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Flashcards in FINAL: Test 1 Review Deck (53)
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1
Q

Women experiencing primary dysmenorrhea should be advised to avoid:

A

Pretzels & potato chips - avoid salty foods & refined foods

2
Q

T/F: Certain religions require Female Genital Cutting to be performed as part of their belief systems.

A

FALSE - page 272: “Although FGC may be interwoven into the culture, it is not mandated by any religion.”

3
Q

Moving to a new city and finding a new job are behaviors typical of a rape survivor in which phase of recovery?

A

REORGANIZATION: “The survivor attempts to make life adjustments by moving or changing jobs…”

Table 9.3 on pg 269
- Acute: shock, fear, disbelief, shame, guilt, feelings of uncleanliness, insomnia, nightmares, sobbing

  • Outward adjustment (denial): appears outwardly composed, returns to work, refuses to discuss the assault, denies need for counseling
  • Reorganization: life adjustments - moving, changing jobs, uses emotional distancing to cope.
  • Integration/Recovery: begins to feel safe and starts to trust others, may become an advocate for other rape victims.
4
Q

A nurse is caring for a Turkish client. The nurse understands that there could be major cultural differences between her and her client. What could be the consequence of a nurse assigning a client to a staff member who is of the same culture as the client?

A

something about stereotypes?

5
Q

Which of the following pelvic types is most suitable to vaginal delivery?

A

Gynecoid

6
Q

The three phases of the cycle of violence are:

A

Tension building
Battering
Honeymoon

7
Q

T/F: Physiologic alterations in breast size reach minimum level about 5 to 7 days after menstruation stops

A

True

http://goo.gl/i6jXbd - this textbook says the exact thing/

This is why you should do breast exams 5-7 days after menstruation stops.

8
Q

Of the following birthing locations, which is the least expensive?

Hospital
Birthing Inn
Home

A

Home

9
Q

A 52yo client is seeking treatments for menopause. She is not very active and a history of cardiac problems. Which of the following therapy options should the nurse recognize as contraindicated for this client?

A

long-term hormone therapy

10
Q

The leading “killer” for all women has been identified as:

A

1: CV disease

11
Q

A client is presenting with possible signs of menopause. The nurse recognizes that menopausal symptoms are related to:

A

vasomotor instability and early sign of estrogen deficiency

12
Q

Which method of contraception is the best prevention against STI’s?

A

barrier

unless abstinence is an option :P

13
Q

All of the following are alternative methods of alleviating (Eastern medicine) primary dysmenorrhea discomfort except:

A

Some of the eastern medicines include:

  • acupuncture
  • herbal meds

If conventional medications (OTC hormones, NSAIDs, SERMs) or surgery is an option, that is likely the answer.

14
Q

The treatment of choice for syphilis is:

A

penicillin

15
Q

_______________is a set of goals designed to guide US national health promotion and disease prevention efforts.

A

Healthy People 2020

16
Q

The most common bacterial STI is:

A

Chlamydia

17
Q

Which woman is at greatest risk for developing hypogonadotropic amenorrhea?

A. 48-year-old woman in Weight Watchers who lost 20 pounds over 6 months
B. 14-year-old figure skater
C. 18-year-old softball player
D. 30-year-old (G3 P3003) breastfeeding woman

A

14-year-old figure skater

participating in a sport that is stressful, subjectively scored, requires contour revealing clothing, & success is favored by a prepubertal body shape.

18
Q

It is important to be able to measure the health status of a group of people or a nation so that the number of people who die prematurely will decrease over time. How does the United States measure the health status of its people?

A

Statistical data, such as morbidity/mortality rates

19
Q

The Endometrial Cycle is divided into 4 phases: The menstrual phase, proliferative phase, secretory phase and ischemic phase. Of these phases, which is responsible for decreasing the blood supply to the endometrium resulting in the lining shedding producing menstruation?

A

Ischemic phase

Proliferative: starts w/ enlargement of endometrial glands. Blood vessels are dilated and endometrium increases in thickness. Cervical mucus is thin, clear, and stretchy & more alkaline to help sperm.

Secretory: endometrium becomes thicker and more vascular and glandular to prepare for implantation. If no implantation, endometrium undergoes involution

Ischemic: if fertilization doesn’t occur, estrogen & progesterone levels drop sharply and corpus luteum degenerates. There is ischemia which leads to the shedding of the endometrium down to the basal layer- menstrual flow begins.

20
Q

Low birth weight and prematurity are not major indicators of infant health and significant predictors of infant mortality.

A

False

21
Q

T/F: You are the nurse caring for a 16yo client in labor. Over the course of her care, it has been determined that she needs to have a cesarean section to provide the best outcome for both the mother and infant. Her mother states that “my daughter can’t sign that consent, she is only 16 years-old. I will sign it for her”. Knowing the laws around pregnancy and consent, you determine that this statement is correct.

A

False - you are considered an adult

22
Q

T/F: All clients have the right to refuse medical treatments or medications, even in the event that they are life saving

A

True - pg 30

“All clients have the right to refuse medical treatment based on the American Hospital Association’s Bill of Rights”

23
Q

Of the cultures below, which believes that during the first 40 days after delivery, women are thought to be susceptible to cold?

Arabs
Africans
Hispanics
Americans

A

Hispanics

PG 22

24
Q

T/F: Estrogen is the primary hormone responsible for breast growth.

A

True

25
Q

Infibulation is:

A

surgical removal of the external female genitalia and the suturing of the vulva

26
Q

T/F: Low socioeconomic status typically has an adverse affect on an individual’s health.

