Maternity and Paediatric Nursing 4th Edition Ricci Kyle Carman - Test Bank

Chapter 1 Perspectives on Maternal and Child Health Care 1 . The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive womens shelters D) Encouraging all women to eat a balanced diet 2 . When integrating the principles of family-centered care, the nurse would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions 3 . When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers 4 . After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed labor D) Infection 5 . The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes . plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes D) Cancer 6 . When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A) Language B) Health care workers attitudes C) Transportation D) Finances 7 . After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A) Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D) Getting verbal consent over the phone for emergency procedures 8 . The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A) Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the childs aunt or uncle to obtain their consent D) Advocating for termination of parental rights for this situation 9 . After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A) Childbirth affects the entire family, and relationships will change. B) Families are not capable of making health care decisions for themselves. C) Mothers are the family members affected by childbirth. D) Childbirth is a medical procedure. 10 . A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A ) Disease prevention B ) Health promotion C ) Wellness . changes during the past century, which of the following would the instructor be least likely to include? A ) Disease prevention B ) Health promotion C ) Wellness D ) Analysis of morbidity and mortality 1 1 . A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this clients cultural background, the client most likely views illness as which of the following? A ) Caused by supernatural forces. B ) A punishment for sins. C ) Due to spirits or demons. D ) From an imbalance of yin and yang 1 2 . A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A ) Adhering to strict, specific routines B ) Involving a pediatric physician C ) Educating the client about the importance of a support person D ) Assigning several nurses as a support team B ) Involving a pediatric physician C ) Educating the client about the importance of a support person D ) Assigning several nurses as a support team 1 3 . A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply. A ) Advocacy B ) Coordination C ) Communication D ) Resource management E ) Event managed care 1 4 . After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following? A ) The rate includes accidental causes for deaths. B ) It addresses pregnancy-related causes. C ) The duration of the pregnancy is not a concern. D ) The time frame is typically for a specified year. 1 5 . A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame? A ) 1700s B ) 1800s C ) 1900s D ) 2000s 1 6 . A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care? A ) Focusing on the birth as a normal healthy event for the family B ) Creating opportunities for the family to make informed decisions C ) Encouraging the woman to keep her other children at home D ) Fostering a sense of respect for the mother and the family 1 7 . When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply. A ) Chromosomal abnormalities B ) Malnutrition C ) Preterm cervical dilation D Underlying disease condition 7 . maternal factors. Which of the following would the nurse most likely include? Select all that apply. A ) Chromosomal abnormalities B ) Malnutrition C ) Preterm cervical dilation D ) Underlying disease condition E ) Poor placental attachment 1 8 . A nurse is preparing a presentation for a local community group about health status and childrens health. Which of the following would the nurse include as one of the most significant measures? A ) Fetal mortality rate B ) Neonatal mortality rate C ) Infant mortality rate D ) Maternal mortality rate 1 9 . A group of students are reviewing an article describing information related to indicators for womens health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A ) Smoking cessation B ) Colorectal cancer screening C ) Violence against women D ) Health insurance coverage E Mammograms A ) Smoking cessation B ) Colorectal cancer screening C ) Violence against women D ) Health insurance coverage E ) Mammograms 2 0 . A nurse is preparing a presentation for a local womens group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A ) Women have similar symptoms as men for a heart attack. B ) Heart disease is no longer viewed as a mans disease. C ) Women experiencing a heart attack are at greater risk for dying. D ) Heart attacks in women are more easily diagnosed. 2 1 . A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply. A ) White women have higher rates of breast cancer than African American women. B ) African American women are more likely to die from breast cancer at any age. C ) Survival at any stage is worse among white women. D ) Women living in South America have the highest rates of breast cancer. E ) Breast cancer is the leading cause of cancer mortality in women. B ) African American women are more likely to die from breast cancer at any age. C ) Survival at any stage is worse among white women. D ) Women living in South America have the highest rates of breast cancer. E ) Breast cancer is the leading cause of cancer mortality in women. 