Question 1

A college nurse offers screening programs for students.At what age should the nurse encourage women to have their first Pap test?

Accepted Answer

Women should have their first Pap test at age 21.

Question 2

The nurse teaches expectant mothers about the differences between breast milk and commercially prepared infant formulas.What does the nurse tell the mothers about breast milk?

Accepted Answer

Human breast milk contains more carbohydrates,less protein,and less casein than cow's milk or infant formulas.Commercially prepared formulas have the same essential nutrients for growth and development and do not have fewer calories.

Question 3

The reproductive care clinic nurse teaches young women about their risk for sexually transmitted infections (STIs).Which factors does the nurse include?

Accepted Answer

Physiological factors that predispose women to increased susceptibility to sexually transmitted infections include an increased genital mucosal surface area,retention of semen in the vagina for several hours following intercourse,and the pH of the vagina.During menstruation,women are more vulnerable to infection because the pH of the vagina becomes more alkaline,thereby becoming more hospitable to viral and bacterial transmission and growth.Number of pubic hair follicles and vaginal temperature are not related.

Question 4

The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority?

Accepted Answer

Priority health services for the young adult population include influenza vaccination and tobacco,alcohol,and drug screens,among other things.Aspirin prophylaxis and breast cancer screen are more appropriate for middle-aged adults.

Question 5

A community health nurse is packing a kit of play items for the families who will be visited today.One family has an infant and a preschooler.Which toys should the nurse include in the kit?

Accepted Answer

An infant is in the stage of solitary play.Appropriate toys include blocks,books,rattles,push-pull toys,and musical toys.The preschooler is in the stage of associative play.Appropriate toys for this child include imitative games,simple arts and crafts,simple board games,interactive games,alphabet or color games,coloring and drawing,and simple computer games.The ride-on train and the stuffed animals are more appropriate for a toddler.

Question 6

A nurse is preparing to educate a group of parents about injury prevention in adolescents.Which topics should the nurse plan to include as priorities?

Accepted Answer

In adolescents,the most common causes of injury are motor vehicle crashes,bicycles (includes skateboarding and skating),firearms,and water activities.Home safety,although always important,is a topic more appropriate to families with younger children.

Question 7

The nurse working with older women knows that risk factors for osteoporosis include which of the following?

Accepted Answer

Risk factors for osteoporosis can be found in Box 4-9 and include Asian (and Caucasian)ethnicity,excessive caffeine or alcohol use,and smoking.A small frame,not a large one,is a risk factor due to decreased stress on the bones.Regular activity (particularly weight-bearing exercise)is a preventative factor.

Question 8

A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills.During the physical examination,the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are callused.What further actions will the nurse perform?

Accepted Answer

Bulimia nervosa is a syndrome that consists of a cycle of binge eating and purging.Physically,the adolescent with bulimia nervosa may exhibit physical changes related to forced,excessive vomiting: cracked and damaged lips,tooth damage,callused fingers and hands,and broken blood vessels in the face.Other findings that may not be readily apparent include throat irritation,esophageal inflammation,and parotitis from vomiting,as well as rectal bleeding from overuse of laxatives.Bulimia is also associated with depression.The nurse should assess the teen's weight,screen her for depression,draw blood for electrolyte imbalances,and discuss bulimia.

Question 9

The mother of a 5-month-old baby complains that her child seems hungry even after breastfeeding 10 times a day.What assessment question would help the nurse plan anticipatory teaching?

Accepted Answer

The child may be ready for solid foods so the nurse should assess for readiness.Signs of readiness to eat solids include being able to hold the head up,being able to sit in a high chair,and being able to move the tongue around without pushing food out of the mouth.Other signs include appropriate weight gain,teething,and remaining hungry after breastfeeding 8-10 times a day or bottle feeding 40 oz of formula.Asking about emptying the breasts is irrelevant if the baby is gaining weight.Putting objects in the mouth and using the pincer grasp are indicative of being ready for finger foods.

Question 10

A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis.Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met?

