A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects
... [Show More] an understanding of the teaching?
a. "A water-soluble lubricant should be used with condoms."
b. "A diaphragm should be removed 2 hours after intercourse."
c. "Oral contraceptives can worsen a case of acne."
d. "A contraceptive patch is replaced once a month."
A.
A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following?
a. Reduced menstrual flow
b. Breast tenderness
c. SOB
d. Headaches
C.
A nurse in a OB clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching?
a. "An IUD should be replaced annually during a pelvic exam."
b. "I cannot get an IUD until after I've had a child."
c. "I should expect intermittent abdominal pain while the IUD is in place."
d. "A change in the string length of my IUD is unexpected."
D.
A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (SATA)
a. Tinnitus
b. Irregular vaginal bleeding
c. Weight gain
d. Breast changes
e. Gingival hyperplasia
B., C., D.
A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (SATA)
a. "Weight loss can occur."
b. "You are protected against STIs"
c. "You should increase your intake of calcium."
d. "You should avoid taking antibiotics."
e. "Irregular vaginal spotting can occur."
C., E.
A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?
a. A client whose sister has alopecia
b. A client whose partner has von Willebrand disease
c. A client who has an allergy to sulfa
d. A client who had rubella 3 months ago
B.
A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process?
a. "You will need to see a genetic counselor as part of the assessment."
b. "It is usually the woman who is having trouble, so the man doesn't have to be involved."
c. "The man is the easiest to assess, and the provider will usually begin there."
d. "Think about adopting first because there are many babies that need good homes."
C.
A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (SATA)
a. Occupation
b. Menstrual history
c. Childhood infectious diseases
d. History of falls
e. Recent blood transfusions
A., B., C.
A nurse in a clinic is caring for a client who is to be seen by the provider for a post-op appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification?
a. "It is good to know that I won't have a tubal pregnancy in the future."
b. "The doctor said that this surgery can affect my ability to get pregnant again."
c. "I understand that one of my fallopian tubes had to be removed."
d. "Ovulation can still occur because my ovaries were not affected."
A.
A nurse is reviewing the health record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure?
Vital: temp 98.9 and BMI of 40.3
H&P: radiology technician
Lab: glucose 103 and total cholesterol of 265 mg/dL
a. Vital signs
b. H&P
c. Lab findings
d. Medications
B.
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery?
a. January 8
b. January 15
c. February 8
d. February 15
A.
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (SATA)
a. Client has delivered one newborn at term
b. Client has experienced no preterm labor
c. Client has been through active labor
d. Client has had two prior pregnancies
e. Client has one living child
A., D., E.
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (SATA)
a. Montgomery's glands
b. Goodell's sign
c. Ballottement
d. Chadwick's sign
e. Quickening
B., C., D.
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make?
a. "This is due to an increase in blood volume."
b. "This is due to pressure from the uterus on the diaphragm."
c. "This is due to the weight of the uterus on the vena cava."
d. "This is due to increased cardiac output."
C.
A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse provide to the client?
a. "You should wait until 4 weeks after conception to be tested."
b. "You should be off any medications for 24 hours prior to the test."
c. "You should be NPO for at least 8 hours prior to the test."
d. "You should collect urine from the first morning void."
D.
A nurse is teaching a group of women who are pregnant about measures to relieve a backache during pregnancy. Which of the following measures should the nurse include in the teaching? (SATA)
a. Avoid any lifting
b. Perform Kegel exercises twice a day
c. Perform the pelvic rock exercise everyday
d. Use proper body mechanics
e. Avoid constrictive clothing
C., D.
A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. Which of the following complications should the nurse include in the teaching?
a. Vaginal bleeding
b. Swelling of the ankles
c. Heartburn after eating
d. Lightheadedness when lying on back
A.
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include in the teaching?
a. Eat crackers or plain toast before getting out of bed
b. Awaken during the night to eat a snack
c. Skip breakfast and eat lunch after nausea has subsided
d. Eat a large evening meal
A.
A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? (SATA)
a. Breast tenderness
b. Urinary frequency
c. Epistaxis
d. Dysuria
e. Epigastric pain
A., B., C.
