Which precaution should the nurse take while caring for a client who is undergoing internal radiation therapy for cervical cancer?
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Question 2 of 72
When weighing the advantages and disadvantages of planning home care for perinatal services, what information should the nurse use in making the decision?
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Question 3 of 72
Having a genetic mutation may create an 85% chance of developing breast cancer in a woman's lifetime. Which condition does not increase a client's risk for breast cancer?
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Question 4 of 72
A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection, and she has been using an over-the-counter cream for the past 2 days to treat it. How should the nurse initially respond?
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Question 5 of 72
Which symptom described by a client is characteristic of premenstrual syndrome (PMS)?
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Question 6 of 72
Which traditional family structure is decreasing in numbers and attributable to societal changes?
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Question 7 of 72
When attempting to communicate with a client who speaks a different language, which action is the most appropriate?
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Question 8 of 72
Which explanation concerning postpartum ovary function is most accurate?
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Question 9 of 72
What is a limitation of a home postpartum visit?
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Question 10 of 72
A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus ß-hemolytic infection. Which of the following medications should the nurse plan to administer?
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Question 11 of 72
Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?
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Question 12 of 72
A blind woman has arrived for an examination. Her guide dog assists her to the examination room. She appears nervous and says, 'I've never had a pelvic examination.' What response from the nurse would be most appropriate?
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Question 13 of 72
Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate?
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Question 14 of 72
A client exhibits a thick, white, lumpy, cottage cheeselike discharge, along with white patches on her labia and in her vaginShe complains of intense pruritus. Which medication should the nurse practitioner order to treat this condition?
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Question 15 of 72
What is the drug of choice for the treatment of gonorrhea?
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Question 16 of 72
Documentation of abuse can be useful to women later in court should they elect to press charges. It is of key importance for the nurse to document accurately at the time that the client is seen. Which entry into the medical record would be the least helpful to the court?
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Question 17 of 72
What should the nurse's next action be if the client's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day?
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Question 18 of 72
A nurse is assessing a client who gave birth 12 hr ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output?
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Question 19 of 72
Which term is an accurate description of the process by which people retain some of their own culture while adopting the practices of the dominant society?
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Question 20 of 72
Syphilis is a complex disease that can lead to serious systemic illness and even death if left untreateWhich manifestation differentiates primary syphilis from secondary syphilis?
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Question 21 of 72
What is important for the nurse to know when assessing infertility?
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Question 22 of 72
Although reported in small numbers, toxic shock syndrome (TSS) can occur with the use of a diaphragm. If a client is interested in this form of conception control, then the nurse must instruct the woman on how best to reduce her risk of TSS. Which comment by the nurse would be most helpful in achieving this goal?
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Question 23 of 72
Which statement most accurately describes dominant genetic disorders?
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Question 24 of 72
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?
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Question 25 of 72
A woman gave birth to a healthy infant boy 5 days ago. What type of lochia does the nurse expect to find when evaluating this client?
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Question 26 of 72
Which part of the menstrual cycle includes the stimulated release of gonadotropin-releasing hormone (GnRH) and follicle-stimulating hormone (FSH)?
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Question 27 of 72
While obtaining a detailed history from a woman who has recently immigrated from Somalia, the nurse realizes that the client has undergone female genital mutilation. What is the nurse's most appropriate response in this situation?
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Question 28 of 72
Importantly, the nurse must be aware of which information related to the use of IUDs?
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Question 29 of 72
A nurse is assessing a newborn who is 48 hr old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
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Question 30 of 72
A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage. Based on this information, what family form best describes this family?
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Question 31 of 72
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?
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Question 32 of 72
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?
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Question 33 of 72
A woman exhibits symptoms that may lead to a possible diagnosis of polycystic ovary syndrome (PCOS). While completing the initial assessment of the client, which clinical finding would the nurse not anticipate?
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Question 34 of 72
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is the most important for the nurse to perform?
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Question 35 of 72
Which hormone is responsible for the maturation of mammary gland tissue?
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Question 36 of 72
Which health care service represents a primary level of prevention?
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Question 37 of 72
After a mastectomy, which activity should the client be instructed to avoid?
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Question 38 of 72
Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
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Question 39 of 72
Which STI does not respond well to antibiotic therapy?
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Question 40 of 72
Which woman is at the greatest risk for psychologic complications after hysterectomy?
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Question 41 of 72
Which client is most at risk for fibroadenoma of the breast?
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Question 42 of 72
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor. Which of the following client statements indicate an understanding of the teaching?
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Question 43 of 72
What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?
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Question 44 of 72
A nurse on a postpartum unit is receiving change-of-shift reports for four clients. Which of the following clients should the nurse see first?
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Question 45 of 72
Which test is performed around the time of ovulation to diagnose the basis of infertility?
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Question 46 of 72
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 is most important for the nurse to share?
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Question 47 of 72
An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the form of what?
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Question 48 of 72
Cancer is now recognized as a genetic disorder that begins with one or more genetic mutations. Which type of cancer is specifically being investigated in this regard?
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Question 49 of 72
A new father has just been told that his infant has trisomy 18. Which identifying physical feature is unique to an infant with this genetic disorder?
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Question 50 of 72
A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?
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Question 51 of 72
A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems, as well as sensations of bearing down and of something in her vaginWhat condition would the nurse suspect based upon this report?
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Question 52 of 72
How should infertility be perceived?
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Question 53 of 72
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
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Question 54 of 72
The nurse is providing contraceptive instruction to a young couple who are eager to learn. The nurse should be cognizant of which information regarding the natural family planning method?
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Question 55 of 72
Which statement regarding female sexual response is inaccurate?
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Question 56 of 72
Individual irregularities in the ovarian (menstrual) cycle are most often caused by what?
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Question 57 of 72
Which statement best describes maternity nursing care that is based on knowledge gained through research and clinical trials?
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Question 58 of 72
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR on the external fetal monitor. Which of the following actions should the nurse take first?
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Question 59 of 72
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?
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Question 60 of 72
When the nurse is unsure how to perform a client care procedure that is high risk and low volume, his or her best action in this situation would be what?
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Question 61 of 72
Which condition is the least likely cause of amenorrhea in a 17yearold client?
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Question 62 of 72
Which statement regarding the term contraceptive failure rate is the most accurate?
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Question 63 of 72
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?
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Question 64 of 72
A Native-American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for bottle feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of what?
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Question 65 of 72
Nurses are often the first health care professional with whom a woman comes into contact after being sexually assaulteWhich statement best describes the initial care of a rape victim?
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Question 66 of 72
Which statement best describes Kegel exercises?
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Question 67 of 72
What is the nurse's most appropriate response to a couple wanting to preserve emotional equilibrium during infertility?
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Question 68 of 72
Group B Streptococcus (GBS) is part of the normal vaginal flora in 20% to 30% of healthy pregnant women. GBS has been associated with poor pregnancy outcomes and is an important factor in neonatal morbidity and mortality. Which finding is not a risk factor for neonatal GBS infection?
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Question 69 of 72
A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions?
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Question 70 of 72
A woman who is 6 months pregnant has sought medical attention saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of IPV?
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Question 71 of 72
A client is concerned because she has been experiencing some milky, sticky breast discharge. Which nonmalignant condition is exhibited with this finding?
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Question 72 of 72
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
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