What should the nurse teach a woman about treatment for human papilloma viral warts?

Correct Answer: D

Rationale: In maternal and newborn nursing, educating women about human papillomavirus (HPV) and its treatment is crucial. The correct answer, option D, stating that warts often recur a few months after treatment, is accurate because HPV is a persistent virus that can lead to recurrent outbreaks even after treatment. It is essential for the nurse to emphasize to the woman that HPV cannot be completely cured and that periodic monitoring and follow-up care are necessary. Option A, stating that an antiviral injection cures approximately fifty percent of cases, is incorrect because there is no definitive antiviral cure for HPV. Antiviral medications may help manage symptoms but cannot completely eradicate the virus from the body. Option B, claiming that aggressive treatment is required to cure warts, is also incorrect as there is no cure for HPV. Treatment aims to manage symptoms, reduce the risk of complications, and enhance the body's immune response to control the virus. Option C, suggesting that warts often spread when surgically removed, is incorrect as surgical removal is a common treatment for HPV warts. However, it is essential to educate the woman about the risk of recurrence and the importance of preventive measures. In an educational context, it is important for nurses to provide accurate information about HPV, its treatment options, and the need for ongoing monitoring and follow-up care. Empowering women with knowledge about HPV can help them make informed decisions about their health and well-being.

Correct Answer: D

Rationale: In teaching a young woman how to use the female condom, it is crucial to emphasize the correct technique to ensure its effectiveness. Option D, which states to remove the condom by twisting the outer ring and pulling gently, is the correct answer. This technique helps prevent spillage of semen and reduces the risk of condom breakage during removal. Option A, suggesting reusing female condoms no more than five times, is incorrect as female condoms are designed for one-time use only to maintain their integrity and prevent the spread of infections. Option B, advising to refrain from using lubricant because the condom may slip out of the vagina, is also incorrect. In fact, using water-based lubricants can enhance comfort and reduce friction during intercourse with a female condom. Option C, recommending wearing both female and male condoms together, is incorrect and not recommended as wearing two condoms simultaneously can lead to friction between them, increasing the likelihood of breakage. In an educational context, teaching the correct use of female condoms involves a step-by-step demonstration, highlighting the importance of proper insertion and removal techniques, as well as addressing misconceptions and providing guidance on lubricant use. Emphasizing these key points can help empower young women to make informed decisions regarding their sexual health and protection.

Correct Answer: A

Rationale: The correct answer is A) Days 9 to 25. The calendar method, also known as the rhythm method, relies on tracking a woman's menstrual cycle to determine fertile and non-fertile days. In a typical 28-day cycle, ovulation occurs around day 14. Sperm can survive in the female reproductive tract for up to 5 days, and the egg is viable for about 24 hours after ovulation. Therefore, days 9 to 25 are considered fertile days where abstaining from intercourse can help prevent unintended pregnancy. Option B) Days 10 to 15 is incorrect because it only covers the most likely fertile days around ovulation, but sperm survival and variability in cycle lengths make this window too narrow for effective contraception. Option C) Days 11 to 20 and D) Days 12 to 17 are also too narrow and do not account for individual cycle variations. Educationally, understanding the menstrual cycle and fertility awareness methods like the calendar method is crucial for women's reproductive health and family planning. By knowing when fertility is highest, individuals can make informed decisions about contraception or conception based on their own cycle patterns. It empowers women to take control of their reproductive choices and health.

Correct Answer: A

Rationale: An ultrasound is crucial for a woman who conceived with a Copper T IUD in place to assess for the presence of an ectopic pregnancy. Ectopic pregnancies are more common in women with IUDs and can be life-threatening if not detected early. The IUD increases the risk of ectopic pregnancies due to its contraceptive mechanism and potential impact on the fallopian tubes. Option B, checking the baby for serious malformations, is incorrect as the primary concern in this scenario is ruling out an ectopic pregnancy. Option C, assessing for pelvic inflammatory disease, is also incorrect as an ultrasound is not the primary diagnostic tool for PID. Option D, checking for the possibility of a twin pregnancy, is not the priority when an ectopic pregnancy is a potential complication. Educationally, understanding the importance of early detection of ectopic pregnancies in women with IUDs emphasizes the need for appropriate monitoring and intervention to ensure maternal well-being. This knowledge is essential for nurses and healthcare providers caring for pregnant women with IUDs to provide safe and effective care.

Correct Answer: A

Rationale: The correct advice for a woman who forgets to take a low-dose combination birth control pill is to take it as soon as she remembers, even if that means taking two pills in one day (Option A). This is because maintaining consistent hormone levels is crucial for the effectiveness of birth control pills. By taking the missed pill immediately, she minimizes the risk of ovulation and pregnancy. Option B, skipping the pill and refraining from intercourse for the remainder of the month, is not ideal as it leaves the woman unprotected for the rest of the cycle, increasing the risk of pregnancy. Option C, wearing a pad for the next week because of expected vaginal bleeding, is incorrect. Missing one pill may cause breakthrough bleeding but does not necessarily lead to significant bleeding. Option D, taking an at-home pregnancy test at the end of the month, is premature and not necessary after missing just one pill. Pregnancy tests are more accurate if taken after a missed period. In an educational context, understanding the importance of adherence to birth control pill regimens is vital for nurses working in maternal and newborn health. It is essential to provide accurate information to women to help them make informed decisions about their reproductive health and prevent unintended pregnancies.