OB TEST 3 Chapter Questions

What comment by a woman would indicate that a diaphragm is not the best contraceptive device for her? a. "My husband says it is my job to keep from getting pregnant." b. "I have a hard time remembering to take my vitamins daily." c. "Hormones cause cancer and I don't want to take them." d. "I am not comfortable touching myself down there."

"I am not comfortable touching myself down there."

A nurse is obtaining the genetic history of a pregnant client by eliciting historical information about her family members. Which question is most appropriate for the nurse to ask? "Were there any instances of premature birth in the family" "Is there a family history of drinking or drug abuse" "What was the cause and age of death for deceased family members" "Were there any instances of depression during pregnancy"

"What was the cause and age of death for deceased family members"

A couple is considered infertile after how many months of trying to conceive? a. 6 months b. 12 months c. 18 months d. 24 months

12 months

A nurse is assessing a term newborn and finds the blood glucose level is 23 mg/dL. The newborn has a weak cry, is irritable, and exhibits bradycardia. Which intervention is most appropriate? a. Administer dextrose intravenously b. Monitor the infant's hematocrit levels closely c. Administer PO glucose water immediately d. Place the infant on a radiant warmer

Administer dextrose intravenously

Which finding would the nurse expect to assess in an infant with developmental dysplasia of the hip? a. Symmetrical thigh folds b. Even knee height c. Full abduction of the hip d. Audible clunk on hip abduction

Audible clunk on hip abduction from tendo flipping back and forth

A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client? a. Baked chicken, green beans, and chocolate cake b. Pizza, corn, and orange slices c. Baked turkey, brown rice, and strawberries d. Steak, baked potato with butter, and ice cream

Baked turkey, brown rice, and strawberries

The nurse's discharge teaching plan for the woman with pelvic inflammatory disease (PID) should reinforce which of the following potentially life-threatening complications? a. Involuntary infertility b. Chronic pelvic pain c. Depression d. Ectopic pregnancy

Ectopic pregnancy

Two weeks after vaginal birth, a client presents with low-grade fever. The client also reports a loss of appetite and low energy levels. The health care provider suspects an infection of the episiotomy. What sign or symptom is most indicative of an episiotomy infection? a. Foul-smelling vaginal discharge b. Sudden onset of shortness of breath C. Pain in the lower leg d. Apprehension and diaphoresis

Foul-smelling vaginal discharge

3. Which of the following conditions would most likely cause a pregnant woman with type 1 diabetes the greatest difficulty during her pregnancy? a. Placenta previa b. Hyperemesis gravidarum c. Abruptio placentae d. Rh incompatibility

Hyperemesis gravidarum

Because subcutaneous and brown fat stores were used for survival in utero, the nurse would assess an SGA newborn for which of the following? a. Hyperbilirubinemia b. Hypothermia c. Polycythemia d. Hypoglycemia

Hypothermia

SGA and LGA newborns have an excessive number of red blood cells because of: a. Hypoxia b. Hypoglycemia c. Hypocalcemia d. Hypothermia

Hypoxia

When assessing the substance-exposed newborn, which finding would the nurse expect? a. Calm facial appearance b. Daily weight gain c. Increasing irritability d. Feeding and sleeping well

Increasing irritability

Maintenance on methadone or buprenorphine is the most common medical treatment for which of the following drug addictions? a. Alcohol b. Nicotine c. Opiates d. Marijuana

Opiates

When teaching a group of women about screening and early detection of cervical cancer, the nurse would include which of the following as most effective? a. Fecal occult blood test b. CA-125 blood test c. Pap smear and HPV test d. Sigmoidoscopy

Pap smear and HPV test

Which should the nurse identify as a risk associated with anemia during pregnancy? a. Newborn with heart problems b. Fetal asphyxia C. Preterm birth d. Newborn with an enlarged liver

Preterm birth

The term evidence-based refers to the use of which of the following to validate a nurse's practice interventions? a. Research findings b. Written guidelines c. Unit procedure manual d. Institutional policies

Research findings

The parents of an infant with congenital clubfoot question the nurse about what the treatment will be to address this problem. What initial treatment plan would the nurse explain to the parents? a. Immediate surgery to straighten the ankle b. Application of bilateral braces c. Initiation of physical therapy d. Serial casting

Serial casting ponseti method - casting

In teaching about human immunodeficiency virus (HIV) transmission, the nurse explains that the virus cannot be transmitted by: a. Shaking hands b. Sharing drug needles c. Sexual intercourse d. Breast-feeding

Shaking hands

A nurse is assigned to care for a newborn with hyperbilirubinemia. The newborn is relatively large in size and shows signs of listlessness. What most likely occurred? a. The infant's mother must have had long labor. b. The infant's mother probably had diabetes. c. The infant may have experienced birth trauma. d. The infant's mother probably used alcohol.

The infant's mother probably had diabetes.

After teaching a group of students about fertilization, the instructor determines that the teaching was successful when the group identifies which as the usual site of fertilization? a. Fundus of the uterus b. Endometrium of the uterus c. Upper portion of fallopian tube d. Follicular tissue of the ovary

Upper portion of fallopian tube

an HIV positive client who is in antiretroviral therapy reports anorexia, nausea, in vomiting. which suggestion should the nurse offer the client to cope with this condition ? a. Use high protein supplements b. eat dry crackers after meals c. limit number of meals to three a day d. constantly drink fluids while eating

Use high protein supplements

Which of the following measures helps prevent osteoporosis? a. Supplementing with iron b. Sleeping 8 hours nightly c. Eating lean meats only d. Walking daily

Walking daily

The nurse would be most alert for the development of transient tachypnea in a newborn who: a. Was born by cesarean birth b. Received no sedation c. Has a mother with heart disease d. Is small for gestational age

Was born by cesarean birth

. Klinefelter syndrome is caused by a nondisjunction resulting in a genotype of: a. YYY b. XYY c. XXX d. XXY

XXY

a client reports that she has multiple sex partners and has a lengthy history of various pelvis infections. she would like to know if there is any temporary contraceptive method that would suit her condition. Which should the nurse suggest for this client? a. intrauterine device b. condoms c. oral contraceptives d. tubal ligation

condoms

a nurse working in a community health education program is assigned to educate community members about sexually transmitted infections. which nursing strategy should be adopted to prevent the spread of STD's in the community? a. promote use of oral contraceptives b. emphasize the importance of good body hygiene c. discuss limiting the number of sex partners d. emphasize not sharing personal items with other

discuss limiting the number of sex partners

A client presents for her annual Pap test. she wants to know about risk factors that are associated with cervical cancer. which should the nurse inform the client is a risk factor for cervical cancer? a. early age at first intercourse b. obesity, at least 50 pounds overweight c. hypertension d. Infertility

early age at first intercourse

A nurse needs to assess a female client for primary stage herpes simplex virus. for which symptom related to this condition should the nurse assess? a. rashes on the face b. yellow green vaginal discharge c. loss of hair or alopecia d. general vesicular lesions

general vesicular lesions

A client would like some information about the use of a cervical cap. which information should the nurse include in the teaching plan? Select all that apply a. inspect the cervical cap before insertion b. Apply spermicide to the rim of the cervical cap c. wait for 30 minutes after insertion before engaging in intercourse d. Remove the cervical cap immediately after intercourse e. do not use the cervical cap during menses

inspect the cervical cap before insertion wait for 30 minutes after insertion before engaging in intercourse do not use the cervical cap during menses

a nurse is conducting a session on education about cancers of the reproductive tract and is explaining the importance of visiting a health care professional if certain unusual symptoms occur. which should the nurse include in her list of symptoms that merit a visit to the health care professional for further evaluation? Select all that apply a. irregular bowel movements b. irregular vaginal bleeding c. increase in urinary frequency d. persistent low back ache not related to standing e. elevated or discolored vulvar lesions

irregular vaginal bleeding persistent low back ache not related to standing elevated or discolored vulvar lesion

