Midterm Flashcards
Which traditional family structure is decreasing in numbers and attributable to societal changes?
Nuclear family
Which statement concerning neurologic and sensory development in the fetus iscorrect?
Fetuses respond to sound by 24 weeks of gestation and can be soothed by the sound of the mother’s voice.
Which clinical finding in a primiparous client at 32 weeks of gestation might be an indication of anemia?
Pica
While obtaining a diet history, the nurse might be told that the expectant mother has cravings for ice chips, cornstarch, and baking soda. Which nutritional problem does this behavior indicate?
Pica
Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?
HIV antibody testing
Which information regarding substance abuse is important for the nurse to understand?
Women, ages 21 to 34 years, have the highest rates of specific alcohol-related problems.
What is the primary role of the nonpregnant partner during pregnancy?
To support and nurture the pregnant woman
A client has arrived for her first prenatal appointment. She asked the nurse to explain exactly how long the pregnancy will be. What is the nurse’sbestresponse?
Normal pregnancy is 10 lunar months.
10.A perimenopausal client has arrived for her annual gynecologic examination. Which preexisting condition would be extremely important for the nurse to identify during a discussion regarding the risks and benefits of hormone therapy?
Breast cancer
A woman who has just undergone a first-trimester abortion will be using oral contraceptives. To protect against pregnancy, the client should be advised to do what?
c.
Use another method of contraception for 1 week after starting the pill.
A 31-year-old woman believes that she may be pregnant. She took an over-the-counter (OTC) pregnancy test 1 week ago after missing her period; the test was positive. During her assessment interview, the nurse inquires about the woman’s last menstrual period and asks whether she is taking any medications. The client states that she takes medicine for epilepsy. She has been under considerable stress lately at work and has not been sleeping well. Her physical examination does not indicate that she is pregnant. She has an ultrasound scan, which confirms that she is not pregnant. What is themostlikely cause of the false-positive pregnancy test result?
Anticonvulsant medications may cause the false-positive test result.
Many clients are concerned about the increased levels of mercury in fish and may be reluctant to include this source of nutrients in their diet. What is the best advice for the nurse to provide?
b.
Shark, swordfish, and mackerel should be avoided.
A 21-year-old client exhibits a greenish, copious, and malodorous discharge with vulvar irritation. A speculum examination and wet smear are performed. Which condition is this client most likely experiencing?
Trichomoniasis
21–year–old client complains of severe pain immediately after the commencement of her menses. Which gynecologic condition is the most likely cause of this client’s presenting complaint
a.
Primary dysmenorrhea
In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, which factor is the most important for the nurse to consider?
African-American race
hCG is an important biochemical marker for pregnancy and therefore the basis for many tests. Which statement regarding hCG istrue?
d.
Higher-than-normal levels of hCG may indicate an ectopic pregnancy or Down syndrome.
Which client might be well advised to continue condom use during intercourse throughout her pregnancy?
b.
Women at risk for acquiring or transmitting STIs
On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish-white vaginal discharge with a “fishy” odor and complaints of pruritus. Based upon these findings, which condition would the nurse suspect?
a.
Bacterial vaginosis
Which statement is most accurate regarding the reporting of IPV in the United States?
b.
Caucasian women report less IPV than do non-Caucasians.
.A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is themostappropriate response by the nurse?
d.
“The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later.”
Which benefit regarding FAMs makes it an appealing choice for some women?
Absence of chemicals and hormones
11.In 1979, Lenore Walker pioneered the cause of women as victims of violence when she published her bookThe Battered Woman.While Walker conducted her research, she found a similar pattern of abuse among many of the women. This concept is now referred to as the “cycle of violence.” Which phase does not belong in this three-cycle pattern of violence?
Frustration, followed by violence
1.A woman’s obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
4-1-2-0-4
The U.S. Department of Health and Human Services has designated Thanksgiving Day as National Family History Day. The U.S. Surgeon General encourages family members to discuss important family health information while sharing in holiday gatherings. Why is this initiative significant to nurses?
Family history is the single most cost-effective source for genetic information.
After a mastectomy, which activity should the client be instructed to avoid?
c.
Wearing clothing with snug sleeves to support the tissue of the arm on the operative side
Which time-based description of a stage of development in pregnancy iscorrect?
b.
Term—pregnancy from the beginning of 38 weeks of gestation to the end of 42 weeks of gestation
An unmarried young woman describes her sex life as “active” and involving “many” partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD). Which information ismostimportant for the nurse to share?
b.
“The risk of pelvic inflammatory disease will be higher with the IUD.”
When attempting to communicate with a client who speaks a different language, which action is the most appropriate?
d.
Provide as much privacy as possible.
The National Quality Forum has issued a list of “never events” specifically pertaining to maternal and child health. These include all of the followingexcept
foreign object retained after surgery.
To prevent gastrointestinal (GI) upset, when should a pregnant client be instructed to take the recommended iron supplements?
At bedtime
2.A postmenopausal woman has been diagnosed with two leiomyomas (fibroids). Which clinical finding is most commonly associated with the presence of leiomyomas?
Abnormal uterine bleeding
