Nokea
An 18-year-old presents at a women's health care clinic seeking oral contraceptives before having heterosexual intercourse for the first time. She tells the nurse she doesn't know what to expect. What accurate statements by the nurse would be helpful? Select all that apply.
- A. During the excitement phase, your breasts swell and the nipples invert.
- B. Lubrication of the vagina seeps outside of the body making stimulation more pleasurable by decreasing friction.
- C. Your clitoris enlarges and emerges slightly from the clitoral hood.
- D. The first obvious sign of arousal in your partner is an erection of the penis caused by increased blood flow.
- E. The man's scrotum noticeably elevates, thickens, and enlarges.
- F. The skin of the penis and scrotum become pale in color.
Correct Answer: B,C,D,E
Rationale: Accurate statements include B, C, D, and E. Nipples erect, not invert . The skin becomes reddish-purple, not pale (F).
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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 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.
A school nurse is providing information for parents of teenagers regarding the human papillomavirus (HPV) and the recommended HPV vaccination. What teaching point would the nurse include?
- A. HPV causes genital warts and cervical and other cancers.
- B. HPV causes a single painless genital lesion and can lead to sterility.
- C. Fifty percent of females between ages 14 and 19 years are infected with HPV.
- D. The HPV vaccination is only recommended for the female population.
Correct Answer: A
Rationale: HPV causes genital warts and cancers . B, C, and D are incorrect: syphilis causes painless lesions, prevalence is lower, and vaccination is for both genders.
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).