STIs) are
Risky sexual behaviors and inadequate preventative health behaviors
While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the client's recent menstrual cycles. The nurse should collect additional information with which statement?
She describes her flow as very heavy
The woman using a diaphragm correctly would tell the nurse that the diaphragm
Should be left in place for at least 6 hours after intercourse
The nurse instructing a man considering a vasectomy should state that after a vasectomy
Sperm will still be ejaculated for a month
An essential component of counseling women regarding safe sex practices is discussion about avoiding the exchange of body fluids. The physical barrier promoted for the prevention of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is the condom. Nurses can help motivate clients to use condoms by initiating a discussion related to a number of aspects of condom use. The most important of these is
Strategies to enhance condom use
A woman will be taking oral contraceptives using a 28-day pack. The nurse should advise this woman to protect against pregnancy by
Taking one pill at the same time every day
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
The blood pressure cuff should not be applied to the affected arm
Early this morning, an infant boy was circumcised using the PlastiBell method. The nurse tells the mother that she and the infant can be discharged after:
The infant voids
With regard to emergency contraception pills, nurses should be aware that:
The pills should be readily available during the initial learning phase when a woman is using a new method of contraception
The nurse is preparing a community education program on preventive health care for women. The nurse plans to tell the women attending the program that a screening test common in women's health care is
mammography
