Test Bank for Women's Health Care in Advanced Practice Nursing, 2nd Edition (Chapters 1-46)

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1Women’s Health Care inAdvanced Practice Nursing2ndEdition Testbank

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2Chapter 1 Women and Their Health1.The United States ranks 50thin the world for maternal mortality and 41stamong industrialized nations forinfant mortality rate. When developing programs to assist in decreasing these rates, which factor wouldmost likely need to be addressed as having the greatest impact?A)Resolving all language and cultural differencesB)Assuring early and adequate prenatal careC)Providing more extensive womens sheltersD)Encouraging all women to eat a balanced diet2. When integrating the principles of family-centered care, the nurse would include which of the following?A)Childbirth is viewed as a procedural eventB)Families are unable to make informed choicesC)Childbirth results in changes in relationshipsD)Families require little information to make appropriate decisions3.When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to reviewhow maternity care has changed over the years. Which of the following would the nurse include whendiscussing events of the 20thcentury?A)Epidemics of puerperal feverB)Performance of the first cesarean birthC)Development of the x-ray to assess pelvic sizeD)Creation of free-standing birth centers4. After teaching a group of students about pregnancy-related mortality, the instructor determines thatadditional teaching is needed when the students identify which condition as a leading cause?A)HemorrhageB)EmbolismC)Obstructed laborD)Infection5.The nurse is working with a group of community health members to develop a plan to address the specialhealth needs of women. Which of the following conditions would the group address as the majorproblem?A)SmokingB)Heart diseaseC)DiabetesD)Cancer6. When assessing a family for possible barriers to health care, the nurse would consider which factor to bemost important?A)LanguageB)Health care workers attitudesC)TransportationD)Finances7. After teaching a group of nursing students about the issue of informed consent. Which of the following, if

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3identified by the student, would indicate an understanding of a violation of informed consent?A)Performing a procedure on a 15-year-old without consentB)Serving as a witness to the signature processC)Asking whether the client understands what she is signingD)Getting verbal consent over the phone for emergency procedures8.The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parentsare out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?A)Getting telephone consent with two people listening to the verbal consentB)Providing emergency care without parental consentC)Contacting the childs aunt or uncle to obtain their consentD)Advocating for termination of parental rights for this situation9.After teaching nursing students about the basic concepts of family-centered care, the instructordetermines that the teaching was successful when the students state which of the following?A)Childbirth affects the entire family, and relationships will change.B)Families are not capable of making health care decisions for themselves.C)Mothers are the family members affected by childbirth.D)Childbirth is a medical procedure.10.A nursing instructor is preparing a class discussion on the trends in health care and health care deliveryover thepast several centuries. When discussing the changes during the past century, which of thefollowing would the instructor be least likely to include?A) Disease preventionB) Health promotionC) WellnessD) Analysis of morbidity and mortality11.A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with theunderstanding that based on this clients cultural background, the client most likely views illness as whichof the following?A) Caused by supernatural forces.B) A punishment for sins.C) Due to spirits or demons.D) From an imbalance of yin and yang12.A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor,and childbirth. Which of the following would be most important for the nurse to incorporate into thatplan?A) Adhering to strict, specific routinesB) Involving a pediatric physicianC) Educating the client about the importance of a support personD) Assigning several nurses as a support team13.A nursing instructor is preparing a class discussion on case management in maternal and newborn healthcare. Which of the following would the instructor include as a key component? Select all that apply.A) AdvocacyB) CoordinationC) CommunicationD) Resource managementE) Event managed care14.After teaching a group of students about the concept of maternal mortality, the instructor determines

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4that additional teaching is needed when the students state which of the following?A)The rate includesaccidental causes for deaths.B)It addresses pregnancy-related causes.C)The duration of the pregnancy is not a concern.D)The time frame is typically for a specified year.15.A group of students are reviewing the historical aspects about childbirth. The students demonstrateunderstanding of the information when they identify the use of twilight sleep as a key event duringwhich time frame?A)1700sB)1800sC)1900sD)2000s16.A nurse is providing care to a woman who has just delivered a healthy newborn. Which action wouldleast likely demonstrate application of the concept of family-centered care?A)Focusing on the birth as a normal healthy event for the familyB)Creating opportunities for the family to make informed decisionsC)Encouraging the woman to keep her other children at homeD)Fostering a sense of respect for the mother and the family17.When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which ofthe following would the nurse most likely include? Select all that apply.A)Chromosomal abnormalitiesB)MalnutritionC)Preterm cervical dilationD)Underlying disease conditionE)Poor placental attachment18.A nurse is preparing a presentation for a local community group about health status and childrenshealth. Which of the following would the nurse include as one of the most significant measures?A)Fetal mortality rateB)Neonatal mortality rateC)Infant mortality rateD)Maternal mortality rate19.A group of students are reviewing an article describing information related to indicators for womenshealth and the results of a national study. Which of the following would the students identify as beingsatisfactory for women? Select all that apply.A)Smoking cessationB)Colorectal cancer screeningC)Violence against womenD)Health insurance coverageE)Mammograms20.A nurse is preparing a presentation for a local womens group about heart disease and women. Which ofthe following would the nurse expect to address when discussing measures to promote health.A)Women have similar symptoms as men for a heart attack.B)Heart disease is no longer viewed as a mans disease.C)Women experiencing a heart attack are at greater risk for dying.D)Heart attacks in women are more easily diagnosed.21.A nurse is working to develop a health education program for a local community to address breast cancer

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5awareness. Which of the following would the nurse expect to include when describing this problem tothe group? Select all that apply.A)White women have higher rates of breast cancer than African American women.B)African American women are more likely to die from breast cancer at any age.C)Survival at any stage is worse among white women.D)Women living in South America have the highest rates of breast cancer.E)Breast cancer is the leading cause of cancer mortality in women.22.A group of nursing students are reviewing information about factors affecting maternal, newborn, andwomens health. The students demonstrate understanding of the information when they identify whichof the following deficiencies as being associated with poverty? Select all that apply.A) LiteracyB) Employment opportunitiesC) MobilityD) Political representationE) SkillsAnswer Key1. B2. C3. D4. B5. 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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6Chapter 2 Women as Health Care Providers1.Which health occupation has the highest percentage of women?A.PharmacistsB.Physical therapistsC.Registered nursesD.DentalhygienistsAnswer: D2.Which health occupation has the lowest percentage of women?A.PhysiciansB.DentistsC.PharmacistsD. Physical therapistsAnswer: B3.Which health profession has the largest number of workers?A.Health aidesB.PhysiciansC.Licensed practical nursesD.Registered nursesAnswer: D4.Which of the following are certifications available in advanced practice registered nursing? (Select allthatapply.)A.Certified nurse midwifeB.Certified registered nurse anesthetistC.Certified nurse pharmacologistD.Clinical nurse specialistE.Nurse practitionerAnswer: A, B, D, E5.What level of education is required to become a licensed practical nurse?A.2-year master’s degree (in addition to a 4-year bachelor’s degree)B.4-year bachelor’s degreeC.2-year associate’s degreeD.1-year certificate or diplomaAnswer: D

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76.What percentage of physicians and surgeons in the United States in 2014 were women?A. 27%B. 37%C. 47%D. 57%Answer: B7.What medical specialty has the highest percentage of women?A.General pediatricsB.Obstetrics and gynecologyC.Orthopedic surgeryD.UrologyAnswer: A8.On an average, the income of female physicians is what percentage of that of malephysicians?A. 59%B. 79%C. 99%D. 109%Answer: A9.What level of education is required to become a pharmacist?A.6-year doctorate degreeB.2-year master’s degree (in addition to a 4-year bachelor’s degree)C.4-year bachelor’s degreeD.2-year associate’s degreeAnswer: A10.Which of the following is the median income of dentists in the United States (2012)?A. $89,310B. $109,310C. $129,310D. $149,310Answer: D11.Which of the following are the current trends in dentistry? (Select all that apply.)A.More specialists than generalistsB.Research linking oral health to overallhealthC.Focus on treatment of disease rather than preventionD.Expected growth of 18% from 2014 to2024E.Increasing demand for dental implants, bridges, and cosmetic servicesAnswer: B, D, E12.Which allied health occupation is projected to be the fastest growing?A.Health information techniciansB.Nursing aidesC.Occupational therapistsD.ParamedicsAnswer: A

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813.One in five workers in which of the following allied health occupation is at or below the federalpovertylevel?A. Medical assistantB.Home health aideC.Radiology technicianD. Speech-language pathologistAnswer: B14.Veronica is a registered nurse who pours herself into her job. She works long hours without complaint andstrives to do her best. Often, she maintains a cheerful, caring, and kind demeanor on the outside whilefeeling exhausted and frustrated on the inside. The effort it takes to maintain this front before her patientsresults in a lot of stress. This phenomenon can best be described as which of the following?A.Identity crisisB.Psychological disparityC.Emotional dissonanceD.Gender discriminationAnswer: C15.Tests of implicit racial bias among health professionals have revealed which of the following?A.An unconscious preference for Whites over BlacksB.Use of racially charged, derogatorylanguageC.Sharing of racist jokesD.Lower pay for racial minoritiesAnswer: A

