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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Document preview page 1

Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 1

Document preview content for Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51)

Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51)

Strengthen your understanding with Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51), packed with challenging questions and expert solutions.

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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 1 preview imageESSENTIALS OFMATERNITYNEWBORN ANDWOMEN’SHEALTHNURSING 5THEDITION RICCITEST BANK2024/2025
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 2 preview image
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 3 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciContentsChapter1-PerspectivesonMaternal,Newborn,andWomen’sHealthCare.................................................................4Chapter2-Family-CenteredCommunity-BasedCare.....................................................................................................9Chapter3-AnatomyandPhysiologyoftheReproductiveSystem................................................................................14Chapter4-Common ReproductiveIssues.....................................................................................................................19Chapter5-SexuallyTransmittedInfections..................................................................................................................24Chapter6-DisordersoftheBreasts..............................................................................................................................29Chapter7-BenignDisordersoftheFemaleReproductiveTract...................................................................................34Chapter8-CancersoftheFemaleReproductiveTract..................................................................................................39Chapter9-ViolenceandAbuse....................................................................................................................................44Chapter10-FetalDevelopmentandGenetics...............................................................................................................49Chapter 11-MaternalAdaptationDuringPregnancy....................................................................................................54Chapter12-NursingManagementDuringPregnancy...................................................................................................60Chapter13-LaborandBirthProcess............................................................................................................................66Chapter14-NursingManagementDuringLaborandBirth..........................................................................................72Chapter15-PostpartumAdaptations............................................................................................................................78Chapter 16-NursingManagementDuringthePostpartumPeriod.................................................................................84Chapter17-NewbornTransitioning.............................................................................................................................90Chapter18-NursingManagementoftheNewborn.......................................................................................................96Chapter19-NursingManagementofPregnancyatRisk-Pregnancy..........................................................................102Chapter20-NursingManagementofthePregnancyatRisk.......................................................................................108Chapter21-NursingManagementofLaborandBirthatRisk....................................................................................114Chapter22-NursingManagementofthePostpartumWomanatRisk........................................................................120Chapter23-NursingCareoftheNewbornWithSpecialNeeds..................................................................................126Chapter24-NursingManagementoftheNewbornatRisk.........................................................................................132Chapter25-GrowthandDevelopmentoftheNewbornandInfant.............................................................................138Chapter26-GrowthandDevelopmentoftheToddler................................................................................................144Chapter27-GrowthandDevelopmentofthePreschooler..........................................................................................150Chapter28-GrowthandDevelopmentoftheSchool-AgeChild................................................................................157Chapter29-GrowthandDevelopmentoftheAdolescent...........................................................................................164Chapter30-AtraumaticCareofChildrenandFamilies..............................................................................................171Chapter31-HealthSupervision..................................................................................................................................176Chapter32-HealthAssessmentofChildren...............................................................................................................183Chapter33-CaringforChildreninDiverseSettings..................................................................................................190Chapter34-CaringfortheSpecialNeedsChild.........................................................................................................197Chapter 35-KeyPediatricNursingInterventions........................................................................................................203Chapter36-PainManagementinChildren.................................................................................................................210Chapter37-NursingCareoftheChildWithanInfectiousorCommunicableDisorder..............................................217Chapter38-NursingCareoftheChildWithanAlterationinIntracranialRegulation/NeurologicDisorder.................224
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 4 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter39-NursingCareoftheChild WithanAlterationinSensory Perception/DisorderoftheEyesorEars........231Chapter40-NursingCareoftheChildWithanAlterationinGasExchange/RespiratoryDisorder...........................238Chapter41-NursingCareoftheChildWithanAlterationinPerfusion/CardiovascularDisorder.............................244Chapter42-NursingCareoftheChildWithanAlterationinBowelElimination/GastrointestinalDisorder..............250Chapter43-NursingCareof theChildWith anAlterationinUrinaryElimination/GenitourinaryDisorder..............257Chapter44-NursingCareoftheChildWithanAlterationinMobility/NeuromuscularorMusculoskeletalDisorder.................................................................................................................................................................................264ExtraQuestions:Musculoskeletal Disorder.............................................................................................................270Chapter45-NursingCareoftheChildWithanAlterationinTissueIntegrity/IntegumentaryDisorder....................277Chapter 46-Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologicor NeoplasticDisorder.....................................................................................................................................................................283ExtraQuestions:NeoplasticDisorder....................................................................................................................290Chapter47-NursingCareoftheChildWithanAlterationinImmunityorImmunologicDisorder.............................296Chapter48-NursingCareoftheChildWithanAlterationinMetabolism/EndocrineDisorder.................................303Chapter49-NursingCareof theChildWithanAlterationinGenetics.......................................................................310Chapter50-NursingCareoftheChildWithanAlterationinBehavior,Cognition,orDevelopment..........................317Chapter51-NursingCareDuringaPediatricEmergency...........................................................................................324
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 5 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter1-PerspectivesonMaternal,Newborn,andWomen’sHealth Care1.The United States ranks 50th in the world for maternal mortality and 41st amongindustrializednationsforinfantmortalityrate.Whendevelopingprogramstoassistindecreasingthese rates, which factor would most likelyneed to be addressed as having the greatest impact?A)Resolvingall languageandculturaldifferencesB)Assuringearlyand adequate prenatalcareC)Providingmoreextensivewomen’ssheltersD)Encouragingallwomentoeatabalanceddiet2.Whenintegratingtheprinciplesoffamily-centeredcare,thenursewouldincludewhichofthefollowing?A)ChildbirthisviewedasaproceduraleventB)FamiliesareunabletomakeinformedchoicesC)ChildbirthresultsinchangesinrelationshipsD)Familiesrequirelittleinformationtomakeappropriatedecisions3.Whenpreparingateachingplanforagroupoffirst-timepregnantwomen,thenurseexpectstoreview how maternity care has changed over the years. Which of the following would the nurseinclude when discussing events of the 20th century?A)EpidemicsofpuerperalfeverB)PerformanceofthefirstcesareanbirthC)Developmentofthex-raytoassess pelvicsizeD)Creationoffree-standingbirthcenters4.Afterteachingagroupofstudentsaboutpregnancy-relatedmortality,theinstructordeterminesthat additional teachingis needed when thestudents identifywhich condition as aleadingcause?A)HemorrhageB)EmbolismC)ObstructedlaborD)Infection5.Thenurseisworkingwithagroupofcommunityhealthmemberstodevelopaplantoaddressthe special health needs of women.Which of the following conditions would the group addressas the major problem?A)SmokingB)HeartdiseaseC)DiabetesD)Cancer6.Whenassessingafamilyforpossiblebarrierstohealthcare,thenursewouldconsiderwhichfactor to be most important?A)Language
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 6 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciB)Healthcareworkers’attitudesC)TransportationD)Finances7.Afterteachingagroupofnursingstudents abouttheissueofinformedconsent.Whichofthefollowing, if identified by the student, would indicate an understanding of a violation ofinformed consent?A)Performingaprocedureon a15-year-old withoutconsentB)Servingasawitness tothesignatureprocessC)Askingwhethertheclient understands whatsheissigningD)Gettingverbal consent overthephonefor emergencyprocedures8.The nurse is trying to get consentto care for an 11-year-old boy with diabetic ketoacidosis.Hisparentsareoutoftownonvacation,andthechildisstayingwithaneighbor.Whichactionwould be the priority?A)Gettingtelephone consentwith two peoplelisteningtotheverbalconsentB)ProvidingemergencycarewithoutparentalconsentC)Contactingthechild’sauntoruncletoobtaintheirconsentD)Advocatingfor termination ofparentalrights forthissituation9.Afterteachingnursingstudentsaboutthebasicconceptsoffamily-centeredcare,theinstructordetermines that the teaching was successful when the students state which of the following?A)“Childbirthaffectstheentirefamily,andrelationshipswillchange.”B)“Familiesarenot capableofmakinghealthcare decisionsforthemselves.”C)“Mothersarethefamilymembers affected bychildbirth.”D)“Childbirthisamedicalprocedure.”10.Anursinginstructorispreparingaclassdiscussiononthetrendsinhealthcareandhealthcare delivery over the past several centuries. When discussing the changes during the pastcentury, which of the following would the instructor be least likely to include?A)DiseasepreventionB)HealthpromotionC)WellnessD)Analysis ofmorbidityandmortality11.AnurseisassignedtocareforanAsianAmericanclient.Thenursedevelopsaplanofcarewith the understanding that based on this client’s cultural background, the client most likelyviews illness as which of the following?A)Causedbysupernaturalforces.B)Apunishment forsins.C)Dueto spirits ordemons.D)Fromanimbalanceofyinandyang12.A nurse is developing a plan of care for a woman to ensure continuity of care duringpregnancy,labor,andchildbirth.Whichofthefollowingwouldbemostimportantforthenurseto incorporate into that plan?A)Adheringtostrict,specificroutines
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 7 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciB)InvolvingapediatricphysicianC)Educatingtheclient about theimportanceofasupportpersonD)Assigningseveralnursesasasupportteam13.A nursing instructor is preparing a class discussion on case management in maternal andnewbornhealthcare.Whichofthefollowingwouldtheinstructorincludeasakeycomponent?Select all that apply.A)AdvocacyB)CoordinationC)CommunicationD)ResourcemanagementE)Eventmanagedcare14.After teachinga group of students about the concept of maternal mortality, the instructordeterminesthatadditionalteachingisneededwhenthestudentsstatewhichofthefollowing?A)“Therateincludesaccidental causesfordeaths.”B)“Itaddressespregnancy-relatedcauses.”C)“Theduration ofthe pregnancyis not aconcern.”D)“Thetime frameis typicallyfor aspecifiedyear.”15.A group of students are reviewing the historical aspects about childbirth. The studentsdemonstrateunderstandingoftheinformationwhentheyidentifytheuseoftwilightsleepas akey event during which time frame?A)1700sB)1800sC)1900sD)2000s16.Anurseisprovidingcaretoawomanwhohasjust deliveredahealthynewborn.Whichaction would least likely demonstrate application of the concept of family-centered care?A)Focusingon the birth asanormal healthyevent forthefamilyB)Creatingopportunitiesfor thefamilyto makeinformeddecisionsC)EncouragingthewomantokeepherotherchildrenathomeD)Fosteringasenseofrespect forthemother and thefamily17.Whendiscussingfetalmortalitywithagroupofstudents,anurseaddressesmaternalfactors.Which of the following would the nurse most likely include? Select all that apply.A)ChromosomalabnormalitiesB)MalnutritionC)PretermcervicaldilationD)UnderlyingdiseaseconditionE)Poorplacentalattachment18.Anurseis preparingapresentation foralocal communitygroupabout health statusandchildren’shealth.Whichofthefollowingwouldthenurseincludeasoneofthemostsignificantmeasures?A)Fetalmortalityrate
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 8 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciB)NeonatalmortalityrateC)InfantmortalityrateD)Maternalmortalityrate19.Agroupofstudentsarereviewinganarticledescribinginformationrelatedtoindicatorsforwomen’s health and the results of a national study. Which of the following would the studentsidentify as being satisfactory for women? Select all that apply.A)SmokingcessationB)ColorectalcancerscreeningC)ViolenceagainstwomenD)HealthinsurancecoverageE)Mammograms20.A nurse is preparing a presentation for a local women’s group about heart disease andwomen.Whichofthefollowingwouldthenurseexpecttoaddresswhendiscussingmeasurestopromote health.A)Womenhavesimilar symptomsasmenforaheartattack.B)Heartdiseaseisnolongerviewedasa“man’sdisease.”C)Womenexperiencingaheartattackareatgreaterrisk fordying.D)Heartattacks in women aremoreeasilydiagnosed.21.Anurseisworkingtodevelopahealtheducationprogramforalocal communitytoaddressbreast cancer awareness. Which of the following would the nurse expect to include whendescribing this problem to the group? Select all that apply.A)WhitewomenhavehigherratesofbreastcancerthanAfricanAmericanwomen.B)AfricanAmericanwomen aremorelikelyto diefrom breastcanceratanyage.C)Survival at anystageis worse amongwhitewomen.D)WomenlivinginSouthAmericahavethehighestratesof breastcancer.E)Breastcanceristheleadingcause ofcancermortalityinwomen.22.Agroup ofnursingstudents arereviewinginformation aboutfactorsaffectingmaternal,newborn, and women’shealth. Thestudentsdemonstrate understandingof theinformation whentheyidentifywhichofthefollowingdeficiencies asbeingassociatedwithpoverty? Select allthatapply.A)LiteracyB)EmploymentopportunitiesC)MobilityD)PoliticalrepresentationE)SkillsAnswerKey1.B2.C3.D4.B
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 9 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci5.B6.D7.A8.A9.A10.D11.D12.C13.A,B,C,D14.A15.C16.C17.B,C,D18.C19.B,E20.C21.A,B22.A,B,C,D,E
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 10 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter2-Family-CenteredCommunity-BasedCare1.Thenurseiscaringfora2-week-oldnewborn girlwithametabolicdisorder.Whichofthefollowing activities would deviate from the characteristics of family-centered care?A)Softeningunpleasant information orprognosesB)EvaluatingandchangingthenursingplanofcareC)Collaboratingwiththechildand familyasequalsD)Showingrespectforthefamily’sbeliefsandwishes2.Thenurseisprovidinghomecarefora6-year-oldgirlwithmultiplemedicalchallenges.Which of the following activities would be considered the tertiary level of prevention?A)Arrangingforaphysical therapysessionB)TeachingparentstoadministeralbuterolC)Remindingparentto giveafullcourseofantibioticsD)GivingaDTaPvaccinationattheproperinterval3.Anursingstudentisreviewinginformationaboutdocumentingclientcareandeducationinthemedical record and the purposes that it serves. The student demonstrates a need for additionalstudy when the nurse identifies which of the following as a reason?A)Servesasacommunication toolfortheinterdisciplinaryteam.B)Demonstrateseducationthefamilyhasreceivediflegal mattersarise.C)Permitsothersaccesstoallowrefusalofmedicalinsurancecoverage.D)VerifiesmeetingclienteducationstandardssetbytheJointCommission.4.A pregnant client tells her nurse that she is interested in arranging a home birth. Aftereducatingtheclientontheadvantagesanddisadvantages,whichstatementwouldindicatethatthe client understood the information?A)“Ilikehavingtheprivacy,but it might be too expensive for me to set up in myhome.”B)“Iwant to havemore control,butIam concernedif an emergencywouldarise.”C)“Itissaferbecause Iwillhaveamidwife.”D)“Themidwifeis trainedto resolveanyemergency,and shecanbringanypainmeds.”5.Thenurseis makinga home visit to a client who had a cesarean birth 3 days ago. Assessmentreveals that the client is complainingof intermittent pain, ratingit as 8 on a scale of1 to 10. Shestates,“I’mprettytired. Andwiththispain, Ihaven’tbeendrinkingandeatinglikeIshould.Themedication helps a bit but not much. My mom has been helping with the baby.” Her incision isclean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for thisclient?A)ImpairedskinintegrityrelatedtocesareanbirthincisionB)Fatiguerelatedtoeffects ofsurgeryandcaretakingactivitiesC)Imbalancednutrition,lessthanbodyrequirementsrelatedto poorfluidandfoodintakeD)Acutepainrelatedtoincision andcesareanbirth6.Whencaringforchildbearingfamiliesfromculturesdifferentfromone’sown,whichofthefollowing must be accomplished first?A)Adapttothepracticesofthefamily’sculture
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 11 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciB)DeterminesimilaritiesbetweenbothculturesC)AssesspersonalfeelingsaboutthatcultureD)Learnasmuchaspossibleaboutthatculture7.After teachinga group of students about the changes in health caredeliveryand funding,whichofthefollowing,ifidentifiedbythegroupasacurrenttrendseeninthematernalandchild health care settings, would indicate that the teaching was successful?A)Increaseincommunitysettings forcareB)Decreasein familypovertylevelC)IncreaseinhospitalizationofchildrenD)Decreaseinmanagedcare8.Thenursewouldrecommendtheuseofwhichsupplementasaprimarypreventionstrategytoprevent neural tube defects with pregnant women?A)CalciumB)FolicacidC)VitaminCD)Iron9.Whichactionwouldthenurseincludeinaprimarypreventionprograminthecommunitytohelp reduce the incidence of HIV infection?A)ProvidetreatmentforclientswhotestpositiveforHIVB)MonitorviralloadcountsperiodicallyC)Educateclients inhowtopracticesafesexD)Offertestingforclientswhopracticeunsafesex10.Whenassumingtheroleofdischargeplannerforawomanrequiringventilatorsupportathome, the nurse would do which of the following?A)Conferwiththeclient’smotherB)Teachnewself-careskillsto theclientC)Determineifthereisaneedforback-uppowerD)Discusscoveragewiththeinsurancecompany11.When comparing community-based nursing with nursing in the acute care setting to a groupofnursingstudents,thenursedescribesthechallengesassociatedwithcommunity-basednursing.Which of the following would the nurse include?A)IncreasedtimeavailableforeducationB)ImprovedaccesstoresourcesC)DecisionmakinginisolationD)Greaterenvironmentalstructure12.After teaching a group of students about the different levels of prevention, the instructordeterminesaneedforadditionalteachingwhenthestudentsidentifywhich ofthefollowingasasecondary prevention level activity in community-based health care?A)Teachingwomentotakefolicacidsupplements toprevent neuraltubedefectsB)Workingwith womenwho arevictims of domesticviolenceC)Workingwithclients atanHIV clinictoprovidenutritional andCAMtherapies
