OB Final Exam – New Materials Ans Only

Which contraceptive method provides protection against sexually transmitted diseases? c. Male or female condoms

A nurse is leading a discussion regarding birth control measures. Which method is considered the most reliable method? d. Intrauterine device

Which woman is a safe candidate for the use of oral contraceptives? d. 43 year old who does not smoke cigarettes

The role of the nurse in family planning is to: b. Educate couples on the various methods of contraception.

Informed consent concerning contraceptive use is important because some of the methods: d. Have potentially dangerous side effects.

Which contraceptive method would be contraindicated in a client with a history of toxic shock syndrome? c. Cervical cap

When instructing a client in the use of spermicidal foams or gels, it is important to include which of the following? c. Avoid douching for at least 6 hours.

Which symptom in a client who is using oral contraceptives should be reported to the physician immediately? c. Leg pain and edema

Which response by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?" a. "I can discuss the various methods so you can decide what is best for you."

When using the basal body temperature method of family planning, the woman must know that: c. Her temperature will increase about 0.4° to 0.8° F after ovulation.

The major difference between the diaphragm and the cervical cap is that the diaphragm: d. Applies pressure on the urethra.

The client who has had an intrauterine device (IUD) inserted should be instructed to: b. Check the placement of the string once a week for 4 weeks.

A male client asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is: a. "Complete sterilization doesn't occur until all sperm have left the system."

A woman who has a successful career and a busy lifestyle will most likely look for a contraceptive that: b. Is the easiest and most convenient to use.

The method of contraception that is considered the safest for women is the: c. Male condom.

Camille is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The best method of birth control to meet their needs is: b. Combination of condoms and foam.

The most appropriate statement for introducing the topic of family planning in the postpartum setting is: b. "What are your plans for future pregnancies?"

Large amounts of leukocytes in the seminal fluid suggest: d. An infection of the genital tract.

A man and a woman who have not achieved a successful pregnancy are scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed? a. Semen analysis

The situation that best describes secondary infertility is a couple that has: c. One child but has not been able to conceive a second time.

A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is: a. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples."

A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is: c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."

The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is called: a. In vitro fertilization.

Chromosome analysis is a diagnostic test that should be offered to the couple who has: c. Repeated pregnancy loss.

A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's best response is: a. "It may be harder for him to express his feelings."

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap smear? d. Lubricant

A 45-year-old woman asks how often she should have a mammogram. The most appropriate answer is: a. Every 1 to 2 years until age 50 and yearly after that.

While interviewing a 48-year-old client during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40. Before the nurse encourages this client to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? Select all that apply. a. Reluctance to hear bad news b. Fear of x-ray exposure c. Belief that lack of family history makes this test unnecessary d. Expense of the procedure e. Having heard that the test is painful

The most common sites of breast cancer metastasis are: a. Bones and liver.

Which sexually transmitted disease can be cured? d. Chlamydia

Which statement by a woman diagnosed with premenstrual syndrome indicates that further health teaching is needed? d. "I'll eat only three meals per day."

A benign breast condition that includes dilation and inflammation of the collecting ducts is called: a. Ductal ectasia.

Which client is most at risk for fibroadenoma of the breast? c. Mary, 16 years old

Which statement is true about primary dysmenorrhea? c. It may be due to excessive endometrial prostaglandin.

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is: d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."

In teaching a client to deal with the symptoms of PMS, the nurse should stress that the client should: b. Decrease her consumption of caffeine.

Sharon, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is: b. "Water-soluble vaginal lubricants may provide relief."

Which woman is most likely to have osteoporosis? c. A 55-year-old woman with a sedentary lifestyle

A woman with a history of a cystocele should contact the physician if she experiences: d. Urinary frequency and burning.

To assist a woman in regaining control of the urinary sphincter, the nurse should teach her to: a. Do Kegel exercises.

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old woman. You expect the initial treatment to include: b. Examining the woman after her next menstrual period.

The drug of choice to treat gonorrhea is: c. Ceftriaxone.

The nurse understands that further health teaching is necessary when her young client who has just had an abortion states, "I guess I'll have to wear a tampon for the next week." True/False