Introduction to Maternity And Pediatric Nursing, 7th Edition By Gloria Leifer -Test Bank

Chapter 11: The Nurse’s Role in Women’s Health Care

MULTIPLE CHOICE

1. The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?
a. Breast examination by a health professional
b. Breast self-examination
c. Breast biopsy
d. Mammography

ANS: D
Mammography is a screening test used to detect breast cancer.

DIF: Cognitive Level: Comprehension REF: Page 251 OBJ: 2
TOP: Mammography KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination?
a. A few days before her period
b. During her menstrual period
c. On the last day of menstrual flow
d. One week after the beginning of her period

ANS: D
The best time for BSE is 1 week after the beginning of the menstrual period.

DIF: Cognitive Level: Knowledge REF: Page 251 OBJ: 2
TOP: Breast Self-Exam KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. A woman asks the nurse, “How do oral contraceptives prevent pregnancy?” What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
a. Makes cervical mucus hostile to sperm
b. Prevents ovulation
c. Prohibits implantation of the egg
d. Acts as a barrier by destroying sperm

ANS: B
Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation.

DIF: Cognitive Level: Comprehension REF: Page 262 OBJ: 5
TOP: Oral Contraceptives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

4. What should a woman expect after insertion of an intrauterine device (IUD)?
a. Menstrual flow will be lighter.
b. Menstrual cramps will be eliminated.
c. A string should be felt in the vagina.
d. The device should be changed every 2 years.

ANS: C
A woman should feel for the string periodically, especially after her period, to confirm the presence of the IUD.

DIF: Cognitive Level: Comprehension REF: Page 264 OBJ: 5
TOP: IUDs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. What information will the nurse provide when educating a woman about the correct use of a diaphragm?
a. Use of a spermicidal cream or jelly is not recommended.
b. Leave in place for at least 6 hours after intercourse.
c. Remove immediately after intercourse for douching.
d. It is effective for up to 48 hours if positioned properly.

ANS: B
To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to 24 hours.

DIF: Cognitive Level: Comprehension REF: Page 264-265
OBJ: 5 TOP: Diaphragm KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

6. The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
a. Abstain from sex.
b. Use the male condom.
c. Use the female condom.
d. Use the barrier method.

ANS: A
Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.

DIF: Cognitive Level: Comprehension REF: Page 262 OBJ: 5
TOP: Abstinence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

7. On day 13 of a 28-day cycle, a woman’s basal body temperature is 36.5 C (97.7 F). What will her temperature measurement most likely be if ovulation takes place on day 14?
a. 35.9 C (96.7 F)
b. 36.3 C (97.3 F)
c. 36.7 C (98.1 F)
d. 37.1 C (98.9 F)

ANS: C
At the time of ovulation, body temperature will increase slightly, about 0.2° C (0.4° F).

DIF: Cognitive Level: Analysis REF: Page 261 OBJ: 6
TOP: Ovulation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

8. The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?
a. Cloudy and tacky
b. Scant and thick
c. Thin and white
d. Clear and slippery

ANS: D
Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix.

DIF: Cognitive Level: Knowledge REF: Page 261 OBJ: 6
TOP: Ovulation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

9. The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place?
a. Cervical mucus enhances the motility of the sperm.
b. Cervical mucus indicates endometrial readiness for implantation.
c. Cervical mucus facilitates movement of the ovum through the fallopian tube.
d. Cervical mucus provides vaginal lubrication during intercourse.

ANS: A
Around the time of ovulation, the slippery, clear cervical mucus enhances the motility of the sperm.

DIF: Cognitive Level: Comprehension REF: Page 261 OBJ: 6
TOP: Cervical Mucus KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

10. In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms?
a. Drink tea or hot chocolate before going to bed.
b. Take a daily folic acid and vitamin C supplement.
c. Include complex carbohydrates and fiber in the diet.
d. Avoid exercise when symptoms occur.

ANS: C
A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic disorder.

DIF: Cognitive Level: Application REF: Page 254 OBJ: 3
TOP: Premenstrual Dysmorphic Disorder
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation