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60 Cards in this Set

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An adolescent describes her menstrual pattern to you. Which of the following observations is typical of a usual menstrual pattern?

Flow usually lasts 3 to 7 days.
The usual cycle is 36 days.
The average amount of flow is 500mL.
Menstruation typically begins at 18 years of age.
The average amount of flow is 500mL.
A woman you care for in a clinical setting is found to have a cystocele. You would explain to her that this is

An elongated cervix at the interior angle
Stenosis or contraction of the vagina
A pouching of the bladder into the vaginal wall
A cystic inward growth of the cervix
A pouching of the bladder into the vaginal wall
A teen approaches you about when to begin testicular self-exams. Testicular exams should begin

In adolescence
After adolescence
In young adulthood
In middle age
In adolescence
A woman visits your family planning clinic requesting a prescription for birth control pills. Which
of the following factors would indicate that an ovulation suppressant would not be the best contraceptive method for her?

She is 30 years old.
She has irregular menstrual cycles.
She has a family history of allergy to foreign protein.
She has a family history of thromboembolism.
She has a family history of thromboembolism.
A woman calls you to report that she has had some cramping since the insertion of her IUD and that her present menstrual flow is heavy. You would advise her to do which of the following?

Come to the clinic as soon as possible
Consider this normal because her IUD has been newly inserted
Take her blood pressure daily for the rest of the month
Change her method of reproductive life planning
Consider this normal because her IUD has been newly inserted
How can pelvic inflammatory disease (PID) affect fertility?

It causes annovulation due to interference with secretion of pituitary hormones.
It causes changes in cervical mucous that make it less receptive to penetration by sperm.
It causes sperm agglutinating antibodies to be produced in the vagina.
It interferes with the transport of ova due to tubal scarring.
It interferes with the transport of ova due to tubal scarring.
During her gynecological check-up, a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this
complaint as which of the following?

Amenorrhea
Dysmenorrhea
Dyspareunia
Premenstrual syndrome
Dysmenorrhea
A single, young adult woman received instructions from the nurse regarding the use of an oral contraceptive. The woman would demonstrate a need for further instruction if she

Stops asking her sexual partners to use condoms and spermicide
Enrolls in a smoking cessation program
Stops asking her sexual partners to use condoms and spermicide
Your client states she has noticed a small lump in her left breast. You know that most malignant
tumors of the breast are found in which quadrant of the breast?

Lower inner quadrant
Lower outer quadrant
Upper outer quadrant
Upper inner quadrant
Upper outer quadrant
The narrowing of the preputial opening of foreskin is called
Chordee
Phimosis
Epispadias
Hypospadias
Phimosis
Upon vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin grayish-white vaginal discharge with a "fishy" odor; complaints of pruritus. Based on these findings, the nurse suspects that this woman has

Bacterial vaginosis
Candidiasis
Trichomoniasis
Gonorrhea
Bacterial vaginosis
Fibrocystic change in the breast is

A disease of the milk ducts and glands in the breasts
A premalignant disorder characterized by lumps found in the breast tissue
Lumpiness with pain and tenderness found in varying degrees in breast tissue of healthy
women during menstrual cycles
Lumpiness accompanied by tenderness after menses
Lumpiness with pain and tenderness found in varying degrees in breast tissue of healthy women during menstrual cycles
The viral sexually transmitted infection that may lead to cellular changes on the cervix is

Herpes simplex virus-2 (HSV-2)
Human papillomavirus (HPV)
Human immunodeficiency virus (HIV)
Cytomegalovirus (CMV)
Human papillomavirus (HPV)
After a mastectomy, a woman should be instructed to do all of the following except

Empty surgical drains twice a day and as needed
Avoid heavy lifting
Elevate the arm on the operative side if transient edema occurs.
Avoid all sexual activity
Avoid all sexual activity
Practical suggestions to help achieve fertility would include which of the following?

Having coitus every day will increase chances of fertility.
Douching should be done before coitus to promote sperm motility.
The male-superior position for coitus is best to achieve conception by placing the sperm
near the cervix.
The woman should ambulate immediately after coitus to mobilize the egg toward sperm.
The male-superior position for coitus is best to achieve conception by placing the sperm near the cervix.
You are providing education about birth control methods to your client. She asks you about potential side effects of the birth control pill. You know that potential side effects of the pill
include all but one of the following

Nausea
Weight gain
Bleeding in between periods
Iron deficiency anemia
Iron deficiency anemia
A condition in which one or both of the testes fail to descend into the scrotum is called

Epididymitis
Variocele
Cryptorchidism
Priapism
Cryptorchidism
What important immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?

Do not apply the blood pressure cuff to the affected arm.
It is best to perform venipuncture for blood work on the affected arm.
It is best to use the affected arm for IV therapy.
The affected arm should be held down close to the woman's side.
Do not apply the blood pressure cuff to the affected arm.
When teaching self-care prevention of genital candidiasis infections, the nurse should instruct the woman to

Increase dietary sugar and avoid yogurt
Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath
Choose underwear or hosiery with a nylon crotch
Douche frequently
Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath
Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination
is

5 to 7 days before menses
Day 1 of the endometrial cycle
Mid-menstrual cycle
Any time during a shower or bath
5 to 7 days before menses
What is the normal range for a fetal heart rate?
120 to 160 bpm
Which nursing intervention is appropriate when preparing a woman for an amniocentesis?
Be certain she knows there is a slight risk for complication, such as preterm labor, from amniocentesis.
An 18-year-old pregnant woman asks why she has to have a routine alpha- fetoprotein serum level drawn. You explain that this test:
May reveal chromosomal abnormalities
Which of the following tasks is the most important task of the first trimester of pregnancy?

