In a college health course, the question arose as to when a woman needs to see her health care provider for a Pap smear. Which of the following would be the most appropriate response by the nurse?
a. "After you begin having intercourse or reach age 21, whichever is sooner"
b. "Before having sexual intercourse, when you go to obtain your birth control"
c. "If your periods change at all, go to see your health care provider."
d. "If you have a vaginal discharge that's unusual, go right in for a Pap smear."
ANS: A
Current guidelines recommend cervical cancer screening to begin approximately 3 years after a woman begins having vaginal intercourse, but no later than 21 years of age. So it will be important for the woman to have a Pap smear after beginning to have intercourse, or by the age of 21. It is not necessary to obtain a Pap smear before having sexual intercourse. A Pap smear may not be necessary for a change in periods or unusual vaginal discharge, these may be signs of other problems that will not be diagnosed through a Pap smear.
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The nurse is discussing development of self-concept in children with a parent group. To promote the development of self-concept in children, the nurse suggests to the parents that they:
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A sedentary client with osteoporosis is requesting advice regarding exercise to strengthen bones. What would be the most appropriate exercise for this client?
a. Swimming c. Jogging b. Cycling d. Walking
A child has experienced a sprain of the right ankle. The school nurse should
1. apply ice to the extremity. 2. apply a warm moist pack to theextremity. 3. perform passive range of motion tothe extremity. 4. lower the extremity to below thelevel of the heart.
Which of the following give cues to the nurse that a client may be grieving for a loss?
a. Sad affect, anger, anxiety, and sudden changes in mood b. Thoughts, feelings, behavior, and physiologic complaints c. Hallucinations, panic level of anxiety, and sense of impending doom d. Complaints of abdominal pain, diarrhea, and loss of appetite