Write 3 NCLEX style infertility nursing questions with rationale of correct answer.
Below is an example of 1 question:
A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse
D. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during oral sex.
Correct Answer and Rationale:
A is the correct answer.
Women with condylomata acuminata are at risk for cancer of the cervix and vulva. Yearly Pap smears are very important for early detection. Cervical cancer screening guidance comes from the American Cancer Society guidelines and does not require modification with the presence or absence of genital warts. There are no indications for females younger than 21 to be screened for cervical cancer.