TB-Chapter 11 The Nurses Role in Womens Health Care.

MULTIPLE CHOICE 1. 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. Breast examination by a health professional b. Breast self-examination c. Breast biopsy d. Mammography ANS: D Mammography is a screening test used to detect breast cancer. DIF: Cognitive Level: Comprehension REF: Page 260 TOP: Mammography KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination? a. A few days before her period b. During her menstrual period c. On the last day of menstrual flow d. One week after the beginning of her period ANS: D The best time for BSE is 1 week after the beginning of the menstrual period. DIF: Cognitive Level: Knowledge REF: Page 260 TOP: Breast Self-Exam KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. A woman asks the nurse, How do oral contraceptives prevent pregnancy? What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives? a. Makes cervical mucus hostile to sperm b. Prevents ovulation c. Prohibits implantation of the egg d. Acts as a barrier by destroying sperm ANS: B Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation. DIF: Cognitive Level: Comprehension REF: Page 271 TOP: Oral Contraceptives KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 4. What should a woman expect after insertion of an intrauterine device (IUD)? a. Menstrual flow will be lighter. b. Menstrual cramps will be eliminated. c. A string should be felt in the vagina. d. The device should be changed every 2 years. ANS: C A woman should feel for the string periodically, especially after her period, to confirm the presence of the IUD. DIF: Cognitive Level: Comprehension REF: Page 273 TOP: IUDs KEY: Nursing Process Step: Implementation Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 97 NURSINGTB.COM INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK This study source was downloaded by from CourseH on :05:00 GMT -05:00 NURSINGTB.COM MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. What information will the nurse provide when educating a woman about the correct use of a diaphragm? a. Use of a spermicidal cream or jelly is not recommended. b. Leave in place for at least 6 hours after intercourse. c. Remove immediately after intercourse for douching. d. It is effective for up to 48 hours if positioned properly. ANS: B To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to 24 hours. DIF: Cognitive Level: Comprehension REF: Page 273 OBJ: 5 TOP: Diaphragm KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 6. The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? a. Abstain from sex. b. Use the male condom. c. Use the female condom. d. Use the barrier method. ANS: A Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases. DIF: Cognitive Level: Comprehension REF: Page 271 TOP: Abstinence KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 7. On day 13 of a 28-day cycle, a womans basal body temperature is 36.5 C (97.7 F). What will her temperature measurement most likely be if ovulation takes place on day 14? a. 35.9 C (96.7 F) b. 36.3 C (97.3 F) c. 36.7 C (98.1 F) d. 37.1 C (98.9 F) ANS: C At the time of ovulation, body temperature will increase slightly, about 0.2 C (0.4 F). DIF: Cognitive Level: Analysis REF: Page 270 TOP: Ovulation KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 8. The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? a. Cloudy and tacky b. Scant and thick c. Thin and white d. Clear and slippery ANS: D Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix. DIF: Cognitive Level: Knowledge REF: Page 270 TOP: Ovulation KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation