Nursing - Women's Health
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It provides relaxation and techniques that can be used during labor. -CORRECT
ANSWER A pregnant client interested in childbirth education asks how the Lamaze
method differs from the Read method. What should the nurse explain about the Lamaze
method?
"Losing power seems important to you." -CORRECT ANSWER A client who underwent
mastectomy because of breast cancer is now undergoing chemotherapy, which has
caused hair loss. The client states, "I feel like I've lost my sense of power." What is the
nurse's best response?
Decrease caffeine intake -CORRECT ANSWER A 24-year-old client complains to the
nurse in the women's health clinic that her breasts become tender before her menstrual
period. What should the nurse recommend that the client do 1 week before an expected
menses?
Apply warm packs and massage my breasts before each feeding." -CORRECT
ANSWER One statement by a breastfeeding mother that indicates that the nurse's
teaching about stimulating the let-down reflex has been successful is "I will:
Insist that her partner use a condom when having sex -CORRECT ANSWER A 16-year-
old client has a steady boyfriend with whom she is having sexual relations. She asks the
nurse how she can protect herself from contracting HIV. What should the nurse advise
her to do?
6 hours -CORRECT ANSWER A nurse in a family planning clinic determines that a
client understands the discussion about using a cervical cap with a spermicide when the
client states that after intercourse, a cervical cap must be left in place for at least:
Repeatedly drops abruptly to 90 beats/min unrelated to contractions -CORRECT
ANSWER A fetal monitor is applied to a client in labor. The nurse should take action in
response to a fetal heart rate that:
Reddish streaks on the abdomen and breasts -CORRECT ANSWER At a routine
monthly visit, while assessing a client who is in her 26th week of gestation, the nurse
identifies the presence of striae gravidarum. The nurse describes this condition as:
,25% -CORRECT ANSWER A couple seeking genetic counseling are heterozygous
carriers of Tay-Sachs disease. They ask the nurse what the chances are that each of
their children will inherit the disease. The nurse responds that the probability is:
October 18 -CORRECT ANSWER A client attending the prenatal clinic for the first time
tells the nurse that her last menstrual period began on January 11 and that she
suspects that she is pregnant. The client also states that she had one day of light
spotting on February 7. What is the expected date of birth (EDB)?
Abstaining from sexual intercourse -CORRECT ANSWER A 16-year-old girl who has
become sexually active asks the nurse, "What's the most effective way to prevent a
pregnancy?" Which method of preventing pregnancy should the nurse tell her is most
effective?
"Let's unwrap your baby so you can see for yourself." -CORRECT ANSWER After an
uneventful 8-hour labor a client gives birth. Once the airway has been ensured and the
neonate has been dried and wrapped in a blanket, the nurse places the newborn in the
mother's arms. The mother asks, "Is my baby normal?" What is the best response by
the nurse?
It involves a decrease in bone substance. -CORRECT ANSWER A nurse is writing a
teaching plan about osteoporosis. How should the nurse explain what osteoporosis is?
Has a son and daughter and feels that her family is complete -CORRECT ANSWER A
married 35-year-old client is to undergo a tubal ligation. The factor in the history that
contributes most to the healthy resolution of any emotional problem associated with
sterilization is that the client:
"I won't have unprotected sex again, and I'll tell my partners to be tested for STIs." -
CORRECT ANSWER The nurse determines that a young female client who is being
treated for a sexually transmitted infection (STI) understands instructions regarding
future sexual contacts. Which statement confirms the nurse's conclusion?
Metronidazole (Flagyl) -CORRECT ANSWER A nurse is caring for a client who has
contracted a trichomonal infection. Which oral drug should the nurse anticipate that the
health care provider will most likely prescribe?
"This must be a very hard experience for you to deal with." -CORRECT ANSWER A
client undergoes dilation and curettage (D&C) after an early miscarriage (spontaneous
abortion). The nurse finds her crying later in the day. What is the most appropriate
statement by the nurse?
"I must be careful when I have sex because herpes is a lifelong problem." -CORRECT
ANSWER What statement helps the nurse determine that a woman with genital herpes
(HSV-2) understands her self-care in regard to this infection?
,Kegel exercises -CORRECT ANSWER A pregnant couple is attending preparation-for-
childbirth classes. Which exercise should the nurse teach the mother to increase the
tone of the muscles of the pelvic floor?
