Nokea
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.
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A new patient has come to the clinic seeking an appropriate method of birth control. What would the nurse teach this patient about a diaphragm?
- A. One size fits all females.
- B. The diaphragm may be cleaned with soap and water after use.
- C. A diaphragm eliminates the need for spermicidal jelly.
- D. The diaphragm should be removed 1 hour following intercourse.
Correct Answer: B
Rationale: The diaphragm may be cleaned with soap and water after use, which is a key teaching point for maintenance. Diaphragms require fitting as sizes vary, must be used with spermicidal jelly, and should remain in place for 6 hours post-intercourse. The other options are incorrect.
A clinic nurse is meeting with a 38-year-old patient who states that she would like to resume using oral contraceptives, which she used for several years during her twenties. What assessment question is most likely to reveal a potential contraindication to oral contraceptive use?
- A. Have you ever had surgery?
- B. Have you ever had a sexually transmitted infection?
- C. When did you last have your blood sugar levels checked?
- D. Do you smoke?
Correct Answer: D
Rationale: Women who smoke and who are 35 years of age or older should not take oral contraceptives because of an increased risk for cardiac problems. Previous surgeries or STIs do not necessarily contraindicate use, and while blood sugar monitoring is relevant for diabetes management, smoking is the most significant risk factor in this context.
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.
The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple?
- A. Hopelessness related to failed IVF
- B. Acute confusion related to reasons for failed IVF
- C. Compromised family coping related to unsuccessful IVF
- D. Moral distress related to unsuccessful IVF
Correct Answer: A
Rationale: The couple's tearful response to a failed IVF suggests hopelessness, a likely emotional reaction to the loss of a promising intervention. Acute confusion implies cognitive impairment, compromised coping is less specific, and moral distress is unrelated to the scenario.
The nurse is taking the sexual history of an adolescent who has come into the free clinic. What question best assesses the patients need for further information?
- A. Are you involved in an intimate relationship at this time?
- B. How many patients are you asking this of?
- C. What questions or concerns do you have about your sexual health?
- D. Have you ever been diagnosed with a sexually transmitted infection?
Correct Answer: C
Rationale: An open-ended question related to the patient's need for further information should be included while obtaining a sexual history. This approach encourages the patient to express specific concerns or areas of uncertainty, facilitating targeted education. The other listed questions are not open-ended and do not directly assess the need for further information.