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Health And Illness exam 3 > Quizzes > Flashcards

Quizzes Flashcards

1
Q

What are the most common symptoms of STDs?

A

Unexpected, non bloody vaginal discharge or vaginal bleeding

Flu like symptoms such as fever, swollen or painful lymph glands, loss of appetite, nausea or vomiting

Pelvic pain, including painful intercourse, painful urination and abdominal tenderness

Presence of symptoms in a sexual partner, even if symptoms are absent in the other partner

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2
Q

What are common methods of diagnosis of a STI/STD?

A

VDRL, RPR, FTA-ABS for syphilis

Serology to determine antibodies in HSV 1&2

Urinalysis for chlamydia

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3
Q

Gonadotropin-releasing hormone is produced by the hypothalamus and acts in the anterior pituitary gland to initiate puberty in both males and females. Another function of GNRH is:

A

Stimulates release of FSH and LH in both males and females

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4
Q

Production of sperm begins within the

A

Seminiferous tubules

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5
Q

Medications that may reduce sexual desire or response include

A

Omprazole

Sertraline

Furosemide

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6
Q

According to the us department of health and human services, healthy people 2020 report health disparities among the LGBTQ are rising and include

A

Homelessness

Asthma

Bullying

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7
Q

Orgasms occur in the ____ phase of the sexual response cycle

A

3

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8
Q

Best practice considerations during hand off that are of particular importance to LGBTQ patient include

A

Being sensitive with shared spaces like a semi private room

Confirming the contact information of the designated caregiver

Correct colleagues who use the wrong pronoun when addressing the patient

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9
Q

An appropriate example of a primary prevention nursing intervention to support optimal sexuality includes

A

Education of safe sex practices

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10
Q

The antiviral medication acyclovir is an appropriate treatment for

A

HSV 2

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11
Q

The PLISSIT model outlines an approach to sexual assessment and intervention and includes open ended questions about sexuality

A

True

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12
Q

The PLISSIT model has been used in adults with dimentia

A

False

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13
Q

The PLISSIT model may be used with many cultural groups

A

True

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14
Q

It is important for the nurse to create an environment of closed communication with the patient

A

False

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15
Q

Addressing older adults sexuality can increase their self esteem and promote companionship; it can restore function, inspire healing and enhance energy

A

True

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16
Q

The first step in using the PLISSIT model is to ask permission to begin the sexual assessment of the older adult

A

True

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17
Q

Psychotherapy might be indicated in older adults who have been sexually abused

A

True

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18
Q

There is a numeric score for the PLISSIT model

A

False

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19
Q

The PLISSIT model can be used with homosexual patients

A

True

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20
Q

One approach to documenting a patient’s PLISSIT assessment is the SOAP method

A

True

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21
Q

The nurse obtains the health history of a 37 yo woman who is requesting contraceptive therapy. Which information about the client will have the most impact on the choice of contraceptive

A

Smoking a pack of cigarettes a day

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22
Q

Which information will the nurse include when teaching a group of 20 yo women about emergency contraception with levonorgestrel?

A

Heavier menstrual bleeding is a common side effect of this medication regimen

Even if pregnancy occurs after using emergency contraception, risk for complication is low

Because nausea and vomiting may occur, an antiemetic may be used before levonorgestrel

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23
Q

A 30 yo woman with type 1 diabetes mellitus comes to the clinic for preconception care. What is the priority education for her at this time

A

Achievement of optimal glycemic control at this time is of utmost importance in preventing congenital anomalies

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24
Q

A pregnant woman at 12 weeks gestation tells the nurse that she is a vegetarian. What would be the first appropriate nursing action

A

Obtain a 24 hour diet recall history

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25
Q

A 23 yo g1p0 patient at 10 weeks gestation states that she exercises 5 days a week. The nurse has discussed exercise in pregnancy with her. Which statement by the patient indicates that more teaching of evidence based principles is needed?

