Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. The nurse is planning to teach a woman about perimenopause. What would the nurse
include regarding lowered estrogen level?
a. It prevents osteoporosis
b. It decreases vaginal lubrication
c. It raises the level of low-density lipoproteins
d. It raises the level of high-density lipoproteins
ANS: C
Estrogen increases the amount of high-density lipoproteins that carry cholesterol from
body cells to the liver for excretion. With lowered levels of estrogen, low-density
lipoproteins increase, causing an increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: 36 OBJ: 9
TOP: Menopause KEY: Nursing Process Step: Planning
2. What side effect would the nurse instruct a woman to look for when starting hormone
therapy (HT) for management of menopausal symptoms?
a. Fatigue
b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HT are reminded to have regular follow-up care and report
headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: 37 OBJ: 9
TOP: Hormone Therapy KEY: Nursing Process Step:
, Implementation
3. What will the nurse advise when a woman asks what she can do to reduce the discomfort
of hot flashes?
a. “Aerobic exercise helps control hot flashes.”
b. “Increase the amount of calcium and vitamin D in your diet.”
c. “Dress in layers of cotton clothing.”
d. “Drink plenty of fluids, particularly caffeinated beverages.”
ANS: C
Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman
to take off or put on clothes when symptoms occur.
DIF: Cognitive Level: Application REF: 39 OBJ: 9
TOP: Physical Changes of Menopause KEY: Nursing Process Step:
Implementation
4. Which statement made by the nurse would teach an adolescent using tampons how to
prevent toxic shock syndrome (TSS)?
a. “Super-absorbency tampons are effective for overnight absorption.”
b. “Tampons should be changed at least every 4 hours.”
c. “Gloves should be worn when changing tampons.”
d. “TSS can be prevented by using a pad for the first 2 days of menstrual flow.”
ANS: B
Tampons should be changed every 4 hours because a blood-soaked tampon is an
excellent environment for bacteria.
DIF: Cognitive Level: Comprehension REF: 23 OBJ: 5
TOP: TSS KEY: Nursing Process Step: Implementation
5. The nurse is preparing a community education program on preventive health care for
women. What common screening test will the nurse plan on explaining to the women
attending the program?
a. Clinical breast examination (CBE) by a health professional
b. Breast self-examination (BSE)
MULTIPLE CHOICE
1. The nurse is planning to teach a woman about perimenopause. What would the nurse
include regarding lowered estrogen level?
a. It prevents osteoporosis
b. It decreases vaginal lubrication
c. It raises the level of low-density lipoproteins
d. It raises the level of high-density lipoproteins
ANS: C
Estrogen increases the amount of high-density lipoproteins that carry cholesterol from
body cells to the liver for excretion. With lowered levels of estrogen, low-density
lipoproteins increase, causing an increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: 36 OBJ: 9
TOP: Menopause KEY: Nursing Process Step: Planning
2. What side effect would the nurse instruct a woman to look for when starting hormone
therapy (HT) for management of menopausal symptoms?
a. Fatigue
b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HT are reminded to have regular follow-up care and report
headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: 37 OBJ: 9
TOP: Hormone Therapy KEY: Nursing Process Step:
, Implementation
3. What will the nurse advise when a woman asks what she can do to reduce the discomfort
of hot flashes?
a. “Aerobic exercise helps control hot flashes.”
b. “Increase the amount of calcium and vitamin D in your diet.”
c. “Dress in layers of cotton clothing.”
d. “Drink plenty of fluids, particularly caffeinated beverages.”
ANS: C
Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman
to take off or put on clothes when symptoms occur.
DIF: Cognitive Level: Application REF: 39 OBJ: 9
TOP: Physical Changes of Menopause KEY: Nursing Process Step:
Implementation
4. Which statement made by the nurse would teach an adolescent using tampons how to
prevent toxic shock syndrome (TSS)?
a. “Super-absorbency tampons are effective for overnight absorption.”
b. “Tampons should be changed at least every 4 hours.”
c. “Gloves should be worn when changing tampons.”
d. “TSS can be prevented by using a pad for the first 2 days of menstrual flow.”
ANS: B
Tampons should be changed every 4 hours because a blood-soaked tampon is an
excellent environment for bacteria.
DIF: Cognitive Level: Comprehension REF: 23 OBJ: 5
TOP: TSS KEY: Nursing Process Step: Implementation
5. The nurse is preparing a community education program on preventive health care for
women. What common screening test will the nurse plan on explaining to the women
attending the program?
a. Clinical breast examination (CBE) by a health professional
b. Breast self-examination (BSE)
