CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
1. A 19-year-old client with 3. Complete series of three intramuscular injections.
multiple sex partners is
being counseled about Rationale:
the hepatitis B vaccina- The immune globulin is not administered before giving the vaccine. The
tion. During the coun- vaccine is administered in a series of three injections. Booster shots are
seling sessions, which not recommended for otherwise healthy people with noncompromised
of the following should immune systems. To be immunized against hepatitis B, a three-injection
the nurse advise the vaccine series is administered. The vaccine can be administered at any
client to receive? age.
1. Hepatitis B im- TEST-TAKING HINT: The current recommendation by the Centers for
munoglobulin before Disease Control and Prevention (CDC) is that the hepatitis B vaccine
receiving the vaccine. series be started during the neonatal period before discharge from
2. Vaccine booster every the hospital (Schillie et al., 2018). The second and third shots are
10 years. administered 1 month and 6 months after the first shot, respectively.
3. Complete series of For adults who have not received the vaccine in infancy the series can
three intramuscular in- be administered at any age.
jections.
4. Vaccine as soon as
she becomes 21.
2. A postpartum client has 4. Consider switching to another birth control method in a year or so.
decided to use medrox-
yprogesterone acetate Rationale:
as her contraceptive Medroxyprogesterone acetate (Depo-Provera) is either administered
method. What should via intramuscular or subcutaneous injection every 3 months. Medrox-
the nurse advise the yprogesterone acetate is a progesterone-based contraceptive. It is safe
client regarding this for use and should not adversely affect the ability to breastfeed. Both
medication? amenorrhea and menorrhagia are side effects of the medication. The
client should be advised to notify her healthcare practitioner regarding
1. Take the pill at the any significant menstrual pattern changes. Many women who use
same time each day. medroxyprogesterone acetate for over 2 years have been found to suffer
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
2. Refrain from breast- from loss of bone density. Some of the changes in bone density may be
feeding while using the irreversible.
method.
3. Expect to have no TEST-TAKING HINT: There is a black box recommendation on the
periods as long as she medroxyprogesterone acetate label. A black box warning is placed on
takes the medicine. some prescription medications that have been found to have significant
4. Consider switching side effects. In the case of medroxyprogesterone acetate, the black box
to another birth control warning is related to an increased risk of OSTEOPOROSIS if use of this
method in a year or so. medication is prolonged. The Food and Drug Administration (FDA) has
the power to require pharmaceutical companies to include a black box
on a medication that, although approved for use, carries risks when
taken.
3. The nurse is admin- 2. The client must be taught to use sunscreen whenever in the sunlight.
istering medroxyprog-
esterone acetate to Rationale:
a postpartum client. Medroxyprogesterone acetate (Depo-Provera) is administered via intra-
Which of the following muscular injection or subcutaneously every 3 months. The client should
data must the nurse use sunscreen while receiving medroxyprogesterone acetate for birth
consider before admin- control. The medication is contraindicated for use by women who have
istering the medica- breast cancer or who are pregnant. It is not contraindicated for use by
tion? those suffering from lung or esophageal cancer. After the first injection,
it is often recommended that the client use an alternate form of birth
1. The patch must be re- control for at least a week, but not for 2 months. The client should know
placed at the same time that medroxyprogesterone acetate will not protect her from sexually
each week. transmitted infections.
2. The client must be
taught to use sunscreen TEST-TAKING HINT: Women can develop dark patches on their skin
whenever in the sun- when using medroxyprogesterone acetate. The patches often become
light. darker in women who are in the sun without protection. It is strongly
3. The medicine is recommended that women who use medroxyprogesterone acetate use
contraindicated if the sunscreen whenever they are exposed to the sun.
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
woman has lung or
esophageal cancer.
4. The client must use
an alternate form of
birth control for the first
two months.
4. Which statement by the 1. "The IUD can remain in place for a year or more."
client indicates that she
understands the teach- Rationale:
ing provided about IUDs can remain in place for extended periods of time. The client should
the intrauterine device expect to menstruate regularly while the IUD is in place. If dyspareunia
(IUD)? (pain during intercourse) occurs, the client should contact her health-
care practitioner. Women who have IUDs in place are at slightly higher
1. "The IUD can remain risk of developing pelvic infections.
in place for a year or
more." TEST-TAKING HINT: Women who have multiple sex partners or who
2. "I will not menstruate have had a recent history of a sexually transmitted infection should be
while the IUD is in." considered at highest risk for infection. The risk for all women is most
3. "Pain during inter- pronounced during the 20 days immediately following IUD insertion.
course is a common
side effect."
4. "The device will re-
duce my chances of get-
ting infected."
