CJE: Maternal Child Nursing – Questions With A+
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Terms in this set (70)
A 19-year-old client with multiple sex 3. Complete series of three intramuscular injections.
partners is being counseled about the
hepatitis B vaccination. During the Rationale:
counseling sessions, which of the The immune globulin is not administered before
following should the nurse advise the giving the vaccine. The vaccine is administered in a
client to receive? series of three injections. Booster shots are not
recommended for otherwise healthy people with
1. Hepatitis B immunoglobulin before noncompromised immune systems. To be immunized
receiving the vaccine. against hepatitis B, a three-injection vaccine series is
2. Vaccine booster every 10 years. administered. The vaccine can be administered at any
3. Complete series of three age.
intramuscular injections.
4. Vaccine as soon as she becomes 21. TEST-TAKING HINT: The current recommendation by
the Centers for Disease Control and Prevention
(CDC) is that the hepatitis B vaccine series be started
during the neonatal period before discharge from
the hospital (Schillie et al., 2018). The second and
third shots are administered 1 month and 6 months
after the first shot, respectively. For adults who have
not received the vaccine in infancy the series can be
administered at any age.
,A postpartum client has decided to 4. Consider switching to another birth control
use medroxyprogesterone acetate as method in a year or so.
her contraceptive method. What
should the nurse advise the client Rationale:
regarding this medication? Medroxyprogesterone acetate (Depo-Provera) is
either administered via intramuscular or
1. Take the pill at the same time each subcutaneous injection every 3 months.
day. Medroxyprogesterone acetate is a progesterone-
2. Refrain from breastfeeding while based contraceptive. It is safe for use and should not
using the method. adversely affect the ability to breastfeed. Both
3. Expect to have no periods as long amenorrhea and menorrhagia are side effects of the
as she takes the medicine. medication. The client should be advised to notify
4. Consider switching to another birth her healthcare practitioner regarding any significant
control method in a year or so. menstrual pattern changes. Many women who use
medroxyprogesterone acetate for over 2 years have
been found to suffer from loss of bone density. Some
of the changes in bone density may be irreversible.
TEST-TAKING HINT: There is a black box
recommendation on the medroxyprogesterone
acetate label. A black box warning is placed on some
prescription medications that have been found to
have significant side effects. In the case of
medroxyprogesterone acetate, the black box
warning is related to an increased risk of
OSTEOPOROSIS if use of this medication is
prolonged. The Food and Drug Administration (FDA)
has the power to require pharmaceutical companies
to include a black box on a medication that, although
approved for use, carries risks when taken.
,The nurse is administering 2. The client must be taught to use sunscreen
medroxyprogesterone acetate to a whenever in the sunlight.
postpartum client. Which of the
following data must the nurse Rationale:
consider before administering the Medroxyprogesterone acetate (Depo-Provera) is
medication? administered via intramuscular injection or
subcutaneously every 3 months. The client should
1. The patch must be replaced at the use sunscreen while receiving medroxyprogesterone
same time each week. acetate for birth control. The medication is
2. The client must be taught to use contraindicated for use by women who have breast
sunscreen whenever in the sunlight. cancer or who are pregnant. It is not contraindicated
3. The medicine is contraindicated if for use by those suffering from lung or esophageal
the woman has lung or esophageal cancer. After the first injection, it is often
cancer. recommended that the client use an alternate form
4. The client must use an alternate of birth control for at least a week, but not for 2
form of birth control for the first two months. The client should know that
months. medroxyprogesterone acetate will not protect her
from sexually transmitted infections.
TEST-TAKING HINT: Women can develop dark
patches on their skin when using
medroxyprogesterone acetate. The patches often
become darker in women who are in the sun without
protection. It is strongly recommended that women
who use medroxyprogesterone acetate use
sunscreen whenever they are exposed to the sun.
, Which statement by the client 1. "The IUD can remain in place for a year or more."
indicates that she understands the
teaching provided about the Rationale:
intrauterine device (IUD)? IUDs can remain in place for extended periods of
time. The client should expect to menstruate
1. "The IUD can remain in place for a regularly while the IUD is in place. If dyspareunia
year or more." (pain during intercourse) occurs, the client should
2. "I will not menstruate while the IUD contact her healthcare practitioner. Women who
is in." have IUDs in place are at slightly higher risk of
3. "Pain during intercourse is a developing pelvic infections.
common side effect."
4. "The device will reduce my chances TEST-TAKING HINT: Women who have multiple sex
of getting infected." partners or who have had a recent history of a
sexually transmitted infection should be considered
at highest risk for infection. The risk for all women is
most pronounced during the 20 days immediately
following IUD insertion.
A client has been diagnosed with 2. Pruritus.
pubic lice. Which of the following
signs/symptoms would the nurse Rationale:
expect to see? A macular rash is not indicative of pubic lice. Pruritus
is, by far, the most common symptom of pubic lice.
1. Macular rash on the labia. Hyperthermia is not commonly seen with an
2. Pruritus. infestation of pubic lice. Foul-smelling discharge is
3. Hyperthermia. not commonly seen with an infestation of pubic lice.
4. Foul-smelling discharge.
TEST-TAKING HINT: Pubic lice, not to be confused
with head lice, are commonly called crabs. They are
insects, usually sexually transmitted, that invade the
pubic hair. Although they are not the same as head
lice, the pubic infestation is treated with the same
pediculicidal (medication capable of killing lice)
shampoos.
