Ch 3 and 5 Flashcards
1
Q
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A) Menstrual B) Proliferative C) Secretory D) Ischemic
A
Proliferative
2
Q
After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first: Sexual experience Full hormonal cycle Menstrual period Sign of breast development
A
Menstrual period
3
Q
A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client's next menses to begin on: May 24 May 26 May 30 June 1
A
May 24
4
Q
Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A) Cervix B) Fallopian tube C) Vagina D) Vulva
A
Vagina
5
Q
After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? Placental estrogen Progesterone Gonadotropin-releasing hormone Prolactin
A
prolactin
6
Q
The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? Evidence of pubic hair Development of breast buds Onset of menses Growth spurt
A
development of breast buds
7
Q
When describing the ovarian cycle to a group of students, which phase would the instructor include? Luteal phase Proliferative phase Menstrual phase Secretory phase
A
luteal phase
8
Q
The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? Estrogen Progesterone Follicle-stimulating hormone Luteinizing hormone
A
luteinizing hormone
9
Q
The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? Testes Seminal vesicles Scrotum Prostate gland
A
testes
10
Q
The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? Seminal vesicles Prostate gland Cowper's glands Vas deferens
A
vas deferens
11
Q
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? Sperm emission Penile vasodilation Psychological release Ejaculation
A
penile vasodilation
12
Q
A woman comes to the clinic complaining that she has little sexual desire. As part of the client's evaluation, the nurse would anticipate the need to evaluate which hormone level? Progesterone Estrogen Gonadotropin-releasing hormone Testosterone
A
testosterone
13
Q
A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. Mons pubis Labia Vagina Clitoris Uterus
A
mons pubis, labia, clitoris
14
Q
When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? Estrogen Luteinizing hormone Progesterone Prolactin
A
luteinizing hormone
15
Q
A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle-stimulating hormone as being secreted by which of the following? Hypothalamus Anterior pituitary gland Ovaries Corpus luteum
A
anterior pituitary gland
16
Q
A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? Menopause Perimenopause Climacteric Menarche
A
perimenopause
17
Q
After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization? Vagina Uterus Fallopian tubes Vestibule
A
fallopian tubes
18
Q
A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse be least likely to identify as placing the client at risk for an infection?
Recent antibiotic therapy for an upper respiratory infection
Last menstrual period about 5 days ago.
Weekly douching
Frequent use of feminine hygiene sprays.
A
last menstrual period 5 days ago
19
Q
A group of nursing students are reviewing information about the male reproductive structures. The students demonstrate understanding of the information when they identify which of the following as accessory organs? (Select all that apply.) Testes Vas deferens Bulbourethral glands Prostate gland Penis
A
bulbourethral glands, prostate gland
20
Q
A nurse is examining a female client and tests the client's vaginal pH. Which finding would the nurse interpret as normal? 4.5 7 8.5 10
A
4.5
21
Q
When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following?
Semen forced through the urethra to the outside
Movement of sperm from the testes and fluid into the urethras
Dilation of the penile arteries with increased blood flow to the tissues.
Body’s return to the physiologic nonstimulated state
A
Movement of sperm from the testes and fluid into the urethras
22
Q
A nurse is describing the structure and function of the reproductive system to an adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? Mucus-like Alkaline Acidic Semen
A
alkaline
23
Q
1. The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. The goal of this therapy is to: Promote the progression of disease Intervene in late-stage AIDS Improve survival rates Conduct additional drug research
A
improve survival rates
24
Q
- A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which of the following areas would be most important to assess initially?
The woman’s beliefs and education
The woman’s financial situation and insurance
The woman’s activity level and nutrition
The woman’s family and living arrangements
A
beliefs and education
25
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3. When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection?
Native Americans
Heterosexual women
New health care workers
Asian immigrants
```
heterosexual women
26
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4. After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which of the following?
Sexual intercourse
Sharing needles for IV drug use
Perinatal transmission
Blood transfusion
```
sexual intercourse
27
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5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS?
1,000 cells/mm3
700 cells/mm3
450 cells/mm3
200 cells/mm3
```
200 cells/mm3
28
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6. When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?
Hive-like rash for the past 2 days
Five different sexual partners
Weight gain of 5 lbs in 1 year
Clear vaginal discharge
```
five different sexual partners
29
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7. Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:
Trichomoniasis
Bacterial vaginosis
Candidiasis
Genital herpes simplex
```
candidiasis
30
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8. A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug?
