Childbearingand Women’s Health

29問 • 1年前

問題一覧

A woman arrives at the prenatal clinic stating that her pregnancy test is positive. She asks the nurse for information about an abortion. After verifying that the woman is at 8 weeks’ gestation, the nurse counsels her that having an abortion is controversial and that many women have long-term guilt feelings after an abortion. Legally, the:

client has a right to receive correct, unbiased information

One day the family planning clinic is very busy, and the supervisor asks a nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control to work in the family planning clinic. What is the most professional response that this nurse could give to the supervisor?

“I would prefer another assignment that is not contrary to my beliefs”

The result of an amniocentesis performed at 16 weeks’ gestation reveals a fetus with Down syndrome. The client elects to have the pregnancy terminated. What should the nurse conclude about an abortion at this stage of the pregnancy?

An opportunity to express feelings about her decision should be provided

Which research-based knowledge guides a nurse regarding the emotional factors of pregnancy?

Ambivalence and anxiety about mothering are common.

Why is it important for a nurse to support the parents decision to abort a fetus with a birth defect even if the nurse is morally against abortion?

It is essential for maintenance of the family equilibrium

During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, “Which contraceptives will I be able to use to prevent pregnancy in the near future?” How should the nurse respond?

“You should use foam with a condom to prevent preg- nancy because this is the safest method for women with your illnesses.”

A nurse is teaching a group of women about the side effects of different types of contraceptives .What is the most frequent side effect associated with the use of an intrauterine device (IUD)?

An excessive menstrual flow

A client asks a nurse about the most common problem associated with the use of an intrauterine device (IUD). What should the nurse respond?

Spontaneous device expulsion

A client seeking advice about contraception asks a nurse about how an intrauterine device (IUD) prevents pregnancy. How should the nurse respond?

“It produces a spermicidal intrauterine environment.”

A nurse teaches women in the fertility clinic that after ovula- tion has occurred, the ovum is thought to remain viable for:

24 to 36 hours.

A nurse is teaching clients to determine the time of ovulation by taking the basal temperature. What change is expected to occur in the basal temperature during ovulation?

Slight drop and then rises

Oral contraceptives are prescribed for a client. What side effect should the nurse inform the client might occur?

Breakthrough bleeding

What is important for a nurse to discuss with a client who just had a vasectomy?

There must be 15 ejaculations to clear the tract of sperm.

The school nurse is discussing issues concerning premarital sex with a group of adolescents taking a health education course. The students are asked to write an essay on what they have learned about preventing pregnancy. Which comment alerts the nurse to have a private discussion with the student?

“I can’t get pregnant if I have sex during my period.”

Contraceptives that have estrogen-like and/or progesterone- like compounds are prepared in a variety of forms. Which contraceptives should a nurse identify as having a hormonal component? Select all that apply.

Oral agents, Foam spermicides, Transdermal agents

A nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctua- tion of the basal body temperature. What factor will alter its effectiveness?

Presence of stress

A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a female client. What should a nurse include when teaching about this oral contraceptive?

Report irregular vaginal bleeding.

A nurse is giving discharge instructions to a client who had an aspiration abortion by suction curettage. What should the client be told?

Report bleeding that requires a pad change every 2 hours.

A client at 10 weeks’ gestation elects to have an induced abortion. After receiving oral mifepristone (Mifeprex), she returns to the clinic 2 days later to have misoprostol (Cytotec) inserted vaginally. For when should the nurse schedule a follow-up visit?

4 to 8 days after the procedure

A couple indicate that they do not want any more children. The woman is scheduled for a laparoscopic bilateral tubal ligation. What should the nurse include in preoperative teaching?

“You will be admitted as an outpatient for same-day surgery.”

One of the responsibilities of a nurse in a fertility specialist’s office is to provide health teaching to the client in relation to timing of intercourse. Which instruction addresses the best time to achieve a pregnancy?

14 days before the next period is expected

A nurse teaches a client that a postcoital test to evaluate fertility should be performed:

within 1 to 2 days of presumed ovulation.

A histogram (hysterosalpingography [HSG]) is performed to determine whether there is a tubal obstruction. The nurse concludes that infertility caused by a defect in the tube is most often related to a:

past infection.

A nurse is counseling a couple in the fertility clinic. Which aspect of the protocol is the most stressful for the couple?

Planning when to have intercourse

Genetic testing is being discussed with a couple at the fertility clinic. What is the nurse’s best response when they express concerns?

“Environmental factors can have an impact on genetic factors.”

A client is admitted with a diagnosis of torsion of the testes. How should the nurse respond when the client asks, “Why must I have surgery immediately?”?

“Irreversible damage occurs after a few hours.”

A nurse at the fertility clinic is counseling a couple about the tests that will be needed to determine the cause of their infertility. Which test should the nurse describe that will evaluate the woman’s organs of reproduction?

Hysterosalpingogram

While preparing a client for her first routine Papanicolaou (Pap) smear, a nurse determines that she appears anxious. What should the nurse include as part of the teaching plan?

Current statistics on the incidence of cervical cancer

A client who menstruates regularly every 30 days asks a nurse on what day she is most likely to ovulate. Her last menses started on January 1st. On what day in January should the nurse respond?

16th

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS