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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.
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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.
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.
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.
A nurse in a urology practice performs sexual health assessments of male older adults. Which patients would the nurse identify as having an increased risk for erectile dysfunction? Select all that apply.
- A. Patient with a history of diabetes
- B. Patient with a new partner
- C. Patient with Parkinson disease
- D. Patient with alcoholism
- E. Patient taking antihypertensive medication
- F. Patient who is a tobacco smoker
Correct Answer: A,C,D,E
Rationale: Risk factors for erectile dysfunction include diabetes , Parkinson disease , alcoholism , and antihypertensives . A new partner may cause performance anxiety, not erectile dysfunction. Tobacco smoking (F) is a risk factor for vascular issues but not directly listed in the provided rationale.
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.