Download Herzing FNP - NU 631 Healthcare of Women Across the Life Span – Comprehensive Questions Wi and more Exams Nursing in PDF only on Docsity!
Herzing FNP - NU 631 Healthcare of Women Across the Life Span – Comprehensive Questions With Complete Solutions
- A nurse is caring for a postpartum client who experienced perineal lacerations during labor. What interventions should the nurse make related to this perineal trauma? (Select all that apply.) Monitor the client's temperature every 4 hours Encourage the client to take a sitz bath Inspect the perineum for signs of hematoma Perform a speculum and bimanual examination of the vagina Apply ice to the perineum Correct Answers Monitor the client's temperature every 4 hours Encourage the client to take a sitz bath Inspect the perineum for signs of hematoma Apply ice to the perineum
- A woman with post partum thyroid dysfunction A. Almost always starts with symptoms of hyperthyroidism
B. May present initially with hypothyroidism changing to hyperthyroidism C. May present with symptoms of post partum depression D. Rarely progresses to permanent hypothyroidism Correct Answers C. May present with symptoms of post partum depression
- Adaptation to parenthood is a natural process which does not require assessment. True False Correct Answers False
- Amniocentesis may be used in the assessment of A. Amniotic fluid volume B. Placental blood flow C. Amniotic embolism D. Fetal lung maturity Correct Answers D. Fetal lung maturity
- In a woman diagnosed with intrauterine fetal demise: A. Ask the parents if they want an induction of labor or would prefer to wait for spontaneous labor to begin
Advise Jackie to go home, pack up her things, and leave her boyfriend for good Take photos of the bruises on Jackie's neck and back caused by the abuse Ask Jackie whether there is a gun in her home Correct Answers Help Jackie form a plan to implement the next time she fears abuse Take photos of the bruises on Jackie's neck and back caused by the abuse Ask Jackie whether there is a gun in her home
- Missy presents at your clinic for a 7 day incision check following a c-section. She informs you her breasts are sore with cracked and bleeding nipples. Missy reports she is positioning the baby properly and feels she has a good milk supply. What is your BEST action? A. Explain to Missy that it is natural to feel some discomfort and reassure her it will get better in time B. Encourage Missy to discontinue breastfeeding due to the pain
C. Refer Missy to a lactation specialist today D. Instruct Missy to supplement with formula so her nipples are able to heal Correct Answers C. Refer Missy to a lactation specialist today
- The neonatal period is: A. Birth to 20 days of age B. Birth to 7 days of age C. Birth to 28 days of age D. Birth to 3 days of age Correct Answers C. Birth to 28 days of age
- Which of the following statements is MOST true regarding attachment and bonding between parents and newborns? A. The presence of extended family at the time of birth has been shown to have a strong effect on creating a strong bond between parent and child B. Allowing the mother to rest until the baby is 2-3 hours old facilitates bonding
C. Insert more of the aereola into the baby's mouth D. Change to the other breast Correct Answers C. Insert more of the aereola into the baby's mouth
- Women diagnosed with gestational diabetes require the following: (A fasting glucose screening every three years for life) A. Fasting glucose screening every three years for life B. A prescription for insulin C. No follow up after birth D. Blood sugar checks until birth Correct Answers A. Fasting glucose screening every three years for life QUESTION 12
- Felicia has just delivered her baby, and the nurse is providing teaching regarding her lochia, which is currently heavy and bright red. The nurse should tell Felicia to expect this type of lochia for how long following the birth?
6 to 8 weeks 2 to 3 days 5 to 7 days 10 to 14 days 3 to 6 weeks Correct Answers 2 to 3 days
- Health care policies guide direction in health care and practice and support nurse practitioners as licensed independent providers. One way to help promote continued autonomy is to: A. Be active in local health departments B. Write articles in journals C. Become active in the legislative process
False Correct Answers True
- Which of the following is NOT a risk factor associated with the development of vulvodynia? Vaginal exams. Vaginal infections. Vaginal itching. Vaginal trauma. Correct Answers Vaginal exams.
