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MT1
| Question | Answer |
|---|---|
| How long should a diaphragm remain in place after intercourse? | at least 6 hours |
| which client is not a good candidate for a diaphragm? | a client with multiple sexual partners |
| when should a diaphragm be refitted | after pregnancy or significant weight change |
| A 40-year-old client has a BP of 140/90. Is combined oral contraception recommended? | No. Hypertension is a contraindication. |
| What should a client do if they miss a birth control pill? | Take it with the next dose (take 2 pills) and use backup contraception. |
| How is Depo (contraceptive injection) administered? | IM (intramuscular) |
| When should a condom be applied? | Before any genital contact / before ejaculation. |
| How often should IUD strings be checked? | After each menstrual cycle. |
| How long can an IUD remain in place? | 3–10 years, depending on the manufacturer |
| A client is anxious about a pelvic exam. What is the best nurse response? | Encourage expression of feelings: “Tell me more about what you’re concerned about.” |
| When does implantation occur after conception? | 6–10 days after conception. |
| Is this statement correct: “Implantation occurs 2–3 weeks after conception”? | No. It is incorrect and needs clarification. |
| How long is a woman fertile after ovulation? | 12–24 hours |
| During which phase of the menstrual cycle does ovulation occur? | The follicular phase. |
| Who determines the sex of the baby | The sperm (X or Y chromosome). |
| What is the muscular layer of the uterus important in pregnancy? | The myometrium |
| Does breast size affect the ability to breastfeed? | No. |
| What are key functions of estrogen in pregnancy? | Stimulates uterine development and prepares breasts for lactation |
| List three functions of amniotic fluid. | Cushions fetus, maintains temperature, allows fetal movement, supports lung development (any three). |
| What is the function of the foramen ovale in fetal circulation? | Allows blood to bypass the fetal lungs by shunting from right atrium to left atrium. |
| A client is treated with metronidazole for an STI. What teaching is essential? | Partner must be treated Avoid alcohol for 72 hours after treatment |
| What is a common dose instruction for metronidazole in this context? | 2 g PO, one-time dose |
| Thick white clumpy discharge with itching indicates what? | Candida |
| Pain with urination and intercourse with abnormal discharge suggests what? | Trichomoniasis (can also be seen with infections causing irritation). |
| Clue cells on saline wet mount are consistent with what | Bacterial vaginosis. |
| What test is commonly used to diagnose some STDs? | NAAT. |
| Which symptom is associated with endometriosis | Painful bowel movements and pelvic pain. |
| In which client is hormone replacement therapy contraindicated? | A client with a history of breast cancer. |
| What should the medication be taken with? | A full glass of water |
| Why is taking it with milk incorrect? | Milk reduces absorption. |
| A client says, “I take it every week with a glass of milk.” What does this indicate? | Need for further teaching |
| What teaching prevents smegma buildup? | Clean daily and retract foreskin to clean underneath. |
| What are core roles of the ANA? (Name two) | Protect/promote health, prevent illness/injury, use nursing process, advocate for clients |
| What is the purpose of Healthy People 2030? | Establish national health objectives for health promotion and disease prevention. |
| Why is accurate documentation important? | The medical record can be used in court. |
| List three principles of good documentation. | Accurate, complete, organized, timely (any three). |
| One advantage of electronic documentation systems? | Patient portals allow clients to interact with providers. |
| What must the “S – Situation” part of SBAR include? | The patient’s current medical condition |
| Which step of the nursing process focuses on setting goals and outcomes? | Planning |
| Why are care plans important? | They improve continuity of care. |
| A family member calls asking for patient information without consent. What should the nurse do? | Do not give information; refer to the nursing supervisor and follow policy. |
| What comfort measure can help menstrual discomfort? | Heating pad. |
| What is the plateau phase? | A phase of the human sexual response cycle (the excitement before orgasm) |
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