Question 1

A nurse is providing a client with instructions regarding breast self-examination (BSE).Which of the following statements by the client would indicate that the teaching has been successful? Select all that apply.

A)"I should perform BSE 1 week prior to the start of my period."
B)"When I reach menopause,I will perform BSE every 2 months."
C)"Knowing the texture of my breasts is important."
D)"I should inspect my breasts while standing with my arms down at my sides."
E)"I should inspect my breasts while in a supine position with my arms at my sides."

"Knowing the texture of my breasts is important."
"I should inspect my breasts while standing with my arms down at my sides."

Accepted Answer

Knowing the texture of the breasts helps in identifying any changes. Inspecting the breasts while standing with arms down is a correct position for visual examination.

Question 2

A teaching plan for a client with premenstrual syndrome (PMS)should include a recommendation to restrict her intake of:&#10;A)High-starch foods such as potatoes and spaghetti.&#10;B)Chicken,eggs,and fish.&#10;C)Breads,cereals,and beans.&#10;D)Coffee,colas,and chocolate cake.&#10;

Accepted Answer

Restricting intake of caffeine and sugary foods such as coffee, colas, and chocolate cake can help alleviate symptoms of PMS. These foods can worsen mood swings, fatigue, and headaches commonly associated with PMS. It is recommended to opt for healthier options such as herbal teas, water, and whole foods rich in vitamins and minerals to aid in reducing symptoms.

Question 3

A client comes to the clinic complaining of severe menstrual cramps.She has never been pregnant,has been diagnosed with ovarian cysts,and has had an intrauterine device (IUD)for 2 years.The most likely cause for the client's complaint is:

A)Primary dysmenorrhea.
B)Secondary dysmenorrhea.
C)Menorrhagia.
D)Hypermenorrhea.

Secondary dysmenorrhea.

Accepted Answer

The client's history of ovarian cysts and use of an IUD puts her at a higher risk for secondary dysmenorrhea, which is painful menstrual cramping caused by underlying pelvic pathology such as endometriosis or adenomyosis. Primary dysmenorrhea refers to menstrual cramps without any underlying pelvic pathology, while menorrhagia and hypermenorrhea refer to excessive menstrual bleeding. While these conditions may also be present in the client, they are not the most likely cause of her severe menstrual cramps.

Question 4

When teaching a woman about the use of a diaphragm,it is important to instruct her that the diaphragm should be rechecked for correct size:&#10;A)Every five years routinely.&#10;B)When weight gain or loss beyond five pounds has occurred.&#10;C)After each birth.&#10;D)Only after significant weight loss.&#10;

Accepted Answer

The answer of When teaching a woman about the use...

Question 5

When taking a sexual history from a client,the nurse should:&#10;A)Ask questions that the client can answer with a &#34;yes&#34; or &#34;no&#34;.&#10;B)Ask mostly open-ended questions.&#10;C)Have the client fill out a comprehensive questionnaire,and review it after the client leaves.&#10;D)Try not to make much direct eye contact.&#10;

Accepted Answer

Asking mostly open-ended questions allows for more detailed and specific information to be obtained, while still allowing the client to feel comfortable sharing their sexual history. Closed-ended questions that can be answered with a "yes" or "no" may not provide as much information or may feel too limiting for the client. Providing a comprehensive questionnaire may be helpful, but it should not replace a conversation with the client. Making direct eye contact can help establish trust and rapport with the client.

Question 6

When a woman who has been raped is admitted to the Emergency Department,which nursing intervention has priority?&#10;A)Explain exactly what will need to be done to preserve legal evidence.&#10;B)Assure the woman that everything will be all right.&#10;C)Create a safe,secure atmosphere for her.&#10;D)Contact family members.&#10;

Accepted Answer

Creating a safe and secure atmosphere for the woman is the priority nursing intervention in cases of sexual assault. This includes providing emotional support and privacy, explaining procedures and options, and respecting the woman's autonomy and choices. Preserving legal evidence is important, but it should be done without compromising the woman's physical or emotional well-being. Assuring the woman that everything will be all right may not be accurate or helpful and should be avoided. Contacting family members without the woman's consent is a breach of privacy and confidentiality.