- Vulvodynia is described as an itch that rashes True False Correct Answers True
- Which of the following is NOT considered a possible factor in an earlier age of menopause? A. Type I diabetes B. Multiparity C. Current smoking D. Autoimmune syndromes Correct Answers B. Multiparity
- A 52 year old female presents with amenorrhea for 12 months and moderate hot flashes for 6 months. She is interested in
bioidentical hormones for relief of her hot flashes and wants to know if they are better for her than other hormones. Appropriate information to provide would include: A. Typical progesterone cream may not provide adequate protection against endometrial hyperplasia B. They are FDA approved C. Bioidentical hormones do not treat hot flashes as well as conventional hormones D. Bioidentical hormones are safer because they do not increase the risk for breast cancer Correct Answers A. Typical progesterone cream may not provide adequate protection against endometrial hyperplasia
- You have a 50-year-old female for the assessment of vaginal atrophy. What types of health assessment will assist you in clinical decision-making? Sexual health history. Pelvic assessment, Assessment of alleviating factors. All of the above Correct Answers All of the above
D. Sexual exploitation Correct Answers D. Sexual exploitation An 13 year old girl has a severe herpes infection in her pharynx and oral mucosa. Her hair and make-up are very well done and she is dressed very maturely.She has bruising around her breasts and genitals. Knowing this is concerning for sexual abuse and exploitation, you are required to: A. Report her STI to the public health department B. Contact an advocate to provide support to the teen C. Contact child protection services D. All of the above Correct Answers D. All of the above Each of the following sexually transmitted infections requires antibiotic treatment EXCEPT: A. Chlamydia B. Gonorrhea C. Syphillis D. Genital warts Correct Answers D. Genital warts
Health care policies guide direction in health care and practice and support nurse practitioners in providing healthcare. These policies reflect: A. National guidelines B. Expert committee guidelines C. Evidence based practice D. All of the above Correct Answers D. All of the above Mandy is a transwoman (transitioning from male to female), and is interested in undergoing hormone therapy. What hormone would most likely be used in this situation? Spironolactone Testosterone Progesterone Estrogen Correct Answers Estrogen Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is more likely to do which of the following? (Select all that apply.) Fear discrimination when accessing medical services
The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT) individuals is believed to be which of the following? Lack of awareness of need for care Hormonal changes Increased genetic risk Societal stigma and marginalization Correct Answers Societal stigma and marginalization Which of the following include the recommended guidelines for nurse practitioners in caring for transgender clients? Use the person's preferred name Use terminology that allows individuals to explore their gender in a safe environment Use the pronoun that corresponds to the gender associated with the person's appearance Encourage the client to undergo gender-affirming surgery Learn each person's particular gender identity and how they relate it to their health Correct Answers Use the person's preferred name
Use terminology that allows individuals to explore their gender in a safe environment Learn each person's particular gender identity and how they relate it to their health Which of the following is a risk factor associated with health disparities Local access to healthcare Health case management Experienced healthcare providers Recent immigration Correct Answers Recent immigration Which of the following is NOT considered a possible factor in poor health outcomes? A. Current smoking B. Annual mammogram after age 40 C. Substance abuse D. Noncomliance with Type I diabetes management Correct Answers B. Annual mammogram after age 40 Which of the following statements is INCORRECT related to minimizing risk for health disparities?
A. Intimate partner violence screening B. Pelvic floor integrity screening C. STI screening D. All of the above Correct Answers D. All of the above A 10 week gravid client is being seen in the prenatal clinic. For the nurse caring for this patient, what is the priority anticipatory guideline to teach? Correct Answers Methods to relieve backaches A 16 yo woman had unprotected sex 24 hours ago has entered the ED seeking assistance. Which response by the nurse is appropriate? Correct Answers The nurse's response is dependent upon which state they are practicing in. Access to health care by adolescents including access to BC methods varies per state A 19 yo client with multiple sex partners is being counseled about the hepatitis B vaccine. During the counseling session, what should the nurse advise the client to receive? Correct Answers The complete series of 3 IM injections A 36 week gestation gravid client is complaining of dyspnea when lying flat. What is the likely clinical reason for this? Correct Answers Fundal height
A 36 week gestation gravid lies flat on her back. What s/s would the nurse expect to observe? Correct Answers Dizziness A 37 week gravid client states that she noticed a "white liquid" leaking from her breasts during a recent shower. Which response by the nurse is more appropriate? Correct Answers Reassure the mother that this is normal in the third trimester A 54 year old client calls her HCP complaining of frequency and burning when she urinates. What factor that occurred within the past 3 days likely is contributing to their problem? Correct Answers She had intercourse with her partner A 6 week gestation woman is having a vaginal exam. What would the practitioner expect to find? Correct Answers An enlarged ovary A breastfeeding woman is requesting that she be prescribed Seasonale as a birth control method. What informaion should be included in the patient teaching session? Correct Answers Breakthrough bleeding is a common side effect A client asks the nurse "Could you explain how the baby's blood and my blood separate at delivery?" Which response is appropriate for the nurse to make? Correct Answers The blood actually never mixes, your blood supply and the baby's blood supply are completely separate A client asks the nurse what was meant when the physician told her she has a positive Chadwick's sign. What is appropriate for