A

I will reduce my exercise at this time in my pregnancy to reduce the risk of miscarriage but will increase it in the second trimester

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26
Q

A physician prescribes clomiphene citrate for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurses most appropriate response is

A

This is a legitimate concern. Would you like to discuss this further before your treatment begins

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27
Q

The health care provider ordered a flu vaccine for a patient in the prenatal clinic. As the nurse prepares to give it, the patient states she dies not want the vaccine as she never gets it and never had the flu. How can the nurse best respond to the patient

A

Inform the patient that changes in the heart, lungs and immune system in pregnancy puts her in a higher risk group for complication of flu and that the flu in pregnancy is also associated with pregnancy complications such as premature delivery

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28
Q

The importance of avoiding pregnancy must be considered when choosing a contraceptive method. Which method is the least effective?

A

Natural family planning

29
Q

A nuchal translucency screening is done during these weeks of gestation in order to determine a fetus’ risk of downs and Edwards syndromes as well as other chromosomal abnormalities

A

10-12 weeks

30
Q

A procedure used to determine the presence and position of the fetus, within the mothers uterus, that aids in locating the fetal heart sounds is called

A

Leopolds maneuvers

31
Q

The baseline of the fetal heart rate is the average fhr over 10 mins rounded to the nearest 5 bpm

A

True

32
Q

Contraction can only be measured from peak to peak

A

True

33
Q

A tocodynamometer can monitor fhr

A

False

34
Q

The fetal scalp electrode monitors fhr internally

A

True

35
Q

The intervals between the vertical red lines on fetal monitoring paper represent one minute of time

A

True

36
Q

A normal fhr is 120-160 bpm and is controlled by the ANS of the fetus

A

True

37
Q

Moderate variability in fhr is the most reassuring pattern of variability

A

True

38
Q

Variable decelerations may be caused by compression of the umbilical cord and resemble the letter U, V, W on the fetal monitor strip

A

True

39
Q

A normal contraction pattern constitutes 5 or less contractions in a 10 minute period of time

A

True

40
Q

A category 3 fetal monitor strip is abnormal and may contain recurrent late decelerations of FHR

A

True

41
Q

Which action would best demonstrate EBP in the care of a patient who is 1 day postpartum and reporting nipple soreness while breast feeding

A

Assess the mother-baby couplet for nursing position and latch and correct as indicated

42
Q

A 24 yo g2p1 is being admitted in active labor at 39 weeks gestation. What prenatal data would be most important for the nurse to address at this time

A

Positive result on test for group b streptococci at 36 weeks gestation

43
Q

The telephone triage nurse in the prenatal clinic receives the following calls. Which telephone call would require immediate notification of the health care provider

A

Patient reports leaking vaginal fluid at 34 weeks gestation

44
Q

The nurse in the labor and delivery unit is caring for a 25 year old g3p2 patient in active labor. The nurse has identified late fetal heart rate delecerations and decreased variability in the fhr and notified the hcp on call, who thinks that the pattern is acceptable. What would be the priority action at this time

A

Go up the chain of command and communicate the assessment of the fhr findings clearly to the next appropriate hcp

45
Q

What would be the appropriate first nursing action when caring for a 20 yo g1p0 woman at 39 weeks gestation who is in active labor and for whom an assessment reveals mild variable fhr decelerations

A

Change the maternal position

46
Q

While assessing a 29 g2p2 who had a normal spontaneous vaginal delivery 30 mins ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action

A

Firmly massage the underline fundus

47
Q

A 27 yo patient underwent a primary cesarean section because of breech presentations 24 hours ago. Which assessment finding would be of the most concern

A

Slight redness of the left calf

48
Q

A 22 yo g1p0 is being given an epidural anesthetic for pain control during labor and birth. Which are appropriate nursing actions when epidural anesthesia is used during labor

A

Insurance indwelling catheter because the woman is likely to be unable to void

Encourage the patient to turn from side to side during the course of labor

49
Q

A 36 yo g1p0 has received an epidural anesthetic. Her cervix is 6cm dilated. Her BP is currently 69/38mm hg. Which would be appropriate priority nursing actions

A

Turn the patient to a lateral position

Notify the anesthesiologists

50
Q

A 25 g2p1 has come to the obstetric triage room at 32 weeks gestation reporting painless vaginal bleeding. The nurse is providing orientation for a new rn on the unit. Which statement by the new rn to the patient would require the nurse to promptly intervene

A

Im going to perform a vaginal exam to see if your cervix is dilated

51
Q

A 22 woman is 6 weeks postpartum. In the clinic she admits to crying everyday, feeling overwhelmed and sometimes thinking that she may hurt the baby. What would be the priority nursing action at this time

A

Contact the healthcare provider to evaluate the patient before allowing her to leave the clinic.

