NSG 170 - Sexuality & Reproduction || A+ Guaranteed.
A nurse is providing education to a client during the first prenatal visit. Which of the following
statement by the client should indicate to the nurse a need for clarification?
A. "I should drink about 2 liters of fluid each day."
B. "I should not drink alcoholic beverages during my pregnancy."
C. "I can have a moderate amount of caffeine daily."
D. "I should increase my calcium intake to 1,500 milligrams per day" correct answers D.
The client should maintain a fluid intake of about 2 to 2.3 L of fluid per day to provide adequate
fluid for cells, blood, lymph, and amniotic fluid.
"I should not drink alcoholic beverages during my pregnancy."
Pregnancy is a contraindication for alcohol use because it can lead to birth defects, delayed
cognitive development, and behavioral problems.
"I can have a moderate amount of caffeine daily."
A daily allowance of 150 to 340 mg of caffeine is acceptable. Caffeine intake should not exceed
340 mg because it can cause vasoconstriction, which can cause intrauterine growth restriction or
a miscarriage early in pregnancy.
"I should increase my calcium intake to 1,500 milligrams per day"
A woman's dietary reference intake (DRI) of calcium for pregnancy and lactation is the same for
a woman who is not pregnant. The DRI for a woman older than 19 years of age is 1,000 mg/day,
which should supply enough calcium for fetal bone and tooth development and to maintain
maternal bone mass.
A nurse is teaching a client about positive signs of pregnancy. Which of the following findings
should the nurse include?
A.Breast tenderness
B. Fatigue
C. Fetal heart tones detected by ultrasound
D. Positive urine pregnancy test correct answers C.
Breast tenderness
,Breast tenderness, a presumptive sign of pregnancy, can have other causes, such as premenstrual
changes or as an adverse effect of oral contraceptives.
Fatigue
Fatigue, a presumptive sign of pregnancy, can have other causes, such as stress or illness.
Fetal heart tones detected by ultrasound
MY ANSWER
Fetal heart tones are a positive sign of pregnancy because the presence of fetal heart tones can
only be explained by pregnancy.
Positive urine pregnancy test
A positive urine pregnancy test, a probable sign of pregnancy, can have other causes, such as a
pelvic infection or a tumor.
A nurse in a community clinic is counseling a client who received a positive test result for
chlamydia. Which of the following statements should the nurse provide?
A. "This infection is treated with one dose of azithromycin."
B. "If your sexual partner has no symptoms, no medication is needed."
C. "You have to avoid sexual relations for 3 days."
D. "You need to return in 6 months for retesting." correct answers A.
"This infection is treated with one dose of azithromycin."A single dose of azithromycin is an
appropriate treatment for a chlamydial infection. An acceptable alternative is doxycycline twice a
day for 7 days.
"If your sexual partner has no symptoms, no medication is needed."Chlamydia is often
asymptomatic in women. The Centers for Disease Control and Prevention recommend
evaluating, testing, and treating all of a client's sexual partners.
"You have to avoid sexual relations for 3 days."MY ANSWERThe Centers for Disease Control
and Prevention recommend abstaining from sexual relations for 7 days after a single-dose
antibiotic or until the client completes a 7-day course of antibiotics.
"You need to return in 6 months for retesting."The client should return for chlamydia testing in 3
months.
, A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of
the following findings should the nurse expect?
A. Anuria
B. Influenza-like symptoms
C. White- or flesh-colored papillary growths in the genital area
D. Green penile discharge correct answers B.
Anuria. The nurse should expect a client who has genital herpes (HSV 2) to have painful
urination, or dysuria, but anuria, or urine production less than 50 mL in 24 hr, is not an expected
finding.
Influenza-like symptoms. Symptoms of genital herpes develop 3 to 7 days after skin-to-skin
contact with an infected person. The nurse should expect the client to have influenza-like
symptoms, along with genital herpes lesions which appear as small blisters on the genitals. Other
symptoms can include painful urination, vaginal discharge, and enlarged lymph nodes in the
groin.
White- or flesh-colored papillary growths in the genital area. The nurse should expect a client
who has condylomata acuminate (genital warts) to have white- or flesh-colored papillary growths
in the genital area.
Green penile discharge. The nurse should expect a client who has gonorrhea to have green penile
discharge.
A nurse is reviewing the health history of a client who has a new prescription for a combined oral
contraceptive (COC). The nurse recognizes that which of the following client medications can
interfere with the effectiveness of the COC?
A. Antihypertensives
B. Anticonvulsants
C. Antioxidants
D. Antiemetics correct answers B.
Antihypertensives. Antihypertensives do not interfere with the effectiveness of COCs when taken
simultaneously.
Anticonvulsants. Anticonvulsants when taken simultaneously with COCs can decrease their
effectiveness. The anticonvulsants included are: phenytoin, phenobarbital, carbamazepine,
oxcarbazepine, topiramate, and primidone.
