TEST BANK FOR
MATERNAL
CHILD NURSING
CARE 7th EDITION.
Chapter 01: 21st Century
Maternity Nursing Perry:
Maternal Child Nursing Care,
7th Edition
• Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
A. Mammogram
B. Ultrasound
C. Needle aspiration
D. CA 15.3
ANS: C
When a suspicious mammogram is noted or a lump is detected,
diagnosis is confirmed by needle aspiration, core needle biopsy, or
needle localization biopsy. Mammography is a clinical screening tool
that may aid early detection of breast cancers.
Transillumination, thermography, and ultrasound breast imaging are
being explored as methods of detecting early breast carcinoma. CA 15.3
is a serum tumor marker that is used to test for residual disease.
NURSINGTB.COM
PTS: 1 DIF: Cognitive Level: Knowledge OBJ:
Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
,• After a mastectomy, a woman should be instructed to perform all of the following except:
A. emptying surgical drains twice a day and as needed.
B. avoiding lifting more than 4.5 kg (10 lbs) or reaching
above her head until given permission by her
surgeon.
C. wearing clothing with snug sleeves to support the
tissue of the arm on the operative side.
D. reporting immediately if inflammation develops at
the incision site or in the affected arm.
ANS: C
The woman should not be advised to wear snug clothing. Rather, she
should be advised to avoid tight clothing, tight jewelry, and other
causes of decreased circulation in the affected arm. As part of the
teaching plan, the woman should be instructed to empty surgical
drains, to avoid lifting more than 10 lbs or reaching above her head,
and to report the development of incision site inflammation.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
• A nurse practitioner performs a clinical breast
examination on a woman diagnosed with fibroadenoma.
The nurse knows that fibroadenoma is characterized by:
A. inflammation of the milk ducts and glands behind the nipples.
B. thick, sticky discharge from the nipple of the affected breast.
C. lumpiness in both breasts that develops 1 week before menstruation.
D. a single lump in one breast that can be expected to shrink as the woman ages.
ANS: D
Fibroadenomas are characterized by discrete, usually solitary lumps
smaller than 3 cm in diameter. Fibroadenomas increase in size during
pregnancy and shrink as the woman ages. Inflammation of the milk ducts
is associated with mammary duct ectasia, not fibroadenoma. A thick,
sticky discharge is associated with galactorrhea, not fibroadenoma.
Lumpiness before menstruation is associated with fibrocystic changes of
the breast.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• What important, immediate postoperative care practice
should the nurse remember when caring for a woman
who has had a mastectomy?
A. The blood pressure (BP) cuff should not be applied to the affected arm.
, B. Venipuncture for blood work should be performed on the affected arm.
C. The affected arm should be used for intravenous (IV) therapy.
D. The affected arm should be held down close to the woman's side.
ANS: A
The affected arm should not be used for BP readings, IV therapy, or
venipuncture. The affected arm should be elevated with pillows above
the level of the right atrium.
PTS: 1 DIF: Cognitive Level: Application
tioUnRSINM
OBJ: Nursing Process: Implementa N G ST C
B.:C C
O lM
ient Needs: Physiologic Integrity
• A woman has a breast mass that is not well delineated and
is nonpalpable, immobile, and nontender. This is most
likely:
A. fibroadenoma.
B. lipoma.
C. intraductal papilloma.
D. mammary duct ectasia.
ANS: C
Intraductal papilloma is the only benign breast mass that is nonpalpable.
Fibroadenoma is well delineated, palpable, and movable. Lipoma is
palpable and movable. Mammary duct ectasia is not well delineated and
is immobile, but it is palpable and painful.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
• Fibrocystic changes in the breast most often appear in women in their
20s and 30s. The etiology is unknown but it may be an imbalance of
estrogen and progesterone. The nurse who cares for this patient should
be aware that treatment modalities are conservative. One proven
modality that may provide relief is:
A. diuretic administration.
B. including caffeine daily in the diet.
C. increased vitamin C supplementation.
D. application of cold packs to the breast as necessary.
ANS: A
Diuretic administration plus a decrease in sodium and fluid intake are
recommended. Although not supported by research, some advocate
eliminating dimethylxanthines (caffeine) from the diet. Smoking
should also be avoided, and alcohol consumption should be reduced.
, Vitamin E supplements are recommended; however, the patient
should avoid megadoses because this is a fat-soluble vitamin. Pain-
relief measures include applying heat to the breast, wearing a
supportive bra, and taking nonsteroidal anti-inflammatory drugs.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
• The nurse providing care in a women's health care setting must be
aware regarding which
sexually transmitted infection that can be successfully treated and cured?
A. Herpes
B. Acquired immunodeficiency syndrome (AIDS)
C. Venereal warts
D. Chlamydia
ANS: D
The usual treatment for infection by the bacterium Chlamydia is
doxycycline or azithromycin. Concurrent treatment of all sexual partners
is needed to prevent recurrence. There is no known cure for herpes, and
treatment focuses on pain relief and preventing secondary infections.
Because there is no known cure for AIDS, prevention and early
detection are the primary focus of care management. Condylomata
acuminata are caused by human papillomavirus. No treatment eradicates
the virus.
PTS: 1 DIF: CognitiN veUR
LSevINelG: TKBn.oCw
OlM
edge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• Which patient is most at risk for fibroadenoma of the breast?
A. A 38-year-old woman
B. A 50-year-old woman
C. A 16-year-old girl
D. A 27-year-old woman
ANS: C
Although it may occur at any age, fibroadenoma is most common in the
teenage years. Ductal ectasia and intraductal papilloma become more
common as a woman approaches menopause. Fibrocystic breast
changes are more common during the reproductive years.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• The drug of choice for treatment of gonorrhea is:
MATERNAL
CHILD NURSING
CARE 7th EDITION.