Cancer of the cervix -CORRECT ANSWER A client has just been told that she has
cervical erosion. The nurse would expect to help explain that early treatment of the
erosion can help prevent:
Massage the uterus until firm -CORRECT ANSWER One hour postpartum a nurse
evaluates the amount of vaginal bleeding and determines that a client's uterus has
become relaxed and boggy. What should the nurse do next?
To prevent social isolation -CORRECT ANSWER The healthcare provider of a woman
who had a mastectomy has prescribed a Reach to Recovery visit. What does the nurse
identify as the primary reason for the referral?
October 28 -CORRECT ANSWER At a client's first visit to the prenatal clinic, the nurse
asks the client when she had her last menstrual period so the estimated date of birth
(EDB) can be determined. The client responds, "January 21." According to Nägele's
rule, what is the month and day of the client's EDB?
Providing ice chips to a primigravida in early labor per order -CORRECT ANSWER
Which action involving client needs may a nurse delegate to a nursing assistant?
Having support persons use back massage techniques -CORRECT ANSWER The
nurse is teaching a prenatal breathing and relaxation class. What does the nurse
suggest to best ease back discomfort during labor?
January 21
To use Nägele's rule to calculate the EDB, subtract 3 months and add 7 days to the
date of the last menstrual period. -CORRECT ANSWER A pregnant woman asks the
nurse when she may expect her baby to be born. She tells the nurse that her last
menstrual period began on April 14. According to Nägele's rule, what is the client's
expected date of birth (EDB)?
Ambivalence and anxiety about mothering are common. -CORRECT ANSWER The
nurse is caring for a first-time mother at her first prenatal visit. The client confides, "I'm
not sure about all this." Which research-based knowledge guides a nurse regarding the
emotional factors of pregnancy?
An opportunity for the client to express feelings about her decision should be provided. -
CORRECT ANSWER A client elects to have her pregnancy terminated after finding out
at 16 weeks' gestation that she is carrying a fetus with Down syndrome. What should
the nurse conclude about an abortion at this stage of the pregnancy?
, Is involved in seeking her own identity -CORRECT ANSWER A nurse has learned that
infants born to very young mothers are at risk for neglect or abuse primarily because an
adolescent characteristically:
"My partner has to use a condom all the time." -CORRECT ANSWER A female client
who has been sexually active for 5 years is found to have gonorrhea. The client is upset
and asks the nurse, "What can I do to keep from getting another infection in the future?"
Which statement by the client indicates that the teaching by the nurse was effective?
Start taking prenatal vitamins -CORRECT ANSWER A woman comes into the clinic and
states that she is thinking about becoming pregnant. What can the woman do to
improve the health of her baby before she becomes pregnant?
"This must be so difficult for you. Children are really important to you?" -CORRECT
ANSWER A 37-year-old woman is admitted to the unit with severe menorrhagia. During
a conversation, the nurse learns that the client has a history of fibroids, menorrhagia,
pelvic pain, and depression. The client has been undergoing hormone therapy in hopes
of easing the symptoms and reducing fibroids' size, without success. The lab reports
hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The client begins to
sob and cries, "I don't know what to do — the doctor is recommending a hysterectomy,
but I haven't had children yet!" What is the best response by the nurse?
"We'll be monitoring your baby's condition continuously. Would you like to listen to the
baby's heartbeat?" -CORRECT ANSWER A client with severe preeclampsia who was
admitted to the high-risk unit anxiously asks the nurse, "Will my baby be all right?" How
should the nurse respond?
Inactive influenza -CORRECT ANSWER A client making her first visit to the prenatal
clinic asks which immunization can be administered safely to a pregnant woman. What
should the nurse tell her?
"Wash your hands before and after changing your sanitary napkins." -CORRECT
ANSWER A nurse is giving discharge instructions to a new mother. What is the most
important instruction to help prevent postpartum infection?
Refer the client to a dietitian to help plan her daily menu -CORRECT ANSWER A nurse
is counseling a pregnant client who is a vegetarian. What should the nurse plan to do to
ensure optimal nutrition during the pregnancy?
Asking the client, "How many servings of dairy do you generally consume each day?" -
CORRECT ANSWER The clinic nurse is reviewing the dietary intake of a 16-year-old
who is 12 weeks pregnant. What is the nurse's next action?
Explain why regular pelvic examinations and Pap smears of vaginal secretions will be
necessary in the future. -CORRECT ANSWER When discussing future health