Question 1

Examples of sexual risk behaviors associated with exposure to a sexually transmitted infection (STI)include (Select all that apply):

Accepted Answer

A) Fellatio. 
B) Unprotected anal intercourse. 
C) Multiple sex partners. 
D) Dry kissing. 
E) Abstinence. 
A) Fellatio. 
B) Unprotected anal intercourse. 
C) Multiple sex partners. 
D) Dry kissing. 
E) Abstinence.

Question 2

The drug of choice for treatment of gonorrhea is:

Accepted Answer

A) Penicillin G. 
B) Tetracycline. 
C) Ceftriaxone. 
D) Acyclovir. 
A) Penicillin G. 
B) Tetracycline. 
C) Ceftriaxone. 
D) Acyclovir.

Question 3

While interviewing a 31-year-old woman before her routine gynecologic examination,the nurse collects data about the client's recent menstrual cycles.The nurse should collect additional information with which statement?

Accepted Answer

A) The woman says her menstrual flow lasts 5 to 6 days. 
B) She describes her flow as very heavy. 
C) She reports that she has had a small amount of spotting midway between her periods for the past 2 months. 
D) She says the length of her menstrual cycle varies from 26 to 29 days. 
A) The woman says her menstrual flow lasts 5 to 6 days. 
B) She describes her flow as very heavy. 
C) She reports that she has had a small amount of spotting midway between her periods for the past 2 months. 
D) She says the length of her menstrual cycle varies from 26 to 29 days.

Question 4

With regard to dysmenorrhea,nurses should be aware that:

Accepted Answer

A) It is more common in older women. 
B) It is more common in leaner women who exercise strenuously. 
C) Symptoms can begin at any point in the ovulatory cycle. 
D) Pain usually occurs in the suprapubic area or lower abdomen. 
A) It is more common in older women. 
B) It is more common in leaner women who exercise strenuously. 
C) Symptoms can begin at any point in the ovulatory cycle. 
D) Pain usually occurs in the suprapubic area or lower abdomen.

Question 5

After a mastectomy a woman should be instructed to perform all of the following except:

Accepted Answer

A) Emptying surgical drains twice a day and as needed. 
B) Avoiding lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon. 
C) Wearing clothing with snug sleeves to support the tissue of the arm on the operative side. 
D) Reporting immediately if inflammation develops at the incision site or in the affected arm. 
A) Emptying surgical drains twice a day and as needed. 
B) Avoiding lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon. 
C) Wearing clothing with snug sleeves to support the tissue of the arm on the operative side. 
D) Reporting immediately if inflammation develops at the incision site or in the affected arm.

Question 6

When evaluating a patient whose primary complaint is amenorrhea,the nurse must be aware that lack of menstruation is most often the result of:

Accepted Answer

A) Stress. 
B) Excessive exercise. 
C) Pregnancy. 
D) Eating disorders. 
A) Stress. 
B) Excessive exercise. 
C) Pregnancy. 
D) Eating disorders.

Question 7

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, it is important to understand the action of these herbal preparations. Match the herbal medicine with the appropriate action.

-Chaste tree fruit

Accepted Answer

A) Uterine antispasmodic 
B) Uterotonic 
C) Antiinflammatory 
D) Estrogen-like luteinizing hormone suppressant 
E) Decreases prolactin levels 
A) Uterine antispasmodic 
B) Uterotonic 
C) Antiinflammatory 
D) Estrogen-like luteinizing hormone suppressant 
E) Decreases prolactin levels

Question 8

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, it is important to understand the action of these herbal preparations. Match the herbal medicine with the appropriate action.

-Ginger

Accepted Answer

A) Uterine antispasmodic 
B) Uterotonic 
C) Antiinflammatory 
D) Estrogen-like luteinizing hormone suppressant 
E) Decreases prolactin levels 
A) Uterine antispasmodic 
B) Uterotonic 
C) Antiinflammatory 
D) Estrogen-like luteinizing hormone suppressant 
E) Decreases prolactin levels

Question 9

A woman has a breast mass that is not well delineated and is nonpalpable,immobile,and nontender.This is most likely:

Accepted Answer

A) Fibroadenoma. 
B) Lipoma. 
C) Intraductal papilloma. 
D) Mammary duct ectasia. 
A) Fibroadenoma. 
B) Lipoma. 
C) Intraductal papilloma. 
D) Mammary duct ectasia.

Question 10

The nurse who is teaching a group of women about breast cancer would tell the women that:

Accepted Answer

A) Risk factors identify more than 50% of women who will develop breast cancer. 
B) Nearly 90% of lumps found by women are malignant. 
C) One in 10 women in the United States will develop breast cancer in her lifetime. 
D) The exact cause of breast cancer is unknown. 
A) Risk factors identify more than 50% of women who will develop breast cancer. 
B) Nearly 90% of lumps found by women are malignant. 
C) One in 10 women in the United States will develop breast cancer in her lifetime. 
D) The exact cause of breast cancer is unknown.

Question 11

The nurse should know that once human immunodeficiency virus (HIV)enters the body,seroconversion to HIV positivity usually occurs within:

Accepted Answer

A) 6 to 10 days. 
B) 2 to 4 weeks. 
C) 6 to 8 weeks. 
D) 6 months. 
A) 6 to 10 days. 
B) 2 to 4 weeks. 
C) 6 to 8 weeks. 
D) 6 months.

Question 12

Fibrocystic changes in the breast most often appear in women in their 20s and 30s.The etiology is unknown,but it may be an imbalance of estrogen and progesterone.The nurse who cares for this client should be aware that treatment modalities are conservative.One proven modality that may provide relief is:

Accepted Answer

A) Diuretic administration. 
B) Including caffeine daily in the diet. 
C) Increased vitamin C supplementation. 
D) Application of cold packs to the breast as necessary. 
A) Diuretic administration. 
B) Including caffeine daily in the diet. 
C) Increased vitamin C supplementation. 
D) Application of cold packs to the breast as necessary.

Exam 4: Reproductive System Concerns

Examples of sexual risk behaviors associated with exposure to a sexually transmitted infection (STI)include (Select all that apply):

The drug of choice for treatment of gonorrhea is:

While interviewing a 31-year-old woman before her routine gynecologic examination,the nurse collects data about the client's recent menstrual cycles.The nurse should collect additional information with which statement?

With regard to dysmenorrhea,nurses should be aware that:

After a mastectomy a woman should be instructed to perform all of the following except:

When evaluating a patient whose primary complaint is amenorrhea,the nurse must be aware that lack of menstruation is most often the result of:

A woman has a breast mass that is not well delineated and is nonpalpable,immobile,and nontender.This is most likely:

The nurse who is teaching a group of women about breast cancer would tell the women that:

The nurse should know that once human immunodeficiency virus (HIV)enters the body,seroconversion to HIV positivity usually occurs within:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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