C HAPTER 11: T HE N URSE ’ S R OLE IN
W OMEN ’ S H EALTH C ARE
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse is planning to teach a woman about perimenopause. What would
the nurse include regarding lowered estrogen level?
a. It prevent osteoporosis.
b. It decreases vaginal lubrication.
c. It raises the level of low -densit y lipoproteins.
d. It raises the level of high -densit y lipoproteins.
ANS: C
Estrogen increases the amount of high -densit y lipoproteins that carry
cholesterol from body cells to the liver for excretion. With lowered
levels of estrogen, low -densit y lipoproteins increase, causing an
increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: Page 283 TOP:
Menopause KEY: Nursing Process Step: Planning MSC:
NCLEX: Physiological Integrit y: Physiological Adaptation
2. What side effect would the nurs e instruct a woman to look for when
starting hormone replacement therapy (HRT)?
a. Fatigue
, b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HRT are reminded to have regular follow -up care
and report headaches, vision changes, symptoms of thromboph lebitis,
and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: Page 284
TOP: HRT KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
3. What will the nurse advise when a woman asks what she c an 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 plent y of fluids, particularl y 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: Page 285 OBJ: 8
TOP: Prevention of Hot Flashes KEY: Nursing
, Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
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 absorpt ion.
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: Page 264
TOP: TSS KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
5. What statement by a man considering a vasectom y indicates a need for
further information?
a. Sterilit y does not occur immediatel y after the procedure.
b. We will need to use some form of birth control for about a month
afterward.
c. The procedure involves the use of local anesthesia.
d. Ill need to remain in the hospital for a few days.
ANS: D
W OMEN ’ S H EALTH C ARE
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse is planning to teach a woman about perimenopause. What would
the nurse include regarding lowered estrogen level?
a. It prevent osteoporosis.
b. It decreases vaginal lubrication.
c. It raises the level of low -densit y lipoproteins.
d. It raises the level of high -densit y lipoproteins.
ANS: C
Estrogen increases the amount of high -densit y lipoproteins that carry
cholesterol from body cells to the liver for excretion. With lowered
levels of estrogen, low -densit y lipoproteins increase, causing an
increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: Page 283 TOP:
Menopause KEY: Nursing Process Step: Planning MSC:
NCLEX: Physiological Integrit y: Physiological Adaptation
2. What side effect would the nurs e instruct a woman to look for when
starting hormone replacement therapy (HRT)?
a. Fatigue
, b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HRT are reminded to have regular follow -up care
and report headaches, vision changes, symptoms of thromboph lebitis,
and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: Page 284
TOP: HRT KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
3. What will the nurse advise when a woman asks what she c an 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 plent y of fluids, particularl y 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: Page 285 OBJ: 8
TOP: Prevention of Hot Flashes KEY: Nursing
, Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
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 absorpt ion.
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: Page 264
TOP: TSS KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
5. What statement by a man considering a vasectom y indicates a need for
further information?
a. Sterilit y does not occur immediatel y after the procedure.
b. We will need to use some form of birth control for about a month
afterward.
c. The procedure involves the use of local anesthesia.
d. Ill need to remain in the hospital for a few days.
ANS: D