A 52 year old client is seeking treatment for menopause. she is not very active and has a history of cardiac problems. which therapy option should the nurse recognizes contraindicated for this client? a. long term hormone replacement therapy b. selective estrogen receptor modulators c. lipid lowering agents d. bisphosphonates

long term hormone replacement therapy

a nurse is caring for a female client who is undergoing treatment for genital warts due to HPV. which information should the nurse include when educating the client about the risk of cervical cancer? select all that apply a. use of broad spectrum antibiotics increases risk of cervical cancer b. obtaining pap smears regularly helps early detection of cervical cancer c. abnormal vaginal discharge is a sign of cervical cancer d. recurrence of genital warts increases risk of cervical cancer e. use of latex condoms is associated with a lower rate of cervical cancer

obtaining pap smears regularly helps early detection of cervical cancer recurrence of genital warts increases risk of cervical cancer use of latex condoms is associated with a lower rate of cervical cancer

The client presents at a community health care Center for a routine checkup. the client wants to know about any tests that can affectively detect ovarian cancer early. about which tests that can aid in the detection of ovarian cancer should the nurse inform the client? a. pap smear b. serum CA 125 c. yearly bimanual pelvic examinations d. regular xrays of the pelvic area

yearly bimanual pelvic examinations

The nurse is caring for a client and her partner who are considering a future pregnancy. The client reports her last 2 pregnancies ended in stillbirth related to an underlying genetic disorder. What response by the nurse is most appropriate "You should contact a geneticist after you become pregnant to closely watch your condition" "Your risk of repeated occurrences likely increased with future pregnancies" "You are strong to consider such an undertaking" "Consultation with a genetic counselor before you become pregnant would likely be beneficial"

"Consultation with a genetic counselor before you become pregnant would likely be beneficial"

. The nurse documents that a newborn is post-term based on the understanding that he was born after: a. 38 weeks' gestation b. 40 weeks' gestation c. 42 weeks' gestation d. 44 weeks' gestation

42 weeks' gestation

he nurse is caring for a client at the prenatal clinic. The client reports that she has felt some fluttering sensations in her lower abdomen and she noticed that her waistline is not totally gone. Additionally, she shows the nurse her nipples and the areola are much darker. Based upon this assessment, in which month of pregnancy is this client? 3rd month 5th month 2nd month 4th month

4th month

A nurse is assessing a client with postpartal hemorrhage; the client is presently on IV oxytocin. Which interventions should the nurse perform to evaluate the efficacy of the drug treatment? Select all that apply. a. Assess client's uterine tone b. Monitor client's vital signs C. Assess client's skin turgor d. Get a pad count e. Assess deep tendon reflexes

Assess client's uterine tone Monitor client's vital signs Get a pad count

What assessment by the nurse will best monitor the nutrition and fluid balance in the post term newborn? a. Measure weight once every 2 to 3 days b. Assess for increased muscle tone C. Assess for decrease in urinary output d. Monitor for fall in temperature, indicative of dehydration

Assess for decrease in urinary output

A nurse is caring for a pregnant client with asthma. Which intervention would the nurse perform first? a. Monitoring temperature frequently b. Assessing oxygen saturation c. Monitoring frequency of headache d. Assessing for feeling nauseated

Assessing oxygen saturation

A nurse is caring for an infant. A serum blood sugar of 40 was noted at birth. What care should the nurse provide to this newborn? a. Begin early feedings either by the breast or bottle b. Give dextrose intravenously before oral feedings c. Place infant on radiant warmer immediately d. Focus on decreasing blood viscosity by introducing feedings

Begin early feedings either by the breast or bottle

A nurse is caring for a client who has had an intrauterine fetal death with prolonged retention of the fetus. For which signs and symptoms should the nurse watch to assess for an increased risk of disseminated intravascular coagulation? Select all that apply. a. Hypertension b. Bleeding gums C. Tachycardia d. Acute renal failure e. Lochia less than usual

Bleeding gums Tachycardia Acute Renal failure

A newborn suffering from respiratory distress syndrome is given supplemental oxygen. Which of the following is a possible consequence of oxygen therapy? a. Cardiac anomalies b. Blindness c. Anosmia d. Atelectasis

Blindness

A nurse is caring for a postpartum client who has a history of thrombosis during pregnancy and is at high risk of developing a pulmonary embolism. For which sign or symptom should the nurse monitor the client to prevent the occurrence of pulmonary embolism? a. Sudden change in mental status b. Difficulty in breathing c. Calf swelling d. Sudden chest pain

Calf swelling

A 25 year old client wants to know if her baby boy is at risk for Down syndrome, because one of her distant relatives was born with it. Which information would the nurse share with the client while counseling her about Down syndrome? Instances of Down syndrome in the family greatly increase the risk for the baby also having Down syndrome Children with Down syndrome have extra genetic material in the 21 chromosome that occurs during development of the sperm and egg Down syndrome occurs only in females, and there is no risk as the baby is male Children with Down syndrome are usually born to older mothers

Children with Down syndrome have extra genetic material in the 21 chromosome that occurs during development of the sperm and egg

A nurse is caring for a newborn with asphyxia. What nursing management is involved when treating a newborn with asphyxia? a. Ensure adequate tissue perfusion b. Ensure effective resuscitation measures C. Administer IV fluids d. Administer surfactant as ordered

Ensure effective resuscitation measures

Women who are obese have a greater risk of developing which of the following during pregnancy? a. Type 1 diabetes b. Hypotension c. Low birth weight infant d. Gestational hypertension

Gestational hypertension

Which of the following is considered a risk factor for vulvar cancer? a. Vitamin B12 deficiency b. Epstein-Barr virus c. Human papillomavirus d. Adenovirus

Human papillomavirus

A nurse in a local health care facility is caring for a newborn with periventricular hemorrhage/intraventricular hemorrhage (PVH/IVH), who has recently been discharged from a local NICU. For which likely complications should the nurse assess? Select all that apply. a. Hydrocephalus b. Acid-base imbalances c. Pneumonitis d. Vision or hearing deficits e. Cerebral palsy

Hydrocephalus Vision or hearing deficits Cerebral palsy

A nurse is interviewing the family members of a pregnant client to obtain a genetic history, while asking questions which information would be most important? Socioeconomic status of the family members. Avoidance of questions on race or ethic background Specific physical characteristics of family members If couples related to each other or have blood ties

If couples related to each other or have blood ties

While assessing a postpartum multiparous woman, the nurse detects a boggy uterus midline 2 cm above the umbilicus. Which intervention would be the priority? a. Assessing vital signs immediately b. Measuring her next urinary output c. Massaging her fundus d. Notifying the woman's obstetrician

Massaging her fundus

What is the first step in determining a couple's risk for a genetic disorder? a. Observing the client and family over time b. Conducting extensive psychological testing c. Obtaining a thorough family health history d. Completing an extensive exclusionary list

Obtaining a thorough family health history

The nurse is assessing for developmental dysplasia of the hip in the newborn. The dislocated hip elicits characteristic clunk as the femoral head slides over the posterior rim of the acetabulum and the dislocation feels reduced. Which maneuver did the nurse perform? a. Ortolani b. Barlow c. Pavlik d. Gower

Ortolani

Which of the following would the nurse identify as the priority psychosocial need for a women diagnosed with reproductive cancer? a. Research findings b. Hand-holding c. Cheerfulness d. Offering of hope

Research findings

Which of the following combination contraceptives has been approved for extended continuous use? a. Seasonale b. Triphasil c. Ortho Evra d. Mirena

Seasonale

A nurse is caring for a pregnant client with sickle cell anemia. What should the nursing care for the client include? Select all that apply. a. Teach the client meticulous hand-washing b. Assess serum electrolyte levels of the client at each visit C. Instruct client to consume protein-rich food d. Assess hydration status of the client at each visit e. Urge the client to drink 8 to 10 glasses of fluid daily

Teach the client meticulous hand-washing Assess hydration status of the client at each visit Urge the client to drink 8 to 10 glasses of fluid daily

The nurse is performing a newborn assessment and the infant's lab work reveals heelstick Hct of 66. What is the best response to this finding? a. The infant is suffering from polycythemia and needs a partial exchange transfusion to prevent complications. b. This is a normal lab value and no intervention is needed. c. A capillary hematocrit needs to be rechecked in 8 hours to see if it increases or decreases. d. The hematocrit needs to be repeated as a venous stick to see what the central hematocrit level is.

The hematocrit needs to be repeated as a venous stick to see what the central hematocrit level is.

A newborn is suspected of having gastroschisis at birth. How would the nurse differentiate this problem from other congenital defects? a. The abdominal contents are contained within a thin, transparent sac. b. The intestines appear reddened and swollen and have no sac around them. c. The umbilical cord comes out of the middle of the defect. d. The skin over the abdomen is wrinkled and looks like a prune.

The intestines appear reddened and swollen and have no sac around them.

The physician has ordered a karyotype for a newborn, the mother questions the type of information that will be provided by the test. What information should be included in the nurse's response? The karyotype will provide information about the severity of your baby's condition A karyotype is useful in determining the potential complications the baby may face as a result of its condition The karyotype will assess the baby's chromosomal makeup The karyotype will determine the treatment needed for the infant

The karyotype will determine the treatment needed for the infant

nurse if caring for a 37 year old pregnant client who is expecting twin boys. The client smoked prior to conception but has stopped during the pregnancy. A relative of the client has Klinefelter syndrome, and the client wants to find out more about the disorder. Which information will the nurse provide to the client during genetic counseling? There is a greater risk of Klinefelter syndrome due to the clients age Klinefelter syndrome occurs only in girls and not boys Having twins increases the risk of Klinefelter syndrome The client's previous smoking habit will increase the risk of a genetic disorder

There is a greater risk of Klinefelter syndrome due to the clients age

A nurse is caring for a 32 year old Jewish client who is pregnant with a female baby. The parents are not directly related by blood. The mother reports that her husband's cousin had an infant born with Tay-Sachs disease that died 2 years ago and she is concerned about her baby. Which information does the nurse need to give the client to help alleviate her concerns regarding her baby having the same disease? Tay-Sachs disease affects only male infants so there is not problem with her baby The age of the client increases susceptibility of the baby to Tay-Sachs disease There is no risk of Tay-Sachs disease because the parents are not related by blood There is a risk to the baby based upon the Jewish background so genetic testing would be recommended

There is a risk to the baby based upon the Jewish background so genetic testing would be recommended

a post menopausal woman presents to the clinic with painless vaginal bleeding. the health care provider wants to assess for endometrial cancer. the nurse would anticipate the health care provider ordering which procedure first? a. a trans vaginal ultrasound b. an endometrial biopsy c. a hysterectomy d. chemotherapy and radiation

a trans vaginal ultrasound

Which risk factors are associated with vaginal cancer? select all that apply a. advancing age b. HIV infection c. Persistent ovulation overtime d. smoking e. hormone replacement therapy for more than 10 years

advancing age HIV infection smoking

The client needs additional information about the cervical mucus ovulation method after having read about it in a magazine. she asks the nurse about cervical changes during ovulation. About which should the nurse informed the client? a. cervical OS is slightly closed b. cervical mucus is dry and thick c. cervix is high or deep in the vagina d. cervical mucus breaks when stretched

cervix is high or deep in the vagina

A couple is being assessed for infertility. the male partner is required to collect his semen sample for analysis. what instructions should the nurse give him A. abstain from sexual activity for 10 hours before collecting the sample B. avoid strenuous activity for 24 hours before collecting the sample C. collect this specimen might ejaculating into a condom or plastic bag D. deliver sample for analysis within one to two hours after ejaculation

deliver sample for analysis within one to two hours after ejaculation

The nurse is conducting an acquired immunodeficiency syndrome awareness program for women. Which instructions should the nurse include in the teaching plan to empower women to develop control over their lives in a practical manner so that they can prevent becoming infected with HIV? select all that apply A. give opportunities to practice negotiation techniques b. encourage women to develop refusal skills c. encourage women to use female condoms d. support youth development activities to reduce sexual risk taking e. encourage women to lead a healthy lifestyle

give opportunities to practice negotiation techniques encourage women to develop refusal skills encourage women to use female condoms

the client is to be examined for the presence and extent of endometriosis. for which test should the nurse prepare the client? a. tissue biopsy b. hysterosalpingogram c. clomiphene citrate challenge test d. laparoscopy

laparoscopy

a client has opted to use an intrauterine device for contraception. About which effects of the device on monthly periods should the nurse inform the client? a. periods become lighter b. periods become more painful c. periods become longer d. periods reduced in number

periods become lighter

A client presents for a routine checkup at a local health care center. one of the client's distant relatives died of ovarian cancer and the client wants to know about measures that can reduce the risk of ovarian cancer. the nurse informs the client about which measure to reduce the risk of ovarian cancer? a. provide genetic counseling and thorough assessment b. instruct the client to avoid use of oral contraceptives c. instruct the client to avoid breast feeding d. instruct the client to use perineal talc or hygiene sprays

provide genetic counseling and thorough assessment

The results of a pap smear test have been classified as a typical squamous cells with possible HSIL as per the 2001 Bethesda system. which interpretation of the result is correct? a. repeat the pap smear in four to six months or refer for a colposcopy b. refer for a colposcopy without HPV testing c. immediate colposcopy, follow up is based on the results of findings d. no need for any further pap smear screenings

refer for a colposcopy without HPV testing

A 30 year old client would like to try using basil body temperature as a fertility awareness method. which instructions should the nurse provide the client? a. avoid unprotected intercourse until BBT has been elevated for six days b. avoid using other fertility awareness methods along with BBT c. use the axillary method of taking the temperature d. take temperature before rising and recorded on a chart

take temperature before rising and recorded on a chart

A 65 year old client presents at a local community health care Center for a routine checkup. while obtaining her medical history the nurse learns that the client had her menarche when she was 13 years old. she experienced menopause at 51. she is between 5 and 10 pounds underweight but is otherwise in good physical condition. The nurse informed the client of which factor that increases the client's risk of getting ovarian cancer? a. the clients age at menarche b. the clients present age c. the clients age at menopause d. the clients weight

the clients present age

a nurse is caring for a client positive for HIV. the client is on triple combination highly active antiretroviral therapy HAART. which should the nurse include in the teaching plan when educating the client about the treatment? select all that apply a. exposure of fetus to antiretroviral agents is completely safe b. successful antiretroviral therapy may prevent AIDS c. unpleasant side effects such as nausea and diarrhea are common d. Provide written materials describing diet, exercise, and medications e. ensure that the client understands the dosing regimen and schedule

unpleasant side effects such as nausea and diarrhea are common Provide written materials describing diet, exercise, and medications ensure that the client understands the dosing regimen and schedule

A nurse is caring for a preterm infant. Which intervention will prepare the newborn's gastrointestinal tract to better tolerate feedings when initiated? a. Administer vitamin D supplements b. Administer 0.5 mL/kg/hr of breast milk enterally c. Administer iron supplements d. Administer dextrose intravenously

Administer 0.5 mL/kg/hr of breast milk enterally

A nurse is caring for a newborn with transient tachypnea. Which is the priority nursing intervention? a. Administer IV fluids; gavage feedings b. Maintain adequate hydration c. Monitor for signs of hypotonia d. Perform gentle suctioning

Administer IV fluids; gavage feedings

The nurse is assessing a client for amenorrhea - lack of period. during the assessment the nurse notes facial hair and acne. the nurse knows this could be related to: a. anorexia nervosa b. enlarged thyroid gland c. excessive prostaglandin production d. An androgen excess secondary to a tumor

An androgen excess secondary to a tumor

Which of the following would the nurse expect to include in the plan of care for a woman with mastitis who is receiving antibiotic therapy? a. Stop breast-feeding and apply lanolin b. Administer analgesics and bind both breasts c. Apply warm or cold compresses and administer analgesics d. Remove the nursing bra and expose the breast to fresh air

Apply warm or cold compresses and administer analgesics

Which of the following lab values need to be monitored by the nurse when providing care for a large for gestational age infant? a. White cell count b. Direct Coombs test c. Blood glucose d. Potassium level

Blood glucose

Methergine has been ordered for a postpartum woman because of excessive bleeding. The nurse should question this order if which of the following is present? a. Mild abdominal cramping b. Tender inflamed breasts c. Pulse rate of 68 beats per minute d. Blood pressure of 158/96 mm Hg

Blood pressure of 158/96 mm Hg

Which of the following would the nurse include in the teaching plan for an infant with cleft lip and palate? a. Feed the infant in a semi-lying position. b. Continue feeding the infant for as long as it takes. c. Burp the infant frequently during feedings. d. Avoid use of high-calorie formulas.

