Nokea
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
- A. Abstain from sex.
- B. Use the male condom.
- C. Use the female condom.
- D. Use the barrier method.
Correct Answer: A
Rationale: Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.
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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.
A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. With what are these findings consistent?
- A. Candidiasis
- B. Trichomoniasis
- C. Bacterial vaginosis
- D. Chlamydia
Correct Answer: A
Rationale: The signs and symptoms of candidiasis include inflammation of the vagina and vulva and a cottage cheese appearance to the vaginal discharge.
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 side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)?
- A. Fatigue
- B. Headache
- C. Weight loss
- D. Amenorrhea
Correct Answer: B
Rationale: Patients initiating HRT are reminded to have regular follow-up care and report headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
At her 6-week postpartum checkup, a woman states, 'I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again?' What is the nurse's best response?
- A. You should know that oral contraceptives increase your milk production.'
- B. Oral contraceptives can be taken once lactation is well established.'
- C. You don't need to use any form of birth control as long as you are breastfeeding.'
- D. Oral contraceptives are contraindicated for the lactating woman.'
Correct Answer: B
Rationale: Oral contraceptives decrease breast milk production and are contraindicated until lactation is well established. Women who breastfeed their infants usually will not ovulate for 10 weeks and do not need contraception until that time.