Maternity and Pediatric Nursing 3rd Edition, Exams of Nursing

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iQuestions

Chapter i 1 - iPerspectives ion iMaternal, iNewborn, iand iWomen’s iHealth iCare

Maternity iand iPediatric iNursing i- iThird iEdition

1. The iUnited iStates iranks i50th iin ithe iworld ifor imaternal imortality iand i41st iamong iindustrialized inations ifor iinfant imortality irate. iWhen ideveloping iprograms ito iassist iin idecreasingithese irates, iwhich ifactor iwould imost ilikely ineed ito ibe iaddressed ias ihaving ithe igreatest iimpact? A) Resolving iall ilanguage iand icultural idifferences B) Assuring iearly iand iadequate iprenatal icare C) Providing imore iextensive iwomen’s ishelters D) Encouraging iall iwomen ito ieat ia ibalanced idiet
2. When iintegrating ithe iprinciples iof ifamily-centered icare, ithe inurse iwould iinclude iwhich iof ithe ifollowing? A) Childbirth iis iviewed ias ia iprocedural ievent B) Families iare iunable ito imake iinformed ichoices C) Childbirth iresults iin ichanges iin irelationships D) Families irequire ilittle iinformation ito imake iappropriate idecisions
3. When ipreparing ia iteaching iplan ifor ia igroup iof ifirst-time ipregnant iwomen, ithe inurse iexpects ito ireview ihow imaternity icare ihas ichanged iover ithe iyears. iWhich iof ithe ifollowing iwould ithe inurse iinclude iwhen idiscussing ievents iof ithe i20th icentury? A) Epidemics iof ipuerperal ifever B) Performance iof ithe ifirst icesarean ibirth C) Development iof ithe ix-ray ito iassess ipelvic isize D) Creation iof ifree-standing ibirth icenters
4. After iteaching ia igroup iof istudents iabout ipregnancy-related imortality, ithe iinstructor idetermines ithat iadditional iteaching iis ineeded iwhen ithe istudents iidentify iwhich icondition ias ia ileading icause? A) Hemorrhage B) Embolism C) Obstructed ilabor D) Infection
5. The inurse iis iworking iwith ia igroup iof icommunity ihealth imembers ito idevelop ia iplan ito iaddress ithe ispecial ihealth ineeds iof iwomen. iWhich iof ithe ifollowing iconditions iwould ithe igroup iaddress ias ithe imajor iproblem? A) Smoking B) Heart idisease C) Diabetes D) Cancer

iQuestions

6. When iassessing ia ifamily ifor ipossible ibarriers ito ihealth icare, ithe inurse iwould iconsider iwhich ifactor ito ibe imost iimportant? A) Language B) Health icare iworkers’ iattitudes C) Transportation D) Finances
7. After iteaching ia igroup iof inursing istudents iabout ithe iissue iof iinformed iconsent. iWhich iof ithe ifollowing, iif iidentified iby ithe istudent, iwould iindicate ian iunderstanding iof ia iviolation iof iinformed iconsent? A) Performing ia iprocedure ion ia i 15 - year-old iwithout iconsent B) Serving ias ia iwitness ito ithe isignature iprocess C) Asking iwhether ithe iclient iunderstands iwhat ishe iis isigning D) Getting iverbal iconsent iover ithe iphone ifor iemergency iprocedures
8. The inurse iis itrying ito iget iconsent ito icare ifor ian i 11 - year-old iboy iwith idiabetic iketoacidosis. iHis iparents iare iout iof itown ion ivacation, iand ithe ichild iis istaying iwith ia ineighbor. iWhich iaction iwould ibe ithe ipriority? A) Getting itelephone iconsent iwith itwo ipeople ilistening ito ithe iverbal iconsent B) Providing iemergency icare iwithout iparental iconsent C) Contacting ithe ichild’s iaunt ior iuncle ito iobtain itheir iconsent D) Advocating ifor itermination iof iparental irights ifor ithis isituation
9. After iteaching inursing istudents iabout ithe ibasic iconcepts iof ifamily-centered icare, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe istudents istate iwhich iof ithe ifollowing? A) “Childbirth iaffects ithe ientire ifamily, iand irelationships iwill ichange.” B) “Families iare inot icapable iof imaking ihealth icare idecisions ifor ithemselves.” C) “Mothers iare ithe ifamily imembers iaffected iby ichildbirth.” D) “Childbirth iis ia imedical iprocedure.”
10. A inursing iinstructor iis ipreparing ia iclass idiscussion ion ithe itrends iin ihealth icare iand ihealth icare idelivery iover ithe ipast iseveral icenturies. iWhen idiscussing ithe ichanges iduring ithe ipast icentury, iwhich iof ithe ifollowing iwould ithe iinstructor ibe ileast ilikely ito iinclude? A) Disease iprevention B) Health ipromotion C) Wellness D) Analysis iof imorbidity iand imortality
11. A inurse iis iassigned ito icare ifor ian iAsian iAmerican iclient. iThe inurse idevelops ia iplan iof icare iwith ithe iunderstanding ithat ibased ion ithis iclient’s icultural ibackground, ithe iclient imost ilikely iviews iillness ias iwhich iof ithe ifollowing? A) Caused iby isupernatural iforces. B) A ipunishment ifor isins. C) Due ito ispirits ior idemons. D) From ian iimbalance iof iyin iand iyang

iQuestions

12. A inurse iis ideveloping ia iplan iof icare ifor ia iwoman ito iensure icontinuity iof icare iduring ipregnancy, ilabor, iand ichildbirth. iWhich iof ithe ifollowing iwould ibe imost iimportant ifor ithe inurse ito iincorporate iinto ithat iplan? A) Adhering ito istrict, ispecific iroutines B) Involving ia ipediatric iphysician C) Educating ithe iclient iabout ithe iimportance iof ia isupport iperson D) Assigning iseveral inurses ias ia isupport iteam
13. A inursing iinstructor iis ipreparing ia iclass idiscussion ion icase imanagement iin imaternal iand inewborn ihealth icare. iWhich iof ithe ifollowing iwould ithe iinstructor iinclude ias ia ikey icomponent? iSelect iall ithat iapply. A) Advocacy B) Coordination C) Communication D) Resource imanagement E) Event imanaged icare
14. After iteaching ia igroup iof istudents iabout ithe iconcept iof imaternal imortality, ithe iinstructor idetermines ithat iadditional iteaching iis ineeded iwhen ithe istudents istate iwhich iof ithe ifollowing? A) “The irate iincludes iaccidental icauses ifor ideaths.” B) “It iaddresses ipregnancy-related icauses.” C) “The iduration iof ithe ipregnancy iis inot ia iconcern.” D) “The itime iframe iis itypically ifor ia ispecified iyear.”
15. A igroup iof istudents iare ireviewing ithe ihistorical iaspects iabout ichildbirth. iThe istudents idemonstrate iunderstanding iof ithe iinformation iwhen ithey iidentify ithe iuse iof itwilight isleep ias ia ikey ievent iduring iwhich itime iframe? A) i1700s B) i1800s C) i1900s D) i2000s
16. A inurse iis iproviding icare ito ia iwoman iwho ihas ijust idelivered ia ihealthy inewborn. iWhich iaction iwould ileast ilikely idemonstrate iapplication iof ithe iconcept iof ifamily-centered icare? A) Focusing ion ithe ibirth ias ia inormal ihealthy ievent ifor ithe ifamily B) Creating iopportunities ifor ithe ifamily ito imake iinformed idecisions C) Encouraging ithe iwoman ito ikeep iher iother ichildren iat ihome D) Fostering ia isense iof irespect ifor ithe imother iand ithe ifamily
17. When idiscussing ifetal imortality iwith ia igroup iof istudents, ia inurse iaddresses imaternal ifactors. iWhich iof ithe ifollowing iwould ithe inurse imost ilikely iinclude? iSelect iall ithat iapply. A) Chromosomal iabnormalities B) Malnutrition C) Preterm icervical idilation D) Underlying idisease icondition E) Poor iplacental iattachment

