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NURX209 Reproductive Health Exam Questions And 100% Correct Answers
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NURX209 Reproductive Health Exam Questions And100% Correct Answers
Human Sexuality and the Reproductive Cycle
In evaluating the health histories of patients during preconception counseling, the RN
should know that which health history would require that the patient be referred to a
nutrition counselor?
A patient with hypertension
A patient with meningomyelocele
A patient with phenylketonuria
A patient with cytomegalovirus - Answer 1) Maternal hypertension is addressed
primarily with medication, rest, and monitoring. Limiting salt intake and following
guidelines for weight gain are the only nutritional aspects of care, and these are unlikely
to require a nutrition referral.
2) If the mother has previously had an infant with meningomyelocele, folic acid
supplementation will be recommended, but this is unlikely to require a nutrition referral.
*3) If maternal phenylketonuria is not controlled before conception, the fetus can
develop a cognitive challenge, microcephaly, intrauterine growth restriction, and
neurological damage. Treatment involves following a low phenylalanine diet, which is
best taught by a nutrition counselor.
4) Cytomegalovirus is transmissable across the placenta or via the cervix during
delivery. There is no treatment, nutritional or otherwise.
Human Sexuality and the Reproductive Cycle
,The RN is discussing sexuality and sexual issues with an adolescent. Which comment
made by the RN would encourage further discussion?
"Adolescents are often sexually active. Has that been your experience?"
"If it's okay with you, I'd like to ask you some questions about your sexual experiences
and history."
"Often people your age have a lot of questions about sexuality. What kinds of questions
do you have?"
"It's okay to tell me that you're having sexual concerns. People your age often do." -
Answer 1) This is a direct question and can be answered with a one-word response. It
does not encourage discussion.
2) This is a closed question that allows the patient to easily refuse discussion.
*3) This is a broad opening statement that will stimulate discussion.
4) This statement generalizes about almost all adolescents and will not lead to an open
discussion.
Human Sexuality and the Reproductive Cycle
An RN is obtaining a sexual history from a male patient. Which sign and symptoms
support a diagnosis of nonbacterial prostatitis (type III)?
Perineal pain and dysuria
Urinary frequency and greenish yellow urethral discharge
Abdominal pain and blisters on the penis
Burning with urination and blood-tinged urethral discharge - Answer *1) Prostatodynia
is pain on voiding or perineal pain, which is a clinical manifestation of nonbacterial
prostatitis.
,2) Urinary frequency and urethral discharge are clinical manifestations of bacterial
prostatitis.
3) Abdominal pain and blisters on the penis are not clinical manifestations of prostatitis.
4) Burning with urination and blood-tinged urethral discharge are not clinical
manifestations of prostatitis.
Human Sexuality and the Reproductive Cycle
A patient is admitted with a diagnosis of benign prostatic hypertrophy. Which
assessment data should an RN expect the patient to report?
Small urinary stream and difficulty urinating
Flank pain and hematuria
Voiding frequently and in large amounts
Premature ejaculation and penile discharge - Answer *1) Hypertrophy of the prostate
lobes obstructs the vesicle neck or prostatic urethra and causes incomplete emptying
of the bladder and urinary retention.
2) Flank pain and hematuria are symptoms of kidney infection.
3) Voiding frequently is a symptom but the voiding is only in small amounts.
4) Premature ejaculation is not indicative of prostatic hyperplasia. There may be
dribbling of urine after voiding.
Human Sexuality and the Reproductive Cycle
, An RN is evaluating a patient who is experiencing erectile dysfunction. Which
information is of primary importance to the RN's evaluation?
The patient was recently diagnosed with osteoarthritis and is taking acetaminophen
(Tylenol) and ibuprofen (Motrin).
The patient's wife recently gave birth to their second child and is encouraging him to
have a vasectomy.
The patient was recently diagnosed with hypertension and is taking metoprolol
(Lopressor).
The patient has been using a heating pad and a TENS unit for low back pain the past
few weeks. - Answer 1) Tylenol and Motrin do not cause erectile dysfunction.
2) Vasectomy will not cause erectile dysfunction.
*3) Erectile dysfunction is a side effect of the antihypertensive agent metoprolol
(Lopressor).
4) TENS units and heating pads do not cause impotence.
Human Sexuality and the Reproductive Cycle
An RN is teaching a patient who is scheduled for a varicocelectomy. What is an
expected patient outcome following a varicocelectomy?
Increased fertility
Improved erectile functioning
Decreased risk of infection
Smaller scrotal sac - Answer *1) Abnormal dilatation of the veins from the testes and
the epididymus of the spermatic cord has been associated with infertility. Removal of
varicocele may increase fertility.
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