Burp the infant frequently during feedings

A nurse is caring for a client who has just undergone birth. What is the best method for the nurse to assess this client for postpartum hemorrhage? a. By assessing skin turgor b. By assessing blood pressure C. By frequently assessing uterine involution d. By monitoring hCG titers

By frequently assessing uterine involution

the nurse is caring for a client at the ambulatory care clinic whose 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 methods should the nurse suggest to the client? a. basal body temperature b. coitus interruptus c. lactational amenorrhea method d. Cyclebeads or medroxyprogesterone injection

Cyclebeads or medroxyprogesterone injection

The nurse's primary role related to sexually transmitted infections is: a. Case reporting of partners b. Detection and education c. Sexual counseling d. Diagnosis and treatment

Detection and education

A newborn with tracheoesophageal fistula is likely to present with which assessment finding? a. Subnormal temperature b. Absent Moro reflex c. Inability to swallow d. Drooling from mouth

Drooling from mouth

When working in a local community health care center a nurse is frequently asked about cervical cancer and ways to prevent it. which information should be provided by the nurse? select all that apply a. encourage the use of an IUD for contraception b. Encourage cessation of smoking and drinking c. encourage prevention of STI's to reduce risk factors d. avoid stress and high blood pressure e. counseled teenagers to avoid early sexual activity

Encourage cessation of smoking and drinking encourage prevention of STI's to reduce risk factors counseled teenagers to avoid early sexual activity

The nurse is assessing a newborn suspected of having meconium aspiration syndrome. What sign or symptom would be most suggestive of this condition? a. High-pitched shrill cry b. Bile-stained emesis c. Intermittent tachypnea d. Expiratory grunting

Expiratory grunting

1 . A nurse is caring for an infant born with polycythemia. (increase RBC) (increase blood thickness) Which intervention is most appropriate when caring for this infant? a. Focus on decreasing blood viscosity by increasing fluid volume b. Check blood glucose within 2 hours of birth by reagent test strip c. Repeat screening every 2 to 3 hours or before feeds d. Focus on monitoring and maintaining blood glucose levels

Focus on decreasing blood viscosity by increasing fluid volume

When explaining to a pregnant woman about HIV infection and transmission, which of the following would the nurse include? a. It primarily occurs when there is a large viral load in the blood. b. HIV is most commonly transmitted via sexual contact. c. It affects the majority of infants of mothers with HIV infection. d. Nurses are most frequently affected due to needle sticks.

HIV is most commonly transmitted via sexual contact.

A nurse is working in a women's health clinic. Genetic counseling would be most appropriate for the woman who: a. Just had her first miscarriage at 10 weeks b. Is 30 years old and planning to conceive c. Has a history with a close relative with Down syndrome d. Is 18 weeks pregnant with a normal triple screen result

Has a history with a close relative with Down syndrome

In assessing a preterm newborn, which of the following findings would be of greatest concern? a. Milia over the bridge of the nose b. Thin transparent skin c. Poor muscle tone d. Heart murmur

Heart murmur

d. Marijuana 8. The nurse is preparing a teaching session about breast-feeding for a group of pregnant women who have various infections listed below. The nurse would include women with which of the following conditions? Select all that apply. a. Hepatitis B b. Parvovirus B19 c. Herpesvirus type 2 d. HIV-positive status: this is the only condition that we would want to have the mom use formula instead e. Cytomegalovirus f. Varicella-zoster virus

Hepatitis B Parvovirus B19 Herpesvirus type 2 Cytomegalovirus Varicella-zoster virus

client in her 7th week of the postpartum period is experiencing bouts of sadness and insomnia. The nurse suspects that the client may have developed postpartum depression. What signs or symptoms are indicative of postpartum depression? Select all that apply. a. Inability to concentrate b. Loss of confidence C. Manifestations of mania d. Decreased interest in life e. Bizarre behavior

Inability to concentrate Loss of confidence Decreased interest in life

A nurse is documenting a dietary plan for a pregnant client with pregestational diabetes. What instructions should the nurse include in the dietary plan for this client? a. Include more dairy products in the diet b. Include complex carbohydrates in the diet c. Eat only two meals per day d. Eat at least one egg per day

Include complex carbohydrates in the diet

A nurse is caring for an infant born with elevated bilirubin level. When planning the infant's care, what interventions will assist in reducing the bilirubin level? Select all that apply. a. Increase the infant's hydration prived to b. Stop breast-feeding until jaundice resolves c. Offer early feedings d. Administer vitamin supplements e. Initiate phototherapy

Increase the infant's hydration prived to Offer early feedings Initiate phototherapy

Which of the following contraceptive methods offers protection against sexually transmitted infections (STIs)? a. Oral contraceptives b. Withdrawal c. Latex condom d. Intrauterine contraceptive (IUC)

Latex condom

What important instruction should the nurse give a pregnant client with tuberculosis? a. Maintain adequate hydration b. Avoid direct sunlight c. Avoid red meat d. Wear light, cotton clothes

Maintain adequate hydration

Which finding would lead the nurse to suspect that a newborn is experiencing respiratory distress syndrome? a. Abdominal distention b. Acrocyanosis c. Depressed fontanelles d. Nasal flaring

Nasal flaring

A nurse is caring for an infant born after a prolonged and difficult maternal labor. What nursing intervention should the nurse perform when assessing for trauma and birth injuries in the newborn? a. Examine the newborn's skin for cyanosis b. Be alert for signs of apathy and listlessness c. Assess the baby for any temperature instability d. Note any absence of or decrease in deep tendon reflexes

Note any absence of or decrease in deep tendon reflexes

After teaching a group of students about reproductive tract cancers, the nursing instructor determines that the teaching was successful when the students identify which of the following as the deadliest type of female reproductive cancer? a. Vulvar b. Ovarian c. Endometrial d. Cervical

Ovarian

The nurse is caring for 2-day-old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. On which health care provider order should the nurse place the priority? a. Perform a hearing screen test b. Obtain a urine specimen C. Monitor growth and development d. Assess pulse rate

Perform a hearing screen test

A postpartum client who was discharged home returns to the primary health care facility after 2 weeks with reports of fever and pain in the breast. The client is diagnosed with mastitis. What education should the nurse give to the client for managing and preventing mastitis? a. Discontinue breast-feeding to allow time for healing b. Perform hand-washing before and after breast-feeding c. Avoid hot or cold compresses on the breast d. Discourage manual compression of breast for expressing milk

Perform hand-washing before and after breast-feeding

. A nurse is assigned to care for a newborn with esophageal atresia. What preoperative nursing care is the priority for this newborn? a. Document the amount and color of esophageal drainage b. Administer antibiotics and total parenteral nutrition as ordered c. Prevent aspiration by elevating the head of the bed and insert an NG tube to low suction d. Provide NG feedings only

Prevent aspiration by elevating the head of the bed and insert an NG tube to low suction

An infant born is suspected of having persistent pulmonary hypertension of the newborn (PPHN). What intervention implemented by the nurse would be most beneficial in treating this client? a. Encourage the parents to hold the infant for bonding b. Place the infant in a cool environment to prevent overheating c. Administer anticonvulsants as ordered d. Provide oxygen by oxygen hood or ventilator

Provide oxygen by oxygen hood or ventilator

A postpartum woman reports hearing voices and says, "The voices are telling me to do bad things to my baby." The clinic nurse interprets these findings as suggesting postpartum: a. Psychosis b. Anxiety disorder c. Depression d. Blues

Psychosis

A nurse is caring for a newborn with jaundice undergoing phototherapy. What intervention is appropriate when caring for the newborn? a. Expose the newborn's skin minimally b. Shield the newborn's eyes c. Discourage feeding the newborn d. Discontinue therapy if stools are loose, green, and frequent

Shield the newborn's eyes

A nurse is caring for a newborn with fetal alcohol spectrum disorder. What characteristic of the fetal alcohol spectrum disorder should the nurse assess for in the newborn? a. Small head circumference b. Decreased blood glucose level C. Abnormal breathing pattern d. Wide eyes

