A nurse is providing education to a client during the first prenatal visit. Which of the following statement by the client should indicate to the nurse a need for clarification? A. "I should drink about 2 liters of fluid each day." B. "I should not drink alcoholic beverages during my pregnancy." C....
NSG 170 - Exam 6 Sexuality &
Reproduction Review Questions and
Correct Answers
A nurse is providing education to a client during the first prenatal visit. Which of the
following statement by the client should indicate to the nurse a need for clarification?
A. "I should drink about 2 liters of fluid each day."
B. "I should not drink alcoholic beverages during my pregnancy."
C. "I can have a moderate amount of caffeine daily."
D. "I should increase my calcium intake to 1,500 milligrams per day" ✅D.
The client should maintain a fluid intake of about 2 to 2.3 L of fluid per day to provide
adequate fluid for cells, blood, lymph, and amniotic fluid.
"I should not drink alcoholic beverages during my pregnancy."
Pregnancy is a contraindication for alcohol use because it can lead to birth defects,
delayed cognitive development, and behavioral problems.
"I can have a moderate amount of caffeine daily."
A daily allowance of 150 to 340 mg of caffeine is acceptable. Caffeine intake should not
exceed 340 mg because it can cause vasoconstriction, which can cause intrauterine
growth restriction or a miscarriage early in pregnancy.
"I should increase my calcium intake to 1,500 milligrams per day"
A woman's dietary reference intake (DRI) of calcium for pregnancy and lactation is the
same for a woman who is not pregnant. The DRI for a woman older than 19 years of
age is 1,000 mg/day, which should supply enough calcium for fetal bone and tooth
development and to maintain maternal bone mass.
A nurse is teaching a client about positive signs of pregnancy. Which of the following
findings should the nurse include?
A.Breast tenderness
B. Fatigue
C. Fetal heart tones detected by ultrasound
D. Positive urine pregnancy test ✅C.
Breast tenderness
Breast tenderness, a presumptive sign of pregnancy, can have other causes, such as
premenstrual changes or as an adverse effect of oral contraceptives.
Fatigue
Fatigue, a presumptive sign of pregnancy, can have other causes, such as stress or
illness.
Fetal heart tones detected by ultrasound
MY ANSWER
Fetal heart tones are a positive sign of pregnancy because the presence of fetal heart
tones can only be explained by pregnancy.
, Positive urine pregnancy test
A positive urine pregnancy test, a probable sign of pregnancy, can have other causes,
such as a pelvic infection or a tumor.
A nurse in a community clinic is counseling a client who received a positive test result
for chlamydia. Which of the following statements should the nurse provide?
A. "This infection is treated with one dose of azithromycin."
B. "If your sexual partner has no symptoms, no medication is needed."
C. "You have to avoid sexual relations for 3 days."
D. "You need to return in 6 months for retesting." ✅A.
"This infection is treated with one dose of azithromycin."A single dose of azithromycin is
an appropriate treatment for a chlamydial infection. An acceptable alternative is
doxycycline twice a day for 7 days.
"If your sexual partner has no symptoms, no medication is needed."Chlamydia is often
asymptomatic in women. The Centers for Disease Control and Prevention recommend
evaluating, testing, and treating all of a client's sexual partners.
"You have to avoid sexual relations for 3 days."MY ANSWERThe Centers for Disease
Control and Prevention recommend abstaining from sexual relations for 7 days after a
single-dose antibiotic or until the client completes a 7-day course of antibiotics.
"You need to return in 6 months for retesting."The client should return for chlamydia
testing in 3 months.
A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2).
Which of the following findings should the nurse expect?
A. Anuria
B. Influenza-like symptoms
C. White- or flesh-colored papillary growths in the genital area
D. Green penile discharge ✅B.
Anuria. The nurse should expect a client who has genital herpes (HSV 2) to have
painful urination, or dysuria, but anuria, or urine production less than 50 mL in 24 hr, is
not an expected finding.
Influenza-like symptoms. Symptoms of genital herpes develop 3 to 7 days after skin-to-
skin contact with an infected person. The nurse should expect the client to have
influenza-like symptoms, along with genital herpes lesions which appear as small
blisters on the genitals. Other symptoms can include painful urination, vaginal
discharge, and enlarged lymph nodes in the groin.
White- or flesh-colored papillary growths in the genital area. The nurse should expect a
client who has condylomata acuminate (genital warts) to have white- or flesh-colored
papillary growths in the genital area.
Green penile discharge. The nurse should expect a client who has gonorrhea to have
green penile discharge.
A nurse is reviewing the health history of a client who has a new prescription for a
combined oral contraceptive (COC). The nurse recognizes that which of the following
client medications can interfere with the effectiveness of the COC?
A. Antihypertensives
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