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9Chapter 3 Women and Health Care1.To enhance women’s health care in the 21st century, researchers should do which of the following? (Selectall that apply.)A.Design studies in collaboration with womenB.Analyze changes in women’s health data relative to men’sC.Include homogeneous populations of women in studiesD.Translate research findings into clinical and public health practiceE.Focus on treatment approaches equally applicable to men and womenAnswer: A, B, D2.Historically, gender has been defined by which of the following? (Select all that apply.)A.Self-identificationB.AppropriaterolesC.Division oflaborD.EconomicpowerE.Political influenceAnswer: B, C, D, E3.Hammarstrӧm et al. propose a model of sex and gender that includes which of the followingconcepts?(Select all that apply.)A.Binary sexuality based on one’schromosomesB.Sex, interacting with gender, as a continuumC.Biologically determined sex based on the effects of sex hormones on reproductive organ developmentD.Sex and gender as an integration of body, mind, and contextE.Intersectionalityand embodiment as factors significantly affecting sex and genderAnswer: B, D, E4.Which of the following is the best example of how gender bias has affected the health and health careofwomen?A.Similar rates of mental illness being found in men andwomenB.Treatment outcomes among women varying based on patient complianceC.Association of patient income level with type of diagnosisD.Disproportionately more psychotropic medications being prescribed to women than menAnswer: D5.Krieger has proposed which of the following regarding sex, gender, and health? (Select all that apply.)A.Gender and sex played no significant role in determining health outcomes for womenB.Gender relations influence the expression and the interpretation of biological traitsC.Sex-linked biological characteristics contribute to gender differentials in healthD.Traditional perspectives on gender and sex have resulted in better health outcomes for women than formenE.Equitable gender relationships have resulted in similar health outcomes in men and womenAnswer: B, C

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106.When did women’s health scholarship begin to flourish?A. 1960sB. 1970sC. 1980sD. 1990sAnswer: B7.Which of the following were the goals included in the report “Women’s Health Research: Progress, Pitfalls,and Promise,” which was published by the Office of Research on Women’s Health in 2010? (Select all thatapply.)A.Increase sex similarities research in basic sciences studiesB.Incorporate findings of sex and gender differences in the design of new technologiesC.Create strategic alliances to maximize domestic and global impact of women’s health researchD.Develop and implement new social networking technologies to promote men’s health and wellnessresearchE.Employ innovative strategies to build a well-trained, diverse, and vigorous women’s health researchworkforceAnswer: B, C, E8.The National Institutes of Health (NIH) Revitalization Act of 1993 mandated that the NIH do which of thefollowing?A.Expand health insurance coverage for womenB.Include women and minorities in clinicalresearchC.Research and develop new women-specific medicationsD.Decrease infection rates during obstetric surgeriesAnswer: B9.Historical examples of gender bias in medical textbooks include which of the following? (Select all thatapply.)A.Portrayals of women as inherentlysickB.A recommendation that women simulate orgasms if not orgasmic with their husbandsC.Portrayals of women patients as being intellectually superior to their male physiciansD.Omission of the clitoris from anatomical illustrations of women’s genitalsE.Portrayal of women as invincible to illness and age, as long as they make the right choicesAnswer: A, B, D, E10.Which of the following best describes the new model for health care for women?A.Physician-centeredB.AuthoritarianC.PluralisticD.Disease-orientedAnswer: C

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11C H A P T E R4Health Care for Vulnerable Populations1.According to a 2015 report by Buerhaus and colleagues, which type of health care provider is most likelytocare for racial or ethnic minority patients and patients who are uninsured?A.Family practice physiciansB.Physician assistantsC.Nurse practitionersD.SurgeonsAnswer: C2.Which of the following are examples of people likely to be considered members of vulnerablepopulations?(Select all that apply.)A.An African American womanB.A young woman living in an urban setting who takes mass transitC.A single mother earning $12,000 a yearD.A transgender manE.A homeless middle-aged manAnswer: A, C, D, E3.Which of the following is the best example of a health inequity?A.A Mexican American woman with diabetes who receives less attention from the physician because of herethnicityB.A low-income woman whose children get sick repeatedly because she refused to have them vaccinatedC.A gay man who must drive a long distance to visit the health care provider of his choiceD.A Muslim woman who is shunned by her neighbors because of her religionAnswer: A4.Which of the following are effects of social determinants of health? (Select all that apply.)A.A higher rate of infant mortality in a poor neighborhood compared with wealthier onesB.Increased incidence of boating injuries in a city located on a large lakeC.A murder rate five times the national average in an inner-city neighborhood plagued by gang activityD.A man with HIV who goes without treatment because he fears the stigma associated with his conditionE.An outbreak of the flu in an area due to rapid changes in the weatherAnswer: A, C, D5.Which of the following is the generally accepted view of race by the scientific community?A.Biologically determinedB.Established by socioeconomic levelC.Determined by the country of one’sbirthD. Socially constructedAnswer: D