Small head circumference

Which of the following activities will increase a woman's risk of cardiovascular disease if she is taking oral contraceptives? a. Eating a high-fiber diet b. Smoking cigarettes c. Taking daily multivitamins d. Drinking alcohol

Smoking cigarettes

A nurse is assessing an infant who has experienced asphyxia at birth. Which finding indicates that the resuscitation methods have been successful? a. Heart rate of 80 beats per minute b. Jitteriness c. Hypotonia d. Strong cry

Strong cry

A nurse is caring for a newborn with necrotizing enterocolitis (NEC) who is scheduled to undergo surgery for a bowel resection. The infant's parents wish to know the implications of the surgery. What information should the nurse provide to the parents regarding this surgery? a. Surgically treating NEC is a short process. b. Surgery will prevent long-term medical problems c. Surgery requires placement of a proximal enterostomy d. Surgery prevents the infant from enteral feedings after the repair. needing

Surgery requires placement of a proximal enterostomy

When describing ovarian cancer to a local women's group, the nurse states that ovarian cancer often is not diagnosed early because: a. The disease progresses very slowly. b. The early stages produce very vague symptoms. c. The disease usually is diagnosed only at autopsy. d. Clients do not follow up on acute pelvic pain.

The early stages produce very vague symptoms.

A nurse is caring for is a pregnant client who is human immunodeficiency virus (HIV) positive. What is a priority issue that the nurse should discuss with the client? a. The client's relationship with the spouse b. The amount of physical contact that should occur with the infant c. The client's plan for future pregnancies d. The need for the client to avoid breast-feeding

The need for the client to avoid breast-feeding

client has been referred for a colposcopy by the physician. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client? a. client may feel pain in the vaginal area during the examination b. The test is conducted because of abnormal results in pap smears c. intercourse should be avoided for at least a week afterward d. client may experience pain during urination for a week following the test

The test is conducted because of abnormal results in pap smears

A nurse is required to assess the client reporting unusual vaginal discharge for bacterial vaginosis. for which classic manifestation of this condition should the nurse assess? a. characteristics stale fish odor b. heavy yellow discharge c. dysfunctional uterine bleeding d. erythema in the vulvovaginal area

characteristics stale fish odor

A client reporting genital warts has been diagnosed with human papilloma virus. The genital works have been treated and they have disappeared. which should the nurse include in the teaching plan when educating the client about the condition? a. Applying steroid creams in affected area promotes comfort b. even after warts are removed HPV still remains c. all women over age 30 should get themselves vaccinated against HPV d. use of latex condoms is associated with increased risk of cervical cancer

even after warts are removed HPV still remains

the client has been following the conventional 28 day regimen for contraception. She is now considering switching to an extended oral contraceptive. she is seeking information about specific safety precautions. which is true for the extended OC regimen? a. It is not as effective as the conventional regimen b. It prevents pregnancy for three months at a time c. it carries the same safety profile as the 28 day regimen d. It does not ensure restoration of fertility if discontinued

it carries the same safety profile as the 28 day regimen

The endometrial biopsy of a client reveals cancerous cells, and the Primary Health care provider has diagnosed it as endometrial cancer. Which responsibilities of the nurse are part of the treatment of the client? select all that apply a. make sure the client understands all available treatment options b. inform the client that changes in sexuality are normal and need not be reported c. inform the client about the possible advantages of a support group d. offer the family explanations and emotional support throughout the treatment e. inform the client that follow-up care is not required unless something unusual occurs

make sure the client understands all available treatment options inform the client about the possible advantages of a support group offer the family explanations and emotional support throughout the treatment

her nurse is caring for a client undergoing treatment for bacterial vaginosis. which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis? a. practice monogamy b. use oral contraceptives c. avoid smoking d. undergo colposcopy tests frequently

practice monogamy

A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. the health care provider has diagnosed it as primary episode of genital herpes simplex virus, for which antiviral therapy is recommended. which information should the nurse offer the client when educating her about managing the infection? a. Antiviral drug therapy cures the infection completely b. kissing during the primary episode does not transmit the virus c. safety of antiviral therapy during pregnancy has not been established d. recurrent HSV infection episodes are longer and more severe

safety of antiviral therapy during pregnancy has not been established

The nurse is teaching a female client about fertility awareness as a method of Contraception. Which should the nurse mention as an assumption for this method? a. sperm can live up to 24 hours after intercourse b. the unsafe period Is approximately 6 days c. the exact time of ovulation can be determined d. the safe. Is 3 days after ovulation

the unsafe period Is approximately 6 days

a client in her 2nd trimester of pregnancy asks the nurse for information regarding certain oral medications to induce miscarriage. what information should the client be given about such medications a. they are available only in the form of suppository's b. they can be taken only in the first trimester c. they present a high risk of respiratory failure d. they are considered a permanent end to fertility

they can be taken only in the first trimester

To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia? a. A highly variable skin rash b. A yellow-green vaginal discharge c. A nontender, indurated ulcer d. A localized gumma formation

A nontender, indurated ulcer

A nurse is caring for pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. For which increased risk should the nurse make the client aware? a. Heart disease b. Anemia C. Rickets d. Scurvy

Anemia

9. The most common cause of menstrual abnormality in a reproductive-age woman is: a. ectopic pregnancy b. coagulopathy c. carcinoma d. Anovulation

Anovulation - when the ovaries do not release an oocyte during a menstrual cycle. Therefore, ovulation does not take place.

A nurse is a caring for a postpartum client. What instruction should the nurse provide to the client as precautionary measures to prevent thromboembolic complications!? a. Avoid performing any deep-breathing exercises b. Try to relax with pillows under knees c. Avoid sitting in one position for long periods of time d. Refrain from elevating legs above heart level

Avoid sitting in one position for long periods of time

The nurse is providing care to several newborns with variations in gestational age and birth weight. When developing the plan of care for these newborns, the nurse focuses on energy conservation to promote growth and development. Which measures would the nurse include in the nursing plans of care? Select all that apply. a. Keeping the handling of the newborn to a minimum b. Maintaining a neutral thermal environment c. Decreasing environmental stimuli d. Initiating early oral feedings e. Using thermal warmers in all cribs f. Promoting kangaroo care by caretakers

Keeping the handling of the newborn to a minimum Maintaining a neutral thermal environment Decreasing environmental stimuli

A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which important area should the nurse address during assessment of the client? a. Sexual development of the client b. Whether sex was consensual c. Options for birth control in the future d. Knowledge of child development

Knowledge of child development

A nurse is caring for a newborn whose chest x-ray reveals marked hyperaeration mixed with areas of atelectasis. The infant's arterial blood gas analysis indicates metabolic acidosis. For which dangerous condition should the nurse prepare when providing care to this newborn? a. Choanal atresia b. Diaphragmatic hernia C. Meconium aspiration syndrome d. Pneumonia

Meconium aspiration syndrome

Which of the following would the nurse include when teaching a pregnant woman about the pathophysiologic mechanisms associated with gestational diabetes? a. Pregnancy fosters the development of carbohydrate cravings. b. There is progressive resistance to the effects of insulin. c. Hypoinsulinemia develops early in the first trimester. d. Glucose levels decrease to accommodate fetal growth.

There is progressive resistance to the effects of insulin.

The nurse is counseling a couple who are concerned because the woman has achondroplasia in her family. The woman is not affected. Which statement by the couple indicates the need for more teaching? "If the mother has the gene, then there is a 50% chance of passing it on" "If the father doesn't have the gene, then his son won't have achondroplasia" " if the father has the gene, then there is a 50% chance of passing it on" "Since neither one of us has the disorder, we won't pass it on"

"If the father doesn't have the gene, then his son won't have achondroplasia"

The parents of an infant born with an abnormality on her back are told by the neonatologist that their daughter has a myelomeningocele. They ask the nurse what exactly that means. The nurse's next reply would be: a. "It is a herniation through the skin of the back of your daughter with both the spinal cord and nerve roots involved." b. "The contents of the sac you see only have fluid in it and should cause her no problem." c. "Your daughter's defect involves only the nerves to her bladder and bowel and can be easily repaired." d. "The sac is a very small cyst and should resolve within the first year of life."

