MCN ANTE

97問 • 1年前

問題一覧

The nurse teaches a female client that the best time in the menstrual cycle to examine the breasts is during the:

First week after menstruation.

Nurse Pops Smear provides information to a client about performing a breast self-examination (BSE). The nurse determines that the client needs additional teaching if the client makes which statements? Select all that apply. 1) "The BSE must be done monthly." 2) "Lumps in my armpit area are normal." 3)"I can palpate my breasts with soapy water while showering." 4) "I should perform the examination on the day that I start my period." 5) "When I squeeze my nipples, I should expect to note some discharge." 6)"I should stand before a mirror and inspect each breast for anything unusual."

2, 4 & 5 only

A 32-year-old female client has a history of fibrocystic disorder of the breasts. Nurse Pops Smear determines that the client understands the nature of the disorder if the client states that symptoms are most likely to occur at which time?

Before menses

A client is admitted to the hospital with a diagnosis of infiltrating ductal carcinoma of the breast. Which expected manifestation should the nurse assess the client for?

A fixed, irregularly shaped mass

Nurse Pops Smear is preparing a poster for a booth at a health fair to promote primary prevention of cervical cancer. Which recommendation should the nurse include on the poster?

Seek treatment prouptly if cervical infection is suspected.

You are providing information to a married couple regarding measures to prevent infertility. Which indicates the need for further education?

"I need to maintain warmth to my scrotum by taking hot baths frequently."

90% of male infertility is attributed to problems of:

sperm count.

Choose the correct instructions for a man who must provide a semen sample.

Keep the sample near the body, and transport it to the laboratory within 1 hour.

A client tells a nurse that he and his wife really want a child but that he has learned he has a sperm count of "only 40 million." He wonders if there is anything that would improve his ability to impregnate his wife. In planning care for the client, which factor should the nurse consider?

The incidence of impregnation is decreased with a sperm count below 20 million.

The nurse has provided instructions to a client regarding the testicular self-examination (TSE) . Which statement by the client indicates that the client needs further teaching regarding TSE?

"I should examine myself every 2 months."

During one of her stints as an instructor in the College of Nursing, Nurse Jenny Talia discussed the most vital organs and functions of the human reproductive system. One of her students asks Nurse Jenny Talia about what makes the vagina acidic and keeps its pH stable. The nurse correctly answers that the predominant vaginal organism responsible for normal ph in reproductive-age women is:

Doderlein bacilli

Nurse Jenny Talia knows that which of the following should be considered to be functions of the fallopian tubes? Select all that apply. 1) Passage for sperm to meet ova 2) Passage for ovum to uterus 3) Safe environment for zygote to implant 4) Restriction for only one ovum to enter uterus 5) Site for fertilization

1, 2, & 5 only

Nurse Jenny Talia correctly identifies which part of the female reproductive tract as the usual location of the Graafian follicle?

Ovarian cortex

The endometrium of the uterus is thinnest at what time?

Just after menstruation

After conducting a class for female adolescents about human reproduction, which indicates teaching has been effective?

"Under ideal conditions, sperm can reach the ovun in 15 to 30 minutes, resulting in pregnancy."

Which hormone is responsible for the maturation of mammary gland tissue?

Progesterone

Which hormone is responsible for converting the endometrium into decidual cells for implantation?

Progesterone

Which endogenous estrogen is known as the "estrogen of pregnancy"?

Estriol

Which hormone initiates the maturation of the ovarian follicle?

Follicle-stimlating hormone

Which of the following hormones is released only during pregnancy? 1) Progesterone 2) Oxytocin 3) Human placental lactogen 4) Relaxin 5) Follicle-stimulating hormone 6) Luteinizing hormone 7)Human chorionic gonadotropin

3 & 7 only

One morning in the maternity clinic, Nurse Arya receives Mrs. Sansa Stark, a 33-year-old married housewife who complains of dysmenorrhea and vaginal spotting prior to the start of her regular menstrual cycle. After careful examination by a physician, Mrs. Stark was diagnosed with endometriosis. Nurse Arya correctly identifies this condition as:

the uncharacteristic presence and growth of the endometrial glands and stroma external of the uterus.

