Sexuality and Reproduction

The American Cancer Society recommends the patient's initial cervical cancer screening occurs at which time?

The nurse is reviewing the medication list of the patient who wishes to become pregnant. One of the medications is listed as Category X. The nurse knows this medication poses which level of risk to the fetus?

The nurse learns the patient's blood drawn on admission was positive for human immunodeficiency virus (HIV). Which action by the nurse is appropriate?

Which is the inclusive diagnostic term for benign skin lesions caused by the human papillomavirus (HPV) that infect mucous membranes and the stratified epithelium of the skin?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

The patient presents to the women’s health clinic with complaints of itching and burning on urination with a white, curd-like vaginal discharge. The provider reports the cervix appears normal on exam. The nurse prints patient information for which medication course?

Which fundal height is documented as normal for the woman who is 30 weeks pregnant?

Which statement is true regarding the indirect Coombs test?

The nurse is vigilant for which symptoms of a life-threatening complication of the woman's precipitous vaginal delivery?

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

The nurse is creating a presentation on rickets in the community. The nurse focuses on which group of individuals for this teaching?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

Which statement describes the term “viral load” as it relates to human immunodeficiency virus (HIV)?

The nurse is caring for a woman who gave birth via forceps delivery within the last 24 hours. The patient describes significant rectal pressure but has had normal bowel movements. The nurse reports the finding to the provider with concerns for which postpartum complication?

The women in the fertility clinic states, “I read an article that said I should increase my omega-3 fatty acid intake to improve my chances of conceiving. Which foods should I eat?” The nurse responds with which foods? Select all that apply.

Which term is used to describe normal dark red vaginal bleeding in the postpartum period?

After reviewing the patient’s chart, which order(s) require clarification? Review the patient’s chart, then select all that apply.

The postpartum nurse is supervising new parents placing their newborn into the car seat to drive home during a snowstorm. Which observation is most concerning?

The 2-day-old full term child has been rooming in with the mother who reports successful breastfeeding. Which information is most important to report to the provider?

The nurse notes the patient has an increased prostate-specific antigen level. The nurse searches the chart for which information?  

The nurse informs the patient beginning pharmacological therapy for prostate cancer to anticipate which additional changes? Select all that apply.

The nurse is caring for a patient 6 hours after a transurethral resection of the prostate and notes decreased urine output. Which is the most likely cause of the decreased urine output? 

During postoperative day 1 after a suprapubic prostatectomy, which assessment is most important for the drainage from the surgical wound?  

The nurse most closely monitors the temperature for the patient who underwent which procedure?  

The nurse counsels the patient with prostate cancer to choose transurethral resection of the prostate based on which characteristic? 

The patient undergoing continuous bladder irrigation (CBI) following a prostatectomy reports an extreme need to urinate. Which action by the nurse is most appropriate? 

The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?

The nurse is preparing an informational session for individuals at risk for prostate cancer. Which statement does the nurse include in the talk?  

The nurse reviews the patient’s 24-hour intake and output for the patient with continuous bladder irrigation (CBI). The CBI intake is 2000 mL and the output is 2600 mL. Which action by the nurse is most appropriate?  

The 62-year-old male patient presents to the office complaining of difficulty urinating, with a weak stream, waking multiple times in the night to urinate, and the feeling of not completely emptying the bladder that has been occurring for months. Which test must be performed first for this patient? 

The 62-year-old patient reports erectile dysfunction and states, “I’ve been treating it with herbal remedies prescribed by my naturopathic doctor". Which conditions, if found in the patient’s medical history, prompt the nurse to counsel the patient against these herbal remedies? Select all that apply.  

The nurse counsels which women against the use of black cohosh as an herbal supplement?  

The patient had an unsealed radiation source instilled into the uterus on Tuesday. On Friday, the patient has an episode of incontinence and requires a full linen change. How does the nurse dispose of the soiled linens? 

The nurse is selecting patients to receive a brochure about detecting testicular cancer. Which patient most needs the brochure? 

The patient is scheduled for a radical orchiectomy for treatment of testicular cancer. Which preprocedural teaching is most important to provide the patient? 

The nurse advocates for cervical cancer screening for patients with which complaints? Select all that apply. 

The patient is scheduled for a posterior pelvic exenteration and the nurse has provided preprocedural teaching. Which statement indicates a need for further teaching?  

The nurse provides which instructions to the unlicensed assistive personnel who is assisting in the care of a patient postoperative day one following a radical hysterectomy? Select all that apply. 

Which interventions does the nurse include in care for the patient who underwent a total pelvic exenteration for a cancer diagnosis one day ago? Select all that apply.  

Which patient is most at risk for uterine cancer?  

The nurse is caring for a 12-year-old male patient with hemophilia A. Which statement is most likely true? 

The nurse is providing health promotion and disease prevention education to the 15-year-old patient receiving chemotherapy. Which statement does the nurse include?  

The 18-year-old female patient reports menorrhagia, easy bruising, and epistaxis. Her family history is notable for maternal hypertension, a brother with hemophilia A, and a father who died of stroke at age 48. Which question is most important to ask the patient?   

The 13-year-old girl is brought to the clinic for treatment of vaginal candidiasis for the 2nd time in 6 months. Which question is most helpful by the nurse?  

The 30-year-old couple presents to the infertility clinic after trying to conceive for 14 months. The man’s sperm analysis reveals sperm that have good motility and are adequate in number. On exam today, the woman’s cervical mucus is thin and stringy, with ferning on the slide. Which statement by the nurse is most appropriate?  

During the 1-hour assessment of the healthy, full-term neonate born to the 25-year-old G1P1 mother, the nurse notes the urethral meatus is on the ventral part of the penile shaft just proximal to the glans. The assessment is also notable for widely-spaced, downward-slanting eyes that resemble the baby’s father. The nurse provides which information to the parents?  

During the shift assessment of the healthy, full-term neonate born 24 hours ago to the 25-year-old G1P1 mother who had an uncomplicated pregnancy and delivery, the nurse notes the urethral meatus is on the ventral part of the penile shaft. The assessment is also notable for wide-spaced, downward-slanting eyes that resemble the baby’s father. The baby is pink, well-perfused, and breathing comfortably with normal heart and lung sounds. The mother reports the child is breastfeeding every 2 hours and has voided and stooled several times. Which additional assessment is most important? 

The nurse is caring for a 57-year-old woman who is intubated and sedated in the post-anesthesia care unit following a radical hysterectomy. The patient remained stable throughout the 6 hour surgery during which she experienced a 2 L blood loss. The nurse has emptied the patient’s indwelling catheter every hour for the 3 hours the patient has been in the PACU with the following volumes: 54 mL, 23 mL, 12 mL, and 5 mL. Her heart rate is 112 bpm, oxygen saturation is 99%, and blood pressure is 82/54 mmHg. The nurse contacts the provider to report these findings and advocate for which initial order?  

The nurse is caring for a 57-year-old woman who is intubated and sedated in the post-anesthesia care unit following a radical hysterectomy. The patient remained stable throughout the 6 hour surgery during which she experienced a 2 L blood loss. The nurse has emptied the patient’s indwelling catheter every hour for the 3 hours the patient has been in the PACU with the following volumes: 54 mL, 23 mL, 12 mL, and 5 mL. Her heart rate is 112 bpm, oxygen saturation is 99%, and blood pressure is 82/54mmHg. The patient received maintenance fluids during the procedure and no blood transfusions. How many liters of isotonic fluid does the nurse anticipate administering to the patient during the postoperative period? Enter your response using a whole number. 

The 31-year-old patient G2P1 woman presents to the clinic for 30 week appointment. She was diagnosed at 24 weeks with gestational diabetes. For 6 weeks, she changed her diet and exercised more regularly while checking her blood sugars. She logged fasting glucose levels of 108-135 mg/dL. She has no proteinuria or glycosuria. The nurse provides which information to the patient?