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What should a woman expect after insertion of an intrauterine device (IUD)?
- A. Menstrual flow will be lighter.
- B. Menstrual cramps will be eliminated.
- C. A string should be felt in the vagina.
- D. The device should be changed every 2 years.
Correct Answer: C
Rationale: A woman should feel for the string periodically, especially after her period, to confirm the presence of the IUD.
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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.
What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
- A. Super-absorbency tampons are effective for overnight absorption.
- B. Tampons should be changed at least every 4 hours.
- C. Gloves should be worn when changing tampons.
- D. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
Correct Answer: B
Rationale: Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent environment for bacteria.
In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms?
- A. Drink tea or hot chocolate before going to bed.
- B. Take a daily folic acid and vitamin C supplement.
- C. Include complex carbohydrates and fiber in the diet.
- D. Avoid exercise when symptoms occur.
Correct Answer: C
Rationale: A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic disorder.
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.