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 12 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciD)Teachinghypertensiveclients tomonitorbloodpressure13.Anursinginstructorisdescribingtrendsinmaternalandnewbornhealthcare.Theinstructoraddresses thelength of stay for vaginal births during the past decade, citing that which of thefollowing denotes the average stay?A)24–48hoursorlessB)72–96hoursorlessC)48–72hoursorlessD)96–120hoursorless14.Whichofthefollowingstatementsisaccurateregardingwomen’shealthcareintoday’ssystem?A)Womenspend95centsofeverydollarspenton healthcare. B)Womenmakealmost90%ofall health care decisions.C)WomenarestilltheminorityintheUnitedStates.D)Menusemorehealthservicesthanwomen.15.Anurseiseducatingaclientaboutacareplan.Whichofthefollowingstatementswouldbeappropriate to assess the client’s learning ability?A)“Did yougraduatefrom highschool;howmanyyearsofschoolingdidyouhave?”B)“Do you have someone in your familywho would understand this information?” C) “Manypeoplehavetroublerememberinginformation;isthisaproblemfor you?”D)“Wouldyoupreferthat the doctor give you more detailed medical information?”16.Anurseisdevelopingculturalcompetence.Whichofthefollowingindicatesthatthenurseisin the process of developing cultural knowledge? Select all that apply.A)ExaminingpersonalsocioculturalheritageB)ReviewingpersonalbiasesandprejudicesC)SeekingresourcestofurtherunderstandingofotherculturesD)BecomingfamiliarwithotherculturallydiverselifestylesE)PerformingacompetentculturalassessmentF)Advocatingforsocial justicetoeliminatedisparities.17.Anurseisengagedinprovidingfamily-centeredcareforawomanandherfamily.Thenurseisproviding instrumental support with which activity?A)Explainingto thewomanand familywhatto expectduringthe birthprocess.B)Assistingthewomaninbreathingtechniquestocopewithlaborcontractions.C)Reinforcingthe woman’s role as a mother after birthD)Helpingthe familyobtain extrafinancialhelpforprescribedphototherapy18.Anurseisconsideringachangeinemploymentfromtheacutecaresettingtocommunity-based nursing. Thenurse is focusingherjob search on ambulatorycaresettings. Whichofthefollowing would the nurse most likelyfind as a possible setting? Select all that apply.A)UrgentcarecenterB)HospicecareC)Immunizationclinic
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 13 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciD)Physician’sofficeE) DaysurgerycenterF)Nursinghome19.A nursing instructor is presenting a class fora group of students about community-based nursing interventions. The instructor determines that additional teaching is neededwhen thestudents identify which of the following?A)ConductingchildbirtheducationclassesB)Counselingapregnant teenwithanemiaC)Consultingwith a parentof achildwho isvomitingD)Performingepidemiologicinvestigations20.Duringclass,anursingstudentasks,“Ireadanarticlethatwastalkingaboutintegrativemedicine. What is that?” Which response by the instructor would be most appropriate?A)“Itreferstotheuseofcomplementaryandalternativemedicineinplaceoftraditionaltherapies for a condition.”B)“Itmeansthatcomplementaryandalternativemedicineisusedtogetherwithconventionaltherapies to reduce pain or discomfort.”C)“Itmeansthatmainstreammedicaltherapiesandcomplementaryandalternativetherapiesarecombined based on scientific evidence for being effective.”D)“Itreferstosituationswhenaclientandhisorherfamilyprefertouseanunprovenmethodoftreatment over a proven one.”21.Whileanurseisobtainingahealthhistory,theclienttellsthenursethatshepracticesaromatherapy. The nurse interprets this as which of the following?A)Useofessential oilstostimulatethesenseofsmellto balancethemindandbodyB)Applicationofpressuretospecificpointstoallowself-healingC)Useofdeep massageofareas on the foot orhand to rebalance bodypartsD)Participationinchantingandprayingtopromotehealing.22.Apregnantwomanasksthenurseabout givingbirthinabirthingcenter. Shesays, “I’mthinkingaboutusingonebutI’mnotsure.”Whichofthefollowingwouldthenurseneedtointegrate into the explanation about this birth setting? (Select all that apply.)A)Analternativefor womenwho areuncomfortable with ahomebirth.B)Thelongerlength ofstayneededwhencompared tohospitalbirthsC)FocusonsupportingwomenthroughlaborinsteadofmanaginglaborD)Viewoflaborandbirthasanormalprocess requiringnointerventionE)Careprovidedprimarilybyobstetricianswithmidwivesasbackupcare23.Anursepracticinginthecommunityispreparingapresentationforagroupofnursingstudents about this practice setting. Which of the following would the nurse include ascharacteristic of this role?A)Greateremphasison directphysicalcareB)BroaderassessmenttoincludetheenvironmentC)IncreaseddependencyonphysicianD)Limiteddecisionmakingandsupport24.Anurseispreparingateachingplanforawoman whoispregnantforthefirsttime.Whichofthe following would the nurse incorporate into the teaching plan to foster the client’s learning?
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 14 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci(Selectall thatapply.)A)Teach“survivalskills”firstB)Usesimple,nonmedicallanguageC)Refrainfromusingahands-onapproachD)AvoidrepeatinginformationE)Usevisualmaterialssuchasphotosandvideos25.Agroupofnursesarereviewingthestepsfordevelopingculturalcompetence.Thestudentsdemonstrate understanding when they identify which of the following as the final step?A)CulturalknowledgeB)CulturalskillsC)CulturalencounterD)CulturalawarenessAnswerKey1.A2.A3.C4.B5.D6.C7.A8.B9.C10.C11.C12.A13.A14.B15.C16.C,D17.D18.A,D,E19.D20.C21.A22.A,C,D23.B24.A,B,E25.C
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 15 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter3-AnatomyandPhysiologyoftheReproductiveSystem1.Whendescribingthemenstrualcycletoa groupofyoungwomen,thenurseexplainsthatestrogen levels are highest during which phase of the endometrial cycle?A)MenstrualB)ProliferativeC)SecretoryD)Ischemic2.Afterteachingagroupofadolescentgirlsaboutfemalereproductivedevelopment,thenursedetermines that teaching was successful when the girls state that menarche is defined as awoman’sfirst:A)SexualexperienceB)FullhormonalcycleC)MenstrualperiodD)Signofbreastdevelopment3.Aclientwitha28-daycyclereportsthatsheovulatedonMay10. Thenursewouldexpecttheclient’s next mensesto begin on:A)May24B)May26C)May30D)June14.Whichfemalereproductivetractstructurewouldthenursedescribetoagroupofyoungwomen as containing rugae that enable it to dilate during labor and birth?A)CervixB)FallopiantubeC)VaginaD)Vulva5.Afterteachingagroupofpregnantwomenaboutbreast-feeding,thenursedeterminesthattheteaching was successful when the group identifies which hormone as important for theproduction of breast milk after childbirth?A)PlacentalestrogenB)ProgesteroneC)Gonadotropin-releasinghormoneD)Prolactin6.Thenurseisassessinga13-year-oldgirlwhohashadherfirstmenses.Whichofthefollowingevents would the nurse expect to have occurred first?A)Evidenceof pubichairB)DevelopmentofbreastbudsC)OnsetofmensesD)Growthspurt