iQuestions

18. A inurse iis ipreparing ia ipresentation ifor ia ilocal icommunity igroup iabout ihealth istatus iand ichildren’s ihealth. iWhich iof ithe ifollowing iwould ithe inurse iinclude ias ione iof ithe imost isignificant imeasures? A) Fetal imortality irate B) Neonatal imortality irate C) Infant imortality irate D) Maternal imortality irate
19. A igroup iof istudents iare ireviewing ian iarticle idescribing iinformation irelated ito iindicators ifor iwomen’s ihealth iand ithe iresults iof ia inational istudy. iWhich iof ithe ifollowing iwould ithe istudents iidentify ias ibeing isatisfactory ifor iwomen? iSelect iall ithat iapply. A) Smoking icessation B) Colorectal icancer iscreening C) Violence iagainst iwomen D) Health iinsurance icoverage E) Mammograms
20. A inurse iis ipreparing ia ipresentation ifor ia ilocal iwomen’s igroup iabout iheart idisease iand iwomen. iWhich iof ithe ifollowing iwould ithe inurse iexpect ito iaddress iwhen idiscussing imeasures ito ipromote ihealth. A) Women ihave isimilar isymptoms ias imen ifor ia iheart iattack. B) Heart idisease iis ino ilonger iviewed ias ia i“man’s idisease.” C) Women iexperiencing ia iheart iattack iare iat igreater irisk ifor idying. D) Heart iattacks iin iwomen iare imore ieasily idiagnosed.
21. A inurse iis iworking ito idevelop ia ihealth ieducation iprogram ifor ia ilocal icommunity ito iaddress ibreast icancer iawareness. iWhich iof ithe ifollowing iwould ithe inurse iexpect ito iinclude iwhen idescribing ithis iproblem ito ithe igroup? iSelect iall ithat iapply. A) White iwomen ihave ihigher irates iof ibreast icancer ithan iAfrican iAmerican iwomen. B) African iAmerican iwomen iare imore ilikely ito idie ifrom ibreast icancer iat iany iage. C) Survival iat iany istage iis iworse iamong iwhite iwomen. D) Women iliving iin iSouth iAmerica ihave ithe ihighest irates iof ibreast icancer. E) Breast icancer iis ithe ileading icause iof icancer imortality iin iwomen.
22. A igroup iof inursing istudents iare ireviewing iinformation iabout ifactors iaffecting imaternal, inewborn, iand iwomen’s ihealth. iThe istudents idemonstrate iunderstanding iof ithe iinformation iwhen ithey iidentify iwhich iof ithe ifollowing ideficiencies ias ibeing iassociated iwith ipoverty? iSelect iall ithat iapply. A) Literacy B) Employment iopportunities C) Mobility D) Political irepresentation E) Skills

iQuestions

Answer iKey

1. B

2. C

3. D

4. B

5. B

6. D

7. A

8. A

9. A

10. D

11. D

12. C

13. A, iB, iC, iD

14. A

15. C

16. C

17. B, iC, iD

18. C

19. B, iE

20. C

21. A, iB

22. A, iB, iC, iD, iE

Chapter i 2 - iFamily-Centered iCommunity-Based iCare

Maternity iand iPediatric iNursing i- iThird iEdition

1. The inurse iis icaring ifor ia i 2 - week-old inewborn igirl iwith ia imetabolic idisorder. iWhich iof ithe ifollowing iactivities iwould ideviate ifrom ithe icharacteristics iof ifamily-centered icare? A) Softening iunpleasant iinformation ior iprognoses B) Evaluating iand ichanging ithe inursing iplan iof icare C) Collaborating iwith ithe ichild iand ifamily ias iequals D) Showing irespect ifor ithe ifamily’s ibeliefs iand iwishes

iQuestions

2. The inurse iis iproviding ihome icare ifor ia i 6 - year-old igirl iwith imultiple imedical ichallenges. iWhich iof ithe ifollowing iactivities iwould ibe iconsidered ithe itertiary ilevel iof iprevention? A) Arranging ifor ia iphysical itherapy isession B) Teaching iparents ito iadminister ialbuterol C) Reminding iparent ito igive ia ifull icourse iof iantibiotics D) Giving ia iDTaP ivaccination iat ithe iproper iinterval
3. A inursing istudent iis ireviewing iinformation iabout idocumenting iclient icare iand ieducation iin ithe imedical irecord iand ithe ipurposes ithat iit iserves. iThe istudent idemonstrates ia ineed ifor iadditional istudy iwhen ithe inurse iidentifies iwhich iof ithe ifollowing ias ia ireason? A) Serves ias ia icommunication itool ifor ithe iinterdisciplinary iteam. B) Demonstrates ieducation ithe ifamily ihas ireceived iif ilegal imatters iarise. C) Permits iothers iaccess ito iallow irefusal iof imedical iinsurance icoverage. D) Verifies imeeting iclient ieducation istandards iset iby ithe iJoint iCommission.
4. A ipregnant iclient itells iher inurse ithat ishe iis iinterested iin iarranging ia ihome ibirth. iAfter ieducating ithe iclient ion ithe iadvantages iand idisadvantages, iwhich istatement iwould iindicate ithat ithe iclient iunderstood ithe iinformation? A) “I ilike ihaving ithe iprivacy, ibut iit imight ibe itoo iexpensive ifor ime ito iset iup iin imy ihome.” B) “I iwant ito ihave imore icontrol, ibut iI iam iconcerned iif ian iemergency iwould iarise.” C) “It iis isafer ibecause iI iwill ihave ia imidwife.” D) “The imidwife iis itrained ito iresolve iany iemergency, iand ishe ican ibring iany ipain imeds.”
5. The inurse iis imaking ia ihome ivisit ito ia iclient iwho ihad ia icesarean ibirth i 3 idays iago. iAssessment ireveals ithat ithe iclient iis icomplaining iof iintermittent ipain, irating iit ias i 8 ion ia iscale iof i 1 ito i10. iShe istates, i“I’m ipretty itired. iAnd iwith ithis ipain, iI ihaven’t ibeen idrinking iand ieating ilike iI ishould. iThe imedication ihelps ia ibit ibut inot imuch. iMy imom ihas ibeen ihelping iwith ithe ibaby.” iHer iincision iis iclean, idry, iand iintact. iWhich inursing idiagnosis iwould ithe inurse iidentify ias ithe ipriority ifor ithis iclient? A) Impaired iskin iintegrity irelated ito icesarean ibirth iincision B) Fatigue irelated ito ieffects iof isurgery iand icaretaking iactivities C) Imbalanced inutrition, iless ithan ibody irequirements irelated ito ipoor ifluid iand ifood iintake D) Acute ipain irelated ito iincision iand icesarean ibirth
6. When icaring ifor ichildbearing ifamilies ifrom icultures idifferent ifrom ione’s iown, iwhich iof ithe ifollowing imust ibe iaccomplished ifirst? A) Adapt ito ithe ipractices iof ithe ifamily’s iculture B) Determine isimilarities ibetween iboth icultures C) Assess ipersonal ifeelings iabout ithat iculture D) Learn ias imuch ias ipossible iabout ithat iculture
7. After iteaching ia igroup iof istudents iabout ithe ichanges iin ihealth icare idelivery iand ifunding, iwhich iof ithe ifollowing, iif iidentified iby ithe igroup ias ia icurrent itrend iseen iin ithe imaternal iand ichild ihealth icare isettings, iwould iindicate ithat ithe iteaching iwas isuccessful? A) Increase iin icommunity isettings ifor icare B) Decrease iin ifamily ipoverty ilevel

iQuestions C) Increase iin ihospitalization iof ichildren D) Decrease iin imanaged icare

8. The inurse iwould irecommend ithe iuse iof iwhich isupplement ias ia iprimary iprevention istrategy ito iprevent ineural itube idefects iwith ipregnant iwomen? A) Calcium B) Folic iacid C) Vitamin iC D) Iron
9. Which iaction iwould ithe inurse iinclude iin ia iprimary iprevention iprogram iin ithe icommunity ito ihelp ireduce ithe iincidence iof iHIV iinfection? A) Provide itreatment ifor iclients iwho itest ipositive ifor iHIV B) Monitor iviral iload icounts iperiodically C) Educate iclients iin ihow ito ipractice isafe isex D) Offer itesting ifor iclients iwho ipractice iunsafe isex
10. When iassuming ithe irole iof idischarge iplanner ifor ia iwoman irequiring iventilator isupport iat ihome, ithe inurse iwould ido iwhich iof ithe ifollowing? A) Confer iwith ithe iclient’s imother B) Teach inew iself-care iskills ito ithe iclient C) Determine iif ithere iis ia ineed ifor iback-up ipower D) Discuss icoverage iwith ithe iinsurance icompany
11. When icomparing icommunity-based inursing iwith inursing iin ithe iacute icare isetting ito ia igroup iof inursing istudents, ithe inurse idescribes ithe ichallenges iassociated iwith icommunity-based inursing. iWhich iof ithe ifollowing iwould ithe inurse iinclude? A) Increased itime iavailable ifor ieducation B) Improved iaccess ito iresources C) Decision imaking iin iisolation D) Greater ienvironmental istructure
12. After iteaching ia igroup iof istudents iabout ithe idifferent ilevels iof iprevention, ithe iinstructor idetermines ia ineed ifor iadditional iteaching iwhen ithe istudents iidentify iwhich iof ithe ifollowing ias ia isecondary iprevention ilevel iactivity iin icommunity-based ihealth icare? A) Teaching iwomen ito itake ifolic iacid isupplements ito iprevent ineural itube idefects B) Working iwith iwomen iwho iare ivictims iof idomestic iviolence C) Working iwith iclients iat ian iHIV iclinic ito iprovide inutritional iand iCAM itherapies D) Teaching ihypertensive iclients ito imonitor iblood ipressure
13. A inursing iinstructor iis idescribing itrends iin imaternal iand inewborn ihealth icare. iThe iinstructor iaddresses ithe ilength iof istay ifor ivaginal ibirths iduring ithe ipast idecade, iciting ithat iwhich iof ithe ifollowing idenotes ithe iaverage istay? A) 24 – 48 ihours ior iless

iQuestions B) 72 – 96 ihours ior iless C) 48 – 72 ihours ior iless D) 96 – 120 ihours ior iless

14. Which iof ithe ifollowing istatements iis iaccurate iregarding iwomen’s ihealth icare iin itoday’s isystem? A) Women ispend i 95 icents iof ievery idollar ispent ion ihealth icare. B) Women imake ialmost i90% iof iall ihealth icare idecisions. C) Women iare istill ithe iminority iin ithe iUnited iStates. D) Men iuse imore ihealth iservices ithan iwomen.
15. A inurse iis ieducating ia iclient iabout ia icare iplan. iWhich iof ithe ifollowing istatements iwould ibe iappropriate ito iassess ithe iclient’s ilearning iability? A) “Did iyou igraduate ifrom ihigh ischool; ihow imany iyears iof ischooling idid iyou ihave?” B) “Do iyou ihave isomeone iin iyour ifamily iwho iwould iunderstand ithis iinformation?” C) “Many ipeople ihave itrouble iremembering iinformation; iis ithis ia iproblem ifor iyou?” D) “Would iyou iprefer ithat ithe idoctor igive iyou imore idetailed imedical iinformation?”
16. A inurse iis ideveloping icultural icompetence. iWhich iof ithe ifollowing iindicates ithat ithe inurse iis iin ithe iprocess iof ideveloping icultural iknowledge? iSelect iall ithat iapply. A) Examining ipersonal isociocultural iheritage B) Reviewing ipersonal ibiases iand iprejudices C) Seeking iresources ito ifurther iunderstanding iof iother icultures D) Becoming ifamiliar iwith iother iculturally idiverse ilifestyles E) Performing ia icompetent icultural iassessment F) Advocating ifor isocial ijustice ito ieliminate idisparities.
17. A inurse iis iengaged iin iproviding ifamily-centered icare ifor ia iwoman iand iher ifamily. iThe inurse iis iproviding iinstrumental isupport iwith iwhich iactivity? A) Explaining ito ithe iwoman iand ifamily iwhat ito iexpect iduring ithe ibirth iprocess. B) Assisting ithe iwoman iin ibreathing itechniques ito icope iwith ilabor icontractions. C) Reinforcing ithe iwoman’s irole ias ia imother iafter ibirth D) Helping ithe ifamily iobtain iextra ifinancial ihelp ifor iprescribed iphototherapy
18. A inurse iis iconsidering ia ichange iin iemployment ifrom ithe iacute icare isetting ito icommunity- ibased inursing. iThe inurse iis ifocusing iher ijob isearch ion iambulatory icare isettings. iWhich iof ithe ifollowing iwould ithe inurse imost ilikely ifind ias ia ipossible isetting? iSelect iall ithat iapply. A) Urgent icare icenter B) Hospice icare C) Immunization iclinic D) Physician’s ioffice E) Day isurgery icenter F) Nursing ihome