A nurse is providing education to a client during the first prenatal visit. Which of the following
statement by the client should indicate to the nurse a need for clarification?
A. "I should drink about 2 liters of fluid each day."
B. "I should not drink alcoholic beverages during my pregnancy."
C. "I can have a moderate amount of caffeine daily."
D. "I should increase my calcium intake to 1,500 milligrams per day" correct answers D.
The client should maintain a fluid intake of about 2 to 2.3 L of fluid per day to provide adequate
fluid for cells, blood, lymph, and amniotic fluid.
"I should not drink alcoholic beverages during my pregnancy."
Pregnancy is a contraindication for alcohol use because it can lead to birth defects, delayed
cognitive development, and behavioral problems.
"I can have a moderate amount of caffeine daily."
A daily allowance of 150 to 340 mg of caffeine is acceptable. Caffeine intake should not exceed
340 mg because it can cause vasoconstriction, which can cause intrauterine growth restriction or
a miscarriage early in pregnancy.
"I should increase my calcium intake to 1,500 milligrams per day"
A woman's dietary reference intake (DRI) of calcium for pregnancy and lactation is the same for
a woman who is not pregnant. The DRI for a woman older than 19 years of age is 1,000 mg/day,
which should supply enough calcium for fetal bone and tooth development and to maintain
maternal bone mass.
A nurse is teaching a client about positive signs of pregnancy. Which of the following findings
should the nurse include?
A.Breast tenderness
B. Fatigue
C. Fetal heart tones detected by ultrasound
D. Positive urine pregnancy test correct answers C.
Breast tenderness
,Breast tenderness, a presumptive sign of pregnancy, can have other causes, such as premenstrual
changes or as an adverse effect of oral contraceptives.
Fatigue
Fatigue, a presumptive sign of pregnancy, can have other causes, such as stress or illness.
Fetal heart tones detected by ultrasound
MY ANSWER
Fetal heart tones are a positive sign of pregnancy because the presence of fetal heart tones can
only be explained by pregnancy.
Positive urine pregnancy test
A positive urine pregnancy test, a probable sign of pregnancy, can have other causes, such as a
pelvic infection or a tumor.
A nurse in a community clinic is counseling a client who received a positive test result for
chlamydia. Which of the following statements should the nurse provide?
A. "This infection is treated with one dose of azithromycin."
B. "If your sexual partner has no symptoms, no medication is needed."
C. "You have to avoid sexual relations for 3 days."
D. "You need to return in 6 months for retesting." correct answers A.
"This infection is treated with one dose of azithromycin."A single dose of azithromycin is an
appropriate treatment for a chlamydial infection. An acceptable alternative is doxycycline twice a
day for 7 days.
"If your sexual partner has no symptoms, no medication is needed."Chlamydia is often
asymptomatic in women. The Centers for Disease Control and Prevention recommend
evaluating, testing, and treating all of a client's sexual partners.
"You have to avoid sexual relations for 3 days."MY ANSWERThe Centers for Disease Control
and Prevention recommend abstaining from sexual relations for 7 days after a single-dose
antibiotic or until the client completes a 7-day course of antibiotics.
"You need to return in 6 months for retesting."The client should return for chlamydia testing in 3
months.
, A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of
the following findings should the nurse expect?
A. Anuria
B. Influenza-like symptoms
C. White- or flesh-colored papillary growths in the genital area
D. Green penile discharge correct answers B.
Anuria. The nurse should expect a client who has genital herpes (HSV 2) to have painful
urination, or dysuria, but anuria, or urine production less than 50 mL in 24 hr, is not an expected
finding.
Influenza-like symptoms. Symptoms of genital herpes develop 3 to 7 days after skin-to-skin
contact with an infected person. The nurse should expect the client to have influenza-like
symptoms, along with genital herpes lesions which appear as small blisters on the genitals. Other
symptoms can include painful urination, vaginal discharge, and enlarged lymph nodes in the
groin.
White- or flesh-colored papillary growths in the genital area. The nurse should expect a client
who has condylomata acuminate (genital warts) to have white- or flesh-colored papillary growths
in the genital area.
Green penile discharge. The nurse should expect a client who has gonorrhea to have green penile
discharge.
A nurse is reviewing the health history of a client who has a new prescription for a combined oral
contraceptive (COC). The nurse recognizes that which of the following client medications can
interfere with the effectiveness of the COC?
A. Antihypertensives
B. Anticonvulsants
C. Antioxidants
D. Antiemetics correct answers B.
Antihypertensives. Antihypertensives do not interfere with the effectiveness of COCs when taken
simultaneously.
Anticonvulsants. Anticonvulsants when taken simultaneously with COCs can decrease their
effectiveness. The anticonvulsants included are: phenytoin, phenobarbital, carbamazepine,
oxcarbazepine, topiramate, and primidone.
