Nokea
A patient who is in the first trimester of pregnancy has experienced an incomplete abortion. The obstetric nurse should prepare the patient for what possible intervention?
- A. Dilation and evacuation
- B. Several days of bed rest
- C. Administration of hydromorphone
- D. IV administration of clomiphene
Correct Answer: A
Rationale: If only some of the tissue is passed, the abortion is referred to as incomplete. An emptying or evacuation procedure (D&C, or dilation and evacuation [D&E]) or administration of oral misoprostol (Cytotec) is usually required to remove the remaining tissue. Bed rest will not necessarily result in the passing of all the tissue. Clomiphene is used for ovulation induction, not abortion management, and hydromorphone is for pain relief, not a primary intervention.
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A community health nurse is leading a health education session addressing menopause and other aspects of womens health. What dietary supplements should the nurse recommend to prevent morbidity associated with osteoporotic fractures?
- A. Vitamin B12 and vitamin C
- B. Vitamin A and potassium
- C. Vitamin B6 and phosphorus
- D. Calcium and vitamin D
Correct Answer: D
Rationale: Calcium and vitamin D supplementation are recommended to reduce bone loss and prevent osteoporotic fractures, a key concern in menopause. Other listed supplements do not address bone health effectively.
The nurse is working with a couple who is being evaluated for infertility. What nursing intervention would be most appropriate for this couples likely needs?
- A. Educating them about parenting techniques in order to foster hope
- B. Educating them about the benefits of child-free living
- C. Choosing the most appropriate reproductive technology
- D. Referring them to appropriate community resources
Correct Answer: D
Rationale: Referring the couple to appropriate resources, such as support groups or specialists, addresses their emotional and informational needs during infertility evaluation. Discussing parenting or child-free living may be insensitive, and choosing reproductive technology is outside the nurse's scope.
A nurse is collecting assessment data from a premenopausal patient who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow?
- A. Amenorrhea
- B. Dysmenorrhea
- C. Menorrhagia
- D. Metrorrhagia
Correct Answer: A
Rationale: Amenorrhea refers to the absence of menstrual flow, which aligns with the patient's report. Dysmenorrhea indicates painful menstruation, menorrhagia refers to prolonged or excessive bleeding during menstruation, and metrorrhagia denotes bleeding between periods. Amenorrhea is the correct term for documentation.
The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears?
- A. The test may be performed at any time during the patients menstrual cycle.
- B. The smear should be done every 2 years.
- C. The test can detect early evidence of cervical cancer.
- D. Falsepositive Pap smear results occur mostly from not douching before the examination.
Correct Answer: C
Rationale: The Pap smear is used to detect early evidence of cervical cancer, which is a key point to emphasize. It should not be performed during menstruation, and douching can cause false-negative results by washing away cells. Annual Pap smears are recommended for most women, not every 2 years.
A 15-year-old girl is brought to the clinic by her mother to see her primary care provider. The mother states that her daughter has not started to develop sexually. The physical examination shows that the patient has no indication of secondary sexual characteristics. What diagnosis should the nurse suspect?
- A. Primary amenorrhea
- B. Dyspareunia
- C. Vaginal atrophy
- D. Secondary dysmenorrhea
Correct Answer: A
Rationale: Primary amenorrhea is suspected when a young woman over 14 years has not begun menstruating and shows no secondary sexual characteristics, as described. Dyspareunia is painful intercourse, vaginal atrophy is unrelated to puberty onset, and secondary dysmenorrhea involves painful periods due to pathology, none of which fit the scenario.