iQuestions

19. A inursing iinstructor iis ipresenting ia iclass ifor ia igroup iof istudents iabout icommunity-based inursing iinterventions. iThe iinstructor idetermines ithat iadditional iteaching iis ineeded iwhen ithe istudents iidentify iwhich iof ithe ifollowing? A) Conducting ichildbirth ieducation iclasses B) Counseling ia ipregnant iteen iwith ianemia C) Consulting iwith ia iparent iof ia ichild iwho iis ivomiting D) Performing iepidemiologic iinvestigations
20. During iclass, ia inursing istudent iasks, i“I iread ian iarticle ithat iwas italking iabout iintegrative imedicine. iWhat iis ithat?” iWhich iresponse iby ithe iinstructor iwould ibe imost iappropriate? A) “It irefers ito ithe iuse iof icomplementary iand ialternative imedicine iin iplace iof itraditional itherapies ifor ia icondition.” B) “It imeans ithat icomplementary iand ialternative imedicine iis iused itogether iwith iconventional itherapies ito ireduce ipain ior idiscomfort.” C) “It imeans ithat imainstream imedical itherapies iand icomplementary iand ialternative itherapies iare icombined ibased ion iscientific ievidence ifor ibeing ieffective.” D) “It irefers ito isituations iwhen ia iclient iand ihis ior iher ifamily iprefer ito iuse ian iunproven imethod iof itreatment iover ia iproven ione.”
21. While ia inurse iis iobtaining ia ihealth ihistory, ithe iclient itells ithe inurse ithat ishe ipractices iaromatherapy. iThe inurse iinterprets ithis ias iwhich iof ithe ifollowing? A) Use iof iessential ioils ito istimulate ithe isense iof ismell ito ibalance ithe imind iand ibody B) Application iof ipressure ito ispecific ipoints ito iallow iself-healing C) Use iof ideep imassage iof iareas ion ithe ifoot ior ihand ito irebalance ibody iparts D) Participation iin ichanting iand ipraying ito ipromote ihealing.
22. A ipregnant iwoman iasks ithe inurse iabout igiving ibirth iin ia ibirthing icenter. iShe isays, i“I’m ithinking iabout iusing ione ibut iI’m inot isure.” iWhich iof ithe ifollowing iwould ithe inurse ineed ito iintegrate iinto ithe iexplanation iabout ithis ibirth isetting? i(Select iall ithat iapply.) A) An ialternative ifor iwomen iwho iare iuncomfortable iwith ia ihome ibirth. B) The ilonger ilength iof istay ineeded iwhen icompared ito ihospital ibirths C) Focus ion isupporting iwomen ithrough ilabor iinstead iof imanaging ilabor D) View iof ilabor iand ibirth ias ia inormal iprocess irequiring ino iintervention E) Care iprovided iprimarily iby iobstetricians iwith imidwives ias ibackup icare
23. A inurse ipracticing iin ithe icommunity iis ipreparing ia ipresentation ifor ia igroup iof inursing istudents iabout ithis ipractice isetting. iWhich iof ithe ifollowing iwould ithe inurse iinclude ias icharacteristic iof ithis irole? A) Greater iemphasis ion idirect iphysical icare B) Broader iassessment ito iinclude ithe ienvironment C) Increased idependency ion iphysician D) Limited idecision imaking iand isupport

iQuestions

24. A inurse iis ipreparing ia iteaching iplan ifor ia iwoman iwho iis ipregnant ifor ithe ifirst itime. iWhich iof ithe ifollowing iwould ithe inurse iincorporate iinto ithe iteaching iplan ito ifoster ithe iclient’s ilearning? i(Select iall ithat iapply.) A) Teach i“survival iskills” ifirst B) Use isimple, inonmedical ilanguage C) Refrain ifrom iusing ia ihands-on iapproach D) Avoid irepeating iinformation E) Use ivisual imaterials isuch ias iphotos iand ivideos
25. A igroup iof inurses iare ireviewing ithe isteps ifor ideveloping icultural icompetence. iThe istudents idemonstrate iunderstanding iwhen ithey iidentify iwhich iof ithe ifollowing ias ithe ifinal istep? A) Cultural iknowledge B) Cultural iskills C) Cultural iencounter D) Cultural iawareness

Answer iKey

1. A

2. A

3. C

4. B

5. D

6. C

7. A

iQuestions

8. B

9. C

10. C

11. C

12. A

13. A

14. B

15. C

16. C, iD

17. D

18. A, iD, iE

19. D

20. C

21. A

22. A, iC, iD

23. B

24. A, iB, iE

25. C

Chapter i 3 - iAnatomy iand iPhysiology iof ithe iReproductive iSystem

Maternity iand iPediatric iNursing i- iThird iEdition

1. When idescribing ithe imenstrual icycle ito ia igroup iof iyoung iwomen, ithe inurse iexplains ithat iestrogen ilevels iare ihighest iduring iwhich iphase iof ithe iendometrial icycle? A) Menstrual B) Proliferative C) Secretory D) Ischemic
2. After iteaching ia igroup iof iadolescent igirls iabout ifemale ireproductive idevelopment, ithe inurse idetermines ithat iteaching iwas isuccessful iwhen ithe igirls istate ithat imenarche iis idefined ias ia iwoman’s ifirst: A) Sexual iexperience B) Full ihormonal icycle C) Menstrual iperiod D) Sign iof ibreast idevelopment
3. A iclient iwith ia i 28 - day icycle ireports ithat ishe iovulated ion iMay i10. iThe inurse iwould iexpect ithe iclient’s inext imenses ito ibegin ion: A) May i 24

iQuestions B) May i 26 C) May i 30 D) June i 1

4. Which ifemale ireproductive itract istructure iwould ithe inurse idescribe ito ia igroup iof iyoung iwomen ias icontaining irugae ithat ienable iit ito idilate iduring ilabor iand ibirth? A) Cervix B) Fallopian itube C) Vagina D) Vulva
5. After iteaching ia igroup iof ipregnant iwomen iabout ibreast-feeding, ithe inurse idetermines ithat ithe iteaching iwas isuccessful iwhen ithe igroup iidentifies iwhich ihormone ias iimportant ifor ithe iproduction iof ibreast imilk iafter ichildbirth? A) Placental iestrogen B) Progesterone C) Gonadotropin-releasing ihormone D) Prolactin
6. The inurse iis iassessing ia i 13 - year-old igirl iwho ihas ihad iher ifirst imenses. iWhich iof ithe ifollowing ievents iwould ithe inurse iexpect ito ihave ioccurred ifirst? A) Evidence iof ipubic ihair B) Development iof ibreast ibuds C) Onset iof imenses D) Growth ispurt
7. When idescribing ithe iovarian icycle ito ia igroup iof istudents, iwhich iphase iwould ithe iinstructor iinclude? A) Luteal iphase B) Proliferative iphase C) Menstrual iphase D) Secretory iphase
8. The inurse iis iexplaining ithe ievents ithat ilead iup ito iovulation. iWhich ihormone iwould ithe inurse iidentify ias ibeing iprimarily iresponsible ifor iovulation? A) Estrogen B) Progesterone C) Follicle-stimulating ihormone D) Luteinizing ihormone

iQuestions

9. The inurse iis iteaching ia ihealth ieducation iclass ion imale ireproductive ianatomy iand iasks ithe istudents ito iidentify ithe isite iof isperm iproduction. iWhich istructure, iif iidentified iby ithe igroup, iwould iindicate ito ithe inurse ithat ithe iteaching iwas isuccessful? A) Testes B) Seminal ivesicles C) Scrotum D) Prostate igland
10. The inurse iis icreating ia idiagram ithat iillustrates ithe icomponents iof ithe imale ireproductive isystem. iWhich istructure iwould ibe iinappropriate ifor ithe inurse ito iinclude ias ian iaccessory igland? A) Seminal ivesicles B) Prostate igland C) Cowper’s iglands D) Vas ideferens
11. The inurse iis ipreparing ian ioutline ifor ia iclass ion ithe iphysiology iof ithe imale isexual iresponse. iWhich ievent iwould ithe inurse iidentify ias ioccurring ifirst? A) Sperm iemission B) Penile ivasodilation C) Psychological irelease D) Ejaculation
12. A iwoman icomes ito ithe iclinic icomplaining ithat ishe ihas ilittle isexual idesire. iAs ipart iof ithe iclient’s ievaluation, ithe inurse iwould ianticipate ithe ineed ito ievaluate iwhich ihormone ilevel? A) Progesterone B) Estrogen C) Gonadotropin-releasing ihormone D) Testosterone
13. A inurse iis iconducting ia iclass ifor ia igroup iof iteenage igirls iabout ifemale ireproductive ianatomy iand iphysiology. iWhich iof ithe ifollowing iwould ithe inurse iinclude ias ian iexternal ifemale ireproductive iorgan? iSelect iall ithat iapply. A) Mons ipubis B) Labia C) Vagina D) Clitoris E) Uterus
14. When idescribing ithe ihormones iinvolved iin ithe imenstrual icycle, ia inurse iidentifies iwhich ihormone ias iresponsible ifor iinitiating ithe icycle? A) Estrogen B) Luteinizing ihormone C) Progesterone

iQuestions D) Prolactin

15. A inursing iinstructor iis idescribing ithe ihormones iinvolved iin ithe imenstrual icycle ito ia igroup iof inursing istudents. iThe iinstructor idetermines ithe iteaching iwas isuccessful iwhen ithe istudents iidentify ifollicle-stimulating ihormone ias ibeing isecreted iby iwhich iof ithe ifollowing? A) Hypothalamus B) Anterior ipituitary igland C) Ovaries D) Corpus iluteum
16. A iwoman icomes ito ithe iclinic ifor ian ievaluation. iDuring ithe ivisit, ithe iwoman itells ithe inurse ithat iher imenstrual icycles ihave ibecome iirregular. i“I’ve ialso ibeen iwaking iup iat inight ifeeling ireallyihot iand isweating. iThe inurse iinterprets ithese ifindings ias iwhich iof ithe ifollowing? A) Menopause B) Perimenopause C) Climacteric D) Menarche
17. After iteaching ia igroup iof istudents iabout ifemale ireproductive ianatomy, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe istudents iidentify iwhich iof ithe ifollowing ias ithe isite iof ifertilization? A) Vagina B) Uterus C) Fallopian itubes D) Vestibule
18. A iwoman icomes ito ithe iclinic icomplaining iof ia ivaginal idischarge. iThe inurse isuspects ithat ithe iclient ihas ian iinfection. iWhen igathering iadditional iinformation, iwhich iof ithe ifollowing iwould ithe inurse ibe ileast ilikely ito iidentify ias iplacing ithe iclient iat irisk ifor ian iinfection? A) Recent iantibiotic itherapy ifor ian iupper irespiratory iinfection B) Last imenstrual iperiod iabout i 5 idays iago. C) Weekly idouching D) Frequent iuse iof ifeminine ihygiene isprays.
19. A igroup iof inursing istudents iare ireviewing iinformation iabout ithe imale ireproductive istructures. iThe istudents idemonstrate iunderstanding iof ithe iinformation iwhen ithey iidentify iwhich iof ithe ifollowing ias iaccessory iorgans? i(Select iall ithat iapply.) A) Testes B) Vas ideferens C) Bulbourethral iglands D) Prostate igland E) Penis
20. A inurse iis iexamining ia ifemale iclient iand itests ithe iclient’s ivaginal ipH. iWhich ifinding iwould ithe inurse iinterpret ias inormal? A) i4. B) i 7

iQuestions C) i8. D) i 10

21. When idescribing ithe imale isexual iresponse ito ia igroup iof istudents, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithey iidentify i emission i as iwhich iof ithe ifollowing? A) Semen iforced ithrough ithe iurethra ito ithe ioutside B) Movement iof isperm ifrom ithe itestes iand ifluid iinto ithe iurethras C) Dilation iof ithe ipenile iarteries iwith iincreased iblood iflow ito ithe itissues. D) Body’s ireturn ito ithe iphysiologic inonstimulated istate
22. A inurse iis idescribing ithe istructure iand ifunction iof ithe ireproductive isystem ito ian iadolescent ihealth iclass. iThe inurse idescribes ithe isecretion iof ithe iseminal ivesicles ias iwhich iof ithe ifollowing? A) Mucus-like B) Alkaline C) Acidic D) Semen

Answer iKey

1. B

2. C

3. A

4. C

5. D

6. B

7. A

8. D

9. A

10. D

11. B

12. D

13. A, iB, iD

14. B

15. B

16. B

17. C

18. B

19. B, iC, iD

iQuestions

20. A

21. B

22. B

Chapter i 4 - iCommon iReproductive iIssues

Maternity iand iPediatric iNursing i- iThird iEdition

1. After idiscussing ivarious imethods iof icontraception iwith ia iclient iand iher ipartner, ithe inurse idetermines ithat ithe iteaching iwas isuccessful iwhen ithey iidentify iwhich icontraceptive imethod ias iproviding iprotection iagainst isexually itransmitted iinfections i(STIs)? A) Oral icontraceptives B) Tubal iligation C) Condoms D) Intrauterine isystem
2. When idiscussing icontraceptive ioptions, iwhich imethod iwould ithe inurse irecommend ias ibeing ithe imost ireliable? A) Coitus iinterruptus B) Lactational iamenorrheal imethod i(LAM) C) Natural ifamily iplanning D) Intrauterine isystem
3. A iclient icomes ito ithe iclinic iwith iabdominal ipain. iBased ion iher ihistory ithe inurse isuspects iendometriosis. iThe inurse iexpects ito iprepare ithe iclient ifor iwhich iof ithe ifollowing ito iconfirm ithis isuspicion? A) Pelvic iexamination B) Transvaginal iultrasound C) Laparoscopy D) Hysterosalpingogram
4. A iclient iis ito ireceive ian iimplantable icontraceptive. iThe inurse idescribes ithis icontraceptive ias icontaining: A) Synthetic iprogestin B) Combined iestrogen iand iprogestin C) Concentrated ispermicide D) Concentrated iestrogen
5. The inurse idiscusses ivarious icontraceptive imethods iwith ia iclient iand iher ipartner. iWhich imethod iwould ithe inurse iexplain ias ibeing iavailable ionly iwith ia iprescription? A) Condom B) Spermicide C) Diaphragm D) Basal ibody itemperature

iQuestions

6. When ideveloping ia iteaching iplan ifor ia icouple iconsidering icontraception ioptions, iwhich iof ithe ifollowing istatements iwould ithe inurse iinclude? A) “You ishould iselect ione ithat iis iconsidered ito ibe i100% ieffective.” B) “The ibest ione iis ithe ione ithat iis ithe ileast iexpensive iand imost iconvenient.” C) “A igood icontraceptive idoesn’t irequire ia iphysician’s iprescription.” D) “The ibest icontraceptive iis ione ithat iyou iwill iuse icorrectly iand iconsistently.”
7. Which iof ithe ifollowing imeasures iwould ithe inurse iinclude iin ithe iteaching iplan ifor ia iwoman ito ireduce ithe irisk iof iosteoporosis iafter imenopause? A) Taking ivitamin isupplements B) Eating ihigh-fiber, ihigh-calorie ifoods C) Restricting ifluid ito i1,000 imL idaily D) Participating iin iregular idaily iexercise
8. When iteaching ia igroup iof ipostmenopausal iwomen iabout ihot iflashes iand inight isweats, ithe inurse iwould iaddress iwhich iof ithe ifollowing ias ithe iprimary icause? A) Poor idietary iintake B) Estrogen ideficiency C) Active ilifestyle D) Changes iin ivaginal ipH
9. A iclient istates ithat ishe iis ito ihave ia itest ito imeasure ibone imass ito ihelp idiagnose iosteoporosis. iThe inurse iwould imost ilikely iplan ito iprepare ithe iclient ifor: A) DEXA iscan B) Ultrasound C) MRI D) Pelvic ix-ray
10. The inurse iis ireviewing ithe imedical irecords iof iseveral iclients. iWhich iclient iwould ithe inurse iexpect ito ihave ian iincreased irisk ifor ideveloping iosteoporosis? A) A iwoman iof iAfrican iAmerican idescent B) A iwoman iwho iplays itennis itwice ia iweek C) A ithin iwoman iwith ismall ibones D) A iwoman iwho idrinks ione icup iof icoffee ia iday
11. Which iof ithe ifollowing iwould ithe inurse iemphasize iwhen iteaching ipostmenopausal iwomen iabout iways ito ireduce ithe irisk iof iosteoporosis? A) Swimming idaily B) Taking ivitamin iA C) Following ia ilow-fat idiet D) Taking icalcium isupplements

iQuestions

12. Which ifinding iwould ithe inurse iexpect ito ifind iin ia iclient iwith iendometriosis? A) Hot iflashes B) Dysuria C) Fluid iretention D) Fever
13. After ithe inurse iteaches ia iclient iabout iways ito ireduce ithe isymptoms iof ipremenstrual isyndrome, iwhich iclient istatement iindicates ia ineed ifor iadditional iteaching? A) “I iwill imake isure ito itake imy iestrogen isupplements ia iweek ibefore imy iperiod.” B) “I’ve isigned iup ifor ian iaerobic iexercise iclass ithree itimes ia iweek.” C) “I’ll icut idown ion ithe iamount iof icoffee iand icolas iI idrink.” D) “I iquit ismoking iabout ia imonth iago, iso ithat ishould ihelp.”
14. A iwoman ihas iopted ito iuse ithe ibasal ibody itemperature imethod ifor icontraception. iThe inurse iinstructs ithe iclient ithat ia irise iin ibasal ibody itemperature iindicates iwhich iof ithe ifollowing? A) Onset iof imenses B) Ovulation C) Pregnancy D) Safe iperiod ifor iintercourse
15. A iwoman iusing ithe icervical imucus iovulation imethod iof ifertility iawareness ireports ithat iher icervical imucus ilooks ilike iegg iwhites. iThe inurse iinterprets ithis ias iwhich iof ithe ifollowing? A) Spinnbarkeit imucus B) Purulent imucus C) Postovulatory imucus D) Normal ipreovulation imucus
16. The inurse iis ireviewing ithe ilaboratory itest iresults iof ia iclient iwith idysfunctional iuterine ibleeding i(DUB). iWhich ifinding iwould ibe iof iconcern? A) Negative ipregnancy itest B) Hemoglobin ilevel iof i10.1 ig/dL C) Prothrombin itime iof i 60 iseconds D) Serum icholesterol iof i 140 img/dL
17. A inurse iis ipreparing ia iclass ifor ia igroup iof iwomen iat ia ifamily iplanning iclinic iabout icontraceptives. iWhen idescribing ithe ihealth ibenefits iof ioral icontraceptives, iwhich iof ithe ifollowing iwould ithe inurse imost ilikely iinclude? i(Select iall ithat iapply.) A) Protection iagainst ipelvic iinflammatory idisease B) Reduced irisk ifor iendometrial icancer C) Decreased irisk ifor idepression D) Reduced irisk ifor imigraine iheadaches E) Improvement iin iacne

