Contraception
Which of the following contraception measures has the lowest risk of pregnancy
A. Calendar rhythm method
B. IUD
C. Abstinence
D. Basal body temperature
C. Abstinence
A nurse is seeing a 36 year-old female client who has been trying to conceive for 2 years about ways to increase her chances of pregnancy. Which of following statements by the nurse requires further clarification? Select all that apply
A. You should stop taking your Zoloft to increase your chances of pregnancy
B. It is normal at your age for this process to take a couple years.
C. You should stop taking your multi-vitamin to increase your chances of conception
D. Substances such as alcohol, tobacco, and recreational drug use can decrease your chances of pregnancy
A. You should stop taking your Zoloft to increase your chances of pregnancy
B. It is normal at your age for this process to take a couple years.
C. You should stop taking your multi-vitamin to increase your chances of conception
A patient with a history of HIV receives a positive on a home pregnancy test. Which of the following statements by the nurse requires the patient to seek further clarification?
A. You should update your annual flu shot
B.You should stop taking your Abacavir to protect the fetus
C. You should continue to use condoms
D. Your CD4 count of 600 will decrease the chance of transmission to your baby.
B.You should stop taking your Abacavir to protect the fetus
A G1P0 patient is taking Zidovudine. Which of the following symptoms report by the patient should the nurse inquire more information about?
A. I am slightly more tired than usual
B. I will use a straight razor
C. I will increase my fiber intake
D. I will be careful when going from lying to standing
B. I will use a straight razor
A nurse is teaching a pregnant client about the ways to decrease the recurrence of UTIs during pregnancy. Which of the following statements by the patient should the nurse require further clarification?
A. I will avoid bubble baths
B. I will wear tight fitting jeans
C. I will increase my fluid intake to 2-3L per day
D. I will notify my provide if I have any changes in my urine
B. I will wear tight fitting jeans
The nurse is teaching a client about the basal body temperature method to help increase the client's chance of pregnancy. Which of the following recommendations by the nurse requires further clarification?
A. Advise the client to take their temperature before bed
B. Teaches the client that a slight variation in temperature elevation is normal due to rising progesterone levels
C. A thermometer that records the tenth's place is best
D. A back-up method contraceptive is needed to prevent against STIs
A. Advise the client to take their temperature before bed
A female client who has been trying to conceive for 2 years is undergoing a hysterosalpingography. Which of the following question is most important for the nurse to ask?
A. What conception interventions have you tried?
B. Do you have a history of uterine fibroids?
C. Have you ever had a reaction to shellfish?
D. Are you claustrophobic?
C. Have you ever had a reaction to shellfish?
A nurse is teaching a female client recently diagnosed with chlamydia about the potential complications of the condition. Which of the following statements by the patient requires further teaching? Select all that apply
A. My baby will need erythromycin post birth to protect him from this
B. I could have my baby sooner than expected
C. I do not need to come back for another test
D. I will take my doxycycline as prescribed
C. I do not need to come back for another test
D. I will take my doxycycline as prescribed
Which of the following medications is used to stimulate ovarian follicular formation?
A. Estrogen-based oral contraceptive
B. Letrozole
C. Oxytocin
D. Magnesium Sulfate
B. Letrozole
A nurse is teaching a G1PO patient who is 7 weeks about signs and symptoms that would require further intervention. Which of the following statements by the patient would require further assessment by the nurse?
A. If I am unable to keep food down I will try crackers first
B. I plan to take extra naps if I am feeling tired
C. I will increase my fluid intake
D. If I have any abdominal cramping I will increase my fiber intake
D. If I have any abdominal cramping I will increase my fiber intake
A. I will remove the spermicide immediately after intercourse
B. The spermicide will allow the sperm to be more mobile through the reproductive tract
C. I will apply the spermicide 60 minutes prior to intercourse
D. I will stop the use of this productive immediately if I develop any new lesions
D. I will stop the use of this productive immediately if I develop any new lesions
Which of the following infertility interventions is most effective in a client who has a history of depression?
A. Teach the client about the adverse effects of treatment
B. Teach the client that her chances of twins are significantly increased
C. Make a referral to an infertility support group
D. Refer the patient to a genetic counselor
C. Make a referral to an infertility support group
Which of following medications is recommended for a patient who tests positive to gonorrhea
A. Ceftriaxone
B. Azithromycin and Ceftriaxone
C. Metronidazole and Ceftriaxone
D. Erythromycin and Penicillin
B. Azithromycin and Ceftriaxone
A pregnant client is seen in the emergency room with an acute asthma exacerbation. Which of the following medications would the nurse require further clarification?
A. Albuterol Sulfate
B. Nifedipine
C. Magnesium Sulfate
D. Prednisone
B. Nifedipine
A nurse is caring for a client in their 3rd trimester who reports new onset headache, heartburn, and nausea. Which of following interventions would the nurse anticipate first?
A. Check a blood glucose level
B. Check a urinalysis
C. Obtain an ECG
D. Obtain a blood pressure
D. Obtain a blood pressure
A. Iron Deficiency Anemia
B. Dysmenorrhea
C. Endometrial Cancer
D. Colon Cancer
E. Pancreatic Cancer
A. Iron Deficiency Anemia
B. Dysmenorrhea
C. Endometrial Cancer
D. Colon Cancer
A 30-year old female patient presents to the emergency room with sudden onset right lower pelvic pain and nausea. The patient reports she was recently treatment for a UTI and had started feeling better until today. Which of the following interventions would be most effective?
A. Administering Methotrexate
B. Providing Oxygen
C. Giving the patient a stool softner
D. Give the client Ondansetron
A. Administering Methotrexate
A. Doxycycline
B. Penicillin G s/p desensitization
C. Ceftriazone
D. Amoxicillin
B. Penicillin G s/p desensitization
A 27 year old G2P1 who is 23 weeks pregnant presents with concern for preterm labor and is placed on Nifedipine. Which of the following statements by the patient would require further intervention by the nurse? Select all that apply
A. I will increase my water in take
B. I will jump up quickly if I need to use the bathroom
C. I will monitor my blood pressure while taking this medication
D. I will remain on bed rest until my baby is born
B. I will jump up quickly if I need to use the bathroom
D. I will remain on bed rest until my baby is born
A nurse is teaching a G2P2 client about the important of nutrition in pregnancy. Which of the following statements by the nurse requires further clarification? Select all that apply
A. I will eat more green leafy vegetables
B. I will eat more oranges
C. I can 4 cups of coffee a day as long as I am drinking enough water
D. I will decrease my caloric intake after the baby is born
E. I may have to skip my trip to the soup kitchen this month so that I can make my prenatal appointments
C. I can 4 cups of coffee a day as long as I am drinking enough water
D. I will decrease my caloric intake after the baby is born
E. I may have to skip my trip to the soup kitchen this month so that I can make my prenatal appointments
Which of conditions should caution the nurse prior to administering combined oral contraceptives? Select all that apply
A. Recent bacterial infection
B. Persistent elevated blood pressures
C. Recent treatment with tamoxifen
D. DVT
A. Recent bacterial infection
B. Persistent elevated blood pressures
C. Recent treatment with tamoxifen
D. DVT
The nurse is recommending fertility interventions to a patient and their significant other. Which of the following interventions would be beneficial for the patient and their significant other to consider if they wanted to avoid hormonal medications?
A. In vitro fertilization
B. Intrauterine insemination
C. Donor Ooocyte
D. Donor embryo
B. Intrauterine insemination
The nurse is teaching a new nurse about the use of prophylactic antibiotics for pregnant patients who test positive for Group B Streptococcus. Which of following clients should the nurse teach as the highest priority for treatment intervention? Select all that apply
A. Client with no prior history of GBS
B. Client in preterm labor with unknown GBS status
C. Client who's membrane rupture 24 hours ago
D. Client with a temperature of 99.2
B. Client in preterm labor with unknown GBS status
C. Client who's membrane rupture 24 hours ago
A nurse is caring for a patient taking Terbutaline. Which of the conditions should the nurse question by to administering the medication
A. History of previous pre-term deliveries
B. Pre-eclampsia with severe features
C. Iron deficiency anemia
D. Asthma
B. Pre-eclampsia with severe features
A nurse is caring for a pregnant client with a history of maternal phenylketonuria. Which of the following dietary changes should the nurse recommend to the client?
A. I will stop my PKU diet now that I am pregnant
B. I will increase my intake of fish to help support my baby's brain development
C. I will avoid dairy products
D. I will decrease my number of diet cokes to 1 per day.
C. I will avoid dairy products