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NUR 314 Exam 5 Study Guide: Reproductive Health Nursing Questions with Verified Answers

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Prepare for your NUR 314 Exam 5 on reproductive health with this comprehensive question bank. Features accurate quizzes and verified answers on STIs, breast cancer, infertility, contraception, and nursing interventions for reproductive disorders.

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NUR 314 EXAM 5 REPRODUCTIVE
QUESTIONS BANK; COMPLETE ACCURATE
QUIZZES WITH VERIFIED ANSWERS


A 22-yr-old man is being treated at a college health care clinic
for gonorrhea. What should the nurse include in patient
teaching?


"While being treated for the infection, you will not be able to
pass this infection on to your sexual partner."
"It is important to complete your full course of antibiotics in
order to ensure that you become resistant to reinfection."
"While you're taking the antibiotics, you will need to abstain
from participating in sexual activity and drinking alcohol."
"The symptoms will resolve on their own, but it is important for
you to abstain from sexual activity while this is occurring." -
correct answer- "While you're taking the antibiotics, you
will need to abstain from participating in sexual activity and
drinking alcohol."


Rationale: Treatment for gonorrhea necessitates *abstinence
from sexual activity (to prevent infection of partners) and
alcohol (to avoid urethral irritation)*.

,The disease is not self-limiting, nor does successful treatment
confer future resistance.


A 24-yr-old patient had breast augmentation surgery and will be
discharged the same day. What instructions should the nurse
provide to minimize the risk of complications in the immediate
recovery period?


Avoid wearing a bra until postoperative day 3.
Avoid strenuous exercise during her recovery period.
Sleep in a semi-Fowler's position until her scheduled follow-up
appointment.
Enlist a friend or family member to perform passive range-of-
motion exercises - correct answer- Avoid strenuous
exercise during her recovery period.


Rationale: As with all types of breast surgery, strenuous exercise
is contraindicated during the recovery period after breast
augmentation. A bra should be worn to prevent dehiscence and
provide comfort. Sleeping in a semi-Fowler's position is not
necessary, and passive range-of-motion exercises should be
avoided at first.

,A 24-yr-old patient is at the clinic with symptoms of purulent
vaginal discharge, dysuria, and dyspareunia. She is sexually
active and has multiple partners. What should the nurse explain
as the rationale for Chlamydia screening?


Chlamydia is frequently comorbid with HIV.
Untreated chlamydia infections can lead to sepsis.
Untreated chlamydia infections may cause infertility.
Chlamydia infections are treatable only in the early stages. -
correct answer- Untreated chlamydia infections may
cause infertility.


Rationale: Because of the potential for infertility, routine
screening for Chlamydia is recommended for women sexually
active younger than age 25 years and annually for those older
than 25 years with one or more risk factors for the infection.
Chlamydia is not a primary risk for sepsis and is not noted to be
strongly correlated with HIV infection. The disease is treatable at
all stages of infection.


A 29-yr-old primiparous patient is breastfeeding a 3-wk-old
infant. She reports recent breast tenderness, redness, and fever.
Which teaching point should the nurse reinforce when following
up on her care?

, Refer the patient for a mammogram as quickly as possible.
Encourage the patient to continue breastfeeding her infant.
Ensure patient adheres to her prescribed antibiotic regimen.
Teach the patient to use warm compresses and the self-limiting
nature of illness. - correct answer- Ensure patient
adheres to her prescribed antibiotic regimen.


Rationale: Mastitis normally requires antibiotic therapy that is
closely adhered to. Breastfeeding should be continued if
possible, but effective treatment of infection would be the
immediate priority. If a palpable mass develops, medical follow-
up may be needed to determine if an abscess is present. Mastitis
is not necessarily self-limiting, and mammography is not
normally indicated.


A 30-yr-old woman reports the recent appearance of itchy,
slightly painful lesions on her vulva, some of which have recently
burst. Which STI should the nurse suspect first?


Gonorrhea
Chlamydia
Genital warts

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