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 16 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci7.Whendescribingtheovariancycletoagroupofstudents,whichphasewouldtheinstructorinclude?A)LutealphaseB)ProliferativephaseC)MenstrualphaseD)Secretoryphase8.Thenurseisexplainingtheeventsthatleaduptoovulation.Whichhormonewouldthenurseidentify as being primarily responsible for ovulation?A)EstrogenB)ProgesteroneC)Follicle-stimulatinghormoneD)Luteinizinghormone9.The nurse is teaching a health education class on male reproductive anatomy and asksthestudents to identify the site of sperm production. Which structure, if identified by thegroup,would indicate to the nurse that the teaching was successful?A)TestesB)SeminalvesiclesC)ScrotumD)Prostategland10.The nurse is creating a diagram that illustrates the components of the male reproductivesystem.Whichstructurewouldbeinappropriateforthenursetoincludeasanaccessorygland?A)SeminalvesiclesB)ProstateglandC)Cowper’sglandsD)Vasdeferens11.Thenurseispreparingan outlineforaclassonthephysiologyofthemalesexualresponse.Which eventwould the nurse identify as occurring first?A)SpermemissionB)PenilevasodilationC)PsychologicalreleaseD)Ejaculation12.Awomancomestothecliniccomplainingthatshehaslittlesexualdesire.Aspartoftheclient’s evaluation, the nurse would anticipate theneed to evaluate which hormone level?A)ProgesteroneB)EstrogenC)Gonadotropin-releasinghormoneD)Testosterone13.Anurseisconductingaclassforagroupofteenagegirlsaboutfemalereproductiveanatomyand physiology. Which of the following would the nurse include as an external female
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 17 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRiccireproductiveorgan?Selectallthatapply.A)MonspubisB)LabiaC)VaginaD)ClitorisE)Uterus14.Whendescribingthehormonesinvolvedinthemenstrualcycle,anurseidentifieswhichhormone as responsible for initiating the cycle?A)EstrogenB)LuteinizinghormoneC)ProgesteroneD)Prolactin15.Anursinginstructorisdescribingthehormonesinvolvedinthemenstrualcycletoagroupofnursing students. The instructor determines the teaching was successful when the studentsidentify follicle-stimulating hormone as being secreted by which of the following?A)HypothalamusB)AnteriorpituitaryglandC)OvariesD)Corpusluteum16.Awoman comesto theclinicforan evaluation.Duringthevisit, thewoman tellsthenursethathermenstrualcycleshavebecomeirregular.“I’vealsobeenwakingupatnightfeelingreallyhot and sweating. The nurse interprets these findings as which of the following?A)MenopauseB)PerimenopauseC)ClimactericD)Menarche17.After teaching a group of students about female reproductive anatomy, the instructordeterminesthattheteachingwassuccessfulwhenthestudentsidentifywhichofthefollowingasthe site of fertilization?A)VaginaB)UterusC)FallopiantubesD)Vestibule18.Awomancomestothecliniccomplainingofavaginaldischarge.Thenursesuspectsthattheclienthasaninfection.Whengatheringadditionalinformation,whichofthefollowingwouldthenurse be least likely to identify as placing the client at risk for an infection?A)Recentantibiotictherapyforan upperrespiratoryinfectionB)Lastmenstrualperiodabout5daysago.C)WeeklydouchingD)Frequentuseoffemininehygienesprays.
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 18 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci19.A group of nursing students are reviewing information about the male reproductivestructures.Thestudentsdemonstrateunderstandingoftheinformationwhentheyidentifywhichof the following as accessory organs? (Select all that apply.)A)TestesB)VasdeferensC)BulbourethralglandsD)ProstateglandE)Penis20.Anurseisexaminingafemaleclientandteststheclient’svaginalpH.Whichfindingwouldthe nurse interpret as normal?A)4.5B)7C)8.5D)1021.Whendescribingthemalesexualresponsetoagroupofstudents,theinstructordeterminesthat the teaching was successful when theyidentifyemissionas which of the following?A)SemenforcedthroughtheurethratotheoutsideB)Movementofsperm fromthetestes andfluid intotheurethrasC)Dilationofthepenilearteries with increasedbloodflowtothetissues.D)Body’sreturntothephysiologicnonstimulatedstate22.A nurse is describing the structure and function of the reproductive system toan adolescenthealthclass.Thenursedescribesthesecretionoftheseminalvesiclesaswhichofthefollowing?A)Mucus-likeB)AlkalineC)AcidicD)SemenAnswerKey1.B2.C3.A4.C5.D6.B7.A8.D9.A10.D11.B12.D13.A,B,D14.B
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 19 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci15.B16.B17.C18.B19.B,C,D20.A21.B22.B
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 20 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter4-CommonReproductiveIssues1.After discussing various methods of contraception with a client and her partner, the nursedeterminesthattheteachingwassuccessfulwhentheyidentifywhichcontraceptivemethodasproviding protection against sexually transmitted infections (STIs)?A)OralcontraceptivesB)TuballigationC)CondomsD)Intrauterinesystem2.Whendiscussingcontraceptiveoptions,whichmethodwouldthenurserecommendasbeingthe most reliable?A)CoitusinterruptusB)Lactationalamenorrhealmethod(LAM)C)NaturalfamilyplanningD)Intrauterinesystem3.A client comes to the clinic with abdominal pain. Based on her history the nurse suspectsendometriosis.Thenurseexpectstopreparetheclientforwhichofthefollowingtoconfirmthissuspicion?A)PelvicexaminationB)TransvaginalultrasoundC)LaparoscopyD)Hysterosalpingogram4.Aclientistoreceiveanimplantablecontraceptive.Thenursedescribesthiscontraceptiveascontaining:A)SyntheticprogestinB)CombinedestrogenandprogestinC)ConcentratedspermicideD)Concentratedestrogen5.Thenursediscussesvariouscontraceptivemethodswithaclientandherpartner.Whichmethod would the nurse explain as being available only with a prescription?A)CondomB)SpermicideC)DiaphragmD)Basalbodytemperature6.Whendevelopingateachingplanforacoupleconsideringcontraceptionoptions,whichofthefollowing statements would the nurse include?A)“Youshouldselectonethat isconsideredtobe100%effective.”B)“Thebest oneis theonethat is the leastexpensiveand mostconvenient.”C)“Agoodcontraceptivedoesn’trequireaphysician’sprescription.”D)“Thebestcontraceptiveisonethatyouwill usecorrectlyandconsistently.”7.Whichofthefollowingmeasureswould thenurseincludein theteachingplanforawomanto
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 21 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRiccireducetheriskofosteoporosis aftermenopause?A)TakingvitaminsupplementsB)Eatinghigh-fiber,high-caloriefoodsC)Restrictingfluid to 1,000mLdailyD)Participatingin regulardailyexercise8.Whenteachingagroupofpostmenopausalwomenabouthotflashesandnightsweats,thenurse would address which ofthe following as the primary cause?A)PoordietaryintakeB)EstrogendeficiencyC)ActivelifestyleD)ChangesinvaginalpH9.Aclientstatesthatsheistohaveatesttomeasurebonemasstohelpdiagnoseosteoporosis.The nurse would most likely plan to prepare the client for:A)DEXAscanB)UltrasoundC)MRID)Pelvicx-ray10.Thenurseisreviewingthemedicalrecordsofseveralclients.Whichclientwouldthenurseexpect to have an increased risk for developing osteoporosis?A)AwomanofAfricanAmericandescentB)Awomanwho playstennis twiceaweekC)Athin woman with smallbonesD)Awoman whodrinksonecup ofcoffeeaday11.Whichofthefollowingwouldthenurseemphasizewhenteachingpostmenopausalwomenabout ways to reduce the risk of osteoporosis?A)SwimmingdailyB)TakingvitaminAC)Followingalow-fatdietD)Takingcalciumsupplements12.Whichfindingwould thenurseexpect tofindin aclient with endometriosis?A)HotflashesB)DysuriaC)FluidretentionD)Fever13.Afterthenurseteachesaclientaboutwaystoreducethesymptomsofpremenstrualsyndrome, which client statement indicates a need for additional teaching?A)“Iwill makesureto take myestrogen supplementsaweek beforemyperiod.”B)“I’vesignedupforanaerobicexercise classthreetimes aweek.”C)“I’llcutdownontheamount ofcoffeeandcolasIdrink.”D)“Iquit smokingabout amonthago, sothat shouldhelp.”
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 22 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci14.Awomanhasoptedtousethebasalbodytemperaturemethodforcontraception.Thenurseinstructs the client that a rise in basal bodytemperature indicates which of the following?A)OnsetofmensesB)OvulationC)PregnancyD)Safeperiod forintercourse15.Awomanusingthecervicalmucusovulationmethodoffertilityawarenessreportsthathercervical mucus looks like egg whites. The nurse interprets this as which of the following?A)SpinnbarkeitmucusB)PurulentmucusC)PostovulatorymucusD)Normalpreovulationmucus16.Thenurseisreviewingthelaboratorytestresultsofaclientwithdysfunctionaluterinebleeding (DUB). Which finding would be of concern?A)NegativepregnancytestB)Hemoglobinlevelof10.1g/dLC)Prothrombintimeof60secondsD)Serumcholesterolof140mg/dL17.A nurse is preparing a class for a group of women at a familyplanning clinic aboutcontraceptives.Whendescribingthehealthbenefitsoforalcontraceptives,whichofthefollowing would the nurse most likely include? (Select all that apply.)A)ProtectionagainstpelvicinflammatorydiseaseB)ReducedriskforendometrialcancerC)Decreased riskfordepressionD)ReducedriskformigraineheadachesE)Improvementinacne18.After teaching a group of students about the different methods for contraception, theinstructordeterminesthattheteachingwassuccessfulwhenthestudentsidentifywhichofthefollowing as a mechanical barrier method? (Select all that apply.)A)CondomB)CervicalcapC)CervicalspongeD)DiaphragmE)Vaginalring19.Afterassessingawomanwhohascometotheclinic,thenursesuspectsthatthewomanisexperiencingdysfunctionaluterinebleeding.Whichstatementbytheclientwouldsupportthenurse’s suspicions?A)“I’vebeenhavingbleedingoffandonthat’sirregularandsometimesheavy.”B)“Iget sharp painin mylowerabdomen usuallystartingsoonaftermyperiodcomes.”C)“Iget reallyirritableandmoodyabout aweekbeforemyperiod.”D)“Myperiodshavebeenunusuallylongandheavylately.”
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 23 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci20.Afterteachingagroupofstudentsaboutpremenstrualsyndrome,theinstructordeterminesthat additional teaching is needed when the students identify which of the following as aprominent assessment finding?A)BloatingB)TensionC)DysphoriaD)Weightloss21.Anurseisdescribingthecriterianeededforthediagnosisofpremenstrualdysphoricdisorder(PMDD). Which of the following would the nurse include as a mandatory requirement for thediagnosis?A)AppetitechangesB)SleepdifficultiesC)PersistentangerD)Chronicfatigue22.Whenreviewingthemedicalrecordofaclientdiagnosedwithendometriosis,whichofthefollowing would the nurse identify as a risk factor for this woman?A)LowfatinthedietB)Ageof14yearsformenarcheC)Menstrualcyclesof24daysD)Shortmenstrualflow23.Aclientwhohascometotheclinicisdiagnosedwithendometriosis.Whichofthefollowingwould the nurse expect the physician to prescribe as a first-line treatment?A)ProgestinsB)AntiestrogensC)Gonadotropin-releasinghormoneanaloguesD)NSAIDs24.Awomancomestotheclinicbecauseshehasbeenunabletoconceive.Whenreviewingthewoman’s history, which of the following would the nurse least likelyidentifyas a possible riskfactor?A)Ageof25yearsB)HistoryofsmokingC)Diabetessinceage15yearsD)Weightbelowstandardforheightandage25.Acouplecomestotheclinicforafertilityevaluation.Themalepartneristoundergoasemenanalysis. Afterteachingthepartneraboutthistest, whichclientstatementindicatesthatthe clienthas understood the instructions?A)“Ineed to bringthe specimen tothelab thedayaftercollectingit.”B)“Iwillplacethespecimen in aspecial plasticbagtotransportit.”C)“I have to abstain from sexual activity for about 1–2 days before the sample.” D) “Iwillwithdraw before I ejaculate during sex to collect the specimen.”
