NR-602 Primary Care of the

Childbearing & Childrearing Family

Practicum

Final Exam Q & A

A female client who has been sexually active for five years is found to have

gonorrhea. The client is upset and asked the nurse what can I do to keep from

getting another infection in the future. Which statement by the client indicates

that the teaching by the nurse was effective

- My partner has to use a condom all the time

Women with P ID typically present with all of the following except

- Leukopenia

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22-year-old female complains of pelvic pain. Exam reveals cervical motion and

uterine tenderness. Which supports a P ID diagnosis?

- Mucopurulent Vaginal discharge

Women with a history of P ID have an increased risk for all of the following

except

- Ovarian cyst

The nurse practitioner understands that a complication of gonococcal and

chlamydial genitourinary infection in women include which of the following

- PID

Complications of Gonococcal and chlamydia genitourinary infection and

women include all of the following except

- A cute pyelonephritis

Rectocele is best defined as

- Decent or prolapse of the rectum

A nurse is describing the Skene glands, explaining that these glands would be

found at which location

- On either side of the urethral opening

Which of the following findings indicate a possible gonococcal infection?

- Discharge from urethra or skene glands

Patients who are diagnosed with gonorrhea should also be treated for which of

the following infections

- Chlamydia

Which of the following is the best method to diagnose a vaginal trichomonas

infection?

- Wet smear with microscopy

A 30-year-old woman who is sexually active complains of a large amount of

milk like vaginal discharge for several weeks. A microscopic slide reveals a

large number of cells that have blurred margins. Very few white blood cells are

seen. The vaginal pH is at six. What is most likely

- Bacterial vaginosis

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A 25-year-old woman complains of dysuria, severe vaginal up your ride is, and

a malodorous vaginal discharge. Pelvic examination reveals a strawberry

colored cervix and frothy yellow discharge. Microscopic examination of the

discharge reveals multiple organisms that have flagella. The correct

pharmacological therapy for the condition is

- Oral Flagyl

A patient diagnosed with bacterial vaginosis should be advised that her sexual

partner

- Does not need treatment

All of the following are infections that affect mostly the labia and vagina except

- Chlamydia

Contraceptives that contain estrogen like and or progesterone like compounds

are prepared in a variety of forms. Which contraceptives should the nurse to

clients have a hormonal component?

- Oral drugs, transdermal agents

A client seeking advice about contraception asked the nurse about how an

Intrauterine device prevent pregnancy how should the nurse respond

- It produces a spermicidal intrauterine environment

A nurse is teaching a group of women about the side effects of different types of

contraceptives. What frequent side effect associated with the use of an IUD

should the nurse discussed during the teaching session

- Excessive menstrual flow

A nurse is teaching a female client about the side effects of estrogen in an oral

contraceptive. Which common side effect identified by the client indicates to

the nurse at the teaching was effective

- Nausea

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