"It is a herniation through the skin of the back of your daughter with both the spinal cord and nerve roots involved."

A nurse is providing genetic counseling to a pregnant client. Which are nursing responsibilities related to counseling the client. Select all that apply? Explaining basic concepts of probability and disorder susceptibility Ensuring complete informed consent to facilitate decisions about genetic testing Instructing the client on the appropriate decision to be taken Knowing basic genetic terminology and inheritance patterns Avoiding explanations of ethical or legal issues and concentrating on genetic issues

Explaining basic concepts of probability and disorder susceptibility Ensuring complete informed consent to facilitate decisions about genetic testing Knowing basic genetic terminology and inheritance patterns

A nurse is caring for a 38-year-old overweight client 24 hours postcesarean birth. The client is reporting calf tenderness. Which should the nurse do first? a. Assess the client's respiratory rate b. Determine the severity of the pain C. Administer an anticoagulant d. Have the client rest with the extremity elevated

Have the client rest with the extremity elevated

A male newborn is born with hypospadias. The nurse doing the newborn physical assessment notes that the penis is also curved downward. What information would the nurse provide the parents for this infant? a. The circumcision may have to be revised when he is older. b. The infant's penis will not require surgery but may never be completely straight. c. His ability to void and have an erection in adulthood may be impaired and surgery needed. d. The parents will be taught maneuvers to perform on the penis to help straighten it out prior to repairing the urethral opening.

His ability to void and have an erection in adulthood may be impaired and surgery needed.

A nurse finds that a client is bleeding excessively after a vaginal birth. Which assessment finding would indicate retained placental fragments as a cause of bleeding? a. Soft and boggy uterus that deviates from the midline b. Firm uterus with trickle of bright-red blood in perineum C. Firm uterus with a steady stream of bright-red blood d. Large uterus with painless dark-red blood mixed with clots

Large uterus with painless dark-red blood mixed with clots

The nurse is caring for a client in the early stages of labor. What maternal history factors will alert the nurse to plan for the possibility of a small-for-gestational-age (SGA) newborn? Select all that apply. a. Maternal smoking during pregnancy b. Hypotension upon admission c. Asthma exacerbations during pregnancy d. Drug abuse e. Pregnancy weight gain of 25 lb

Maternal smoking during pregnancy Asthma exacerbations during pregnancy Drug abuse

Which symptom would most accurately indicate that a newborn has experienced meconium aspiration during the birth process? a. Bluish skin discoloration b. Listlessness or lethargy C. Stained umbilical cord and skin d. Meconium-stained fluids followed by tachypnea

Meconium-stained fluids followed by tachypnea

A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply. a. Maternal age less than 18 years b. Genitourinary tract abnormalities C. Obesity d. Hypertension e. Previous large for gestational age (LGA)infant

Obesity Hypertension Previous large for gestational age (LGA)infant

Which intervention should a nurse implement to promote thermoregulation in a preterm newborn? a. Assess the newborn's temperature every 8 hours until stable b. Set the temperature of the radiant warmer at a fixed level c. Observe for clinical signs of cold stress such as weak cry d. Check the blood pressure of the infant every 2 hours

Observe for clinical signs of cold stress such as weak cry

During the assessment of a laboring client, the nurse learns that the client has cardiovascular disease (CVD). Which assessment would be priority for the newborn? a. Respiratory function b. Heart rate c. Temperature d. Urine output

Respiratory function

Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid? a. Total bilirubin level of 15 b. Respiratory rate of 60 to 70 beats per minute c. Heart rate of 162 beats per minute d. Hematocrit of 44%

Respiratory rate of 60 to 70 beats per minute

. A pregnant client and her husband have had a session with a genetic specialist. What is the role of the nurse after the client has seen the specialist? Identify the best decision to be taken for the client Refer the client to another specialist for a second opinion Review what has been discusses with the specialist Refer the client for further diagnostic and screening t

Review what has been discusses with the specialist

When caring for a preterm infant, what intervention will best address the sensorimotor needs of the infant? a. Rocking and massaging b. Swaddling and positioning C. Using minimal amount of tape d. Using distraction through objects

Rocking and massaging

A 16-year-old teen comes to the clinic for routine care and is diagnosed with gonorrhea. The teen asks the nurse why she needs treatment for this since she has no symptoms. The nurse should explain that possible complications of lack of treatment could result in: a. Sterility, birth defects, and miscarriage b. The need for future births by cesarean section c. Skin rashes and hearing loss d. Disseminated systemic infections

Sterility, birth defects, and miscarriage

Infants born with a diaphragmatic hernia are provided supportive treatment until they can have surgery to repair the defect. What medications are usually given to these infants to improve their oxygen saturations and respiratory status ? Select all that apply. a. Steroids b. Inotropes C. Surfactant d. Plasma expanders e. Bronchodilators

Steroids Inotropes Surfactant

. A client has been informed that the result of her pregnancy test indicated that she is 3 weeks pregnant. Which instructions should the nurse give the client in regard to her condition? Avoid exercising during pregnancy Discontinue intercourse until baby is born Stop using drugs, alcohol, or tobacco Wear comfortable clothes that are not tight or restrictive

Stop using drugs, alcohol, or tobacco

A nurse is caring for a client who has been diagnosed with genital warts due to each HPV. the nurse explains to the client that HPV increases the risk of vulvar cancer. which preventative measures to reduce the risk of vulvar cancer should the nurse explained to the client? a. genital examination should be done only by the Primary Health care provider b. genital examination should be done by the client c. the client should avoid tight undergarments d. the client should use over-the-counter drugs for self-medication of suspicious lesions

genital examination should be done by the client

a client reports genital ulcers and a diagnosis of syphilis. which nursing interventions should the nurse implement when caring for the client? select all that apply. a. have the clients urinate in water if urination is painful b. suggest the client apply ice packs to the genital area for comfort c. instruct the client to wash her hands with soap and water after touching lesions d. instruct the client to wear non constricting comfortable clothes e. instruct the client to abstain from sex during the latency.

have the clients urinate in water if urination is painful instruct the client to wash her hands with soap and water after touching lesions instruct the client to wear non constricting comfortable clothes

The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. which should the nurse include in the teaching plan? Select all that apply. a. increase intake of salty foods b. increase water consumption c. Avoid keeping legs elevated while lying down d. Use heating pads or take warm baths e. increase exercise and physical activity

increase water consumption Use heating pads or take warm baths increase exercise and physical activity

a pregnant client has been diagnosed with gonorrhea. which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby? a. administer cephalosporins to mother during pregnancy b. instill a prophylactic agent in the eyes of the newborn c. Perform cesarean birth to prevent infection d. Administer an antiretroviral syrup to the newborn

instill a prophylactic agent in the eyes of the newborn

a nurse who was conducting sessions on preventing the spread of sexually transmitted infections discovers that there is a very high incidence of hepatitis B in the community. which measures should the nurse take to ensure the prevention of the disease? a. ensure that the drinking water is disease free b. instruct people to get vaccinated for hepatitis B c. educate about risks of injecting drugs d. educate teenagers to delay onset of sexual activity

instruct people to get vaccinated for hepatitis B

A 55 year old client presents to the clinic with persistent vulvar pruritis, burning, and a lump. she states she has had the symptoms for five months and has been trying to treat them with over-the-counter creams. she has a history of multiple sexual partners an HPV, and is a smoker. what should the nurse do next? a. prepare the client for a biopsy of the lesion b. Determine what creams the client has used c. assess how much the client smokes daily d. schedule the client for cryosurgery

prepare the client for a biopsy of the lesion

A client is waiting for the results of an endometrial biopsy for suspected endometrial cancer. she wants to know more about endometrial cancer and asks the nurse about the available treatment options. which treatment information should the nurse give the client? a. surgery involves removal of the uterus only b. in advanced cancers radiation and chemotherapy are used instead of surgery c. surgery involves removal of the uterus, fallopian tubes, and ovaries. Adjuvant therapy is used if relevant d. follow-up care after the relevant treatment should last for at least six months after the treatment

surgery involves removal of the uterus, fallopian tubes, and ovaries. Adjuvant therapy is used if relevant