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126.Mary is a 51-year-old woman with 20 years of experience as an assembly line worker in the automobileindustry. She was recently interviewed for a management position in her company but didnot get the job.A coworker later tells her, “Don’t feel bad. Archie never hires women for management.” This scenariocan best be described as an example of which of the following?A.PrejudiceB.DiscriminationC.HealthinequityD.Social justiceAnswer: B7.Jamie is a single mom who, because of her low income, is unable to consistently provide nutritious mealsfor her children and self. Her food insecurity makes Brittany at a greater risk for which of the following?A.Breast cancerB.Type 1diabetesC.Type 2diabetesD.Chronic obstructive pulmonarydiseaseAnswer: C8.Which of the following are challenges that low-income women are more likely to encounter in theworkplace than high-income women? (Select all that apply.)A.Discrimination based on genderB.Long commutesC.No paid sick daysD.Pressure from a demanding bossE.Lack of health insuranceAnswer: A, C, E9.Teresa lives in a town of 3,000 people in Montana, 100 miles away from the nearest city. Whichbarrier tocare is Teresa most likely to face as a result of living in a rural community?A.Lack of a women’s health specialistB.Higher cost of careC.Structural racismD.Social stigmaAnswer: A10.What percentage of women in the United States will experience severe physical violence by anintimatepartner in their lifetimes?A. 15%B. 25%C. 35%D. 45%Answer: B11.Which group of women are likely to experience intimate partner violence?A.LesbiansB.Women with disabilitiesC.Women living in rural communitiesD.Women who work full timeAnswer: B

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1312.A nurse is preparing to assess a client for alcohol use. Which clinical tool would be appropriate for thistask?A.Cut down, annoyed, guilty, and eye-opener (CAGE)B.Patient Health Questionnaire (PHQ-9)C.Mini-CogD.Wong-Baker FACES (Wong-Baker FACES Pain Rating Scale)Answer: A13.A nurse is assisting a client who is food insecure. Which agency should the nurse refer the client to for foodassistance?A.Food and Drug Administration (FDA)B.Centers for Disease Control and Prevention (CDC)C.Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)D.World Health Organization (WHO)Answer: C14.A nurse learns from an older client, Gabby, that Gabby’s landlord is increasing her rent by 100% with onlya month’s notice. The nurse refers Gabby to a social worker to explore subsidized housing and follows up amonth later to make sure Gabby is okay. The nurse’s behavior is an example of which of the following?A.DiscriminationB.Patient advocacyC.Health inequityD.MarginalizationAnswer: B

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14C H A P T E R5Legal Issues in Women’s Health Care1.The landmark U.S. Supreme Court caseGriswold v. Connecticutestablished which of the following?A.Unmarried women’s right to privacy incontraceptionB.Women’s right to choose to have anabortionC.The right of women younger than 16 years to receive birth controlD.Married couples’ right to privacy in contraceptionAnswer: D2.The U.S. Supreme Court caseCarey v. Population Servicesestablished which of the following?A.Unmarried women’s right to privacy incontraceptionB.Women’s right to choose to have anabortionC.The right of women younger than 16 years to receive birth controlD.Married couples’ right to privacy in contraceptionAnswer: C3.What proportion of pregnancies in the United States are unintended each year?A.One fourthB.One thirdC.One halfD.Two thirdsAnswer: C4.By age 45, what proportion ofwomenhave had an abortion in their lifetime?A.1 in 10B.2 in 10C.3 in 10D.4 in 10Answer: D5.In the U.S. Supreme Court case in which Hobby Lobby challenged an aspect of the Patient ProtectionandAffordable Care Act, what was the outcome?A.The Court ruled that the contraception mandate violated religious libertyB.The Court ruled that Hobby Lobby must provide birth control coverage for its employeesC.The Court ruled that Hobby Lobby must provide abortion coverage for its employeesD.The Court ruled that the individual mandate was unconstitutionalAnswer: A6.Before 1880, what was the status of abortion in the United States?A.It was prohibited by federal lawB.It was unregulatedC.It was outlawed by individual states, with limited exceptionsD.It was a right legally protected by federal lawAnswer: B

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157.Which of the following were outcomes of the landmark U.S. Supreme Court caseRoe v. Wade, 1973?(Select all that apply.)A.Women were granted the right to choose to have an abortionB.Human life was defined as beginning atbirthC.States retained the right to restrict and regulate abortionD.States retained the right to outlawabortionE.Physicians retained the right to make decisions regarding abortion with their patientsAnswer: A, C, E8.Which of the following are controversial aspects of in vitro fertilization? (Select all that apply.)A.Allowing parents to select the sex of their childB.Implanting two to three embryos at atimeC.Allowing parents to implant an embryo for the purpose of harvesting an organ to be donated to a sicksiblingD.Allowing preimplantation genetic testing when a parent has a history of an inheritable genetic disorderE.Allowing parents to select the hair color, eye color, and skin complexion of a childAnswer: A, C, E9.Which U.S. Supreme Court case involved a child custody battle between parents of anembryo that wasmistakenly implanted in another woman and the woman who gave birth to this child?A.Griswold v. ConnecticutB.Eisenstadt v. BairdC.Rodgers v. FasanoD.Doe v. DoeAnswer: C10.In the case ofIn re Baby M, 1988, the New Jersey Supreme Court did which of the following?A.Granted permission for the surrogate mother to have an abortionB.Awarded custody ofthe child to the surrogate motherC.Awarded custody of the child to the father, who was the client and sperm donorD.Awarded custody of the child to the stateAnswer: B11.Which state has prosecuted a woman for illegal drug use in pregnancy; allowed drug testing on women in apublic hospital without their consent and arrested and incarcerated those who tested positive; and convicteda woman of murder after her child was stillborn as a result of her using cocaine?A.AlabamaB.South CarolinaC.GeorgiaD.TexasAnswer: B12.What percentage of women who have experienced domestic violence are diagnosed with an anxietydisorder?A. 26%B. 36%C. 46%D. 56%Answer: C

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16C H A P T E R6Feminist Frameworks for Advanced Practice With Women1.Which of the following is the process of marginalizing groups of people who are not part of a dominantandprivileged group of society?A.CritiquingB.ColonializingC.OtheringD.DeconstructingAnswer: C2.Which “wave” of feminism was focused on organizing women and using feminism as a resourceforseeking equality in social organizations?A.First waveB.Second waveC.Third waveD.Fourth waveAnswer: B3.Which of the following were proponents of liberal feminism? (Select all that apply.)A.Mary WollstonecraftB.Angela DavisC.John Stuart MillD.Julia KristevaE.Shulamith FirestoneAnswer: A, C4.Which feminist theory seeks to eradicate sexual oppression by ending women’s economic dependenceonmen?A.Marxist/socialist feminismB.Liberal feminismC.Radical feminismD.PsychoanalyticfeminismAnswer: A5.Which feminist theory strives to eradicate the patriarchal system by replacing the institutions thatsupporthierarchy and dominance?A.WomanistB.Liberal feminismC.Radical feminismD.PsychoanalyticfeminismAnswer: C

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176.According to radical feminism, which of the following are sources of women’s oppression? (Select all thatapply.)A.BiologyB.GenderC.PsycheD.SexualityE.LanguageAnswer: A, C, D7.Which feminist theory seeks to reveal how language constructs gender and to use language to deconstructgender?A.WomanistB.Postmodernist feminismC.Postcolonial feminismD.Liberal feminismAnswer: B8.Which group of feminist theorists is concerned primarily with exploring subjectivity and agency, abjection,and psychosexual identity formation?A.French psychoanalytic feministsB.Early psychoanalytic feministsC.Queer theoristsD.WomanistsAnswer: A9.Which group of feminist theorists is concerned primarily with pointing out the differences between thelives of women of color and the lives of White women?A.Queer theoristsB.Liberal feministsC.Radical feministsD.WomanistsAnswer: D10.Who coined the term “womanist”?A.Mary DalyB.Julia KristevaC.Michel FoucaultD.Alice WalkerAnswer: D11.Which group of feminist theorists is known for studying sexuality via concepts such asthe Oedipuscomplex and for promoting dual parenting?A.French psychoanalytic feministsB.Early psychoanalytic feministsC.Queer theoristsD.WomanistsAnswer: B

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1812.Which group of feminist theorists describes feminism from lesbian, gay, bisexual, transgendered, and queer(LGBTQ) perspectives and emphasizes “affinity and solidarity over identity”?A.Queer theoristsB.Postcolonial feministsC.Radical feministsD.WomanistsAnswer: A13.A nurse researcher is interested in studying how the phenomenon of child labor in developing nations,resulting from globalization and the imposition of Western economic principles, has affected the healthofgirls in these nations. Which feminist theory would be most appropriate to adopt in this case?A.Queer theoryB.Postcolonial feminist theoryC.Psychoanalytic feminist theoryD.Postmodern feminist theoryAnswer: B14.A nurse researcher would like to explore how the health outcomes of low-income African Americanwomen differ from those of low-income White women. Which feminist theory would be mostappropriateto adopt in this case?A.Queer theoryB.Marxist feminist theoryC.Psychoanalytic feminist theoryD.Womanist theoryAnswer: D15.Which of the following term denotes the concept that race-, class-, and gender-based oppressionsinteractand shape one another, resulting in complex, multifactorial results in the lives of women?A.TransnationalismB.IntersectionalityC.PoststructuralismD.SubjectivityAnswer: B