Mrs. Stark relates to Nurse Arya that her sister had endometritis before. Nurse Arya tells Mrs. Stark that her condition is different in that endometriosis:

theoretically attributed to retrograde menstruation.

Probable sites of endometriosis include which of the following? 1. ovaries 2. peritoneum 3. Sigmoid 4. vagina

1, 2, 3 & 4

The patient asks Nurse Arya if her diagnosis can make her infertile. Which of the following explanations is appropriate for Nurse Arya to make?

"Scarring surrounds the ends of your tubes, preventing your eggs from being fertilized by your partner's sperm."

Mrs. Stark complains of incapacitating pelvic pain during menstruation. Nurse Arya knows the usual analgesic of choice for endometrial pain

Ibuprofen

Nurse Farrah Moan organizes the developmental stages in the correct order by stating which of the particular choices below? 1) Fetus 2) Zygote 3) Embryo 4) Blastocyst 5) Morula

2 → 5 → 4 → 3 → 1

One of the women asks Nurse Farrah Moan at what point during the pregnancy does the embryo become a fetus. How should the nurse respond?

During the eighth week of the pregnancy

The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel (s) carry blood to the fetus?

One umbilical vein

What part of the fetal body derives from the mesoderm?

Muscles

During the last 8 weeks of pregnancy, Nurse Farrah Moan tells her childbirth class that the fetus:

Increases weight through fat accumulation

Patient Penny Tration, 29 years old, visits the OB clinic accompanied by her husband Regis for a pregnancy test. The nurse in the clinic took her history which says that Penny missed her periods for three (3) weeks. Which of the following is the PRIMARY purpose of pregnancy test?

It allows for early initiation of care

Human chorionic gonadotropin (HCG) , the biologic marker on which pregnancy tests are based, can be detected in the BLOOD as early as which number of DAYS after the last menstrual period?

What is the BEST urine sample to be used for an accurate result of pregnancy test done at home?

First-voided morning urine

Which of the following is NOT included among the factors that should be considered by the nurse or the pregnant woman in interpreting results of pregnancy test?

Previous pregnancy

Which of the following medications may produce a false-negative pregnancy result?

Diuretics

Paige Turner is a part-time model who has come to the health clinic for her first prenatal visit. She tells the nurse she missed her period 4 weeks ago and immediately took a home pregnancy test. She's excited that it was positive, because she and her husband have been trying for several months to get pregnant The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that Paige Turner understands the information?

"Blood pressure goes up toward the end of pregnancy"

The OB-GYN performs an internal examination on Paige Turner. Normal findings on speculum and pelvic examination of a pregnant woman include:

Eversion of the squamocolumnar junction

What change does a nurse expect in a client's hematologic system during the second trimester of pregnancy?

An increase in blood volume

What does a nurse explain to a pregnant client about the cause of her physiologic anemia?

Plasma volume increases.

When involved in prenatal teaching, a nurse should inform clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. What causes this increase?

Production of estrogen

A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. Nurse Ivy Profen received the call. How frequently will Nurse Ivy Profen assist patient to schedule these appointments?

Every 4 weeks until the 7th month, after which appointments will become more frequent

The woman asks Nurse Ivy Profen to compute her expected due date. Based on the fact that her last menstrual flow began on January 17, the due date will be:

October 24

Another woman who is 7 weeks pregnant walks in the hospital tells Nurse Ivy Profen that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patient's obstetric history using the TPALM system?

Gravida 3, para 10110

Another woman told Nurse Ivy Profen that she has had three spontaneous abortions and is now pregnant for the fourth time. The term that defines her status is:

Nullipara

During her afternoon shift, a newly married couple tells Nurse Ivy Profen they would like to wait a few years before starting a family. Which statement made by the man indicates an understanding about sexual activity and pregnancy?

"A man can secrete semen before ejaculation"

A newly diagnosed pregnant client tells the nurse, "If I'm going to have all of these discomforts, I'm not sure I want to be pregnant!" The nurse interprets the client's statement as an indication of which of the following?