When caring for a client with reproductive issues, the nurse is required to clear up misconceptions. this enables new learning to take hold and a better client response to whichever methods are explored an ultimately selected. which misconceptions will the nurse need to clear up? select all that apply a. breastfeeding does not protect against pregnancy b. taking birth control pills protects against sexually transmitted infections c. douching after sex will prevent pregnancy d. pregnancy can occur during menses e. irregular menstruation prevents pregnancy

taking birth control pills protects against sexually transmitted infections douching after sex will prevent pregnancy irregular menstruation prevents pregnancy

a nurse is caring for a client who has just delivered a baby. which information should the nurse give the client regarding hepatitis B vaccination for the baby? a. vaccine may not be safe for underweight or premature babies b. vaccine consists of a series of three injections given within six months c. vaccine is administered only after the infant is at least six months old d. vaccine is required only if mother is identified as high risk for hepatitis B

vaccine consists of a series of three injections given within six months

A nurse is caring for a female client who has history of recurring vulvovaginal Candidiasis. which instruction should the nurse include in the teaching session with the client? a. use super absorbent tampons b. douche the affected area regularly c. wear white 100% cotton underpants d. increase intake of carbonated drinks

wear white 100% cotton underpants

A nurse is caring for a 45-year-old pregnant client with a cardiac disorder, who has been instructed by her physician to follow class functional activity recommendations. The nurse correctly instructs the client to follow which limitations? a. "You will need to be on bedrest for the remainder of your pregnancy. b. "It is important for you to rest after any physical activity in order to cardiac complications." C. "It will be beneficial if you plan rest periods throughout your day." D. "You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath."

"You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath."

A nurse is caring for a client with idiopathic thrombocytopenic purpura (ITP)I THRASH PLATELETS Which intervention should the nurse perform first? a. Administration of prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) b. Administration of platelet transfusions as ordered C. Avoiding administration of oxytocics d. Continual firm massage of the uterus

Administration of platelet transfusions as ordered

A nurse is caring for a postpartum client diagnosed with von Willebrand disease (clotting disease). What should be the nurse's priority for this client? a. Check the lochia b. Assess the temperature c. Monitor the pain level d. Assess the fundal height

Check the lochia

Which of the following findings would lead the nurse to suspect that a woman is developing a postpartum complication? a. Moderate lochia rubra for the first 24 hours b. Clear lung sounds upon auscultation c. Temperature of 100° F d. Chest pain experienced when ambulating

Chest pain experienced when ambulating

A woman with human papilloma virus (HPV) is likely to present with which nursing assessment finding? a. Profuse, pus-filled vaginal discharge b. Clusters of genital warts c. Single painless ulcer d. Multiple vesicles on genitalia

Clusters of genital warts

A preterm infant is placed under the radiant heat warmer after birth. The nurse evaluates the temperature frequently to prevent which of the following: a. Cold stress b. Respiratory depression c. Tachycardia d. Thermogenesis

Cold stress

Throughout life, a woman's most proactive activity to promote her health would be to engage in: a. consistent exercise b. socialization with friends c. quality quiet time with herself d. consuming water

Consistent exercise

Which maternal factors should the nurse consider contributory to a newborn being large for gestational age? Select all that apply. a. Diabetes mellitus b. Postdates gestation Mulla sore thed C. Alcohol use d. Prepregnancy obesity e. Renal infection

Diabetes mellitus Postdates gestation Mulla sore thed Prepregnancy obesity

The nurse assesses an infant. Which finding may indicate heart failure? a. Capillary refill time b. Diminished peripheral pulses C. Color of hands and feet d. Blood glucose level

Diminished peripheral pulses

The parents of a ask the newborn with a cleft palate nurse what is the best method to feed their infant. The mother desires to breast-feed but is afraid due to the defect. What would be the nurse's best response? a. The mother can pump her breast milk and give it to the infant in a bottle b. Encourage the mother to breast-feed the infant c. Inform the parents that breast-feeding will be impossible and recommend giving the infant formula d. Instruct the parents to try to feed the infant from a sippy cup formula by pouring the slowly into the mouth

Encourage the mother to breast-feed the infant

Working in a reproductive health services clinic, the nurse is aware that the goal of the Human Genome project was to: a. Link specific abnormal genes to specific diseases for better treatment b. Map, sequence, and determine the function of all human genes c. Understand the underlying causes of diseases to transform health care d. Measure the impact of certain chromosomes on disease prevention

Map, sequence, and determine the function of all human genes

What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension? a. Stressing the avoidance of dairy products b. Stressing the positive benefits of a healthy lifestyle c. Stressing the increased use of vitamin D supplements d. Stressing regular walks and exercise

Stressing the positive benefits of a healthy lifestyle

The nurse is caring for a pregnant client who is in her 30th week of gestation and has congenital heart disease. Which should the nurse recognize as a symptom of cardiac decompensation with this client? a. Swelling of the face b. Dry, rasping cough c. Slow, labored respiration d. Elevated temperature

Swelling of the face

a 30 year old client tells the nurse that she would like to use a contraceptive sponge but does not know enough about its use and whether it will protect her against sexually transmitted infections. which information should the nurse provide the client about using a contraceptive sponge? select all that apply a. keep the sponge for more than 30 hours to prevent STI's b. wet the sponge with water before inserting it c. insert the sponge 24 hours before intercourse d. leave the sponge in place for at least six hours following intercourse e. replace sponge every two hours for the method to be effective

wet the sponge with water before inserting it insert the sponge 24 hours before intercourse leave the sponge in place for at least six hours following intercourse

The nurse is counseling a couple, one of whom is affected by an autosomal dominant disorder. They express concerns about the risk of transmitting the disorder. What is the best response by the nurse regarding the risk that their baby may have the disease? a. "You have a one in four (25%) chance." b. "The risk is 12.5%, or a one in eight chance." c. "The chance is 100%." d. "Your risk is 50%, or a one in two chance."

"Your risk is 50%, or a one in two chance."

A pregnant client arrives at the community health center for a routine check up. She informs the nurse that a relative on her mother's side has hemophilia, and she wants to know the chances of her child acquiring hemophilia. Which characteristic of hemophilia should the nurse explain to the client to help her understand the odds of acquiring the disease. Select all that apply Affected individuals will have affected parents Affected individuals are usually males Daughters of an affected male are unaffected and are not carriers Female carriers have a 50% chase of transmitting the disorder to their sons Females are affected by the condition if it is a dominant X-linked disorder

Affected individuals are usually males Female carriers have a 50% chase of transmitting the disorder to their sons Females are affected by the condition if it is a dominant X-linked disorder

Bronchopulmonary dysplasia (BPD) is the result of lung injury in the preterm newborn. What can be done to reduce the incidence of BPD in the preterm newborn? a. Antepartal administration of steroids to the mother b. Mechanical ventilation of the newborn with 100% oxygen content c. Steroid injection at birth to all infants at risk for BPD d. Exogenous surfactant given to the mother before the baby's birth

Antepartal administration of steroids to the mother

A postmenopausal woman reports that she has started spotting again. Which of the following would the nurse do? a. Instruct the client to keep a menstrual diary for the next few months. b. Tell her not to worry, since this a common but not serious event. c. Have her start warm-water douches to promote healing. d. Anticipate that the doctor will assess her endometrium thickness.

Anticipate that the doctor will assess her endometrium thickness.

7. A nurse is caring for a client with CVD who has just delivered. What nursing interventions should the nurse perform when caring for this client? Select all that apply. a. Assess for shortness of breath b. Assess for a moist cough C. Assess for edema and note any pitting d. Auscultate heart sounds for abnormalities e. Monitor the hematocrit client's hemoglobin

Assess for shortness of breath Assess for edema and note any pitting Auscultate heart sounds for abnormalities

Women who drink alcohol during pregnancy: a. Often produce more alcohol dehydrogenase. b. Usually become intoxicated faster than before. c. Can give birth to an infant with fetal alcohol spectrum disorder. d. Gain fewer pounds throughout the gestation.