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19C H A P T E R7Women’s Bodies1.On an average, by how much are women shorter than men?A.2 inchesB.4 inchesC.6 inchesD.8 inchesAnswer: C2.Which of the following characteristics are generally true of women compared with men? (Select all thatapply.)A.42% to 68% less absolute strengthB.Thicker skin but thinner subcutaneous tissuesC.Lower levels of VO2max and cardiovascularfitnessD.Higher fat stores in the abdomenE.Smaller lungs and airwaysAnswer: A, C, E3.A nurse is performing a clinical breast exam on a client. Which of the following signs should the nurse noteas a possible indicator of breast cancer?A.Slight asymmetry in breast sizeB.Brown areolar pigmentC.Erect nipplesD.An invertednippleAnswer: D4.Which structure of the female anatomy is homologous to the penis of the male?A.PerineumB.ClitorisC.Labia minoraD.Vaginal orificeAnswer: B5.Out of the approximately 1 to 2 million germ cells present in the ovary at birth, how many, on an average,will achieve ovulation during a woman’s reproductive life?A. 100B. 400C. 800D. 1,200Answer: B

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206.Which three bones compose the innominate bone? (Select all that apply.)A.SacrumB.IliumC.PubisD.IschiumE.CoccyxAnswer: B, C, D7.Which of the following denotes a substance that is produced in one part of the body that enters intotheblood circulation, travels to and stimulates target cells, and exerts specific effects?A.HormoneB.NeuronC.ErythrocyteD.LymphAnswer: A8.Which of the following are steroidal hormones secreted by the ovaries? (Select all that apply.)A.InhibinB.EstrogenC.ActivinD.ProgesteroneE.FollistatinAnswer: B, D9.Which hormone, secreted by neurons in the hypothalamus, triggers a hormonal cascade of reproductiveprocesses that result in puberty?A.EstrogenB.Follicle-stimulating hormone (FSH)C.Luteinizing hormone (LH)D.Gonadotropin-releasing hormone (GnRH)Answer: D10.When viewing the ultrasound display of a woman in her 20th week of pregnancy, a nurse notes thepresence of labia majora in the fetus. This is a sign of which of the following?A.GenderB.Genetic sexC.Gonadal sexD.Somatic sexAnswer: D11.Which of the following is the phase of the ovarian cycle that occurs following ovulation but before menses?A.LutealB.FollicularC.ProliferativeD.SecretoryAnswer: A12.Ovulation typically occurs on which day of the menstrual cycle?A.1B.7C.14D.21Answer: C

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2113.The proliferative phase of the endometrial cycle is characterized by which of the following?A.Shedding of the endometriumB.Growth of the endometriumC.Secretion of progesteroneD.Growth of the follicleAnswer: B14.The average age for the onset of the perimenopausal period is which of the following?A.38 yearsB.42 yearsC.46 yearsD.50 yearsAnswer: C15.Kelly, a woman in her mid-40s, asks the nurse what symptoms she is most likelyto experience once sheenters the perimenopausal period. Which of the following should the nurse mention?A.Cessation of menstrual periodB.Mood changesC.Hot flashesD.Night sweatsE.NauseaAnswer: B, C, D

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22C H A P T E R8Young Women’s Health1.The teen birthrate is highest among which major racial or ethnic group?A.LatinosB.African AmericansC.WhitesD.AsiansAnswer: A2.What percentage of the U.S. population was 10 to 19 years old in 2014?A. 14%B. 19%C. 24%D. 29%Answer: A3.Which of the following are examples of protective factors for adolescents? (Select all that apply.)A.Bonds with friends and familyB.Physical inactivityC.A school’s high expectations of studentsD.Risky sexual behaviorsE.Opportunities for youth participation in the communityAnswer: A, C, E4.Rachel is a talkative, open 13-year-old who is in for a physical exam today by herself. In talkingwithRachel, the nurse should recognize which of the following as characteristics typical of this stage ofdevelopment? (Select all that apply.)A.Criticism of her parentsB.Acceptance of the physical changes ofpubertyC.Mood swingsD.Sexual feelings emergingE.Transition toadulthoodAnswer: A, C, D5.Lydia is a teenager who is in the process of researching college programs. She thinks she would like to be alawyer. She is also searching for a summer job to save up to buy a car. Which stage of development isLydia most likely in?A.PreadolescenceB.Early adolescenceC.Middle adolescenceD.Late adolescenceAnswer: D

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236.Yancy is a 14-year-old with Down syndrome. She, like many teens with disabilities, is at an increasedriskof having which chronic condition?A.EpilepsyB.ObesityC.Heart diseaseD.ArthritisAnswer: B7.Brooke is a 17-year-old who is questioning both her sexual orientation and her gender. She says shehasbegun exploring these but that her parents do not know. Brooke is at an increased risk of experiencingwhich of the following? (Select all that apply.)A.ObesityB.Family violenceC.HomelessnessD.Substance abuseE.SuicidalityAnswer: B, C, D, E8.Rose is a 14-year-old refugee from Nigeria who recently came to the United States. Being a foreignborn,which of the following is Rose more likely to do than her native-born classmates?A.ExerciseB.Succeed academicallyC.Eat meals with her familyD.Develop positive peer relationshipsAnswer: C9.Destiny is an outgoing, fun-loving 13-year-old who has developed a strong network of friends atschool.These positive relationships make it more likely that Destiny will experience which of the following?(Select all that apply.)A.Academic achievementB.A healthy dietC.Reduced substance abuseD.Improved mental healthE.Lack of peer conflictAnswer: A, C, D10.During an office visit, Jordan, a 16-year-old patient, asks her nurse if she can share something inconfidence. The nurse affirms, but adds that there were a few disclosures that would legally requirebreaking confidentiality. Which of the following are issues the nurse would be obligated to report? (Selectall that apply.)A.Sexual activityB.Intent to self-harmC.Evidence of abuseD.Gender questioningE.ReligiousdoubtsAnswer: B, C11.What percentage of adolescents were covered by health insurance in 2013?A. 48%B. 63%C. 78%D. 93%

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24Answer: D12.A nurse is having trouble communicating with her teenaged client, Enid, who is disengaged and sullen.What approach would most likely be effective in helping the nurse engage with Enid?A.Giving some concrete goals to Enid for her to pursueB.Asking Enid’s mother to join themC.Using motivational interviewing with EnidD.Reminding Enid of the consequences of noncomplianceAnswer: C13.Nadia is a 13-year-old who is in for her first reproductive health visit. She reports having no specialconcerns and appears healthy. Which of the following is most important for the nurse to do in this visit?A.A Pap examB.An internal pelvic examC.An assessment of menstrual issuesD.A mammogramAnswer: C14.In a 2013 survey of the Youth Risk Behavior Surveillance System, what percentage of high school femalesreported drinking more than five drinks in a row on at least 1 day in the 30 days before the survey?A. 16.1%B. 21.1%C. 26.1%D. 31.1%Answer: B15.A nurse needs to assess an adolescent client’s level of sexual development. Which diagnostic toolshouldthe nurse use?A.Tanner stagingB.CRAFFT screeningC.Motivational interviewingD.Mini-Cog assessmentAnswer: A

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25C H A P T E R9Midlife Women’s Health1.Midlife is commonly defined by which of the following ways? (Select all that apply.)A.AgeB.Proximity to menopauseC.Degree of children’s independenceD.Level of cognitive functionE.Women’s self-perception of ageAnswer: A, B, C, E2.Vivian is an 80-year-old patient who is reminiscing about her own midlife with her nurse, who has justentered midlife. Given her age, Vivian is most likely to identify which of the following as having been aprimary source of meaning during her midlife?A.Her careerB.Her familyC.Her friendsD.Her artisticaccomplishmentsAnswer: B3.Which of the following is the definition of menopause currently used in the health sciences?A.The date of onset of menopause-related symptomsB.The cessation of menses, defined as the end of the final menstrual periodC.The cessation of menses, defined as 1 year after the final menstrual periodD.The date of the last menopause-related symptomAnswer: C4.Women of which U.S. ethnic group are most likely to describe menopause as “something you have togothrough” and to view it as a time to reorient and restructure their lives?A.African AmericansB.Japanese AmericansC.European AmericansD.Urban LatinasAnswer: D5.Which of the following endocrine changes are typical during the last 2 years before the finalmenstrualperiod? (Select all that apply.)A.Increased testosterone levelsB.Decreased antral follicle countC.Increased follicle-stimulating hormone levelsD.Decreased progesterone levelsE.Increased estradiol levelsAnswer: B, C, D

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266.Sleep disruption, a common symptom during the menopausal transition, is most oftenassociated withwhich other perimenopausal symptom?A.Hot flashesB.Decline in memoryC.Back painD.Depressed moodAnswer: A7.Which of the following are common symptoms during the menopausal transition? (Select all that apply.)A.Difficulty concentratingB.Urinary incontinenceC.Vaginal drynessD.Increased sexual desireE.Nausea and vomitingAnswer: A, B, C8.Which of the following statements is most accurate concerning symptoms of the menopausal transition?A.Almost all women experience the same set of symptoms, known as menopausal syndrome.B.Almost all women experience hot flashes, but other symptoms are too variable to predict.C.Symptoms experienced appear to vary from culture to culture, and thus may be culture bound.D.Symptoms are completelyrandom, demonstratingno predictable patterns.Answer: C9.Which of the following accurately describes metabolic changes in bone, muscle, and fat that typicallyoccurin the menopausal transition?A.Increases in bone, muscle, and fat massB.Decreases in bone, muscle, and fat massC.Increases in muscle and fat mass but a decrease in bone massD.Decreases in bone and muscle mass but an increase in fat massAnswer: D10.Which of the following are characteristics of metabolic syndrome? (Select all that apply.)A.Increased lipid levelsB.Insulin resistanceC.Decreased inflammatory responseD.Increased risk of thrombosisE.Increased bloodpressureAnswer: A, B, D, E11.The nurse is reviewing assessment and lab results of a patient at risk for metabolic syndrome. Which of thefollowing findings are consistent with metabolic syndrome? (Select all that apply.)A.Waist circumference of 37 inchesB.Body mass index (BMI) of23C.Blood pressure of 138/86 mmHgD.Fasting blood glucose level of 99 mg/dLE.Triglycerides level of 161 mg/dLAnswer: A, C, E

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2712.Patricia is a 50-year-old woman with a body mass index (BMI) of 31 and elevated lipid levels. Which ofthe following changes would you recommend to promote Patricia’s health?A.Exercise 60 to 90 minutes per day at moderate intensity, most daysB.Limit alcohol intake to no more than two drinks per dayC.Take omega-3 fatty acid supplementsD.No smoking or use of tobaccoE.Reduce waist circumference to less than 40 inchesAnswer: A, C, D13.Lorraine is a 46-year-old woman who has a body mass index (BMI) of 21 and who is generallyhealthy.Based on current recommendations by the National Institutes of Health (NIH), what exercise programwould you suggest to Lorraine to maintain her current level of fitness?A.None—she is already maintaining her fitness levelB.20 minutes of light-intensity exercise per day, 3 days per weekC.30 minutes of moderate-intensity exercise per day, 5 days per weekD.60 minutes of heavy-intensity exercise per day, 6 days per weekAnswer: C14.Isadora is a 49-year-old woman with a body mass index (BMI) of 18 and a family history of osteoporosis.Which of the following health promotion recommendations specifically related to preventing osteoporosisshould the nurse give to Isadora? (Select all that apply.)A.Take aspirin dailyB.Include plenty of calcium in thedietC.Consume foods fortified with vitamin DD.Limit sodium intakeE.Engage in weight-bearing exerciseAnswer: B, C, E15.How much more likely are women to be diagnosed with depression in their lifetime than men?A. 60%B. 70%C. 80%D. 90%Answer: B

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28C H A P T E R1 0Older Women’s Health1.How many people in the United States were 65 years or older in 2010?A.3.1 millionB.20.5 millionC.40.3 millionD.83.7 millionAnswer: C2.What percentage of those 85 years and older in the United States in 2010 were women?A. 47%B. 57%C. 67%D. 77%Answer: C3.What percentage of women 85 years and older in the United States in 2010 were widowed?A. 35%B. 52%C. 73%D. 91%Answer: C4.Compared with older men, older women are: (Select all that apply.)A.More prepared to retireB.Less likely to retire at retirementageC.More likely to have a retirement pension from their employerD.Less likely to report being satisfied in retirementE.More likely to live aloneAnswer: B, D, E5.In 2030, which of the following is the percentage of the older population (65 years or older) thatisprojected to be White?A. 47%B. 54%C. 67%D. 74%Answer: A

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296.Which of the following cognition-related capacities typically decline with normal aging? (Select allthatapply.)A.MotivationB.Short- and long-term memoryC.KnowledgeD.LearningE.WisdomAnswer: A, B, D7.Daisy, a 77-year-old client, reports a gradual and slight loss of hearing, especially for higher pitched tones.The nurse should recognize this condition as which of the following?A.PresbyopiaB.PresbycusisC.Age-related macular degenerationD.Otitis mediaAnswer: B8.What percentage of cancers are diagnosed at age 55 years or older?A. 55%B. 65%C. 75%D. 85%Answer: C9.Which of the following is the leading cause of cancer death in women?A.Breast cancerB.Lung cancerC.Colorectal cancerD.Pancreatic cancerAnswer: B10.Mamie is a 76-year-old client who is suspected of having Alzheimer’s disease. To confirm this suspicion,the nurse should look for impairment in which of the following mental functions? (Select all thatapply.)A.Visual acuityB.MemoryC.LanguageD.AttentionE.Ability to reasonAnswer: B, C, D,E11.A phenotype of positive aging that has been described in older women is focused on which ofthefollowing? (Select all that apply.)A.Presence of chronic diseaseB.Physical functioningC.Presence of a disabilityD.Social functioningE.EmotionalfunctioningAnswer: B, D, E

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3012.Which of the following are the benefits associated with weight-bearing aerobic exercise in older women?(Select all that apply.)A.Decreased risk for breast cancerB.Increased bone densityC.Reversal of Alzheimer’s disease symptomsD.Improved balanceE.Improved insulinresistanceAnswer: B, D, E13.Opal, who is 82 years old, would like information on vaccinations recommended for clients of her age.Which of the following should the nurse recommend? (Select all that apply.)A.Annual influenzaB.Human papillomavirusC.Onetime pneumococcalD.Hepatitis BE.Herpes zosterAnswer: A, C, E14.What percentage of community-dwelling older adults take at least five prescriptionmedications?A. 29%B. 39%C. 49%D. 59%Answer: A

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