Accepted Answer

A priority goal for this diagnosis is to make the home safe.Removing scatter rugs,having the home well lit,and wearing non-skid footwear are all indications that the home is safe.The temperature on the water heater is important to prevent injury,but is not related to osteoporosis.Giving away pets is not advised,as pets often contribute to emotional well-being.However,they can get underfoot,and the nurse needs to caution the patient about this risk.

Question 11

A nurse works with many older patients and provides information about safer sexual practices and risks.What physical factors increase an older woman's risk for acquiring human immunodeficiency virus (HIV)infection?

Accepted Answer

Physical changes in the older woman that increase susceptibility to HIV infection include loss of vaginal elasticity and vaginal dryness.Increased promiscuity is not a physical factor (and is not known to be a characteristic of the older adult).Mild isotonic dehydration is often seen in older adults,but is not related.Vaginal pH is not related.

Question 12

A nurse is educating a woman on the use of denosumab (Prolia).What information should the nurse provide?

Accepted Answer

Prolia,a medication used for the treatment of osteoporosis,is given in subcutaneous injections every 6 months.Food intake is not related to administration.Increased night sweats and hot flashes can occur with raloxifene (Evista).

Question 13

The clinic nurse educates young adults that the most common infectious health risks associated with tattoos include which of the following?

Accepted Answer

Infectious health risks related to tattooing include viral,bacterial,and fungal diseases,most commonly infections caused by viruses and bacteria.The most common infections associated with tattooing and body piercing include hepatitis,human immunodeficiency virus (HIV),and human papilloma virus (HPV).Bacterial infections may be caused by Staphylococcus,Streptococcus,Pseudomonas,Clostridium,and Mycobacterium.

Question 14

A nurse is planning breast education for women.What information does the nurse plan to provide about breast cancer screening recommendations?

Accepted Answer

Breast cancer screening is the subject of controversy.The American College of Obstetricians and Gynecologists (ACOG)recommends annual screening with mammography and clinical breast examinations every year starting at age 40.

Question 15

Match between columns
                        Premises: Symptoms include difficulty in voiding, incontinence, and dyspareunia
Difficulty completing a bowel movement
Rectum presses into vagina
Symptoms include constipation
Bladder herniates into vagina
Damaged muscles appear higher in the colon

Accepted Answer

The Answer of Enterocele and Rectocele and Cystocele is...

Question 16

The clinic nurse talks with parents about the signs and symptoms of substance use because their 12-year-old twins will be attending a new school in the fall and they wish to be prepared.The nurse correctly describes the potential symptoms of substance abuse,including which of the following?

Accepted Answer

There are many warning signs to alert parents to adolescent substance abuse.Physical signs include fatigue,red and glazed eyes,chronic cough,and health complaints.Emotional signs include personality changes,sudden mood swings,irritability,poor judgment and decision making,depression,and lack of interest in things that were of previous interest.

Question 17

A clinic nurse sees adolescent girls frequently.Many of the girls should be screened for gonorrhea and Chlamydia infection,but they balk at having a pelvic exam.What option can the nurse offer these girls?

Accepted Answer

A urine sample can be used for gonorrhea and Chlamydia testing and is a good alternative for patients aged 13-18.The other options are incorrect.

Question 18

At what age should the nurse prepare patients to begin thyroid function screening?

Accepted Answer

Thyroid hormone function screening should begin at age 50 and occur every 5 years.

Question 19

A 65-year-old patient is in the clinic for an annual influenza vaccination.What other health promotion activity should the nurse encourage specifically for this patient?

Accepted Answer

All options are important for the older adult,but around the age of 65,the older adult should receive the pneumococcal vaccine.The nurse planning individualized care for the patient would encourage the patient to get this vaccination.

Question 20

Match between columns
                        Premises: Assume roles in games; games have goals
Playing with the same items, but not really playing together
Play together, but little organization
Observes other children while playing alone
Plays alone, no regard for those in the area

Accepted Answer

The Answer of Onlooker play and Solitary play and Parallel is...

Quiz 4: Caring for Women, Families, and Children Across the Life Span