Nokea
The nurse correctly places the client in which position when the physician is ready to perform the pelvic examination?
- A. Sims' position
- B. Trendelenburg's position
- C. Fowler's position
- D. Lithotomy position
Correct Answer: D
Rationale: The lithotomy position, with the client's legs in stirrups, provides optimal access for the physician to perform a pelvic examination.
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A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
Correct Answer: C,D,A,F,B,E
Rationale: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
The client diagnosed with ovarian cancer is prescribed radiation therapy for regional control of the disease. Which statement indicates the client requires further teaching?
- A. I will not wash the marks off my abdomen.'
- B. I will have a treatment every day for six (6) weeks.'
- C. Nausea caused by radiation therapy cannot be controlled.'
- D. I need to drink a nutritional shake if I don’t feel like eating.'
Correct Answer: C
Rationale: Nausea from radiation can be managed with antiemetics; this statement indicates a misconception. Preserving marks, daily treatments, and nutritional shakes are correct.
The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
When counseling a female client with a new diagnosis of genital herpes, which statement by the nurse is accurate?
- A. Have a Pap test done at least every 6 months.
- B. Avoid having vaginal intercourse for at least 6 months.
- C. If you take your medicine, you will not infect anyone else.
- D. Your infection provides immunity for any future children.
Correct Answer: D
Rationale: Genital herpes infection may confer some immunity to neonates via maternal antibodies, reducing severe neonatal herpes risk.
The client who is four (4) months pregnant finds a lump in her breast and the biopsy is positive for Stage II cancer of the breast. Which treatment should the nurse anticipate the HCP recommending to the client?
- A. A lumpectomy to be performed after the baby is born.
- B. A modified radical mastectomy.
- C. Radiation therapy to the chest wall only.
- D. Chemotherapy only until the baby is born.
Correct Answer: D
Rationale: In pregnancy, chemotherapy is often used for Stage II breast cancer after the first trimester to control disease while minimizing fetal risk. Lumpectomy or mastectomy is delayed until after delivery, and radiation is avoided during pregnancy.