OB Midterm Nclex Questions

OB Midterm Nclex Questions 5.0 (1 review) Students also studied Terms in this set (267) Save QUIZ Week 13 cholera, dysentery, ty...20 terms kbleaban5793val Preview Final Long Quiz 30 terms CAMILLE_PANCITO Preview 8) Communicable Diseases 30 terms cuffinSZAPreview OB Mid 42 terms ann A patient has been diagnosed with primary syphilis (Stage I). When assessing the patient, which of these findings will the healthcare provider anticipate?

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1) Reddish rash on the palms of the hands 2) Firm and painless genital ulcers 3) Sore throat and swollen lymph glands 4) Muscle weakness and visual changes 2) Firm and painless genital ulcers Although there may be multiple sores, the first indication someone is in the primary stage of syphilis is the appearance of a single chancre, which is a round, firm, and painless sore found at the location where syphilis entered the body.When teaching a group of students about chlamydia, which of the following points is most important for the healthcare provider to emphasize?

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1) Most people infected with chlamydia are unaware that they are infected 2) Burning and pain with urination is a frequent symptom of chlamydial infections 3) Chlamydia is the least common of all the major sexually transmitted diseases 4) Good handwashing technique is the best way to prevent chlamydial infections 1) Most people infected with chlamydia are unaware that they are infected Chlamydia is known as a 'silent' infection because most infected people are asymptomatic and lack abnormal physical examination findings.

The healthcare provider is teaching a youth group about how to avoid acquiring a sexually transmitted disease (STD) if they are sexually active. Which of the following is the best method of prevention?

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1) Consistent condom use 2) Human papillomavirus (HPV) vaccination 3) Use of spermicidal creams 4) Douching after intercourse 1) Consistent condom use None of these methods is 100% effective, but one method provides the best protection.The HPV vaccination is effective in preventing some strains of the human papillomavirus.Although not 100% effective, routine condom use is the best way to prevent acquiring a sexually transmitted disease (STD).A male patient arrives at the urgent care clinic reporting

the following: painful and swollen testicles, burning with

urination, and a yellow-green discharge from the penis.The healthcare provider understands that these symptoms are likely due to which of these problems?

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1) Stage 2 syphilis 2) Epididymitis 3) Gonorrhea 4) Trichomoniasis 3) Gonorrhea Men infected with Neisseria gonorrhoeae typically experience sudden onset of painful urination accompanied by a purulent penile discharge that is often yellow- green in color. Testicles may be swollen and tender.A patient diagnosed with trichomoniasis is being treated with metronidazole (Flagyl). When teaching the patient about this medication, which of the following will the healthcare provider include?

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1) "Call our office if you experience any tendon pain or tenderness." 2) "Report the occurrence of pain in your upper abdomen immediately." 3) "You should avoid milk or dairy products during therapy." 4) "Do not drink alcohol while you are taking this medication." 4) "Do not drink alcohol while you are taking this medication." Dairy products and some antacids can interfere with tetracycline absorption.Ethanol use while taking metronidazole can cause a disulfiram-like reaction, which is characterized by nausea, vomiting, abdominal cramps, headaches, and flushing.A patient asks the healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine.Which statement is the most appropriate response by the healthcare provider?

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1) "You will need to have a booster vaccination each year." 2) "You will no longer need to get a routine cervical exam." 3) "The HPV vaccine will protect you from all types of the virus." 4) "The HPV vaccine can help prevent cervical cancer." 4) "The HPV vaccine can help prevent cervical cancer." The vaccine is effective in preventing cervical cancer associated with certain types of HPV, but because it does not protect against all HPV types, regular cervical screenings are recommended.

A patient presents to the clinic with a report of joint pain, malaise, fever, and a rash on the palms of the hands.Based on these findings, which action should the healthcare provider implement next?

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1) Inquire about the patient's recent sexual activity 2) Draw blood for laboratory analysis 3) Inquire about the development of genital lesions 4) Administer a fever-reducing medication 3) Inquire about the development of genital lesions The patient presentation is consistent with secondary syphilis, so a report of genital lesions would be an indication the patient has had primary syphilis.A woman is admitted to the medical unit with a report of sudden, severe, sharp, pain in the lower abdomen and an absence of menses of 8 weeks. When interviewing the patient, about which of the following will the healthcare provider inquire?

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1) History of chlamydial infection 2) Frequency of sexual activity 3) Sexual orientation 4) Intravenous drug use 1) History of chlamydial infection The healthcare provider will want to inquire about risk factors that may be associated with the patient's presentation.The patient is showing signs of a complication from pelvic inflammatory disease

(PID).

Chlamydia trachomatis can ascend into the upper genital tract, and cause PID. This patient is experiencing an ectopic pregnancy secondary to PID.During her first prenatal visit, a woman asks why she is being screened for syphilis. Which of the following is the best response by the healthcare provider?