Alcohol
Nicotine
Chocolate
Caffeine
```
alcohol
31
```
9. A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI?
Genital herpes
Hepatitis B
Syphilis
Gonorrhea
```
gonorrhea
32
```
10. Which findings would the nurse expect to find in a client with bacterial vaginosis?
Vaginal pH of 3
Fish-like odor of discharge
Yellowish-green discharge
Cervical bleeding on contact
```
fish like odor of discharge
33
```
11. A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:
Amniotic fluid
Placenta
Birth canal
Breast milk
```
placenta
34
```
12. The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:
Infertility
Dyspareunia
Cervical cancer
Dysmenorrhea
```
cervical cancer
35
```
13. A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client's medical record, which of the following would the nurse expect to find? (Select all that apply.)
Oral temperature of 100.4 degrees F
Dysmenorrhea
Dysuria
Lower abdominal tenderness
Discomfort with cervical motion
Multiparity
```
dysmenorrhea, dysuria, lower abdominal tenderness, discomfort with cervical motion
36
14. Which instructions would the nurse include when teaching a woman with pediculosis pubis?
ìTake the antibiotic until you feel better.î
ìWash your bed linens in bleach and cold water.î
ìYour partner doesn't need treatment at this time.î
ìRemove the nits with a fine-toothed comb.î
remove the nits with a fine tooth comb
37
15. A client with genital herpes simplex infection asks the nurse, ìWill I ever be cured of this infection?î Which response by the nurse would be most appropriate?
ìThere is a new vaccine available that prevents the infection from returning.î
ìAll you need is a dose of penicillin and the infection will be gone.î
ìThere is no cure, but drug therapy helps to reduce symptoms and recurrences.î
ìOnce you have the infection, you develop an immunity to it.î
there is no cure, but drug therapy helps to reduce symptoms and recurrences
38
```
16. A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes. Which of the following would the nurse expect to include as a possible precipitating factor for a recurrent outbreak? (Select all that apply.)
Exposure to ultraviolet light
Exercise
Use of corticosteroids
Emotional stress
Sexual intercourse.
```
exposure to ultraviolet light, use of corticosteroids, emotional stress, sexual intercourse
39
17. After teaching a class on sexually transmitted infections, the instructor determines that the teaching was successful when the class identifies which statement as true?
STIs can affect anyone if exposed to the infectious organism.
STIs have been addressed more on a global scale.
Clients readily view the diagnosis of STI openly.
Most individuals with STIs are over the age of 30.
STIs can affect anyone if exposed to the infectious organism
40
```
18. A group of students are reviewing information about STIs. The students demonstrate understanding of the information when they identify which of the following as the most common bacterial STI in the United States?
Gonorrhea
Chlamydia
Syphilis
Candidiasis
```
chlamydia
41
```
19. A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of the following would the nurse identify?
Asian American ethnicity
Age under 25 years
Married
Consistent use of barrier contraception
```
age under 25 years
42
20. A nurse at a local community clinic is developing a program to address STI prevention. Which of the following would the nurse least likely include in the program?
Outlining safer sexual behavior
Recommending screening for symptomatic individuals
Promoting the use of barrier contraceptives
Offering education about STI transmission
recommending screening for symptomatic individuals
43
21. After teaching a class on preventing pelvic inflammatory disease, the instructor determines that the teaching was successful when the class identifies which of the following as an effective method?
Advising sexually active females to use hormonal contraception
Encouraging vaginal douching on a weekly basis.
Emphasizing the need for infected sexual partners to receive treatment
Promoting routine treatment for asymptomatic females as risk
emphasizing the need for infected sexual partners to receive treatment
44
```
22. A group of nursing students are reviewing information about vaccines used to prevent STIs. The students would expect to find information about which of the following?
HIV
HSV
HPV
HAV
HBV
```
HPV, HAV, HBV
45
```
23. A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time?
In 2 month
In 2 months
In 3 months
In 4 months
```
In 2 months
46
```
24. A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.)
Urinary frequency
Yellow/green discharge
Joint pain
Blister-like lesions
Muscle aches
```
urinary frequency, yellow/green discharge
47
25. A nurse is teaching a women with genital ulcers how to care for them. Which statement by the client indicates a need for additional teaching?
ìI need to wash my hands after touching any of the ulcers.î
ìI need to abstain from intercourse primarily when the lesions are present.î
ìI should avoid applying ice or heat to my genital area.î
ìI can try lukewarm sitz baths to help ease the discomfort.î
abstain from intercourse primarily when the lesions are present
