Nokea
The nurse is planning the sexual assessment of a new adolescent patient. The nurse should include what assessment components? Select all that apply.
- A. Physical examination findings
- B. Laboratory results
- C. Health history
- D. Interpersonal skills
- E. Understanding of menopause
Correct Answer: A,B,C
Rationale: A sexual assessment includes both subjective and objective data, such as health and sexual histories, physical examination findings, and laboratory results. Assessing interpersonal skills or understanding of menopause is not relevant to a sexual assessment for an adolescent.
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The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the patients menstrual history? Select all that apply.
- A. Do you ever experience bleeding after intercourse?
- B. How long is your typical cycle?
- C. Did you have any sexually transmitted infections in early adulthood?
- D. When did your mother and sisters get their first periods?
- E. Do you experience cramps or pain during your cycle?
Correct Answer: A,B,E
Rationale: Menstrual history assessment includes questions about cycle length, presence of cramps or pain, and bleeding after intercourse, which are relevant to dysmenorrhea. Family menarche history and past STIs are less directly related to current menstrual symptoms.
A patient calls the clinic and tells the nurse she has thick white, curd-like discharge from her vagina. How should the nurse best interpret this preliminary data?
- A. The drainage is physiologic and normal.
- B. The patient may have a Candida species infection.
- C. The patient needs a Pap smear as soon as possible.
- D. The patient may have a Trichomonas infection.
Correct Answer: B
Rationale: Drainage caused by Candida is typically curd-like and white, matching the patient's description. Trichomonas infections usually cause copious, frothy yellowish-green discharge. A Pap smear is not indicated as the primary response, as malignancy is unlikely. The discharge is not physiologic or normal.
A womans current health complaints are suggestive of a diagnosis of premenstrual dysphoric disorder (PMDD). The nurse should first do which of the following?
- A. Assess the patients understanding of HT.
- B. Assess the patient for risk of suicide.
- C. Assure the patient that the problem is self-limiting.
- D. Suggest the use of St. Johns wort.
Correct Answer: B
Rationale: Severe PMDD can lead to suicidal or violent behavior, so assessing suicide risk is the priority to ensure patient safety. HT is not relevant, PMDD is not self-limiting, and suggesting herbal remedies like St. John's wort requires provider input.
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 couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?
- A. Serum progesterone
- B. Abdominal CT
- C. Oocyte viability test
- D. Urine testosterone
Correct Answer: A
Rationale: Serum progesterone levels are used to assess ovulation regularity and endometrial support for implantation, key factors in female infertility evaluation. Abdominal CT, oocyte viability tests, and urine testosterone are not standard for this purpose.