Question 7

A client who wants to use the vaginal sponge as a method of contraception shows that she understands the appropriate usage with which of the following statements?&#10;A)&#34;I need to use a lubricant prior to insertion.&#34;&#10;B)&#34;I need to add spermicidal cream prior to intercourse.&#34;&#10;C)&#34;I need to moisten it with water prior to use.&#34;&#10;D)&#34;I need to leave it in no longer than 6 hours.&#34;&#10;

Accepted Answer

The correct usage of a vaginal sponge involves moistening it with water prior to insertion. This activates the spermicide contained within the sponge and ensures it is properly positioned and comfortable for use.

Question 8

A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during sexual intercourse,and asks,&#34;What should I use as a lubricant?&#34; The nurse should recommend:&#10;A)Petroleum jelly.&#10;B)A water-soluble lubricant.&#10;C)Body cream or body lotion.&#10;D)Less-frequent intercourse.&#10;

Accepted Answer

A water-soluble lubricant is the best option for this patient as it will provide the needed lubrication during sexual intercourse without interfering with condom use or causing irritation or infection. Petroleum jelly should be avoided as it can weaken condoms and increase the risk of infection. Body cream or lotion can also cause irritation and is not recommended as a lubricant. Less-frequent intercourse may not address the patient's symptoms and is not a recommended solution.

Question 9

A client who is 36 years old,weighs 200 pounds,is monogamous,and does not smoke desires birth control.The nurse understands that which of the following is inappropriate for this client?&#10;A)Intrauterine device&#10;B)Vaginal sponge&#10;C)Combined oral contraceptives&#10;D)Transdermal hormonal contraception&#10;

Accepted Answer

Transdermal hormonal contraception is not recommended for individuals who weigh over 198 pounds, as its effectiveness may be reduced in heavier individuals.

Question 10

The nurse at the family planning clinic has done some teaching on oral contraceptives in the waiting room.The nurse knows that the teaching has been effective when one of the clients responds:&#10;A)&#34;I can't take 'the pill' if I'm over 30.&#34;&#10;B)&#34;I can take 'the pill,' even though I smoke heavily.&#34;&#10;C)&#34;My periods will become slightly heavier when I take 'the pill'.&#34;&#10;D)&#34;I can't take 'the pill' if I have gallbladder disease.&#34;&#10;

Accepted Answer

Oral contraceptives are contraindicated in individuals with certain conditions, including gallbladder disease, due to the potential for exacerbating the condition. The other statements are incorrect or misleading regarding the use of oral contraceptives.

Question 11

Which client would not be a good candidate for Depo-Provera (DMPA)?&#10;A)One who wishes to get pregnant within 3 months&#10;B)A nursing mother&#10;C)One with a vaginal prolapse&#10;D)One who weighs 200 pounds&#10;

Accepted Answer

The answer of Which client would not be a good...

Question 12

A couple asks the nurse what the safest method of sterilization would be.The nurse should reply,&#34;Generally,the safest method of permanent sterilization would be a:&#10;A)&#34;Laparotomy tubal ligation.&#34;&#10;B)&#34;Laparoscopy tubal ligation.&#34;&#10;C)&#34;Minilaparotomy.&#34;&#10;D)&#34;Vasectomy.&#34;&#10;

Accepted Answer

The answer of A couple asks the nurse what the...

Question 13

A client asks her nurse,&#34;Is it okay for me to take a tub bath during the heavy part of my menstruation?&#34; The correct response by the nurse is:&#10;A)&#34;Tub baths are contraindicated during menstruation.&#34;&#10;B)&#34;You should shower and douche daily instead.&#34;&#10;C)&#34;Either a bath or a shower is fine at that time.&#34;&#10;D)&#34;You should bathe and use a feminine deodorant spray during menstruation.&#34;&#10;

Accepted Answer

The answer of A client asks her nurse,&#34;Is it okay...

Question 14

In using the natural method of contraception,the nurse should instruct the client to begin counting the first day of her cycle as:&#10;A)The day her menstrual period ceases.&#10;B)The first day after her menstrual period ceases.&#10;C)The first day of her menstrual period.&#10;D)The day of ovulation.&#10;

Accepted Answer

The answer of In using the natural method of contraception,the...

Question 15

How is the cervical mucus method of contraception different from the calendar (rhythm)method? The cervical mucus method:&#10;A)Is more effective for women with irregular cycles.&#10;B)Is free,safe,and acceptable to women of many religions.&#10;C)Provides an increased awareness of the body.&#10;D)Requires no artificial substances or devices.&#10;

Accepted Answer

The answer of How is the cervical mucus method of...

Deck 5: Health Promotion for Women