A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding?
... [Show More] (Ch. 1)
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 water-soluble lubricant should be used with condoms."
A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should be nurse include? (Ch. 1)
a. reduced menstrual flow
b. breast tenderness
c. shortness of breath
d. increased appetite
c. shortness of breath
SOB can indicate a PE or MI and should be reported to the provider immediately
A nurse in an onstetrical 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? (Ch. 1)
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 plan on regaining fertility 5 months after the IUD is removed."
d. "I will check to be sure the strings of the IUD are still present after my periods."
d. "I will check to be sure the strings of the IUD are still present after my periods."
A change in length of strings should be reported to provider immediately.
A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (SATA) (Ch. 1)
a. tinnitus
b. irregular vaginal bleeding
c. weight gain
d. nausea
e. gingival hyperplasia
b. irregular vaginal bleeding
c. weight gain
d. nausea
A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (SATA) (Ch. 1)
a. "Weight fluctuations 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."
a. "Weight fluctuations can occur."
c. "You should increase your intake of calcium."
e. "Irregular vaginal spotting can occur."
A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients whould the nurse anticipate this provider will refer to a genetic counselor? (Ch. 2)
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 client whose partner has von Willebrand disease
Von Willebrand disease is a genetic bleeding disorder and warrants a client beign referred to a genetic counselor
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 female who is having trouble, so the male doesn't have to be involved."
c. "The male 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. "The male is the easiest to assess, and the provider will usually begin there."
A sperm analysis is one of the first steps in the infertility assessment process and can idemtify a cause of infertility in a less invasive and costly manner.
A nurse in an infertility clinic is providing care to clients who have been unable to conceive for 18 months. Which of the following data should the nurse assess? (SATA) (Ch. 2)
a. occupation
b. menstrual history
c. childhood infectious diseases
d. history of falls
e. recent blood transfusions
a. occupation
b. menstrual history
c. childhood infectious diseases
-occupation hazards include exposure to teratogenic substances in the workplace (radiation, chemicals, herbicides, pesticides)
-menstrual history can identify hormone-related patterns (anovulation, pituitary disorders, endometriosis)
-childhood infectious diseases can dientify the male partner having had the mumps
A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification? (Ch. 2)
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. "It is good to know that I won't have a tubal pregnancy in the future."
The risk of recurrence of an ectopic pregnancy is increased following an ectopic pregnancy.
A nurse is reviewing the medical 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? (Ch. 2)
Vital Signs:
-Temperature: 97F
-HR: 60/min
History and Physical:
-Employed as radiology tech
-Allergy to shrimp
-Tonsillectomy at age 18
Laboratory Findings:
-Glucose: 103 mg/dL
-Hgb: 13.1 g/dL
-Total Cholesterol: 265 mg/dL
Medications:
-Rosuvastatin
-Magnesium oxide
-Mafenide acetate
a. Vital signs
b. History and physical
c. Laboratory findings
d. Medications
b. History and physical
An allergy to seafood is a contraindication to the dye used in hysterosalpingography.
A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? (Ch. 3)
a. January 8
b. January 15
c. February 8
d. February 15
a. January 8
April 1st minus 3 months plus 7 days and 1 year equals an estimated date of delivery of January 8
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) (Ch. 3)
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. Client has delivered one newborn at term
d. Client has had two prior pregnancies
e. Client has one living child
-T1 = delieved one newborn at term
-P0 = no preterm deliveries
-A1 = one miscarriage
-G3 = two prior pregnancies and client is currently pregnant
-L1 = one living child
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) (Ch. 3)
a. Montgomery's glands
b. Goodell's sign
c. Ballottement
d. Chadwick's sign
e. Quickening
b. Goodell's sign
c. Ballottement
d. Chadwick's sign
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? (Ch. 3)
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. "This is due to the weight of the uterus on the vena cava."
Maternal hypotension occurs when the client is lying in the supine position and the weight of the gravid uterus palces pressure on the vena cava, decreasing venous blood flow to the heart.
A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm pregnancy. Which of the following information should the nurse provide to the client? (Ch. 3)
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. "You should collect urine from the first morning void."
A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures whould the nurse include? (SATA) (Ch. 4)
a. Avoid any lifting
b. Perform Kegel exercises twice a day
c. Perform the pelvic rock exercise every day
d. Use proper body mechanics
e. Avoid constrictive clothing
c. Perform the pelvic rock exercise every day
d. Use proper body mechanics
-pelvic rock or tilt exercise stretches the muscle of the lower back and helps relieve lower back pain
-proper body mechancis prevents back injury due to the incorrect use of muscles when lifting
A nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? (Ch. 4)
a. vaginal bleeding
b. swelling fo the ankles
c. heartburn after eating
d. lightheadedness when lying on back
a. vaginal bleeding
indicates a potential complication of the placenta such as placenta previa.
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? (Ch. 4)
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. Eat crackers or plain toast before getting out of bed [Show Less]