Can give birth to an infant with fetal alcohol spectrum disorder

a healthy 28 year old female client who has a sedentary lifestyle and is a chain smoker is seeking information about contraception. The nurse informs the client of the various options available and the benefits and risks of each. which should the nurse recognize as contraindicated in the case of this client? a. The medroxyprogesterone injection b. Combination oral contraceptives c. a copper intrauterine device d. implantable contraceptives

Combination oral contraceptives

A 30-week preterm male newborn is found to have tachypnea during the first few hours of life and oxygen administered via face mask at 100% doesn't improve his oxygen saturation level. Which of the following substances, if administered to the mother prenatally, could have prevented respiratory distress syndrome? a. Insulin b. Lecithin c. Folic acid d. Dexamethasone

Dexamethasone - steroid treats inflammation

The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has pet cat. Which instructions should the nurse give this client to prevent toxoplasmosis? Select all that apply. a. Eat meat cooked to 160°F (71°C) b. Avoid cleaning the cat's litter box c. Keep the cat outdoors at all times d. Avoid contact with children when they have cold e. Avoid outdoor activities such as gardening

Eat meat cooked to 160°F (71°C) Avoid cleaning the cat's litter box Avoid outdoor activities such as gardening

In dealing with parents experiencing a perinatal loss, which of the following nursing interventions would be most appropriate? a. Sheltering the parents from the bad news b. Making all the decisions regarding care c. Encouraging them to participate in the newborn's care d. Leaving them by themselves to allow time to grieve

Encouraging them to participate in the newborn's care

When providing prenatal education to a pregnant woman with asthma, which of the following would be important for the nurse to do? a. Explain that she should avoid steroids during her pregnancy. b. Demonstrate how to assess her blood glucose levels. c. Teach correct administration of subcutaneous bronchodilators. d. Ensure she seeks treatment for any acute exacerbation.

Ensure she seeks treatment for any acute exacerbation.

The nurse is preparing to teach a class to a group of middle aged women regarding the most common vasomotor symptoms experienced during menopause and possible modalities of treatment available. Which of the following would be a vasomotor symptom experienced by menopausal women? a. Weight gain b. Bone density c. Hot flashes d. Heart disease

Hot flashes

Which of the following factors in a postpartum woman's history would lead the nurse to monitor the woman closely for an infection? a. Hemoglobin of 12 mg/dL b. Manually extracted placenta c. Labor of 10 hours length d. Multiparity of 5 pregnancies

Manually extracted placenta

A nurse caring for a pregnant client suspected substance use during pregnancy. What is the priority nursing intervention for this client? a. Determine how long the client has been using drugs b. Obtain a urine specimen for a drug screening C. Determine if the client has emotional support d. Provide education material on cessation of substance use

Obtain a urine specimen for a drug screening

A nurse is educating an 25 year old client with a family history of cervical cancer. which test should the nurse inform the client about to detect cervical cancer at an early stage? a. Papanicolaou test b. blood test for mutations in the BRCA genes c. CA-125 blood test d. transvaginal ultrasound

Papanicolaou test

A nurse is caring for a newborn with meconium aspiration syndrome. Which interventions should the nurse perform when caring for this newborn? Select all that apply. a. Perform repeated suctioning and stimulation b. Place the newborn under a radiant warmer or in a warmed isolette c. Handle and rub the newborn well with a dry towel d. Administer oxygen therapy e. Administer broad-spectrum antibiotics

Perform repeated suctioning and stimulation Administer oxygen therapy Administer broad-spectrum antibiotics

A nurse is caring for a client who delivered vaginally 2 hours ago. What postpartum complication can the nurse assess within the first few hours following birth? a. Postpartal infection b. Postpartal blues C. Postpartal hemorrhage d. Postpartum depression

Postpartal hemorrhage

When implementing the plan of care for a multigravida postpartum woman who gave birth just a few hours ago, the nurse vigilantly monitors the client for which complication? a. Deep venous thrombosis b. Postpartum psychosis c. Uterine infection d. Postpartum hemorrhage

Postpartum hemorrhage

Down syndrome results from the: a. Absence of one chromosome in position 21 b. Presence of an extra chromosome in position 21 c. Absence of both chromosomes in position 21 d. Crossing over of the chromosomes in position 21

Presence of an extra chromosome in position 21

A nurse is caring for a postpartum client who has been treated for deep vein thrombosis (DVT). Which order would the nurse question? a. Wear compression stockings b. Plan long rest periods throughout the day C. Take aspirin as needed d. Take an oral contraceptive daily

Take an oral contraceptive daily

a female client is prescribed metronidazole for the treatment of trichomoniasis. which instruction should the nurse give the client undergoing the treatment? a. avoid extremes of temperature to the general area b. use condoms during sex c. increased fluid intake d. avoid alcohol

avoid alcohol

a 19 year old female client has been diagnosed with pelvic inflammatory disease caused by untreated gonorrhea. which instructions should the nurse offer when caring for the client? select all that apply. a. use an intrauterine device b. avoided douching vaginal area c. complete the antibiotic therapy d. increased fluid intake e. limit the number of sexual partners

avoided douching vaginal area complete the antibiotic therapy limit the number of sexual partners

a 49 year old client who is in the peri menopausal phase of life reports to the nurse a loss of lubrication during intercourse, which she feels is hampering her sex life. which response by the nurse is appropriate? a. don't worry this is a normal process of aging b. have you considered contacting a support group for women your age? c. you can manage the condition by using over-the-counter moisturizers or lubricates d. all you need is a positive outlook and a supportive partner

you can manage the condition by using over-the-counter moisturizers or lubricates

. Upon assessment, the nurse notes a postpartum client has increased vaginal bleeding. The client had a forceps birth which resulted in lacerations 4 hours ago. What should the nurse do next? a. Assess for uterine contractions b. Change the client's peripad C. Obtain the client's vital signs d. Have the client void

Assess for uterine contractions

A postpartum mother appears very pale and states she is bleeding heavily. The nurse should first: a. Call the client's health care provider immediately. b. Immediately set up an intravenous infusion of magnesium sulfate. c. Assess the fundus and ask her about her voiding status. d. Reassure the mother that this is a normal finding after childbirth.

Assess the fundus and ask her about her voiding status.

A nurse is caring for a pregnant client with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum? a. Limiting sodium intake b. Inspecting the extremities for edema c. Ensuring that the client consumes a high-fiber diet d. Assessing for cardiac decompensation

Assessing for cardiac decompensation

What are the causes of retinopathy of the preterm newborn? Select all that apply. a. Insufficient oxygenation in an isolette b. Assistive ventilation with high oxygen content c. Fragility of blood vessels in the eyes in response to changes on oxygenation d. Alkalosis e. Shock

Assistive ventilation with high oxygen content Fragility of blood vessels in the eyes in response to changes on oxygenation Shock

Which safety precautions should a nurse take to prevent infection in a newborn? Select all that apply. a. Avoid coming to work when ill b. Cover jewelry while washing hands c. Use sterile gloves for an invasive procedure d. Avoid using disposable equipment e. Initiate universal precautions when caring for the infant

Avoid coming to work when ill Use sterile gloves for an invasive procedure Initiate universal precautions when caring for the infant

A couple reports that their condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy? a. Inject a spermicidal agent into the woman's vagina immediately. b. Obtain emergency contraceptives and take them immediately. c. Douche with a solution of vinegar and hot water tonight. d. Take a strong laxative now and again at bedtime.

Obtain emergency contraceptives and take them immediately

Which of the following concepts would the nurse incorporate into the plan of care when assessing pain in a newborn with special needs? a. Newborns experience pain primarily with surgical procedures. b. Preterm newborns in the NICU are at the least risk for pain. c. Pain assessment needs to be comprehensive and frequent. d. A newborn's facial expression is the primary indicator of pain.

Pain assessment needs to be comprehensive and frequent.

The nurse is attempting to reassure her obese female client about the discovery of an ovarian cyst after her pelvic exam. Which of the following statements is true concerning ovarian cysts? They are: a. Frequently seen in polycystic kidney disease b. Always painful and need to be removed surgically c. A precursor to ovarian carcinoma d. Part of a syndrome that includes hypertension and diabetes

Part of a syndrome that includes hypertension and diabetes