Normal ambivalence.

The pregnant patient tells the nurse that she is not happy to learn about the pregnancy. At which point in the pregnancy does the nurse realize that the patient will change her mind about the pregnancy?

When quickening occurs

A client, approximately 11 weeks pregnant, and her husband are seen in the antepartal clinic. The client's husband tells the nurse that he has been experiencing nausea and vomiting and fatigue along with his wife. The nurse interprets these findings as suggesting that the client's husband is experiencing which of the following?

Couvade syndrome.

A woman comes for a 24-week visit and mentions that her interest in sex has increased greatly. You respond to her concern because you know that increased libido is:

A normal variation of response in pregnancy

Sarah Tonin, at her 36-week visit, tells you that she is having nightmares that include labor as well as fears of having an abnormal baby. Your best response is:

Encourage her to tell you more about the nightmares and her fears

In early pregnancy, be certain that you establish a trusting relationship with a woman so she will see you as a person who is capable of counseling her and helping her solve problens, and in whom she is willing to confide as she is about to undergo what could be a stressful 9 months. A woman who is 6 weeks pregnant is concerned because she is nauseated every morning. Which measure should the nurse suggest patient use to help relieve nausea?

Delay breakfast until midmorning..

The primiparous patient at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?

"These symptoms usually mean the baby's head has descended further."

Norie complains of leg cramps especially after reclining. She is now on her 36th week of gestation. Which of the following instruction will help client when she has leg cramps?

Stand and lean forward dorsiflexing foot of affected leg.

Cynthia, 24 weeks pregnant, tells the nurse that she is bothered by pruritus. Which of the following would you suggest?

Apply anti-pruritus ointment.

Rhoda asks why she could not feel fetal movements all the time. Your most APPROPRIATE response is that fetal movements:

are usually not present during fetal sleep cycle.

Why is it important for a nurse in the prenatal clinic to provide nutritional counseling to all newly pregnant women?

Pregnant women must adhere to a specific pregnancy dietary regimen.

The nurse is instructing a pregnant patient to consume a diet high in complete proteins. Which food item should the nurse recommend as an example of a complete protein?

A boiled or fried egg

During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The client states that her mother told her she should restrict her salt intake. What is the nurse's best response?

"Because you need salt to maintain body water balance, it is not restricted.

A pregnant patient asks if an over-the-counter vitamin can be taken during pregnancy instead of the prescribed prenatal vitamin. What should the nurse explain as the chief ingredient in prenatal vitamins that makes them important for pregnancy mutrition？

Folic acid

An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which of the following?

"I can meet two goals when I drink milk, lot of iron and meeting my calcium needs at the same time."

Patient Angie O'Plasty visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Angie reported that she has been pregnant four times before. She has two children at home, one of who was born at 32 weeks gestation. She lost a set of twins at 11 weeks and another baby at 12 weeks. In taking the Obstetrical score, how will the nurse record Gravida, Para and (TPAL) ?

G5, P2, T1, P1, A2, L2

When questioned, Angie admitted that she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which condition?

learning disability

To help determine whether Angie is at risk for a toxoplasmosis infection, what will the nurse ask the client?

"Do you have any cats at home?"

What advice should the nurse provide to Angie who is 4 months pregnant and owns a cat?

Ask someone else to change the cat litter.

Angie asks the nurse whether she can take castor oil for her constipation. How should the nurse respond? "No, it can:

initiate premature uterine contractions.

Health promotion during pregnancy includes prioritizing the safety of the pregnant woman and her fetus at work or at home. A client at her first prenatal clinic visit is at 6 weeks' gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond?

"What activities does your job entail?"

A pregnant client uses a computer continuously during her working hours. This has implications for her plan of care during pregnancy. What should a nurse recommend?

"Try to walk around every few hours during the workday."

A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern?

Some women experience orgasm intensely during pregnancy.

The nurse is emphasizing the importance of adequate rest and sleep with a pregnant patient. Which position should the nurse suggest the patient use?