52
Q

A 3 day old breast fed infant is brought to the clinic by his parents for routine assessment following a normal full term delivery without complications. Which statement by the parents suggests an abnormal finding on a newborn of this age

A

The baby ate four times in the past 24 hours

53
Q

A full term newborn is at the clinic with his parents. He is 4 days old. His birth weight was 7 lbs. which assessment made by the rn is most significant

A

There is a yellow discharge from the infants right eye

54
Q

The nurse has received orders to initiate phototherapy on a 36 hour newborn with an elevated bilirubin level. What instructions should the nurse give the student nurse who is assisting in the care of the infant

A

Cover the infants eyes with a mask

Monitor the infants temperature closely

55
Q

The charge nurse is orienting a new nurse on the postpartum floor. What action by the new nurse would require intervention by the charge nurse

A

Telling a patient with active varicella that she should pump her mild and a healthy family member may feed her milk to the infant

56
Q

A patient on the postpartum unit tell the nurse she is so happy that her 3 yo son will visit today and get to meet the new baby. She mentions that the toddler has been sick with vomiting and diarrhea that was going around his day care. How should the nurse respond

A

I am very sorry, but because of the toddlers illness he cannot visit you because of the risk of spreading the virus to you, the baby and other vulnerable mothers and babies on the unit. We will set up another way for you to interact with your toddler today

57
Q

A 3 mo infant arrives at the health center for a scheduled well child visit. The parents ask the nurse why the infant extends the arms and legs in response to a loud sound. Which response by the nurse is best

A

Inform the parents that this is a normal reflex that generally disappears by 4-6 months

58
Q

The nurse is assisting with the delivery of a 31 week gestational age premature newborn who requires intubation for respiratory distress syndrome. Which medication does the nurse anticipate will be needed first for this infant

A

Surfactant

59
Q

Ca 30 yo g2p2 delivered vaginally 4 hours ago. When th patient asks the nurse why she is feeling contractions again the nurse responds by stating

A

Afterpains, or intermittent uterine contractions, cause discomfort for many women

60
Q

A 22 g2p1 asks the nurse how long she will bleed vaginally after giving birth 3 days ago. The nurse explains that

A

This bleeding is called lochia and may last until your 6th week postpartum

61
Q

The nurse is responsible to teach discharge instructions to a group of postpartum mothers this afternoon. The nurse emphasizes that the only exercise appropriate on the first postpartum day is

A

Abdominal breathing

62
Q

The nurse is the postpartum clinic is assessing a 25 yo g1p1 who delivered 10 days ago. The nurse takes this opportunity to discuss postpartum blues (baby blues) because

A

Postpartum blues affect 70-80% of new mothers within the first week postpartum

63
Q

The nurse is caring for a mother and baby on the postpartum unit. The nurse encourages the use of swaddling and a hat on the infants head because

A

The hazards of cold stress include respiratory distress and hypoglycemia

64
Q

A postpartum mother presses the call lights and anxiously asks for the nurse. When the nurse enters the room, the mother states that her baby’s hands and feet are blue. The nurse explains that

A

This is called acrocyanosis and is a normal finding in newborns

65
Q

The parents of a newborn boy would like to have their sone circumcised. They state that they have read about the use of a gomco clamp for the procedure but are unsure how long the clamp must remain on the penis of the infant during the procedure. The nurse explains that

A

The clamp is applied for 3-5 mins

66
Q

The parents of a newborn girl would like more information on the hepB vaccine. The nurses best response is

A

Here is a VIS. The CDC recommends infants are vaccinated prior to leaving the hospital

67
Q

A 3 day old infant is scheduled for discharge today. The mother of the infants states that she is so excited to be out of there and that they have a flight to catch for a week long vacation. The nurse knows that the mother needs additional discharge teaching because

A

The American academy of pediatrics recommends follow up within 48 hours of discharge from the hospital

68
Q

An infant was born via vaginal delivery 10 hours ago. The mother of the infant tells the nurse she is worried because the infant has not yet voided. The nurse explains that

A

The first void should occur within 24 hours of life

Health And Illness exam 3 (1 decks)

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