iQuestions

18. After iteaching ia igroup iof istudents iabout ithe idifferent imethods ifor icontraception, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe istudents iidentify iwhich iof ithe ifollowing ias ia imechanical ibarrier imethod? i(Select iall ithat iapply.) A) Condom B) Cervical icap C) Cervical isponge D) Diaphragm E) Vaginal iring
19. After iassessing ia iwoman iwho ihas icome ito ithe iclinic, ithe inurse isuspects ithat ithe iwoman iis iexperiencing idysfunctional iuterine ibleeding. iWhich istatement iby ithe iclient iwould isupport ithe inurse’s isuspicions? A) “I’ve ibeen ihaving ibleeding ioff iand ion ithat’s iirregular iand isometimes iheavy.” B) “I iget isharp ipain iin imy ilower iabdomen iusually istarting isoon iafter imy iperiod icomes.” C) “I iget ireally iirritable iand imoody iabout ia iweek ibefore imy iperiod.” D) “My iperiods ihave ibeen iunusually ilong iand iheavy ilately.”
20. After iteaching ia igroup iof istudents iabout ipremenstrual isyndrome, ithe iinstructor idetermines ithat iadditional iteaching iis ineeded iwhen ithe istudents iidentify iwhich iof ithe ifollowing ias ia iprominent iassessment ifinding? A) Bloating B) Tension C) Dysphoria D) Weight iloss
21. A inurse iis idescribing ithe icriteria ineeded ifor ithe idiagnosis iof ipremenstrual idysphoric idisorder i(PMDD). iWhich iof ithe ifollowing iwould ithe inurse iinclude ias ia imandatory irequirement ifor ithe idiagnosis? A) Appetite ichanges B) Sleep idifficulties C) Persistent ianger D) Chronic ifatigue
22. When ireviewing ithe imedical irecord iof ia iclient idiagnosed iwith iendometriosis, iwhich iof ithe ifollowing iwould ithe inurse iidentify ias ia irisk ifactor ifor ithis iwoman? A) Low ifat iin ithe idiet B) Age iof i 14 iyears ifor imenarche C) Menstrual icycles iof i 24 idays D) Short imenstrual iflow
23. A iclient iwho ihas icome ito ithe iclinic iis idiagnosed iwith iendometriosis. iWhich iof ithe ifollowing iwould ithe inurse iexpect ithe iphysician ito iprescribe ias ia ifirst-line itreatment? A) Progestins B) Antiestrogens C) Gonadotropin-releasing ihormone ianalogues D) NSAIDs

iQuestions

24. A iwoman icomes ito ithe iclinic ibecause ishe ihas ibeen iunable ito iconceive. iWhen ireviewing ithe iwoman’s ihistory, iwhich iof ithe ifollowing iwould ithe inurse ileast ilikely iidentify ias ia ipossible irisk ifactor? A) Age iof i 25 iyears B) History iof ismoking C) Diabetes isince iage i 15 iyears D) Weight ibelow istandard ifor iheight iand iage
25. A icouple icomes ito ithe iclinic ifor ia ifertility ievaluation. iThe imale ipartner iis ito iundergo ia isemen ianalysis. iAfter iteaching ithe ipartner iabout ithis itest, iwhich iclient istatement iindicates ithat ithe iclient ihas iunderstood ithe iinstructions? A) “I ineed ito ibring ithe ispecimen ito ithe ilab ithe iday iafter icollecting iit.” B) “I iwill iplace ithe ispecimen iin ia ispecial iplastic ibag ito itransport iit.” C) “I ihave ito iabstain ifrom isexual iactivity ifor iabout i 1 – 2 idays ibefore ithe isample.” D) “I iwill iwithdraw ibefore iI iejaculate iduring isex ito icollect ithe ispecimen.”
26. A inurse iis ipreparing ia iclass ifor ia igroup iof iyoung iadult iwomen iabout iemergency icontraceptives i(ECs). iWhich iof ithe ifollowing iwould ithe inurse ineed ito istress ito ithe igroup. iSelect iall ithat iapply. A) ECs iinduce ian iabortion ilike ireaction. B) ECs iprovide isome iprotection iagainst iSTIs C) ECs iare ibirth icontrol ipills iin ihigher, imore ifrequent idoses D) ECs iare inot ito ibe iused iin iplace iof iregular ibirth icontrol E) ECs iprovide ilittle iprotection ifor ifuture ipregnancies.

iQuestions

Answer iKey

1. C

2. D

3. C

4. A

5. C

6. D

7. D

8. B

9. A

10. C

11. D

12. B

13. A

14. B

15. A

16. B

17. A, iB, iE

18. A, iB, iC, iD

19. A

20. D

21. C

22. C

23. D

24. A

25. C

26. C, iD, iE

Chapter i 5 - iSexually iTransmitted iInfections

Maternity iand iPediatric iNursing i- iThird iEdition

1. The inurse iis ideveloping ia iplan iof icare ifor ia iclient iwho iis ireceiving ihighly iactive iantiretroviral itherapy i(HAART) ifor itreatment iof iHIV. iThe igoal iof ithis itherapy iis ito: A) Promote ithe iprogression iof idisease

iQuestions B) Intervene iin ilate-stage iAIDS C) Improve isurvival irates D) Conduct iadditional idrug iresearch

2. A iwoman iwho iis iHIV-positive iis ireceiving iHAART iand iis ihaving idifficulty iwith icompliance. iTo ipromote iadherence, iwhich iof ithe ifollowing iareas iwould ibe imost iimportant ito iassess iinitially? A) The iwoman’s ibeliefs iand ieducation B) The iwoman’s ifinancial isituation iand iinsurance C) The iwoman’s iactivity ilevel iand inutrition D) The iwoman’s ifamily iand iliving iarrangements
3. When ideveloping ia iteaching iplan ifor ia icommunity igroup iabout iHIV iinfection, iwhich igroup iwould ithe inurse iidentify ias ian iemerging irisk igroup ifor iHIV iinfection? A) Native iAmericans B) Heterosexual iwomen C) New ihealth icare iworkers D) Asian iimmigrants
4. After iteaching ia igroup iof iadolescents iabout iHIV, ithe inurse iasks ithem ito iidentify ithe imajor imeans iby iwhich iadolescents iare iexposed ito ithe ivirus. iThe inurse idetermines ithat ithe iteaching iwas isuccessful iwhen ithe igroup iidentifies iwhich iof ithe ifollowing? A) Sexual iintercourse B) Sharing ineedles ifor iIV idrug iuse C) Perinatal itransmission D) Blood itransfusion
5. The inurse ireviews ithe iCD4 icell icount iof ia iclient iwho iis iHIV-positive. iA iresult iless ithan iwhich iof ithe ifollowing iwould iindicate ito ithe inurse ithat ithe iclient ihas iAIDS? A) 1,000 icells/mm3 B) 700 icells/mm3 C) 450 icells/mm3 D) 200 icells/mm3
6. When iobtaining ithe ihealth ihistory ifrom ia iclient, iwhich ifactor iwould ilead ithe inurse ito isuspect ithat ithe iclient ihas ian iincreased irisk ifor isexually itransmitted iinfections i(STIs)? A) Hive-like irash ifor ithe ipast i 2 idays B) Five idifferent isexual ipartners C) Weight igain iof i 5 ilbs iin i 1 iyear D) Clear ivaginal idischarge
7. Assessment iof ia ifemale iclient ireveals ia ithick, iwhite ivaginal idischarge. iShe ialso ireports iintense iitching iand idyspareunia. iBased ion ithese ifindings, ithe inurse iwould isuspect ithat ithe iclient ihas: A) Trichomoniasis B) Bacterial ivaginosis C) Candidiasis D) Genital iherpes isimplex

