Nokea
Which client would be an ideal candidate for injectable progestins such as Depo-Provera (DMPA) as a contraceptive choice?
- A. The ideal candidate for DMPA wants menstrual regularity and predictability.
- B. The client has a history of thrombotic problems or breast cancer.
- C. The ideal candidate has difficulty remembering to take oral contraceptives daily.
- D. The client is homeless or mobile and rarely receives health care.
Correct Answer: C
Rationale: DMPA requires only four injections a year, making it ideal for clients who have difficulty remembering to take daily oral contraceptives.
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Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate?
- A. DUB is most commonly caused by anovulation
- B. DUB most often occurs in middle age
- C. The diagnosis of DUB should be the first consideration for abnormal menstrual bleeding
- D. Steroids are the most effective medical treatment for DUB
Correct Answer: A
Rationale: Anovulation is the most common cause of DUB especially in women at the beginning or end of their reproductive years. Other causes should be ruled out before diagnosing DUB.
Which situation is most representative of an extended family?
- A. It includes adoptive children.
- B. It is headed by a single-parent.
- C. It contains children from previous marriages.
- D. It is composed of children, parents, and grandparents living in the same house.
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
A 48-year-old woman has just had a hysterectomy for endometrial cancer. Which statement alerts the nurse that further teaching is needed?
- A. I can't wait to go on the cruise that I have planned for this summer.
- B. I know that the surgery saved my life, but I will miss having sexual intercourse with my husband.
- C. I have asked my daughter to come and stay with me next week after I am discharged from the hospital.
- D. Well, I don't have to worry about getting pregnant anymore.
Correct Answer: B
Rationale: Stating that she will miss having sexual intercourse with her husband indicates that further teaching is needed for this client regarding sexual activities after a hysterectomy. Although intercourse may be initially uncomfortable, the use of water-soluble lubricants, relaxation exercises, and changes in position may be helpful.
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
- A. The patient has been unsuccessful with the ability to conceive
- B. The patient has a history of painful and irregular menstrual cycles.
- C. The patient has noticed a drastic weight loss and dry skin.
- D. The patient has chronic back pain and gastrointestinal issues
Correct Answer: A
Rationale: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age that can present with a variety of symptoms. Common symptoms of PCOS include irregular menstrual cycles, weight gain, acne, excessive hair growth, and infertility. Therefore, interventions that may correlate with these common symptoms can include lifestyle modifications like weight management, exercise, dietary changes, hormonal medications to regulate menstrual cycles, and fertility treatments if conception is desired. Treating the symptoms can help improve the patient's quality of life and overall health outcomes.
A maternal-newborn nurse is caring for a mother who just delivered a baby born with Down syndrome. Which nursing diagnosis would be the most essential in caring for the mother of this infant?
- A. Disturbed body image
- B. Interrupted family processes
- C. Anxiety
- D. Risk for injury
Correct Answer: B
Rationale: This mother will likely experience a disruption in the family process related to the birth of a baby with an inherited disorder. Therefore, the probable nursing diagnosis for this family is 'Interrupted family processes.' Women commonly experience 'body image disturbances in the postpartum period'; however, this nursing diagnosis is unrelated to giving birth to a child with Down syndrome. The mother will likely have a mix of emotions that may include anxiety, guilt, and denial, but this nursing diagnosis is not the most essential for this family. 'Risk for injury' is not an applicable nursing diagnosis.