Accepting the pregnancy
Accepting a coming child
Making plans for the baby
Sharing time with a significant other
Accepting the pregnancy
None
Which of the following is a positive sign of pregnancy?

Positive pregnancy test
Fetal movement felt by examiner
Hegar's sign
Uterine contractions
Fetal movement felt by examiner
None
As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. This probably happens because
Blood is trapped in the vena cava in a supine position
A woman in her 24th week of pregnancy states that she has never experienced allergies but is now experiencing nasal stuffiness. She asks what medications she can take for this ailment. The best response to this inquiry would be:
"The nasal stuffiness may not be an allergy but may be due to increased estrogen."
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her fourth pregnancy. She has delivered one baby vaginally at 26 weeks who died, she has experienced a miscarriage, and she has one living child who was delivered at 38 weeks gestation.
4,1,1,1,1
What advice would you give to a woman who is 4 months pregnant and owns cat?
Ask someone else to change the cat litter
A woman of normal weight asks you what is an ideal weight gain during pregnancy. Which of the following would be your best answer?
25 to 35 pounds is ideal.
A pregnant woman asks you if she can take an over-the-counter vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that makes them important for pregnancy is
Folic acid
A pregnant woman asks you about the advantages of an alternative birthing center. You would explain to her that
Birth is viewed as a wellness event
For which of the problems would the nurse be alert in a pregnant woman with gestational diabetes?

Hydramnios related to glucose/insulin imbalance
Placenta previa related to diabetes mellitus
Cerebral vascular accident related to diabetes mellitus
Hypotension related to glucose/insulin imbalance
Hydramnios related to glucose/insulin imbalance
None
A woman who is Rh negative asks you how many children she will be able to have before Rh incompatibility causes them to die in utero. Your best response is
As long as she receives RHIG, there is no limit
A woman is diagnosed as having pregnancy-induced hypertension. What is the most typical symptom of this?
Protein in urine
None
A woman who is 3 months pregnant has come in for her first prenatal visit. The nurse should instruct her to do which of the following?

Eat foods rich in protein, iron and other nutrients to provide an additional 300 calories a day.
Eat small frequent meals to prevent nausea and vomiting.
Eat whenever she is hungry because her body will know when she needs extra calories or nutrients.
Limit intake of amino acids to prevent diabetic ketoacidosis.
Eat foods rich in protein, iron and other nutrients to provide an additional 300 calories a day.
None
A pregnant woman asks why she is scheduled to receive an ultrasound. The nurse would respond appropriately by stating
"An ultrasound is a routine examination to monitor how the infant is growing and moving and to check for any abnormalities."
A woman during her first trimester of pregnancy asks you how much longer she will have urinary frequency. You advise her that
Urinary frequency is a common complaint during the first trimester and then again in the third trimester of pregnancy.
Which food is not a good source of iron?

Milk
Legumes
Grains
Beef
Milk
None
A woman wants to exercise during her pregnancy. Which of the following is a rule of which she should be aware?

She should not point her toes while exercising.
She should not include pushing as an exercise.
She should not include walking as an exercise.
She should not do abdominal strengthening exercises.
She should not point her toes while exercising.
None
To assess the frequency of a woman's labor contractions, you would time
The beginning of one contraction to the beginning of the next
You place an external fetal monitor on a woman in labor. What instructions would be best to give her?
Lie on her side so she is comfortable
If a fetus is not receiving enough oxygen during labor because of uteroplacental insufficiency, which of the following patterns would you anticipate seeing on the monitor?
Fetal heart rate declining late with contractions and remaining depressed
If the monitor pattern of uteroplacental insufficiency is present, what would you do first?
Turn her or ask her to turn to her side
None
During labor, effacement of the cervix occurs. This is described as which of the following?
Thinning and shortening of the cervix
Although the time frame for labor differs with individual women, which time period would you find excessive for a nulliparous woman?
A latent phase of 24 hours
When caring for a woman in labor, the fetal heart monitor demonstrates late decelerations. The most common cause for their occurrence is
Uteroplacental insufficiency
The injection of a local anesthetic to block specific nerve pathways is referred to as which of the following?
Regional block
A woman's husband expresses concern about risk for paralysis from an epidural block being given to his wife. What is the most appropriate response?
"The injection is given in the third space outside the spinal cord."
None
Immediately following an epidural block, a woman's blood pressure suddenly falls to 90/50mmHg. Your first action would be to
Turn her on her left side or raise her legs
A patient who is in transition reports her pain medication last given 3 hours ago has worn off. She asks if she can have another dose of the Demerol. How should the nurse respond to her request?
"Your stage of labor makes giving another dose unsafe."
To prevent thrombophlebitis following a cesarean birth, which of the following would be most important to implement?
Encourage the woman to ambulate
When a woman in labor has reached 8cm dilation, you notice the fetal heart rate suddenly slows. On perineal inspection, you observe that the fetal cord has prolapsed. Your first action would be to
Place her in a knee-chest position
A woman's nurse-midwife tells her that the woman has developed dystocia. You would explain that this means
Difficult or abnormal labor
You assess that the fetus of a woman is in occiput posterior position. Which of the following identifies the way you would expect her labor to differ from others?
Experience of additional back pain
When caring for a newborn several hours after birth, you assess his respiratory rate. In a normal newborn, this would be
30 to 60 breaths/minute
On inspection, you note that a newborn has a normal head-to-body proportion. This proportion for the head is
One fourth his total length
On Apgar evaluation, reflex irritability is tested by:
Slapping the soles of the feet and observing the response
A newborn is noticeably jaundiced on the third day of life. Which of the following responses would be most appropriate?
"This is from a normal breakdown of red blood cells."
Vitamin K is routinely given to newborns because
Lack of vitamin K leads to faulty blood clotting