Solutions
Save
Terms in this set (70)
A 19-year-old client with multiple sex 3. Complete series of three intramuscular injections.
partners is being counseled about the
hepatitis B vaccination. During the Rationale:
counseling sessions, which of the The immune globulin is not administered before
following should the nurse advise the giving the vaccine. The vaccine is administered in a
client to receive? series of three injections. Booster shots are not
recommended for otherwise healthy people with
1. Hepatitis B immunoglobulin before noncompromised immune systems. To be immunized
receiving the vaccine. against hepatitis B, a three-injection vaccine series is
2. Vaccine booster every 10 years. administered. The vaccine can be administered at any
3. Complete series of three age.
intramuscular injections.
4. Vaccine as soon as she becomes 21. TEST-TAKING HINT: The current recommendation by
the Centers for Disease Control and Prevention
(CDC) is that the hepatitis B vaccine series be started
during the neonatal period before discharge from
the hospital (Schillie et al., 2018). The second and
third shots are administered 1 month and 6 months
after the first shot, respectively. For adults who have
not received the vaccine in infancy the series can be
administered at any age.
,A postpartum client has decided to 4. Consider switching to another birth control
use medroxyprogesterone acetate as method in a year or so.
her contraceptive method. What
should the nurse advise the client Rationale:
regarding this medication? Medroxyprogesterone acetate (Depo-Provera) is
either administered via intramuscular or
1. Take the pill at the same time each subcutaneous injection every 3 months.
day. Medroxyprogesterone acetate is a progesterone-
2. Refrain from breastfeeding while based contraceptive. It is safe for use and should not
using the method. adversely affect the ability to breastfeed. Both
3. Expect to have no periods as long amenorrhea and menorrhagia are side effects of the
as she takes the medicine. medication. The client should be advised to notify
4. Consider switching to another birth her healthcare practitioner regarding any significant
control method in a year or so. menstrual pattern changes. Many women who use
medroxyprogesterone acetate for over 2 years have
been found to suffer from loss of bone density. Some
of the changes in bone density may be irreversible.
TEST-TAKING HINT: There is a black box
recommendation on the medroxyprogesterone
acetate label. A black box warning is placed on some
prescription medications that have been found to
have significant side effects. In the case of
medroxyprogesterone acetate, the black box
warning is related to an increased risk of
OSTEOPOROSIS if use of this medication is
prolonged. The Food and Drug Administration (FDA)
has the power to require pharmaceutical companies
to include a black box on a medication that, although
approved for use, carries risks when taken.
,The nurse is administering 2. The client must be taught to use sunscreen
medroxyprogesterone acetate to a whenever in the sunlight.
postpartum client. Which of the
following data must the nurse Rationale:
consider before administering the Medroxyprogesterone acetate (Depo-Provera) is
medication? administered via intramuscular injection or
subcutaneously every 3 months. The client should
1. The patch must be replaced at the use sunscreen while receiving medroxyprogesterone
same time each week. acetate for birth control. The medication is
2. The client must be taught to use contraindicated for use by women who have breast
sunscreen whenever in the sunlight. cancer or who are pregnant. It is not contraindicated
3. The medicine is contraindicated if for use by those suffering from lung or esophageal
the woman has lung or esophageal cancer. After the first injection, it is often
cancer. recommended that the client use an alternate form
4. The client must use an alternate of birth control for at least a week, but not for 2
form of birth control for the first two months. The client should know that
months. medroxyprogesterone acetate will not protect her
from sexually transmitted infections.
TEST-TAKING HINT: Women can develop dark
patches on their skin when using
medroxyprogesterone acetate. The patches often
become darker in women who are in the sun without
protection. It is strongly recommended that women
who use medroxyprogesterone acetate use
sunscreen whenever they are exposed to the sun.
, Which statement by the client 1. "The IUD can remain in place for a year or more."
indicates that she understands the
teaching provided about the Rationale:
intrauterine device (IUD)? IUDs can remain in place for extended periods of
time. The client should expect to menstruate
1. "The IUD can remain in place for a regularly while the IUD is in place. If dyspareunia
year or more." (pain during intercourse) occurs, the client should
2. "I will not menstruate while the IUD contact her healthcare practitioner. Women who
is in." have IUDs in place are at slightly higher risk of
3. "Pain during intercourse is a developing pelvic infections.
common side effect."
4. "The device will reduce my chances TEST-TAKING HINT: Women who have multiple sex
of getting infected." partners or who have had a recent history of a
sexually transmitted infection should be considered
at highest risk for infection. The risk for all women is
most pronounced during the 20 days immediately
following IUD insertion.
A client has been diagnosed with 2. Pruritus.
pubic lice. Which of the following
signs/symptoms would the nurse Rationale:
expect to see? A macular rash is not indicative of pubic lice. Pruritus
is, by far, the most common symptom of pubic lice.
1. Macular rash on the labia. Hyperthermia is not commonly seen with an
2. Pruritus. infestation of pubic lice. Foul-smelling discharge is
3. Hyperthermia. not commonly seen with an infestation of pubic lice.
4. Foul-smelling discharge.
TEST-TAKING HINT: Pubic lice, not to be confused
with head lice, are commonly called crabs. They are
insects, usually sexually transmitted, that invade the
pubic hair. Although they are not the same as head
lice, the pubic infestation is treated with the same
pediculicidal (medication capable of killing lice)
shampoos.
