Nokea
The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?
- A. High protein, low fat
- B. High carbohydrate, high fiber
- C. Low calorie, low fat
- D. Low carbohydrate, high protein
Correct Answer: B
Rationale: Treatment of PMDD includes a diet rich in complex carbohydrates and fiber (to lengthen effects of the carbohydrate meal).
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On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
A woman diagnosed with endometriosis reports 'painful intercourse.' What is the appropriate medical term for the nurse to document when describing this symptom?
- A. Dyspnea
- B. Dysmenorrhea
- C. Dyspareunia
- D. Dysrhythmia
Correct Answer: C
Rationale: Dyspareunia is the term for painful sexual intercourse. Dyspnea is shortness of breath. Dysmenorrhea is painful menstruation. Dysrhythmia is irregular heart rhythm.
The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives?
- A. Antihistamines for seasonal allergies
- B. Iron preparations for treatment of anemia
- C. Appetite suppressants for weight reduction
- D. Anticonvulsants for treatment of epilepsy
Correct Answer: D
Rationale: Anticonvulsants decrease the effectiveness of oral contraceptives.
What statement by a man considering a vasectomy indicates a need for further information?
- A. Sterility does not occur immediately after the procedure.'
- B. We will need to use some form of birth control for about a month afterward.'
- C. The procedure involves the use of local anesthesia.'
- D. I'll need to remain in the hospital for a few days.'
Correct Answer: D
Rationale: A vasectomy takes about 20 minutes and is performed on an outpatient basis under local anesthesia.
What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.