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Question 1
Question
A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?
Answer
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A client whose sister has alopecia
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A client whose partner has von Willebrand disease
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A client who has an allergy to sulfa
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A client who had rubella 3 months ago
Question 2
Question
A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process?
Answer
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“You will need to see a genetic counselor as part of the assessment.”
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“It is usually the woman who is ‘having trouble,’ so the man doesn’t have to be involved.”
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“The man is the easiest to assess, and the provider will usually begin there.”
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“Think about adopting first because there are many babies that need good homes.”
Question 3
Question
A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (Select all that apply.)
Answer
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Occupation
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Menstrual history
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Childhood infectious diseases
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History of falls
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Recent blood transfusions
Question 4
Question
A nurse in a clinic is caring for a client who is to be seen by the provider for a postoperative appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification?
Answer
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“It is good to know that I won’t have a tubal pregnancy in the future.”
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“The doctor said that this surgery can affect my ability to get pregnant again.”
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“I understand that one of my fallopian tubes had to be removed.”
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“Ovulation can still occur because my ovaries were not affected.”
Question 5
Question
A nurse is reviewing the health record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? (Refer to the chart in your book)
Answer
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Vital signs
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History and physical
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Laboratory findings
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Medications
Question 6
Question
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent requires clarification?
Answer
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“A water-soluble lubricant should be used with condoms.”
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“Spermicide is applied once when using a diaphragm.”
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"Oral contraceptives can improve a case of acne.”
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“A contraceptive patch is worn for a week.”
Question 7
Question
A nurse is instructing a client who has been prescribed oral contraceptives about danger signs. The nurse evaluates that the client understands the teaching regarding side effects when she states the need to report
Answer
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reduced menstrual flow or amenorrhea.
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weight gain or breast tenderness.
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chest pain or shortness of breath.
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mild hypertension or headaches.
Question 8
Question
A nurse in an obstetrical clinic is providing education about contraception to a 21-year-old client. Which of the following statements by the client requesting information regarding an IUD indicates a need for additional teaching?
Answer
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“An IUD may increase my risk for an ectopic pregnancy.”
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“I will wait until I have a child before I can have an IUD.”
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“I might have irregular bleeding after I get an IUD.”
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“A change in the string length of my IUD is expected.”
Question 9
Question
A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone (Depo‑Provera). Which of the following should be included in the teaching?
Answer
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“Weight loss can occur.”
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“You are protected against STIs.”
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“You should be taking calcium also.”
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“You should avoid taking antibiotics when using this contraceptive.”
Question 10
Question
Which of the following should the nurse include when teaching a client about the potential disadvantages of the minipill? (Select all that apply.)
Answer
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Amenorrhea
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Irregular vaginal bleeding
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Increased appetite
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Decreased libido
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Ovarian cysts
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