NCLEX - REPRODUCTION Day1

The nurse is screening female clients for those at risk for infertility. Which of the following factors would increase a client's risk for infertility? Select all that apply.

• age 38 years
• endometriosis
• BMI of 22 kg/m2
• polycystic ovary syndrome
• recurrent chlamydial infections

The nurse assesses a client 2 days after breast reconstruction. Two Jackson Pratt drains have 10 mL each, then 200 mL of bright red output appears. What is the priority action?

• Notify the health care provider
• Open the bulb to release negative pressure
• Record amount as wound drainage
• Reposition client on right side
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The nurse teaches clients at a health fair about managing premenstrual syndrome. What should be included? Select all that apply.

• Use stress-reduction techniques
• Consume complex carbs
• Use antidepressants for mood changes
• Opioids are prescribed for pain
• Reduce high-sodium foods

The nurse teaches a postpartum Rh-negative client whose newborn is Rh-positive. Which statement shows correct understanding?

• I can receive the medication at my 6-week follow-up
• The dose I got during pregnancy wasn’t effective
• I need blood work in 3 months to confirm effectiveness
• I will get Rh immune globulin to prevent antibody formation
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UAP and nurse are caring for a client post-vaginal hysterectomy. Which UAP statement needs follow-up?

• Client has done leg exercises
• Client had 250 mL of straw-colored urine
• Client saturated 3 pads in 2 hours
• BP 108/60, pulse 61, RR 14
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The nurse attends a staff program on meds during pregnancy. Which are contraindicated? Select all that apply.

• lisinopril
• albuterol
• isotretinoin
• doxycycline
• levothyroxine

Nurse teaches college students about STIs. Which two cause pelvic inflammatory disease and infertility?

• genital herpes and HIV
• gonorrhea and chlamydia
• human papillomavirus and syphilis
• yeast and trichomoniasis
• -

Client with Marfan syndrome and aortic root dilation asks about pregnancy. What is the nurse’s response?

• Stop beta blockers if pregnant
• Wait until older to conceive
• Use reliable birth control
• Your condition isn’t inherited
• -

Client newly diagnosed with fibrocystic breast changes. What teaching is most important?

• Report noncyclic changes to HCP
• Take ibuprofen if breasts are sore
• Schedule annual clinical breast exams
• These cysts don’t increase cancer risk
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Perinatal nurse reviews client messages. Who should be called first?

• 18 weeks, ceftriaxone, mild diarrhea
• 22 weeks, taking acetaminophen
• 28 weeks, metronidazole, dark urine
• 34 weeks, taking ibuprofen daily
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