5. A client has been diag- 2. Pruritus.
nosed with pubic lice.
Which of the following Rationale:
signs/symptoms would A macular rash is not indicative of pubic lice. Pruritus is, by far, the
the nurse expect to most common symptom of pubic lice. Hyperthermia is not commonly
see? seen with an infestation of pubic lice. Foul-smelling discharge is not
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
commonly seen with an infestation of pubic lice.
1. Macular rash on the
labia. TEST-TAKING HINT: Pubic lice, not to be confused with head lice, are
2. Pruritus. commonly called crabs. They are insects, usually sexually transmitted,
3. Hyperthermia. that invade the pubic hair. Although they are not the same as head lice,
4. Foul-smelling dis- the pubic infestation is treated with the same pediculicidal (medication
charge. capable of killing lice) shampoos.
6. The nurse is teaching 4. The pubic hair should be combed after shampoo is removed.
a client regarding the
treatment for pubic lice. Rationale:
Which of the following Lice are not treated with antibiotics. After lice treatment, clothing should
should be included in be washed thoroughly in hot water (at or hotter than 130° F (54.4° C))
the teaching session? and dried in a hot dryer for at least 20 minutes. The over-the-counter
shampoo should be applied for 10 minutes or as stated in the package
1. The antibiotics insert, and then rinsed off. To remove the nits, or eggs, the pubic
should be taken for a hair may be combed with a fine-tooth nit comb after the shampoo is
full 10 days. removed.
2. All clothing should be
pretreated with bleach TEST-TAKING HINT: Nits are very small, white, lice eggs that are about
before wearing. the size of a period at the end of a sentence. They adhere firmly to the
3. Shampoo should be shaft of the pubic hair and take about 1 week to hatch. It is very helpful,
applied for at least 2 therefore, to remove the nits with a fingernail or a fine-tooth nit comb
hours before rinsing. to prevent reinfestation.
4. The pubic hair should
be combed after sham-
poo is removed.
7. The parent of a new- 3. "Hepatitis B can be a life-threatening liver infection that is contracted
born angrily asks the not only by sexual contact but also by contact with contaminated blood.
nurse, "Why would the An infected family member or caregiver can unknowingly pass the virus
doctor want to give my to your baby."
Study online at https://quizlet.com/_i7xbmr
1. A 19-year-old client with 3. Complete series of three intramuscular injections.
multiple sex partners is
being counseled about Rationale:
the hepatitis B vaccina- The immune globulin is not administered before giving the vaccine. The
tion. During the coun- vaccine is administered in a series of three injections. Booster shots are
seling sessions, which not recommended for otherwise healthy people with noncompromised
of the following should immune systems. To be immunized against hepatitis B, a three-injection
the nurse advise the vaccine series is administered. The vaccine can be administered at any
client to receive? age.
1. Hepatitis B im- TEST-TAKING HINT: The current recommendation by the Centers for
munoglobulin before Disease Control and Prevention (CDC) is that the hepatitis B vaccine
receiving the vaccine. series be started during the neonatal period before discharge from
2. Vaccine booster every the hospital (Schillie et al., 2018). The second and third shots are
10 years. administered 1 month and 6 months after the first shot, respectively.
3. Complete series of For adults who have not received the vaccine in infancy the series can
three intramuscular in- be administered at any age.
jections.
4. Vaccine as soon as
she becomes 21.
2. A postpartum client has 4. Consider switching to another birth control method in a year or so.
decided to use medrox-
yprogesterone acetate Rationale:
as her contraceptive Medroxyprogesterone acetate (Depo-Provera) is either administered
method. What should via intramuscular or subcutaneous injection every 3 months. Medrox-
the nurse advise the yprogesterone acetate is a progesterone-based contraceptive. It is safe
client regarding this for use and should not adversely affect the ability to breastfeed. Both
medication? amenorrhea and menorrhagia are side effects of the medication. The
client should be advised to notify her healthcare practitioner regarding
1. Take the pill at the any significant menstrual pattern changes. Many women who use
same time each day. medroxyprogesterone acetate for over 2 years have been found to suffer
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
2. Refrain from breast- from loss of bone density. Some of the changes in bone density may be
feeding while using the irreversible.
method.
3. Expect to have no TEST-TAKING HINT: There is a black box recommendation on the
periods as long as she medroxyprogesterone acetate label. A black box warning is placed on
takes the medicine. some prescription medications that have been found to have significant
4. Consider switching side effects. In the case of medroxyprogesterone acetate, the black box
to another birth control warning is related to an increased risk of OSTEOPOROSIS if use of this
method in a year or so. medication is prolonged. The Food and Drug Administration (FDA) has
the power to require pharmaceutical companies to include a black box
on a medication that, although approved for use, carries risks when
taken.