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 24 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicci26.A nurse is preparing a class for a group of young adult women about emergencycontraceptives(ECs).Whichofthefollowingwouldthenurseneedtostresstothegroup.Selectall that apply.A)ECsinduceanabortion likereaction.B)ECsprovidesomeprotectionagainstSTIsC)ECsarebirth controlpillsinhigher,morefrequentdosesD)ECsarenotto beusedinplace ofregularbirthcontrolE)ECsprovidelittleprotection forfuturepregnancies.AnswerKey1.C2.D3.C4.A5.C6.D7.D8.B9.A10.C11.D12.B13.A14.B15.A16.B17.A,B,E18.A,B,C,D19.A20.D21.C22.C23.D24.A25.C26.C,D,E
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 25 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter5-SexuallyTransmittedInfections1.Thenurseisdevelopingaplanofcareforaclient whoisreceivinghighlyactiveantiretroviraltherapy (HAART) for treatment of HIV.The goal of this therapy is to:A)PromotetheprogressionofdiseaseB)Interveneinlate-stageAIDSC)ImprovesurvivalratesD)Conductadditionaldrugresearch2.AwomanwhoisHIV-positiveisreceivingHAARTandishavingdifficultywithcompliance.Topromoteadherence,whichofthefollowingareaswouldbemostimportanttoassessinitially?A)Thewoman’sbeliefsandeducationB)Thewoman’sfinancialsituationandinsuranceC)Thewoman’sactivitylevelandnutritionD)Thewoman’sfamilyandlivingarrangements3.WhendevelopingateachingplanforacommunitygroupaboutHIVinfection,whichgroupwould the nurse identify as an emerging risk group for HIV infection?A)NativeAmericansB)HeterosexualwomenC)NewhealthcareworkersD)Asianimmigrants4.After teaching a group of adolescents about HIV, the nurse asks them to identify the majormeansbywhichadolescentsareexposedtothevirus.Thenursedeterminesthattheteachingwassuccessful when the group identifies which of the following?A)SexualintercourseB)SharingneedlesforIVdruguseC)PerinataltransmissionD)Bloodtransfusion5.ThenursereviewstheCD4cellcountofaclientwhoisHIV-positive.Aresultlessthanwhichof the following would indicate to the nurse that the client has AIDS?A)1,000cells/mm3B)700cells/mm3C)450cells/mm3D)200cells/mm36.Whenobtainingthehealthhistoryfromaclient,whichfactorwouldleadthenursetosuspectthat the client has an increased risk for sexually transmitted infections (STIs)?A)Hive-likerash forthepast2daysB)FivedifferentsexualpartnersC)Weightgainof5lbsin1yearD)Clearvaginaldischarge7.Assessmentofafemaleclient revealsathick,whitevaginaldischarge.Shealsoreportsintense
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 26 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciitchinganddyspareunia. Based onthesefindings,thenursewouldsuspectthattheclienthas:A)TrichomoniasisB)BacterialvaginosisC)CandidiasisD)Genitalherpessimplex8.Aclientwithtrichomoniasisistoreceivemetronidazole(Flagyl).Thenurseinstructstheclientto avoid which of the following while taking this drug?A)AlcoholB)NicotineC)ChocolateD)Caffeine9.Awomangivesbirthtoahealthynewborn. Aspartofthenewborn’scare,thenurseinstillserythromycin ophthalmic ointment as a preventive measure related to which STI?A)GenitalherpesB)HepatitisBC)SyphilisD)Gonorrhea10.Whichfindingswouldthenurseexpectto findinaclient withbacterialvaginosis?A)VaginalpHof3B)Fish-likeodorofdischargeC)Yellowish-greendischargeD)Cervicalbleedingoncontact11.A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nursediscussestheriskoftransmittingtheinfectiontohernewborn,explainingthatthisinfectionistransmitted to the newborn through the:A)AmnioticfluidB)PlacentaC)BirthcanalD)Breastmilk12.Thenurseencouragesafemaleclientwithhumanpapillomavirus(HPV)toreceivecontinuedfollow-up care because she is at risk for:A)InfertilityB)DyspareuniaC)CervicalcancerD)Dysmenorrhea13.Aclientisdiagnosedwithpelvicinflammatorydisease(PID).Whenreviewingtheclient’smedical record,which ofthe followingwould the nurseexpect to find?(Select all that apply.)A)Oraltemperatureof100.4degreesFB)DysmenorrheaC)Dysuria
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 27 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciD)LowerabdominaltendernessE)DiscomfortwithcervicalmotionF)Multiparity14.Whichinstructionswould thenurseincludewhenteachingawoman withpediculosispubis?A)“Taketheantibioticuntil youfeelbetter.”B)“Washyourbedlinensinbleachandcoldwater.”C)“Yourpartnerdoesn’tneedtreatmentatthistime.”D)“Removethenitswithafine-toothedcomb.”15.Aclientwithgenitalherpessimplexinfectionasksthenurse,“Will Ieverbecuredofthisinfection?” Which response by the nurse would be most appropriate?A)“Thereisanewvaccineavailablethatpreventstheinfectionfromreturning.”B)“Allyouneedisadoseofpenicillinandtheinfectionwillbegone.”C)“Thereisnocure,but drugtherapyhelps toreducesymptoms andrecurrences.”D)“Onceyouhavetheinfection,youdevelopanimmunitytoit.”16.Anurseispreparingapresentationforagroupofwomenattheclinicwhohavebeendiagnosed with genital herpes.Whichofthefollowingwouldthenurseexpecttoincludeasapossibleprecipitatingfactor forarecurrent outbreak?(Selectall thatapply.)A)ExposuretoultravioletlightB)ExerciseC)UseofcorticosteroidsD)EmotionalstressE)Sexualintercourse.17.Afterteachingaclasson sexuallytransmittedinfections,theinstructordeterminesthattheteaching was successful when the class identifies which statement as true?A)STIscanaffectanyoneifexposedtotheinfectiousorganism.B)STIshavebeenaddressedmoreona globalscale.C)Clients readilyviewthediagnosis of STIopenly.D)MostindividualswithSTIsareovertheageof30.18.A group of students are reviewing information about STIs. The students demonstrateunderstandingoftheinformationwhentheyidentifywhich ofthefollowingasthemostcommonbacterial STI in the United States?A)GonorrheaB)ChlamydiaC)SyphilisD)Candidiasis19.Anurseisassessingaclientforpossibleriskfactorsforchlamydiaand gonorrhea.Whichofthe following would the nurse identify?A)AsianAmericanethnicity
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 28 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciB)Ageunder25yearsC)MarriedD)Consistentuseofbarriercontraception20.AnurseatalocalcommunityclinicisdevelopingaprogramtoaddressSTIprevention.Which of the following would the nurse least likely include in the program?A)OutliningsafersexualbehaviorB)RecommendingscreeningforsymptomaticindividualsC)PromotingtheuseofbarriercontraceptivesD)OfferingeducationaboutSTItransmission21.After teaching a class on preventing pelvic inflammatorydisease, the instructor determinesthattheteachingwassuccessfulwhentheclassidentifieswhichofthefollowingasaneffectivemethod?A)Advisingsexuallyactivefemalesto usehormonalcontraceptionB)Encouragingvaginal douchingonaweeklybasis.C)Emphasizingtheneedforinfectedsexualpartners toreceivetreatmentD)Promotingroutinetreatmentforasymptomatic femalesasrisk22.AgroupofnursingstudentsarereviewinginformationaboutvaccinesusedtopreventSTIs.The students would expect to find information about which of the following?A)HIVB)HSVC)HPVD)HAVE)HBV23.A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, thenurseisdiscussingtheuseofprophylacticHPVvaccineforthedaughter.Themotheragreesandthe daughter receives her first dose. The nurse schedules the daughter for the next dose, whichwould be given at which time?A)In2monthB)In2monthsC)In3monthsD)In4months24.Awomancomestothecliniccomplainingofavaginaldischarge.Thenursesuspectstrichomoniasis based on which of the following? (Select all that apply.)A)UrinaryfrequencyB)Yellow/greendischargeC)JointpainD)Blister-likelesionsE)Muscleaches25.Anurseisteachingawomenwithgenitalulcershowtocareforthem.Whichstatementbythe client indicates a need for additional teaching?