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1) "If you have the infection, the safest time to treat you is during the first trimester." 2) "Syphilis can be transferred from you to your baby through the placenta." 3) "We must report all cases of syphilis to the health department." 4) "If you test positive you may need to be admitted to the hospital for care." 2) "Syphilis can be transferred from you to your baby through the placenta." Penicillin, the drug of choice for the treatment of syphilis during pregnancy, has not shown to have adverse effects on the fetus.Syphilis is transmitted vertically from mother to baby during pregnancy and/or delivery, so routine prenatal care includes testing for syphilis.During a routine antepartal visit, a pregnant woman reports a white, thick vaginal discharge. What would the nurse do next?1) Ask the woman if she is having any itching or irritation.2) Advise the woman about the need to culture the discharge.3) Tell the woman that this is entirely normal.4) Check the discharge for evidence of ruptured membranes.1) Ask the woman if she is having any itching or irritation.Although vaginal secretions increase during pregnancy, the nurse would need to ascertain if this discharge is the normal leukorrhea of pregnancy or if it is a monilial vaginitis, which is common during pregnancy. The nurse needs additional information to conclude that the woman's report is normal. A culture may or may not be necessary. There is no evidence to suggest that her membranes have ruptured.

The nurse is teaching the pregnant woman about nutrition for herself and her baby. Which statement by the woman indicates that the teaching was effective?1) "Because I am pregnant, I can eat anything I want and not worry about weight gain." 2) "I can eat any seafood that I like because it contains phosphorus, which is a nutrient that pregnant women need." 3) "I will need to take iron supplementation throughout my pregnancy even if I am not anemic." 4) "Milk production requires higher levels of calcium; therefore, if I am going to breastfeed, I must take a calcium supplement during pregnancy." 3) "I will need to take iron supplementation throughout my pregnancy even if I am not anemic." Iron is recommended for all pregnant women because it is almost impossible for the pregnant woman to get what is required from diet alone, especially after 20 weeks' gestation when the requirements of the fetus increase. Pregnant women can get many nutrients from seafood including phosphorus, but there are specific recommendations about types of fish to avoid because of the risk of mercury poisoning. Milk production actually requires higher levels of zinc, which can be obtained from a healthy diet. Calcium requirements do not increase above prepregnancy levels during pregnancy because calcium absorption is enhanced during pregnancy. It can be unsafe for the pregnant woman to eat anything she wants and gain too much weight. A woman who gains too much weight during pregnancy is at risk for delivering a macrosomic baby.Which of the following contraceptive methods offers protection against sexually transmitted infections (STIs)?1) Oral contraceptives 2) Withdrawal 3) Latex condom 4) Intrauterine system 3) Latex condom It creates a mechanical barrier so that bacteria and viruses cannot gain access to the internal reproductive tract and proliferate. 1 is incorrect: there is no barrier or protection offered by taking an oral pill. Oral contraceptives offer protection against pregnancy by preventing ovulation, but none against STIs. 2 is incorrect: since an infected partner can still transmit the infection through pre-ejaculate fluids, which may contain an active STI. 4 is incorrect: an IUD offers no barrier to prevent entrance of bacteria or viruses into the internal reproductive tract.Because it is an internal device, the string emerging from the external uterine os can actually enhance STI infiltration into the uterus in susceptible women.When teaching about HIV transmission, which of the following does the nurse explain that the virus cannot be transmitted by?1) Shaking hands 2) Sharing drug needles 3) Sexual intercourse 4) Breastfeeding 1) Shaking hands The HIV virus is not spread through casual contact between individuals. HIV is spread through unprotected sexual intercourse, breast-feeding, blood contact, or shared needles or sex toys. 2 is incorrect: HIV can be spread by sharing injection equipment because the user can come into contact with HIV-positive blood. 3 is incorrect: sexual intercourse (unprotected vaginal, anal, or oral) poses the highest

risk of HIV transmission. 4 is incorrect: the newborn can receive the HIV virus

through infected breast milk. HIV-positive women are advised not to breast-feed to protect their offspring from getting an HIV infection.A woman with HPV is likely to present with which nursing assessment finding?1) Profuse, pus-filled vaginal discharge 2) Clusters of genital warts 3) Single painless ulcer 4) Multiple vesicles on genitalia 2) Clusters of genital warts The human papillomavirus (HPV) causes warts in the genital region. HPV is a slow- growing DNA virus belonging to the papilloma group. Types 6 and 11 usually cause visible genital warts. Other HPV types in the genital region (16, 18, 31, 33, and 35) are associated with vaginal, anal, and cervical dysplasia. 1 is incorrect: a pus-filled discharge is not typical of an HPV infection, but rather a chlamydial or

gonococcal STI. 3 is incorrect: a single painless ulcer would be indicative of

primary syphilis rather than an HPV infection. 4 is incorrect: multiple vesicles would indicate a herpes outbreak, not an HPV infection. The woman would also experience tingling, itching, and pain in the affected area.