Chapter 01: 21st Century
Maternity Nursing Perry:
Maternal Child Nursing Care,
7th Edition
• Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
A. Mammogram
B. Ultrasound
C. Needle aspiration
D. CA 15.3
ANS: C
When a suspicious mammogram is noted or a lump is detected,
diagnosis is confirmed by needle aspiration, core needle biopsy, or
needle localization biopsy. Mammography is a clinical screening tool
that may aid early detection of breast cancers.
Transillumination, thermography, and ultrasound breast imaging are
being explored as methods of detecting early breast carcinoma. CA 15.3
is a serum tumor marker that is used to test for residual disease.
NURSINGTB.COM
PTS: 1 DIF: Cognitive Level: Knowledge OBJ:
Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
,• After a mastectomy, a woman should be instructed to perform all of the following except:
A. emptying surgical drains twice a day and as needed.
B. avoiding lifting more than 4.5 kg (10 lbs) or reaching
above her head until given permission by her
surgeon.
C. wearing clothing with snug sleeves to support the
tissue of the arm on the operative side.
D. reporting immediately if inflammation develops at
the incision site or in the affected arm.
ANS: C
The woman should not be advised to wear snug clothing. Rather, she
should be advised to avoid tight clothing, tight jewelry, and other
causes of decreased circulation in the affected arm. As part of the
teaching plan, the woman should be instructed to empty surgical
drains, to avoid lifting more than 10 lbs or reaching above her head,
and to report the development of incision site inflammation.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
• A nurse practitioner performs a clinical breast
examination on a woman diagnosed with fibroadenoma.
The nurse knows that fibroadenoma is characterized by:
A. inflammation of the milk ducts and glands behind the nipples.
B. thick, sticky discharge from the nipple of the affected breast.
C. lumpiness in both breasts that develops 1 week before menstruation.
D. a single lump in one breast that can be expected to shrink as the woman ages.
ANS: D
Fibroadenomas are characterized by discrete, usually solitary lumps
smaller than 3 cm in diameter. Fibroadenomas increase in size during
pregnancy and shrink as the woman ages. Inflammation of the milk ducts
is associated with mammary duct ectasia, not fibroadenoma. A thick,
sticky discharge is associated with galactorrhea, not fibroadenoma.
Lumpiness before menstruation is associated with fibrocystic changes of
the breast.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• What important, immediate postoperative care practice
should the nurse remember when caring for a woman
who has had a mastectomy?
A. The blood pressure (BP) cuff should not be applied to the affected arm.
, B. Venipuncture for blood work should be performed on the affected arm.
C. The affected arm should be used for intravenous (IV) therapy.
D. The affected arm should be held down close to the woman's side.
ANS: A
The affected arm should not be used for BP readings, IV therapy, or
venipuncture. The affected arm should be elevated with pillows above
the level of the right atrium.
PTS: 1 DIF: Cognitive Level: Application
tioUnRSINM
OBJ: Nursing Process: Implementa N G ST C
B.:C C
O lM
ient Needs: Physiologic Integrity
• A woman has a breast mass that is not well delineated and
is nonpalpable, immobile, and nontender. This is most
likely:
A. fibroadenoma.
B. lipoma.
C. intraductal papilloma.
D. mammary duct ectasia.
ANS: C
Intraductal papilloma is the only benign breast mass that is nonpalpable.
Fibroadenoma is well delineated, palpable, and movable. Lipoma is
palpable and movable. Mammary duct ectasia is not well delineated and
is immobile, but it is palpable and painful.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
• Fibrocystic changes in the breast most often appear in women in their
20s and 30s. The etiology is unknown but it may be an imbalance of
estrogen and progesterone. The nurse who cares for this patient should
be aware that treatment modalities are conservative. One proven
modality that may provide relief is:
A. diuretic administration.
B. including caffeine daily in the diet.
C. increased vitamin C supplementation.
D. application of cold packs to the breast as necessary.
ANS: A
Diuretic administration plus a decrease in sodium and fluid intake are
recommended. Although not supported by research, some advocate
eliminating dimethylxanthines (caffeine) from the diet. Smoking
should also be avoided, and alcohol consumption should be reduced.
, Vitamin E supplements are recommended; however, the patient
should avoid megadoses because this is a fat-soluble vitamin. Pain-
relief measures include applying heat to the breast, wearing a
supportive bra, and taking nonsteroidal anti-inflammatory drugs.
PTS: 1 DIF: Cognitive Level: Application OBJ:
Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
• The nurse providing care in a women's health care setting must be
aware regarding which
sexually transmitted infection that can be successfully treated and cured?
A. Herpes
B. Acquired immunodeficiency syndrome (AIDS)
C. Venereal warts
D. Chlamydia
ANS: D
The usual treatment for infection by the bacterium Chlamydia is
doxycycline or azithromycin. Concurrent treatment of all sexual partners
is needed to prevent recurrence. There is no known cure for herpes, and
treatment focuses on pain relief and preventing secondary infections.
Because there is no known cure for AIDS, prevention and early
detection are the primary focus of care management. Condylomata
acuminata are caused by human papillomavirus. No treatment eradicates
the virus.
PTS: 1 DIF: CognitiN veUR
LSevINelG: TKBn.oCw
OlM
edge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• Which patient is most at risk for fibroadenoma of the breast?
A. A 38-year-old woman
B. A 50-year-old woman
C. A 16-year-old girl
D. A 27-year-old woman
ANS: C
Although it may occur at any age, fibroadenoma is most common in the
teenage years. Ductal ectasia and intraductal papilloma become more
common as a woman approaches menopause. Fibrocystic breast
changes are more common during the reproductive years.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• The drug of choice for treatment of gonorrhea is:
