A nurse is a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements
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demonstrates understanding?
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A. "A water-soluble lubricant should be used with condoms"
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B. "A diaphragm should be removed 2 hours after intercourse"
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C. "Oral contraceptives can worsen a case of acne"
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D. "A contraceptive patch is replaced once a month" - answersA
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A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of
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the following manifestations should the nurse include?
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A. Reduced menstrual flow
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B. Breast tenderness
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C. Shortness of breath
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D. Increased appetite - answersC
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A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statemen
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by the client indicates an understanding of the teaching?
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A. "An IUD should be replaced annually during a pelvic exam"
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B. "I cannot get an IUD until after I've had a child"
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C. "I should plan on regaining fertility 5 months after the IUD is removed"
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D. "I will check to be sure the strings of the IUD are still present after my periods" - answersD
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A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse
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effects should the nurse include? (SATA)
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A. Tinnitus
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B. Irregular vaginal bleeding
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C. Weight gain
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D. Nausea mi
E. Gingival hyperplasia - answersB, C, D
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A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone. Which of the following
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information should the nurse include in the teaching? (SATA)
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A. "Weight fluctuations can occur"
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B. "You are protected against STIs"
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C. "You should increase your intake of calcium"
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D. "You should avoid taking antibiotics"
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E. "Irregular vaginal spotting can occur" - answersA, C, E
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A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clien
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should the nurse anticipate the provider will refer to a genetic counselor?
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A. A client whose sister has alopecia
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B. A client whose partner has von Willebrand disease
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C. A client who has an allergy to sulfa
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D. A client who had rubella 3 months ago - answersB
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,A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicat
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understanding of the infertility assessment process?
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A. "You will need to see a genetic counselor as part of the assessment"
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B. "It is usually the female who is having trouble, so the male doesn't have to be involved"
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C. "The male is the easiest to assess, and the provider will usually begin there"
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D. "Think about adopting first because there are many babies that need good homes" - answersC
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A nurse in an infertility clinic is providing care to clients who have been unable to conceive for 18 months. Which of the
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following data should the nurse assess? (SATA)
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A. Occupation mi
B. Menstrual history
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C. Childhood infectious diseases
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D. History of falls
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E. Recent blood transfusions - answersA, B, C
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A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to ectopic pregnancy. Which o
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the following statements by the client requires clarification?
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A. "It is good to know that I won't have a tubal pregnancy in the future"
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B. "The doctor said that this surgery can affect my ability to get pregnant again"
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C. "I understand that one of my fallopian tubes had to be removed"
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D. "Ovulation can still occur because my ovaries were not affected" - answersA
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A nurse is reviewing the medical record of a client who is to undergo hysterosalpingography.
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Vital Signs: 36.1 (97); HR 60 bpm mi mi mi mi mi mi
Lab Findings: Glucose 103 mg/dL; Hgb 13.1 g/dL; Total cholesterol 265 mg/dL
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History/Physical: Employed as a radiology technician, allergy to shrimp, tonsillectomy at age 18 mi mi mi mi mi mi mi mi mi mi mi mi
Medications: Rosuvastatin, Magnesium oxide, Mafenide acetate mi mi mi mi mi
Which of the following data alert the nurse that the client is at risk for a complication related to this procedure?
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A. Vital Signs mi mi
B. History and Physical
mi mi mi
C. Laboratory Findings
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D. Medications - answersB
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A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the followin
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is the client's estimated date of delivery?
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A. January 8 mi mi
B. January 15 mi mi
C. February 8 mi mi
D. February 15 - answersA
mi mi mi mi
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record include
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this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (SATA)
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A. Client has delivered one newborn at term
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B. Client has experienced no preterm labor
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C. Client has been through active labor
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D. Client has had 2 prior pregnancies
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E. Client has one living child - answersA, D, E
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A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable sign
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of pregnancy. Which of the following findings should the nurse expect? (SATA)
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mimimimimimimimimimimimi mimimimimimimimimimimimi
,A. Montgomery's glandsmi mi
B. Goodell's sign mi mi
C. Ballottement mi
D. Chadwick's sign mi mi
E. Quickening - answersB, C, D
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A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The
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client asks the nurse what causes these episodes. Which of the following responses should the nurse make?
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A. "This is due to an increase in blood volume"
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B. "This is due to pressure from the uterus on the diaphragm"
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C. "This is due to the weight of the uterus on the vena cava"
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D. "This is due to increased cardiac output" - answersC
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A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. Whic
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of the following information should the nurse provide to the client?
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A. "You should wait until 4 weeks after conception to be tested"
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B. "You should be off any medications for 24 hours prior to the test"
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C. "You should be NPO for at least 8 hours prior to the test"
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D. "You should collect urine from the first morning void" - answersD
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A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. Which o
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the following measures should the nurse include? (SATA)
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A. Avoid any lifting mi mi mi
B. Perform Kegel exercises twice a day
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C. Perform the pelvic rock exercise every day
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D. Use proper body mechanics
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E. Avoid constrictive clothing - answersC, D
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A nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly
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report to the provider. Which of the following complications should the nurse include?
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A. Vaginal bleeding mi mi
B. Swelling of the ankles
mi mi mi mi
C. Heartburn after eating
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D. Lightheadedness when lying on back - answersA
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A client who is at 7 weeks gestation is experiencing nausea and vomiting in the morning. Which of the following
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information should the nurse include?
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A. Eat crackers or plain toast before getting out of bed
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B. Awaken during the night to eat a snack
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C. Skip breakfast and eat lunch after nausea has subsided
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D. Eat a large evening meal - answersA
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A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the followin
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findings should the nurse include? (SATA)
mi mi mi mi mi mi
A. Breast tenderness mi mi
B. Urinary frequency mi mi
C. Epistaxis mi
D. Dysuria mi
E. Epigastric pain - answersA, B, C
mi mi mi mi mi mi
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