3. The nurse is admin- 2. The client must be taught to use sunscreen whenever in the sunlight.
istering medroxyprog-
esterone acetate to Rationale:
a postpartum client. Medroxyprogesterone acetate (Depo-Provera) is administered via intra-
Which of the following muscular injection or subcutaneously every 3 months. The client should
data must the nurse use sunscreen while receiving medroxyprogesterone acetate for birth
consider before admin- control. The medication is contraindicated for use by women who have
istering the medica- breast cancer or who are pregnant. It is not contraindicated for use by
tion? those suffering from lung or esophageal cancer. After the first injection,
it is often recommended that the client use an alternate form of birth
1. The patch must be re- control for at least a week, but not for 2 months. The client should know
placed at the same time that medroxyprogesterone acetate will not protect her from sexually
each week. transmitted infections.
2. The client must be
taught to use sunscreen TEST-TAKING HINT: Women can develop dark patches on their skin
whenever in the sun- when using medroxyprogesterone acetate. The patches often become
light. darker in women who are in the sun without protection. It is strongly
3. The medicine is recommended that women who use medroxyprogesterone acetate use
contraindicated if the sunscreen whenever they are exposed to the sun.
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
woman has lung or
esophageal cancer.
4. The client must use
an alternate form of
birth control for the first
two months.
4. Which statement by the 1. "The IUD can remain in place for a year or more."
client indicates that she
understands the teach- Rationale:
ing provided about IUDs can remain in place for extended periods of time. The client should
the intrauterine device expect to menstruate regularly while the IUD is in place. If dyspareunia
(IUD)? (pain during intercourse) occurs, the client should contact her health-
care practitioner. Women who have IUDs in place are at slightly higher
1. "The IUD can remain risk of developing pelvic infections.
in place for a year or
more." TEST-TAKING HINT: Women who have multiple sex partners or who
2. "I will not menstruate have had a recent history of a sexually transmitted infection should be
while the IUD is in." considered at highest risk for infection. The risk for all women is most
3. "Pain during inter- pronounced during the 20 days immediately following IUD insertion.
course is a common
side effect."
4. "The device will re-
duce my chances of get-
ting infected."
5. A client has been diag- 2. Pruritus.
nosed with pubic lice.
Which of the following Rationale:
signs/symptoms would A macular rash is not indicative of pubic lice. Pruritus is, by far, the
the nurse expect to most common symptom of pubic lice. Hyperthermia is not commonly
see? seen with an infestation of pubic lice. Foul-smelling discharge is not
, CJE - Maternal Child Nursing
Study online at https://quizlet.com/_i7xbmr
commonly seen with an infestation of pubic lice.
1. Macular rash on the
labia. TEST-TAKING HINT: Pubic lice, not to be confused with head lice, are
2. Pruritus. commonly called crabs. They are insects, usually sexually transmitted,
3. Hyperthermia. that invade the pubic hair. Although they are not the same as head lice,
4. Foul-smelling dis- the pubic infestation is treated with the same pediculicidal (medication
charge. capable of killing lice) shampoos.
6. The nurse is teaching 4. The pubic hair should be combed after shampoo is removed.
a client regarding the
treatment for pubic lice. Rationale:
Which of the following Lice are not treated with antibiotics. After lice treatment, clothing should
should be included in be washed thoroughly in hot water (at or hotter than 130° F (54.4° C))
the teaching session? and dried in a hot dryer for at least 20 minutes. The over-the-counter
shampoo should be applied for 10 minutes or as stated in the package
1. The antibiotics insert, and then rinsed off. To remove the nits, or eggs, the pubic
should be taken for a hair may be combed with a fine-tooth nit comb after the shampoo is
full 10 days. removed.
2. All clothing should be
pretreated with bleach TEST-TAKING HINT: Nits are very small, white, lice eggs that are about
before wearing. the size of a period at the end of a sentence. They adhere firmly to the
3. Shampoo should be shaft of the pubic hair and take about 1 week to hatch. It is very helpful,
applied for at least 2 therefore, to remove the nits with a fingernail or a fine-tooth nit comb
hours before rinsing. to prevent reinfestation.
4. The pubic hair should
be combed after sham-
poo is removed.
7. The parent of a new- 3. "Hepatitis B can be a life-threatening liver infection that is contracted
born angrily asks the not only by sexual contact but also by contact with contaminated blood.
nurse, "Why would the An infected family member or caregiver can unknowingly pass the virus
doctor want to give my to your baby."