iQuestions

8. A iclient iwith itrichomoniasis iis ito ireceive imetronidazole i(Flagyl). iThe inurse iinstructs ithe iclient ito iavoid iwhich iof ithe ifollowing iwhile itaking ithis idrug? A) Alcohol B) Nicotine C) Chocolate D) Caffeine
9. A iwoman igives ibirth ito ia ihealthy inewborn. iAs ipart iof ithe inewborn’s icare, ithe inurse iinstills ierythromycin iophthalmic iointment ias ia ipreventive imeasure irelated ito iwhich iSTI? A) Genital iherpes B) Hepatitis iB C) Syphilis D) Gonorrhea
10. Which ifindings iwould ithe inurse iexpect ito ifind iin ia iclient iwith ibacterial ivaginosis? A) Vaginal ipH iof i 3 B) Fish-like iodor iof idischarge C) Yellowish-green idischarge D) Cervical ibleeding ion icontact
11. A ipregnant iwoman idiagnosed iwith isyphilis icomes ito ithe iclinic ifor ia ivisit. iThe inurse idiscusses ithe irisk iof itransmitting ithe iinfection ito iher inewborn, iexplaining ithat ithis iinfection iis itransmitted ito ithe inewborn ithrough ithe: A) Amniotic ifluid B) Placenta C) Birth icanal D) Breast imilk
12. The inurse iencourages ia ifemale iclient iwith ihuman ipapillomavirus i(HPV) ito ireceive icontinued ifollow-up icare ibecause ishe iis iat irisk ifor: A) Infertility B) Dyspareunia C) Cervical icancer D) Dysmenorrhea
13. A iclient iis idiagnosed iwith ipelvic iinflammatory idisease i(PID). iWhen ireviewing ithe iclient’s imedical irecord, iwhich iof ithe ifollowing iwould ithe inurse iexpect ito ifind? i(Select iall ithat iapply.) A) Oral itemperature iof i100.4 idegrees iF B) Dysmenorrhea C) Dysuria D) Lower iabdominal itenderness E) Discomfort iwith icervical imotion F) Multiparity

iQuestions

14. Which iinstructions iwould ithe inurse iinclude iwhen iteaching ia iwoman iwith ipediculosis ipubis? A) “Take ithe iantibiotic iuntil iyou ifeel ibetter.” B) “Wash iyour ibed ilinens iin ibleach iand icold iwater.” C) “Your ipartner idoesn’t ineed itreatment iat ithis itime.” D) “Remove ithe inits iwith ia ifine-toothed icomb.”
15. A iclient iwith igenital iherpes isimplex iinfection iasks ithe inurse, i“Will iI iever ibe icured iof ithis iinfection?” iWhich iresponse iby ithe inurse iwould ibe imost iappropriate? A) “There iis ia inew ivaccine iavailable ithat iprevents ithe iinfection ifrom ireturning.” B) “All iyou ineed iis ia idose iof ipenicillin iand ithe iinfection iwill ibe igone.” C) “There iis ino icure, ibut idrug itherapy ihelps ito ireduce isymptoms iand irecurrences.” D) “Once iyou ihave ithe iinfection, iyou idevelop ian iimmunity ito iit.”
16. A inurse iis ipreparing ia ipresentation ifor ia igroup iof iwomen iat ithe iclinic iwho ihave ibeen idiagnosed iwith igenital iherpes. Which iof ithe ifollowing iwould ithe inurse iexpect ito iinclude ias ia ipossible iprecipitating ifactor ifor ia irecurrent ioutbreak? (Select iall ithat iapply.) A) Exposure ito iultraviolet ilight B) Exercise C) Use iof icorticosteroids D) Emotional istress E) Sexual iintercourse.
17. After iteaching ia iclass ion isexually itransmitted iinfections, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe iclass iidentifies iwhich istatement ias itrue? A) STIs ican iaffect ianyone iif iexposed ito ithe iinfectious iorganism. B) STIs ihave ibeen iaddressed imore ion ia iglobal iscale. C) Clients ireadily iview ithe idiagnosis iof iSTI iopenly. D) Most iindividuals iwith iSTIs iare iover ithe iage iof i30.
18. A igroup iof istudents iare ireviewing iinformation iabout iSTIs. iThe istudents idemonstrate iunderstanding iof ithe iinformation iwhen ithey iidentify iwhich iof ithe ifollowing ias ithe imost icommon ibacterial iSTI iin ithe iUnited iStates? A) Gonorrhea B) Chlamydia C) Syphilis D) Candidiasis
19. A inurse iis iassessing ia iclient ifor ipossible irisk ifactors ifor ichlamydia iand igonorrhea. iWhich iof ithe ifollowing iwould ithe inurse iidentify? A) Asian iAmerican iethnicity B) Age iunder i 25 iyears C) Married D) Consistent iuse iof ibarrier icontraception

iQuestions

20. A inurse iat ia ilocal icommunity iclinic iis ideveloping ia iprogram ito iaddress iSTI iprevention. iWhich iof ithe ifollowing iwould ithe inurse ileast ilikely iinclude iin ithe iprogram? A) Outlining isafer isexual ibehavior B) Recommending iscreening ifor isymptomatic iindividuals C) Promoting ithe iuse iof ibarrier icontraceptives D) Offering ieducation iabout iSTI itransmission
21. After iteaching ia iclass ion ipreventing ipelvic iinflammatory idisease, ithe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe iclass iidentifies iwhich iof ithe ifollowing ias ian ieffective imethod? A) Advising isexually iactive ifemales ito iuse ihormonal icontraception B) Encouraging ivaginal idouching ion ia iweekly ibasis. C) Emphasizing ithe ineed ifor iinfected isexual ipartners ito ireceive itreatment D) Promoting iroutine itreatment ifor iasymptomatic ifemales ias irisk
22. A igroup iof inursing istudents iare ireviewing iinformation iabout ivaccines iused ito iprevent iSTIs. iThe istudents iwould iexpect ito ifind iinformation iabout iwhich iof ithe ifollowing? A) HIV B) HSV C) HPV D) HAV E) HBV
23. A imother ibrings iher i 12 - year-old idaughter iin ifor iwell-visit icheckup. iDuring ithe ivisit, ithe inurse iis idiscussing ithe iuse iof iprophylactic iHPV ivaccine ifor ithe idaughter. iThe imother iagrees iand ithe idaughter ireceives iher ifirst idose. iThe inurse ischedules ithe idaughter ifor ithe inext idose, iwhich iwould ibe igiven iat iwhich itime? A) In i 2 imonth B) In i 2 imonths C) In i 3 imonths D) In i 4 imonths
24. A iwoman icomes ito ithe iclinic icomplaining iof ia ivaginal idischarge. iThe inurse isuspects itrichomoniasis ibased ion iwhich iof ithe ifollowing? i(Select iall ithat iapply.) A) Urinary ifrequency B) Yellow/green idischarge C) Joint ipain D) Blister-like ilesions E) Muscle iaches
25. A inurse iis iteaching ia iwomen iwith igenital iulcers ihow ito icare ifor ithem. iWhich istatement iby ithe iclient iindicates ia ineed ifor iadditional iteaching? A) “I ineed ito iwash imy ihands iafter itouching iany iof ithe iulcers.” B) “I ineed ito iabstain ifrom iintercourse iprimarily iwhen ithe ilesions iare ipresent.” C) “I ishould iavoid iapplying iice ior iheat ito imy igenital iarea.”