A

True

27
Q

Chronic or recurrent infections with candida can be a symptom of:

A

uncontrolled diabetes, immunosuppression, obesity

28
Q

You are the nurse in a primary care clinic. Mrs. Jones, a 42yo, Caucasian woman arrives for her GYN appointment with complaints of pelvic pain, abnormal menstrual bleeding, diarrhea and dyspareunia. You recognize that with these symptoms you should evaluate her for which of the following conditions:

A

Endometriosis?

29
Q

___________________ prevention involves the early detection and initiation of treatment to stop or limit adverse health problems.

A

SECONDARY

Primary: preventing the dz before it occurs

Secondary: early detection treatment of adverse health conditions

Tertiary: reduce or limit progression of permanent, irreversible dz/disability

30
Q

T/F: All sexually transmitted infections are curable with proper treatment.

A

F

Not viruses!

31
Q

_________________ glands, located on either side of the female urethral opening, secrete a small amount of mucous to keep the opening moist and lubricated for the passage of urine.

A

SKENE

32
Q

________________ literacy is the ability to read, understand, and use health care information

A

Health

33
Q

A group of nurses are running a community health campaign initiated by the Maternal and Child Health Bureau to educate women about better maternal infant care. Which of the following measures would advocate for the prevention of neural tube defects?

A

folic acid

34
Q

Fnc of Gonadotropin releasing hormone (GnRH)

A

secreted from hypothalamus, induces release of FSH and LH to assist w/ ovulation

35
Q

Fnc of Follicle-stimulating hormone (FSH)

A

secreted by anterior pituitary gland, responsible for maturation of ovarian follicle.

36
Q

Fnc of Luteinizing hormone (LH)

A

secreted by anterior pituitary gland, required for final maturation of preovulatory follicles & luteinization of ruptured follicle

37
Q

Fnc of Estrogen

A

secreted by ovaries, crucial for dev and maturation of follicle. Induces proliferation of endometrial glands, and causes uterus to increase in size & weight.

38
Q

Progesterone

A

secreted by corpus luteum, induces swelling and increased secretion of the endometrium. reduces uterine contractions (to allow pregnancy to be maintained)

39
Q

T/F: Mortality refers to the prevalence of a specific illness in a population over a given time.

A

False - this is referring to morbidity

40
Q

Which stage of syphilis is characterized by a painless genital ulcer called a chancre?

A

Primary syphilis

41
Q

What portion of the fallopian tube serves as the most common place for fertilization?

A

ampulla

42
Q

You are the nurse working in the nursery when Baby Girl Johnson is brought in after delivery. Her mother tested positive for the Hepatitis B surface antigen. What medications can you expect to give this baby?

A

hepatitis B immune globulin (HBIG) + 1st hep B vaccine

43
Q

A nurse needs to ensure an informed consent has been obtained to provide care to a young client. Which aspect would be the most important for the nurse to consider related to the informed consent?

A

Must be of legal age in that state w/ full civil rights, and must be competent

Must present the info in a simple, concise, and appropriate level of edu and language of the individual responsible for making the decision

Decision must be voluntary, w/o coersion or force or under duress

Must have a witness

Witness must sign consent

Pg 29

44
Q

If a husband causes his wife to miss excessive amounts of work time, this can be characterized as what type of abuse?

Physical
Emotional
Economic
Sexual

A

economic/financial abuse

45
Q

What is the top priority in caring for a patient that you suspect is a victim of human trafficking?

A

1 priority: build trust (pg 273)

But you should also:
notify local law enforcement & regional social service organization that has experience in dealing w/ trafficking victims

& reach out to the victim and stop the cycle of abuse

46
Q

An infant born vaginally to a mother with active genital herpes has an increased risk for:

A

seizures

spontaneous abortion, preterm labor, microcephaly, low-birth weight, chorioretinitis, neonatal HSV infection

47
Q

How long will an infant born to an HIV positive mother need to be on antiretroviral therapy after delivery?

A

6 weeks

48
Q

Herbal preparations can be used as part of the treatment for a variety of menstrual disorders. Which herb is beneficial for a woman experiencing “hot flashes” during menopause?

A

black cohosh

49
Q

A 16-year-old girl is brought to the clinic by her mother because she has not had a menstrual period for the past 8 months. Which of the following findings might alert the nurse to the possibility that anorexia nervosa may be contributing to the client’s amenorrhea? (Select all that apply.)

a) Bradycardia
b) Evidence of secondary sex characteristics
c) Reduced subcutaneous fat
d) hypotension

A

Bradycardia
Hypotension
Reduced subcutaneous fat

50
Q

Case-Managed Care includes:

(the real question asks what it does NOT include, but I think to be able to answer that question, we have to know what it DOES include)

A

Case management involves:
advocacy, communication & resource management.
Client-focused comprehensive care across a continuum.
Coordinated care w/ an interdisciplinary approach

51
Q

The most common cause for delay in treatment of chlamydia is:

A

difficult to detect in women

52
Q

T/F: Due to the hormonal fluctuations experienced in breastfeeding, it is not necessary to utilize other forms of birth control as it is not possible to achieve fertilization of an ovum.

A

So false.

53
Q

Which of the following actions is most likely to lead to acquaintance rape?

A

Rape that is perpetrated by a person who is known to the victim. Examples of acquaintances include someone the victim is dating, a classmate, co-worker, employer, family member, spouse, counselor, therapist, religious official or medical doctor.
Acquaintance rape by definition includes all date rape and marital and other intra-family rape, as well as rape between people such as classmates, co-workers, friends, neighbours, and people in business, employment or caretaker relationships.
Prison rape, gang rape, child rape and statutory rape are often also forms of acquaintance rape.