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make?
a. "I will inform the provider that you are having these feelings."
b. "It is normal to have these feelings during the first few months of pregnancy."
c. "You should be happy that you are going to bring new life into the world."
d. "I am going to make an appointment with the counselor for you to discuss these thoughts."
B.
A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium?
a. Dark green leafy vegetable
b. Deep red or orange vegetable
c. White bread and rice
d. Meat, poultry, and fish
A.
A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider?
a. 1.8kg (4 lb) weight gain and is in her first-trimester
b. 3.6kg (8 lb) weight gain and is in her first-trimester
c. 6.8kg (15 lb) weight gain and is in her second-trimester
d. 11.3kg (25 lb) weight gain and is in her third trimester
B.
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?
a. Iron deficiency anemia
b. Poor bone formation
c. Macrosomic fetus
d. Neural tube defects
D.
A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with?
a. Ice water
b. Low-fat or whole milk
c. Tea or coffee
d. Orange juice
D.
A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching?
a. "I am glad I can have my morning coffee."
b. "I should take folic acid to increase my milk supply."
c. "I will continue adding 330 calories per day to my diet."
d. "I will continue my calcium supplements because I don't like milk."
D.
A nurse is reviewing the findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? (SATA)
a. Fetal weight
b. Fetal breathing movement
c. Fetal tone
d. Fetal position
e. Amniotic fluid volume
B., C., E.
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity?
a. Alpha-feroprotein (AFP)
b. Lecithin/sphingomyelin (L/S) ratio
c. Kleihauer-Betke test
d. Indirect Coombs' test
B.
A nurse is caring for a client who is pregnant and undergoing a non-stress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make?
a. "It is used to stimulate uterine contractions."
b. "It will decrease the incidence of uterine contractions."
c. "It lulls the fetus to sleep."
d. "It awakens a sleeping fetus."
D.
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching?
a. "You will lay on your right side during the procedure."
b. "You should not eat anything for 24 hours prior to the procedure."
c. "You should empty your bladder prior to the procedure."
d. "The test is done to determine gestational age."
C.
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test. Which of the following findings are indications for this procedure? (SATA)
a. Decreased fetal movement
b. Intrauterine growth restriction
c. Postmaturity
d. Placenta previa
e. Amniotic fluid emboli
A., B., C.
A nurse in the ED is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine device. The nurse should suspect which of the following?
a. Missed abortion
b. Ectopic pregnancy
c. Severe pre-eclampsia
d. Hydatidiform mole
B.
A nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. The nurse is aware that which of the following findings are risk factors for developing the condition? (SATA)
a. Fetal position
b. Blunt abdominal trauma
c. Cocaine use
d. Maternal age
e. Cigarette smoking
B., C., E.
A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following types of medications should the nurse anticipate the provider will prescribe?
a. Betamethasone
b. Indomethacin
c. Nifedipine
d. Methylergonovine
A.
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
a. Hyperemesis gravidarum
b. Threatened abortion
c. Hydatidiform mole
d. Pre-term labor
C.
A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition?
a. No alteration in menses
b. Transvaginal ultrasound indicating a fetus in the uterus
c. Serum progesterone greater than the expected reference range
d. Report of severe shoulder pain
D.
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (SATA)
a. Episiotomy
b. Oxytocin infusion
c. Forceps
d. C-section
e. Internal fetal monitoring
A., C., E.
A nurse in an antepartum clinic is assessing a client who is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (SATA)
a. Joint pain
b. Malaise
c. Rash
d. Urinary frequency
e. Tender lymph nodes
A., B., C., E.
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe?
a. Ceftriaxone
b. Fluconazole
c. Metronidazole
d. Zidovudine
A.
A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (SATA)
a. Gonorrhea
b. Chlamydia
c. HIV
d. Group B strptococcus beta-hemolytic
e. TORCH
A., B., C., D.
A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching?
a. "Obtain an immunization against rubella early in pregnancy."
b. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy."
c. "A woman should avoid crowded places during pregnancy."
d. "A woman should avoid consuming undercooked meat while pregnant."
D.
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (SATA)
a. Obesity
b. Multifetal pregnancy
c. Maternal age greater than 40
d. Migraine headache
e. Oligohydramnios
A., B., D. [Show Less]