On the side with the weight of the uterus on the bed

A primigravid client at 28 weeks' gestation tells the nurse that she and her husband wish to drive to visit relatives who live several hours away. Which of the following recommendations by the nurse would be best?

"Taking the trip is okay if you stop every 1 to 2 hours and walk."

Salma Nella, 21-year-old single college student, thinks she is pregnant. She described herself as a "party animal" who smokes, drinks and uses marijuana. She said she has always been "careful." She is not sure who the father is. She missed three menstrual cycles and shows abdominal enlargement. She is very concerned about her predicament and her situation has exacerbated her drinking of alcohol. Salma Nella started drinking alcohol in high school and is used to "hard" drinks. You inform her that drinking while pregnant exposes the fetus to fetal alcohol syndrome (FAS) characterized by all of the following EXCEPT:

Decreased muscle tone

Additional information given to Salma Nella about alcohol intake during pregnancy includes

No safe level of drinking has been set during pregnancy therefore abstinence is advised

Salma Nella tells you, "I don't want this pregnancy. I am not ready to raise a child alone. I want an abortion." Which of the following is your MOST appropriate response to Salma Nella?

"You are not ready to face the consequences of this pregnancy?"

Salma Nella continues to smoke 1-2 sticks of marijuana when with friends. You advise her to refrain from smoking marijuana because it:

has strong evidence of teratogenic effects

When taking care of Salma Nella, your intervention should focus on risk for fetal injury resulting from maternal smoking. You inform Salma Nella about the hazards of smoking which include all EXCEPT:

Increased incidence of SIDS

Frida People was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. Gestational diabetes is said to exist in pregnancy because of the diabetogenic effects of what hormone secreted by the placenta?

Human placenta lactogen

Frida People was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. Which of the following infection will Frida People have FREQUENTLY?

moniliasis

In 36 weeks, amniocentesis was ordered by the doctor for Frida People. What is the purpose of this procedure? To detect/ determine

fetal lung maturity

Frida People was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. Aside from an endocrinologist, to whom should the nurse also plan to refer the patient to?

neonatologist

What is the PRIMARY effect to the newborn of a diabetic mother?

hypoglycemia

During the pre-natal visits, various tests maybe done to the pregnant woman to ensure that her pregnancy is uncomplicated and uneventful. The primary goal of prenatal care is to assure the woman of:

the healthiest outcome possible.

When performing Leopold's maneuvers, which of the following would the nurse ask the client to do to ensure optimal comfort and accuracy?

Empty her bladder.

During a physical assessment, the nurse palpates a pregnant patient's fundus at the level of the umbilicus. What statement should the nurse make to the patient about this assessment finding?

"You are at 20 weeks of your pregnancy."

A primigravid adolescent client at approximately 15 weeks' gestation who is visiting the prenatal clinic with her mother is to undergo alpha-fetoprotein (AFP) screening. When developing the teaching plan for this client, the nurse should include which of the following?

Increased levels of AFP are associated with neural tube defects.

It is important to maintain adequate fluid intake during pregnancy primarily to prevent:

urinary tract infection.

With regards to sexual functioning, the nurse explained that ovulation occurs on which of the following

Luteinizing hormone level is high

Permanent teeth discoloration

tetracycline

Seal syndrome

thalidomide

Amelia (No extremities)

thalidomide

Gray baby syndrome

chloramphenicol

Choanal/esophageal atresia

propylthiouracil

Intracranial hemorrhage

warfarin

Ectopic pregnancy

DES

Craniofacial, cardiovascular, thymus and central nervous system malformations

isotretinoin

Hydramnios

lithium carbonate

A nurse is teaching a female client about fertility awareness as a method of contraception. Which of the following should the nurse mention as an assumption for this method?

The “unsafe period” is at least six days.

A client would like some information regarding the use of a cervical cap. Which of the following should the nurse include in the teaching plan of this client? Select all that apply.

Inspect the cervical cap carefully, Do not use the cervical cap during menses.

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS