Sexuality and Reproduction

The nurse is caring for a 34-year-old G1P0 patient in her 30th week of gestation. The patient is having an episode of painless vaginal bleeding and is hemodynamically stable. Which assessment does the nurse anticipate for the physician to order?

The nurse is providing disease prevention education to a 63-year-old woman with a negative family history of breast cancer. The nurse recommends the patient schedule mammograms with which frequency?

Which information does the nurse provide to the patient scheduled to receive intravenous cyclophosphamide for stage III breast cancer regarding hair loss? 

The 72-year-old male patient was recently diagnosed with prostate cancer. The nurse anticipates which additional complaint? 

The nurse is caring for a 20-year-old female patient who reports severe dysmenorrheal pain that is not relieved with NSAIDs. The nurse recommends which intervention?

The patient with pneumonia who has been taking PO azithromycin for four days contacts the clinic to report itching and burning in her vagina. Which response by the nurse is most appropriate?

The 24-year-old G1P0 female at 32 weeks estimated gestational age presents to the labor and delivery unit with recent onset of contractions and rupture of membranes. Which finding, if present in this patient, most definitively indicates the patient has entered the second stage of labor?

The nurse is caring for a G3P0 female at 40 weeks estimated gestational age in the second stage of labor. The patient does not have an epidural in place. After how many hours does the nurse contact the provider to report a prolonged second stage of labor?

Place the cardinal movements the fetus makes during labor in the correct order from start to finish.

A 31-year-old G2P1 female at 37 weeks estimated gestational age presents reporting contractions. Which question by the nurse would best determine if the patient is in labor?

The 25-year-old G1P0 female at 31 weeks estimated gestational age presents to the labor and delivery unit. The nurse assesses the patient and palpates the head of the fetus to be 2 inches above the maternal ischial spines. Which term does the nurse use to document this finding?

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?

Which patient is at highest risk for thyroid disease?

The pregnant patient has experienced preterm premature rupture of membranes (PPROM) at 32 weeks. The patient is not in active labor. The nurse is aware this patient is most at risk for which complication?

The full-term neonate is born via normal spontaneous vaginal delivery (NSVD). The neonate cries at the perineum and maintained flexion against gravity but is noted to be bluish gray. Which intervention is appropriate?

Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

Which patient is at the highest risk for ovarian cancer?

The nurse is assigned to care for a 31-year-old male with a past medical history significant for long-standing diabetes mellitus and hypertension. Current medications are metformin, furosemide, and captopril. Laboratory tests reveal serum potassium of 3.2 mEq/L, so the patient is started on spironolactone. The nurse provides education about which side effect of therapy?

The 17-year-old pregnant female patient presents for her first prenatal visit. The nurse plans care based on which understanding of recommended screening?

The 28-year-old female patient presents to the clinic after missing her usual monthly menstrual cycle. A urine hCG level confirms that she is pregnant; further questioning estimates a gestational age of 11 weeks. The patient asks about the possibility of getting an abortion in the next few weeks. Which response by the nurse is appropriate? 

The 29-year-old female patient who presents at six weeks postpartum for a routine checkup requests to start taking oral contraceptives again. The patient reports successful breastfeeding and a desire to continue for the next year. Which oral contraceptive is recommended for this patient?

Which information does the nurse provide to the woman who is 8 weeks pregnant about a transvaginal ultrasound?

The 61-year-old patient with liver cirrhosis reports extreme fatigue on a daily basis. The nurse pursues which intervention?

The 34-week-gestation neonate is born weighing 1.7 kg to a mother who is hepatitis B surface antigen (HBsAg) positive; all other infectious disease serologies are negative. Which orders are appropriate for this patient? Select all that apply.

The 1.9 kg neonate is born precipitously via vaginal delivery to a 32-year-old mother who received no prenatal care or infectious disease serology testing before delivery. The mother has a history of intravenous drug use. Which intervention does the nurse perform first?

The 10-year-old female patient’s mother brings her to the clinic for a check-up and immunizations and requests that she receives the human papillomavirus (HPV) vaccination. Which question does the nurse ask first?

The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The 18-year-old healthy female presents to the clinic requesting to receive the vaccinations her mother refused for her when she was a child. Reviewing the chart, the nurse notes the patient never received the measles, mumps, rubella (MMR) vaccine. Prior to administering the vaccination, which test is most important?

The nurse receives report on four patients at the start of the shift. Which patient does the nurse visit first?

The nurse is educating the pregnant woman at 13 weeks’ gestation with a newly placed cerclage. The nurse tells the patient to contact the provider if which events occur? Select all that apply.

Which instruction does the nurse give the patient with epilepsy who is 6 weeks pregnant?

The 35-year-old woman is interested in starting hormonal birth control. Which characteristic, if found in the patient's medical record, indicates the patient requires an alternative form of contraceptive?

The nurse educates parents on the care of their 3-day-old infant prior to discharge from the hospital. Which instruction does the nurse include in the teaching?

The patient wants to quit smoking before starting hormonal birth control. Using motivational interviewing, which statement by the nurse would best elicit change talk from the patient?

Pregnancy is confirmed in the patient who states, “How did this happen? We were careful and wore condoms every time we had sex.” Which response by the nurse is most appropriate?

The 18-year-old female patient tells the nurse, “I would like to change my contraceptive method before I go away to college. I’m afraid I will forget to take the pill every day and I have had issues finding the right balance of hormones. Honestly, I don’t have a boyfriend and can’t see myself getting married or having kids until well after college.” The nurse reviews the chart and notes the patient’s medical history is negative for any infections or diseases. The patient’s BMI is 32 and metabolic panel is normal. Which contraceptive method does the nurse recommend to this patient?

The 22-year-old woman has selected the Depo-Provera injection as her preferred method of contraception. Which information, if present in the patient’s chart, prompts the nurse to hold the medication and alert the physician?

The patient had a contraceptive implant placed 14 months ago. The implant must be replaced in how many months? Enter your answer using a whole number.

The patient had a copper intrauterine device placed at aged 21. At what age will the patient be when it must be replaced if the patient desires to continue contraception? Enter your answer using a whole number.

The nurse is counseling the patient following the removal of a copper intrauterine device. Which statement is most important for the nurse to include in teaching?

The nurse helps the patient into which position in preparation for the removal of an intrauterine device?

The asymptomatic patient tested positive for Neisseria gonorrhoeae during routine screening for sexually transmitted infections (STI). The nurse anticipates administering which medications? Select all that apply.

The patient has had a positive rapid plasma reagin (RPR) test. Further testing will most likely reveal the presence of which organism?

The female patient tells the nurse, “I think the man I had unprotected sex with last night might have herpes. I’m so afraid I’m going to get it, too.” Which response by the nurse is most appropriate?

Which mother is at highest risk for passing herpes simplex virus (HSV) to her fetus/neonate?

The patient presents to the clinic complaining of a painful sore on his penis. Upon assessment, the nurse notes an ulceration with a yellow slough wound base that is soft with an irregular border. The inguinal lymph node on the ipsilateral side of the wound is enlarged and firm. The nurse suspects which organism is the cause of the wound?

The 32-weeks-pregnant woman who presents with genital lesions is diagnosed with herpes simplex virus-2. The nurse prepares a patient information handout for which medication for this patient?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?