Chapter 04: Assessment and Health
Promotion Lowdermilk: Maternity &
Women's Health Care, 12th Edition Exam
Questions With 100% Complete
Solutions Graded A+
1. Due to the effects of cyclic ovarian changes in the breast, when is the best time for
breast self-examination (BSE)?
a. Between 5 and 7 days after menses ceases
b. Day 1 of the endometrial cycle
c. Midmenstrual cycle
d. Any time during a shower or bath - ANSWER-ANS: A
The physiologic alterations in breast size and activity reach their minimal level
approximately 5 to 7 days after menstruation ceases. Therefore, BSE is best performed
during this phase of the menstrual cycle. Day 1 of the endometrial cycle is too early to
perform an accurate BSE. After the midmenstrual cycle, breasts are likely to become
tender and increase in size, which is not the ideal time to perform BSE. Lying down after
a shower or bath with a small towel under the shoulder of the side being examined is
appropriate teaching for BSE. A secondary BSE may be performed while in the shower.
2. Individual irregularities in the ovarian (menstrual) cycle are most often caused by
what?
a. Variations in the follicular (preovulatory) phase
b. Intact hypothalamic-pituitary feedback mechanism
c. Functioning corpus luteum
d. Prolonged ischemic phase - ANSWER-ANS: A
, Almost all variations in the length of the ovarian cycle are the result of variations in the
length of the follicular phase. This information discounts the other options as being
correct. An intact hypothalamic-pituitary feedback mechanism would be regular, not
irregular. The luteal phase begins after ovulation. The corpus luteum is dependent on
the ovulatory phase and fertilization. During the ischemic phase, the blood supply to the
functional endometrium is blocked, and necrosis develops. The functional layer
separates from the basal layer, and menstrual bleeding begins
3. How would the physiologic process of the sexual response best be characterized?
a. Coitus, masturbation, and fantasy
b. Myotonia and vasocongestion
c. Erection and orgasm
d. Excitement, plateau, and orgasm - ANSWER-ANS: B
Physiologically, sexual response can be analyzed in terms of two processes:
vasocongestion and myotonia. Coitus, masturbation, and fantasy are forms of
stimulation for the physical manifestation of the sexual response. Erection and orgasm
occur in two of the four phases of the sexual response cycle. Excitement, plateau, and
orgasm are three of the four phases of the sexual response cycle
4. The nurse guides a woman to the examination room and asks her to remove her
clothes and put on an examination gown with the front open. The woman replies, "I
have special undergarments that I do not remove for religious reasons." Which is the
most appropriate response from the nurse?
a. "You can't have an examination without removing all your clothes."
b. "I'll ask the physician to modify the examination."
c. "I'll explain the examination procedure, and then we can discuss how you can
comfortably have your examination."
d. "I have no idea how we can accommodate your beliefs." - ANSWER-ANS: C
Explaining the examination procedure reflects cultural competence by the nurse and
shows respect for the woman's religious practices. The nurse must respect the rich and
unique qualities that cultural diversity brings to individuals. The examination can be
modified to ensure that modesty is maintained. In recognizing the value of cultural
Promotion Lowdermilk: Maternity &
Women's Health Care, 12th Edition Exam
Questions With 100% Complete
Solutions Graded A+
1. Due to the effects of cyclic ovarian changes in the breast, when is the best time for
breast self-examination (BSE)?
a. Between 5 and 7 days after menses ceases
b. Day 1 of the endometrial cycle
c. Midmenstrual cycle
d. Any time during a shower or bath - ANSWER-ANS: A
The physiologic alterations in breast size and activity reach their minimal level
approximately 5 to 7 days after menstruation ceases. Therefore, BSE is best performed
during this phase of the menstrual cycle. Day 1 of the endometrial cycle is too early to
perform an accurate BSE. After the midmenstrual cycle, breasts are likely to become
tender and increase in size, which is not the ideal time to perform BSE. Lying down after
a shower or bath with a small towel under the shoulder of the side being examined is
appropriate teaching for BSE. A secondary BSE may be performed while in the shower.
2. Individual irregularities in the ovarian (menstrual) cycle are most often caused by
what?
a. Variations in the follicular (preovulatory) phase
b. Intact hypothalamic-pituitary feedback mechanism
c. Functioning corpus luteum
d. Prolonged ischemic phase - ANSWER-ANS: A
, Almost all variations in the length of the ovarian cycle are the result of variations in the
length of the follicular phase. This information discounts the other options as being
correct. An intact hypothalamic-pituitary feedback mechanism would be regular, not
irregular. The luteal phase begins after ovulation. The corpus luteum is dependent on
the ovulatory phase and fertilization. During the ischemic phase, the blood supply to the
functional endometrium is blocked, and necrosis develops. The functional layer
separates from the basal layer, and menstrual bleeding begins
3. How would the physiologic process of the sexual response best be characterized?
a. Coitus, masturbation, and fantasy
b. Myotonia and vasocongestion
c. Erection and orgasm
d. Excitement, plateau, and orgasm - ANSWER-ANS: B
Physiologically, sexual response can be analyzed in terms of two processes:
vasocongestion and myotonia. Coitus, masturbation, and fantasy are forms of
stimulation for the physical manifestation of the sexual response. Erection and orgasm
occur in two of the four phases of the sexual response cycle. Excitement, plateau, and
orgasm are three of the four phases of the sexual response cycle
4. The nurse guides a woman to the examination room and asks her to remove her
clothes and put on an examination gown with the front open. The woman replies, "I
have special undergarments that I do not remove for religious reasons." Which is the
most appropriate response from the nurse?
a. "You can't have an examination without removing all your clothes."
b. "I'll ask the physician to modify the examination."
c. "I'll explain the examination procedure, and then we can discuss how you can
comfortably have your examination."
d. "I have no idea how we can accommodate your beliefs." - ANSWER-ANS: C
Explaining the examination procedure reflects cultural competence by the nurse and
shows respect for the woman's religious practices. The nurse must respect the rich and
unique qualities that cultural diversity brings to individuals. The examination can be
modified to ensure that modesty is maintained. In recognizing the value of cultural
