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A nurse in a gynecology practice is assessing a patient reporting vaginal discharge that 'smells bad and is green and foamy.' She also reports burning upon urination and dyspareunia. The nurse suggests the patient and partner will need treatment for which STI?
- A. Human papillomavirus (HPV)
- B. Syphilis
- C. Trichomoniasis
- D. Herpes simplex virus
Correct Answer: C
Rationale: Trichomoniasis causes green, foamy, foul-smelling discharge, burning, and dyspareunia. HPV , syphilis , and herpes present differently.
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A parent brings their preteen daughter to the pediatric office for an annual checkup. The parent asks when they should tell the child about menses. What information will the nurse provide?
- A. You can discuss this when you are ready.
- B. It isn't necessary to discuss menstruation until age 13.
- C. Most preteens have heard about menses from their friends. There is no rush.
- D. Menses begins between ages 10 and 13 years, so now is a good time.
Correct Answer: D
Rationale: Menses typically begins between ages 10-13 , so discussing now prepares the child. A, B, and C delay education, risking confusion or fear.
A nurse in a gynecology clinic is obtaining a health history on a patient reporting pain during sexual activity. Which assessment question would be most appropriate for a patient who is experiencing dyspareunia?
- A. Do you currently have a new partner?
- B. Have you been diagnosed with a neurologic disorder?
- C. Do you take antihypertensive medication?
- D. Do you regularly use antihistamines?
Correct Answer: D
Rationale: Antihistamines can cause vaginal dryness, contributing to dyspareunia. A, B, and C are less directly related.
Students enrolled in a sexuality course are discussing people who achieve sexual arousal by looking at the body of someone other than a sexual partner. How would the students correctly name this behavior?
- A. Masochism
- B. Pedophilia
- C. Voyeurism
- D. Sadism
Correct Answer: C
Rationale: Voyeurism involves arousal from observing others non-consensually. Masochism , pedophilia , and sadism describe different behaviors.
A nurse is providing health care for patients in a clinic located in a predominately LGBTQA+ community. Which health disparities should the nurse keep in mind when planning care for this population? Select all that apply.
- A. LGBTQA+ youth are more likely to attempt suicide.
- B. LGBTQA+ youth are more likely to be homeless.
- C. Lesbians are less likely to get preventive services for cancer.
- D. Lesbians and bisexual females are more likely to be underweight.
- E. Transgender people have a high prevalence of HIV and sexually transmitted infections.
- F. LGBTQA+ populations have low rates of tobacco, alcohol, and other drug use.
Correct Answer: A,B,C,E
Rationale: Disparities include suicide risk , homelessness , lower cancer screening , and high HIV/STI prevalence . Lesbians/bisexual females are more likely overweight . LGBTQA+ have higher substance use (F).
A nurse is counseling an older couple regarding sexuality. Which statement from the couple should the nurse address?
- A. We're at the age when we should consider stopping sexual activity.
- B. We need more time for sexual stimulation than we used to.
- C. If we are unable to have sex, we can still have an intimate relationship.
- D. If we change our position, we can still have sex and be more comfortable.
Correct Answer: A
Rationale: The belief that sexual activity should stop due to age is incorrect; sexual activity can continue as desired with adaptations. B, C, and D reflect accurate understanding of aging and intimacy.