Test Bank for Foundations of
Maternal-Newborn and Women's
Health Nursing 8th Edition By
Sharon Murray, Emily McKinney,
Karen Holub, Renee Jones, Kristin
Scheffer (All Chapters 1-28, 100%
Original Verified, A+ Garde)
All Chapters Arranged Reverse: 28-1
Chapter Wise (1-28) Download
Link is Added at the End of PDF file.
This is The Only Original and
Complete Test Bank for 8th Edition,
All Other Files in The Market are
Fake/Old/Wrong Edition.
,Chapter 28: Women’s Health
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
a. Lubricant
b. Speculum
c. Fixative agent
d. Gloves and eye protectors
ANS: A
Lubricants other than water or water-based lubricants on the cervix interfere with the accuracy
of the cytology report. A speculum is necessary to visualize the cervix. A fixative agent is
applied to the slide to prevent drying or disruption of the specimen. The examiner should
always use standard precautions including gloves and eye protection.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
2. A 45-year-old patient asks how often she should have a mammogram. The most appropriate
answer is
a. whenever she feels a lump.
b. every year beginning at age 40.
c. they are unnecessary until age 50.
d. every year if you have risk factors.
ANS: B
The American Cancer Society recommends that women have an annual mammogram after 40
years of age. Mammography should be done routinely following the American Cancer Society
guidelines. Mammograms are necessary when a woman is in her 40s. Women with high-risk
factors may require them more often.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
3. While performing a self-breast exam, the patient notes an area on the right breast that is
nodular, with some associated tenderness. This is a new onset finding because the exams were
not problematic in the past. The left breast examination is unremarkable. The patient calls to
report her findings to the clinical nurse because this is not her typical result. What action
should the nurse perform next?
a. Refer the patient to an oncologist because the results are suspicious.
b. Ask the patient to come in for an office visit so that the findings can be validated
but tell her that this information is within the normal range of presentation.
c. Have the patient wear a tight-fitting bra and tell her that the tenderness is
associated with ovulation and will pass.
d. Have the patient repeat the self-breast exam in 2 weeks and call back with findings
to provide a basis for comparison.
ANS: B
, Although these findings are within the normal range of presentation for breast tissue, they are
not in the normal presentation for this patient. The patient has called to express concern;
therefore, the nurse should have the patient schedule an appointment for assessment and
evaluation. There is no need for referral to a specialist at this time. Wearing a tight-fitting bra
may help provide support; however, does not address the physical findings and concern of the
patient. Repeating the self-breast exam may be required; however, it does not address the
patient’s current concerns.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
4. Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS).
The Pap test is repeated at 6 months and the same finding of ASCUS is reported. Which
therapeutic treatment option would the nurse expect the practitioner to order?
a. Mammography
b. Bone scan
c. Transvaginal ultrasound
d. Biopsy
ANS: D
Based on the standard of care, a colposcopy or biopsy of the cervix is indicated. A Pap smear
is performed to evaluate the cervix. There is no indication that mammography, which is used
to assess and evaluate breast tissue, is required. There is no evidence to warrant a bone scan.
Although a transvaginal ultrasound might be included in the treatment plan, the Pap smear
indicates cervical pathology so a colposcopy or biopsy is indicated.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
5. Which concern is included in the plan of care for the patient who receives HPV (human
papillomavirus) vaccine?
a. It is available in oral form.
b. It involves a series of two injections.
c. Injections should be given over a 3-month period.
d. The vaccine (Gardasil) should not be given to any patient with a sensitivity to
yeast.
ANS: D
The vaccine should not be administered to any woman who has a sensitivity to any component
of the yeast family. It is available only in injection form. It is given as a series of three
injections. The series of three injections should be given over a 6-month period according to
Centers for Disease Control and Prevention (CDC) recommendations. Side effects of the
vaccine include: headache, fever, nausea, and dizziness.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. Which are the most common sites of breast cancer metastasis?
a. Kidneys
b. Bones and liver
c. Heart and blood vessels
, d. Skin
ANS: B
Metastasis occurs when the cancer cells spread by both blood and lymph system to distant
organs and to vascular sites, commonly the lungs, liver, bones, and brain. Kidney metastasis is
uncommon. Metastasis to the heart and blood vessels is uncommon. Skin cancer is not
associated with breast cancer metastasis.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
7. Which sexually transmitted disease can be treated and eradicated?
a. Herpes
b. AIDS
c. Chlamydia
d. Venereal warts
ANS: C
Treatment options chlamydial bacterial infection include: azithromycin, doxycycline,
ofloxacin, levofloxacin, or erythromycin. Concurrent treatment of all sexual partners is
necessary to prevent recurrence. Because no cure is known for herpes, treatment focuses on
pain relief and preventing secondary infections. Because no cure is known for AIDS,
prevention and early detection are the main focus. Condylomata acuminata is caused by the
human papillomavirus (HPV). No treatment eradicates the virus; however, there is a vaccine
available.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
8. A benign breast condition that includes dilation and inflammation of the collecting ducts is
known as
a. fibroadenoma.
b. ductal ectasia.
c. intraductal papilloma.
d. chronic cystic disease.
ANS: B
Generally occurring in women approaching menopause, ductal ectasia results in a firm
irregular mass in the breast, enlarged axillary nodes, and nipple discharge. Fibroadenoma is
evidenced by fibrous and glandular tissues. They are felt as firm, rubbery, and freely mobile
nodules. Intraductal papillomas develop in the epithelium of the ducts of the breasts; as the
mass grows, it causes trauma or erosion within the ducts. Chronic cystic disease causes pain
and tenderness. The cysts that form are multiple, smooth, and well delineated.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
9. Which statement regarding primary dysmenorrhea is most accurate?
a. Primary dysmenorrhea is experienced by all women.
b. It is unaffected by oral contraceptives.
c. It occurs in young multiparous women.
d. It may be caused by excessive endometrial prostaglandin.
Maternal-Newborn and Women's
Health Nursing 8th Edition By
Sharon Murray, Emily McKinney,
Karen Holub, Renee Jones, Kristin
Scheffer (All Chapters 1-28, 100%
Original Verified, A+ Garde)
All Chapters Arranged Reverse: 28-1
Chapter Wise (1-28) Download
Link is Added at the End of PDF file.
This is The Only Original and
Complete Test Bank for 8th Edition,
All Other Files in The Market are
Fake/Old/Wrong Edition.
,Chapter 28: Women’s Health
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
MULTIPLE CHOICE
1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
a. Lubricant
b. Speculum
c. Fixative agent
d. Gloves and eye protectors
ANS: A
Lubricants other than water or water-based lubricants on the cervix interfere with the accuracy
of the cytology report. A speculum is necessary to visualize the cervix. A fixative agent is
applied to the slide to prevent drying or disruption of the specimen. The examiner should
always use standard precautions including gloves and eye protection.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
2. A 45-year-old patient asks how often she should have a mammogram. The most appropriate
answer is
a. whenever she feels a lump.
b. every year beginning at age 40.
c. they are unnecessary until age 50.
d. every year if you have risk factors.
ANS: B
The American Cancer Society recommends that women have an annual mammogram after 40
years of age. Mammography should be done routinely following the American Cancer Society
guidelines. Mammograms are necessary when a woman is in her 40s. Women with high-risk
factors may require them more often.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
3. While performing a self-breast exam, the patient notes an area on the right breast that is
nodular, with some associated tenderness. This is a new onset finding because the exams were
not problematic in the past. The left breast examination is unremarkable. The patient calls to
report her findings to the clinical nurse because this is not her typical result. What action
should the nurse perform next?
a. Refer the patient to an oncologist because the results are suspicious.
b. Ask the patient to come in for an office visit so that the findings can be validated
but tell her that this information is within the normal range of presentation.
c. Have the patient wear a tight-fitting bra and tell her that the tenderness is
associated with ovulation and will pass.
d. Have the patient repeat the self-breast exam in 2 weeks and call back with findings
to provide a basis for comparison.
ANS: B
, Although these findings are within the normal range of presentation for breast tissue, they are
not in the normal presentation for this patient. The patient has called to express concern;
therefore, the nurse should have the patient schedule an appointment for assessment and
evaluation. There is no need for referral to a specialist at this time. Wearing a tight-fitting bra
may help provide support; however, does not address the physical findings and concern of the
patient. Repeating the self-breast exam may be required; however, it does not address the
patient’s current concerns.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
4. Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS).
The Pap test is repeated at 6 months and the same finding of ASCUS is reported. Which
therapeutic treatment option would the nurse expect the practitioner to order?
a. Mammography
b. Bone scan
c. Transvaginal ultrasound
d. Biopsy
ANS: D
Based on the standard of care, a colposcopy or biopsy of the cervix is indicated. A Pap smear
is performed to evaluate the cervix. There is no indication that mammography, which is used
to assess and evaluate breast tissue, is required. There is no evidence to warrant a bone scan.
Although a transvaginal ultrasound might be included in the treatment plan, the Pap smear
indicates cervical pathology so a colposcopy or biopsy is indicated.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
5. Which concern is included in the plan of care for the patient who receives HPV (human
papillomavirus) vaccine?
a. It is available in oral form.
b. It involves a series of two injections.
c. Injections should be given over a 3-month period.
d. The vaccine (Gardasil) should not be given to any patient with a sensitivity to
yeast.
ANS: D
The vaccine should not be administered to any woman who has a sensitivity to any component
of the yeast family. It is available only in injection form. It is given as a series of three
injections. The series of three injections should be given over a 6-month period according to
Centers for Disease Control and Prevention (CDC) recommendations. Side effects of the
vaccine include: headache, fever, nausea, and dizziness.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. Which are the most common sites of breast cancer metastasis?
a. Kidneys
b. Bones and liver
c. Heart and blood vessels
, d. Skin
ANS: B
Metastasis occurs when the cancer cells spread by both blood and lymph system to distant
organs and to vascular sites, commonly the lungs, liver, bones, and brain. Kidney metastasis is
uncommon. Metastasis to the heart and blood vessels is uncommon. Skin cancer is not
associated with breast cancer metastasis.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
7. Which sexually transmitted disease can be treated and eradicated?
a. Herpes
b. AIDS
c. Chlamydia
d. Venereal warts
ANS: C
Treatment options chlamydial bacterial infection include: azithromycin, doxycycline,
ofloxacin, levofloxacin, or erythromycin. Concurrent treatment of all sexual partners is
necessary to prevent recurrence. Because no cure is known for herpes, treatment focuses on
pain relief and preventing secondary infections. Because no cure is known for AIDS,
prevention and early detection are the main focus. Condylomata acuminata is caused by the
human papillomavirus (HPV). No treatment eradicates the virus; however, there is a vaccine
available.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
8. A benign breast condition that includes dilation and inflammation of the collecting ducts is
known as
a. fibroadenoma.
b. ductal ectasia.
c. intraductal papilloma.
d. chronic cystic disease.
ANS: B
Generally occurring in women approaching menopause, ductal ectasia results in a firm
irregular mass in the breast, enlarged axillary nodes, and nipple discharge. Fibroadenoma is
evidenced by fibrous and glandular tissues. They are felt as firm, rubbery, and freely mobile
nodules. Intraductal papillomas develop in the epithelium of the ducts of the breasts; as the
mass grows, it causes trauma or erosion within the ducts. Chronic cystic disease causes pain
and tenderness. The cysts that form are multiple, smooth, and well delineated.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
9. Which statement regarding primary dysmenorrhea is most accurate?
a. Primary dysmenorrhea is experienced by all women.
b. It is unaffected by oral contraceptives.
c. It occurs in young multiparous women.
d. It may be caused by excessive endometrial prostaglandin.
