47. What factors change the normal flora of the vagina and predispose the patient to a vaginal infection? Select all that apply.

19. A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. With what are these findings consistent?

4. What should a woman expect after insertion of an intrauterine device (IUD)?

22. A woman diagnosed with endometriosis reports “painful intercourse.” What is the appropriate medical term for the nurse to document when describing this symptom?

17. What statement by a man considering a vasectomy indicates a need for further information?

12. A 48-year-old woman tells the nurse, “I missed my period last month. Am I in menopause?” The nurse knows that at which point is a woman considered to be menopausal?

44. The mother of a pediatric patient asks the nurse about safety concerns with using herbal supplements with children. Which herbal products would the nurse educate this mother are safe to use in most of the pediatric population? (Select all that apply.)

13. The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level

32. A woman taking St. John’s wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. What instruction should the nurse provide?

23. The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?