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 29 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciA)“Ineedtowashmyhands aftertouchinganyoftheulcers.”B)“Ineedtoabstain fromintercourseprimarilywhenthelesions arepresent.”C)“Ishouldavoid applyingiceorheatto mygenitalarea.”D)“Ican trylukewarm sitzbaths to helpeasethediscomfort.”AnswerKey1.C2.A3.B4.A5.D6.B7.C8.A9.D10.B11.B12.C13.B,C,D,E14.D15.C16.A,C,D,E17.A18.B19.B20.B21.C22.C,D,E23.B24.A,B25.B
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 30 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciChapter6-DisordersoftheBreasts1.Thenurseisdevelopingthedischargeplanforawomanwhohashadaleft-sidedmodifiedradical mastectomy. The nurse is including instructions forways to minimize lymphedema.Which suggestion would most likely increase the woman’s symptoms?A)“Weargloveswhenyouaredoinganygardening.”B)“Haveyourbloodpressuretakeninyourrightarm.”C)“Wearclothingwithelasticizedsleeves.”D)“Avoiddrivingto andfromworkeveryday.”2.Alaboratorytechnicianarrivestodrawbloodforacompletebloodcount(CBC.foraclientwho had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluidinfusing in her left antecubital space. To obtain the blood specimen, the technician places atourniquet on the client’s right arm. Which action bythe nurse would be most appropriate?A)Assistinholdingtheclient’s armstill.B)Suggestafingerstick bedoneononeoftheclient’sleftfingers.C)Tellthetechniciantoobtainthebloodsamplefromtheclient’sleftarm.D)Callthesurgeontoperformafemoralpuncture.3.Thenursedeterminesthatawomanhasimplementedprescribedtherapyforherfibrocysticbreast disease when the client reports that she haseliminated what from her diet?A)CaffeineB)CigarettesC)DairyproductsD)Sweets4.Whenassessingaclientwithsuspectedbreastcancer,whichofthefollowingwouldthenurseexpect to find?A)PainfullumpB)AbsenceofdimplingC)RegularlyshapedmassD)Nippleretraction5.Awomanwhohasundergonearightmodified-radicalmastectomyreturnsfromsurgery.Which nursing intervention would be most appropriate at this time?A)Asktheclient howshefeelsabouthavingherbreastremoved.B)AttachasignaboveherbedtohaveBP,IVlines,andlabworkinherrightarm.C)Encouragehertoturn,cough,anddeepbreatheat frequentintervals.D)Positionherrightarmbelowheartlevel.6.Abreastbiopsyindicates thepresenceofmalignantcells,andtheclientisscheduledforamastectomy. Which nursing diagnosis would the nurse most likely include in the client’spreoperative plan of care as the priority?A)RiskfordeficientfluidvolumeB)ActivityintoleranceC)Disturbedbodyimage
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Test bank for Essentials of Maternity, Newborn, and Women's Health, 5th Edition (Chapters 1-51) - Page 31 preview imageTestBank-EssentialsofMaternityNewbornandWomen’sHealthNursing5thEditionSusanRicciD)Impairedurinaryelimination7.A42-year-oldwomanisscheduledforamammogram.Whichofthefollowingwouldthenurse include when teaching the woman about the procedure?A)“Theroomwillbedarkenedthroughouttheprocedure.”B)“Eachbreastwill befirmlycompressedbetween twoplates.”C)“Makesuretorefrainfromeatingordrinkingaftermidnight.”D)“Asmallneedlewill beinsertedtogetasampleforevaluation.”8.Duringaclinicalbreastexamination,thenursepalpatesawell-defined,firm,mobilelumpina60-year-oldwoman’sleft breast.Thenursenotifiesthephysician.Whichofthefollowing wouldthe nurse anticipate the physician to order next?A)MammogramB)HormonereceptorstatusC)Fine-needleaspirationD)GenetictestingforBRCA9.Aclientwithadvancedbreastcancer,whohashadbothchemotherapyandradiationtherapy,is to start hormonal therapy. Which agent would the nurse expect the client to receive?A)ProgestinsB)TamoxifenC)CortisoneD)Estrogen10.Aspartofdischargeplanning,thenurserefersawomantoReachtoRecovery.This group’sprimary purpose is to:A)HelpsupportwomenwhohaveundergonemastectomiesB)RaisefundstosupportearlybreastcancerdetectionprogramsC)Provideallsuppliesneeded afterbreastsurgeryfornocostD)CollectstatisticsforresearchfortheAmericanCancerSociety11.Awomanwithbreastcancerisundergoingchemotherapy.Whichofthefollowingsideeffects would the nurse interpret as being most serious?A)VomitingB)HairlossC)FatigueD)Myelosuppression12.Awoman comesto theclinicreportinganippledischarge. On examination,theareabelowtheareolaisredandslightlyswollen,withtortuoustubularswelling.Thenurseinterpretsthesefindings as suggestive of which of the following?A)FibrocysticbreastdisorderB)IntraductalpapillomaC)DuctectasiaD)Fibroadenoma
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