Nokea
A nurse is teaching parents about expected developmental aspects of sexuality in children. Which statements from parents indicate further teaching is needed? Select all that apply.
- A. When my 2-year-old son touches his genitals, I push his hand away and tell him 'No'.
- B. I should wean my infant by 4 months and encourage him to use a sippy cup.
- C. I should explain sexuality to my 9-year-old in a factual manner when they ask questions about their body.
- D. I should explain about body changes to my 11-year-old prior to them happening to alleviate their fears.
- E. I should teach my 10-year-old about contraception and ways to avoid sexually transmitted diseases.
- F. I should allow my teenager to establish their own beliefs and moral value system rather than sharing my own beliefs.
Correct Answer: A,B,E,F
Rationale: Statements A, B, E, and F indicate misunderstanding. Genital touching is normal exploration and should not be shamed. Early weaning may cause oral deprivation. Teaching contraception at age 10 is premature; age 12-13 is more appropriate. Parents should share their values (F) while allowing autonomy. C and D reflect appropriate teaching.
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A nurse working in a gynecology practice screens patients for menstrual irregularities. Which patients would a nurse identify are at risk for menstrual cycle irregularities? Select all that apply.
- A. Breastfeeding mother
- B. Adolescent with anorexia
- C. Individual abstaining from sexual intercourse
- D. Patient diagnosed with pelvic inflammatory disease
- E. Patient obsessed with exercising
- F. Patient with a spinal cord injury
Correct Answer: A,B,D,E
Rationale: Risk factors include breastfeeding , anorexia , pelvic inflammatory disease , and excessive exercise . Abstinence and spinal cord injury (F) are not typically causes.
A nurse is teaching patients about contraception methods. Which statement by a patient indicates a need for further teaching?
- A. Depo-Provera is not effective against sexually transmitted infections, but contraceptive protection is immediate if I get the injection on the first day of my period.
- B. The hormonal contraceptive, NuvaRing, protects against pregnancy by suppressing ovulation, thickening cervical mucus, and preventing implantation of the fertilized eggs.
- C. Abstinence is an effective method of contraception and may be used as a periodic or continuous strategy to prevent pregnancy and STIs.
- D. Withdrawal is an effective method of birth control that reduces risk for STIs.
Correct Answer: D
Rationale: Withdrawal is not effective for contraception or STI prevention, indicating a need for teaching. A, B, and C are accurate.
A 17-year-old college student calls the emergency department (ED) and tells the nurse they were raped by a professor. They want to come to the ED, but only if the nurse promises their parents will not be contacted. What should be the nurse's first priority?
- A. Getting the patient into a safe environment and mobilizing support for them
- B. Encouraging the student to disclose the name of the professor
- C. Ensuring the student is assessed for pregnancy, STIs, and other complications
- D. Convincing the student to tell their parents to receive their support
Correct Answer: A
Rationale: The priority is ensuring the patient's safety and support . B, C, and D are important but secondary to immediate safety.
A patient who developed a pulmonary embolism (blood clot in the lung) after using oral contraceptives asks the nurse what she should do if she can no longer use 'the pill.' The nurse suggests which mechanical barrier for birth control?
- A. Diaphragm
- B. Transdermal contraceptive patch
- C. Depo-Provera
- D. Evra patch
Correct Answer: A
Rationale: The diaphragm is a mechanical barrier method, unlike the hormonal options B, C, and D, which are contraindicated due to the patient's history of pulmonary embolism.
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.