2 2 . A group of nursing students are reviewing information about factors affecting maternal, newborn, and womens health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A ) Literacy B ) Employment opportunities C ) Mobility D ) Political representation E ) Skills Chapter 2 Family-Centered Community-Based Care 1 . The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A ) Softening unpleasant information or prognoses B ) Evaluating and changing the nursing plan of care C ) Collaborating with the child and family as equals D ) Showing respect for the familys beliefs and wishes A ) Softening unpleasant information or prognoses B ) Evaluating and changing the nursing plan of care C ) Collaborating with the child and family as equals D ) Showing respect for the familys beliefs and wishes 2 . The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A ) Arranging for a physical therapy session B ) Teaching parents to administer albuterol C ) Reminding parent to give a full course of antibiotics D ) Giving a DTaP vaccination at the proper interval 3 . A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A ) Serves as a communication tool for the interdisciplinary team. B ) Demonstrates education the family has received if legal matters arise. C ) Permits others access to allow refusal of medical insurance coverage. D ) Verifies meeting client education standards set by the Joint Commission. 4 . A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A ) I like having the privacy, but it might be too expensive for me to set up in my home. B ) I want to have more control, but I am concerned if an emergency would arise. C ) It is safer because I will have a midwife. D ) The midwife is trained to resolve any emergency, and she can bring any pain meds. 5 . The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, Im pretty tired. And with this pain, I havent been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby. Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A ) Impaired skin integrity related to cesarean birth incision B ) Fatigue related to effects of surgery and caretaking activities C ) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D ) Acute pain related to incision and cesarean birth 6 . When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A ) Adapt to the practices of the familys culture B ) Determine similarities between both cultures C Assess personal feelings about that culture 6 . When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A ) Adapt to the practices of the familys culture B ) Determine similarities between both cultures C ) Assess personal feelings about that culture D ) Learn as much as possible about that culture 7 . After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A ) Increase in community settings for care B ) Decrease in family poverty level C ) Increase in hospitalization of children D ) Decrease in managed care 8 . The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A ) Calcium B ) Folic acid C ) Vitamin C D ) Iron A ) Calcium B ) Folic acid C ) Vitamin C D ) Iron 9 . Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A ) Provide treatment for clients who test positive for HIV B ) Monitor viral load counts periodically C ) Educate clients in how to practice safe sex D ) Offer testing for clients who practice unsafe sex 1 0 . When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A ) Confer with the clients mother B ) Teach new self-care skills to the client C ) Determine if there is a need for back-up power D ) Discuss coverage with the insurance company 1 1 . When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A ) Increased time available for education B ) Improved access to resources C ) Decision making in isolation D ) Greater environmental structure 1 2 . After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in communitybased health care? A ) Teaching women to take folic acid supplements to prevent neural tube defects B ) Working with women who are victims of domestic violence C ) Working with clients at an HIV clinic to provide nutritional and CAM therapies D ) Teaching hypertensive clients to monitor blood pressure 1 3 . A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A ) 2448 hours or less B ) 7296 hours or less C 4872 hours or less 1 3 . A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A ) 2448 hours or less B ) 7296 hours or less C ) 4872 hours or less D ) 96120 hours or less 1 4 . Which of the following statements is accurate regarding womens health care in todays system? A ) Women spend 95 cents of every dollar spent on health care. B ) Women make almost 90% of all health care decisions. C ) Women are still the minority in the United States. D ) Men use more health services than women. 1 5 . A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the clients learning ability? A ) Did you graduate from high school; how many years of schooling did you have? B ) Do you have someone in your family who would understand this information? C ) Many people have trouble remembering information; is this a problem for you? D ) Would you prefer that the doctor give you more detailed medical information? A ) Did you graduate from high school; how many years of schooling did you have? B ) Do you have someone in your family who would understand this information? C ) Many people have trouble remembering information; is this a problem for you? D ) Would you prefer that the doctor give you more detailed medical information? 1 6 . A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply. A ) Examining personal sociocultural heritage B ) Reviewing personal biases and prejudices C ) Seeking resources to further understanding of other cultures D ) Becoming familiar with other culturally diverse lifestyles E ) Performing a competent cultural assessment F ) Advocating for social justice to eliminate disparities. 1 7 . A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity? A ) Explaining to the woman and family what to expect during the birth process. B ) Assisting the woman in breathing techniques to cope with labor contractions. C ) Reinforcing the womans role as a mother after birth D ) Helping the family obtain extra financial help for prescribed phototherapy A ) Explaining to the woman and family what to expect during the birth process. B ) Assisting the woman in breathing techniques to cope with labor contractions. C ) Reinforcing the womans role as a mother after birth D ) Helping the family obtain extra financial help for prescribed phototherapy 1 8 . A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. A ) Urgent care center B ) Hospice care C ) Immunization clinic D ) Physicians office E ) Day surgery center F ) Nursing home 1 9 . A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following? A ) Conducting childbirth education classes B ) Counseling a pregnant teen with anemia C ) Consulting with a parent of a child who is vomiting D ) Performing epidemiologic investigations A ) Conducting childbirth education classes B ) Counseling a pregnant teen with anemia C ) Consulting with a parent of a child who is vomiting D ) Performing epidemiologic investigations 2 0 . During class, a nursing student asks, I read an article that was talking about integrative medicine. What is that? Which response by the instructor would be most appropriate? A ) It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition. B ) It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort. C ) It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. D ) It refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one. 2 1 . While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following? A ) Use of essential oils to stimulate the sense of smell to balance the mind and body B ) Application of pressure to specific points to allow self-healing C ) Use of deep massage of areas on the foot or hand to rebalance body parts D ) Participation in chanting and praying to promote healing. 2 2 . A pregnant woman asks the nurse about giving birth in a birthing center. She says, Im thinking about using one but Im not sure. Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.) A ) An alternative for women who are uncomfortable with a home birth. B ) The longer length of stay needed when compared to hospital births C ) Focus on supporting women through labor instead of managing labor D ) View of labor and birth as a normal process requiring no intervention E ) Care provided primarily by obstetricians with midwives as backup care 2 3 . A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role? A ) Greater emphasis on direct physical care B ) Broader assessment to include the environment C ) Increased dependency on physician D ) Limited decision making and support 2 4 . A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) A ) Teach survival skills first B ) Use simple, nonmedical language 2 4 . A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) A ) Teach survival skills first B ) Use simple, nonmedical language C ) Refrain from using a hands-on approach D ) Avoid repeating information E ) Use visual materials such as photos and videos 2 5 . A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A ) Cultural knowledge B ) Cultural skills C ) Cultural encounter D ) Cultural awareness Chapter 3 Anatomy and Physiology of the Reproductive System 1 . When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A ) Menstrual B ) Proliferative C ) Secretory D ) Ischemic 2 . After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a womans first: A ) Sexual experience B ) Full hormonal cycle C ) Menstrual period D ) Sign of breast development 3 . A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the clients next menses to begin on: A ) May 24 B ) May 26 C ) May 30 D ) June 1 3 . A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the clients next menses to begin on: A ) May 24 B ) May 26 C ) May 30 D ) June 1 4 . Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A ) Cervix B ) Fallopian tube C ) Vagina D ) Vulva 5 . After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A ) Placental estrogen B ) Progesterone C ) Gonadotropin-releasing hormone D ) Prolactin 6 . The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A ) Evidence of pubic hair B ) Development of breast buds C ) Onset of menses D ) Growth spurt 7 . When describing the ovarian cycle to a group of students, which phase would the instructor include? A ) Luteal phase B ) Proliferative phase C ) Menstrual phase D ) Secretory phase 8 . The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A ) Estrogen B ) Progesterone C ) Follicle-stimulating hormone D ) Luteinizing hormone A ) Estrogen B ) Progesterone C ) Follicle-stimulating hormone D ) Luteinizing hormone 9 . The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? A ) Testes B ) Seminal vesicles C ) Scrotum D ) Prostate gland 1 0 . The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? A ) Seminal vesicles B ) Prostate gland C ) Cowpers glands D ) Vas deferens 1 1 . The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A ) Sperm emission B ) Penile vasodilation C ) Psychological release D ) Ejaculation 1 2 . A woman comes to the clinic complaining that she has little sexual desire. As part of the clients evaluation, the nurse would anticipate the need to evaluate which hormone level? A ) Progesterone B ) Estrogen C ) Gonadotropin-releasing hormone D ) Testosterone 1 3 . A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. A ) Mons pubis B ) Labia C ) Vagina D Clitoris 3 . reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. A ) Mons pubis B ) Labia C ) Vagina D ) Clitoris E ) Uterus 1 4 . When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A ) Estrogen B ) Luteinizing hormone C ) Progesterone D ) Prolactin 1 5 . A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle-stimulating hormone as being secreted by which of the following? A ) Hypothalamus B ) Anterior pituitary gland C ) Ovaries D ) Corpus luteum A ) Hypothalamus B ) Anterior pituitary gland C ) Ovaries D ) Corpus luteum 1 6 . A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. Ive also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? A ) Menopause B ) Perimenopause C ) Climacteric D ) Menarche 1 7 . After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization? A ) Vagina B ) Uterus C ) Fallopian tubes D ) Vestibule 1 8 . A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse be least likely to identify as placing the client at risk for an infection? A ) Recent antibiotic therapy for an upper respiratory infection B ) Last menstrual period about 5 days ago. C ) Weekly douching D ) Frequent use of feminine hygiene sprays. 1 9 . A group of nursing students are reviewing information about the male reproductive structures. The students demonstrate understanding of the information when they identify which of the following as accessory organs? (Select all that apply.) A ) Testes B ) Vas deferens C ) Bulbourethral glands D ) Prostate gland E ) Penis 2 0 . A nurse is examining a female client and tests the clients vaginal pH. Which finding would the nurse interpret as normal? A ) 4.5 B ) 7 C ) 8.5 D ) 10 2 1 . When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following? A ) Semen forced through the urethra to the outside B ) Movement of sperm from the testes and fluid into the urethras C ) Dilation of the penile arteries with increased blood flow to the tissues. D ) Bodys return to the physiologic nonstimulated state 2 2 . A nurse is describing the structure and function of the reproductive system to an adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? A ) Mucus-like B ) Alkaline C ) Acidic D Semen 2 . adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? A ) Mucus-like B ) Alkaline C ) Acidic D ) Semen Chapter 4 Common Reproductive Issues 1 . After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? A ) Oral contraceptives B ) Tubal ligation C ) Condoms D ) Intrauterine system 2 . When discussing contraceptive options, which method would the nurse recommend as being the most reliable? A ) Coitus interruptus B ) Lactational amenorrheal method (LAM) C ) Natural family planning D ) Intrauterine system A ) Coitus interruptus B ) Lactational amenorrheal method (LAM) C ) Natural family planning D ) Intrauterine system 3 . A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which of the following to confirm this suspicion? A ) Pelvic examination B ) Transvaginal ultrasound C ) Laparoscopy D ) Hysterosalpingogram 4 . A client is to receive an implantable contraceptive. The nurse describes this contraceptive as containing: A ) Synthetic progestin B ) Combined estrogen and progestin C ) Concentrated spermicide D ) Concentrated estrogen 5 . The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only with a prescription? A ) Condom B ) Spermicide C ) Diaphragm D ) Basal body temperature 6 . When developing a teaching plan for a couple considering contraception options, which of the following statements would the nurse include? A ) You should select one that is considered to be 100% effective. B ) The best one is the one that is the least expensive and most convenient. C ) A good contraceptive doesnt require a physicians prescription. D ) The best contraceptive is one that you will use correctly and consistently. 7 . Which of the following measures would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause? A ) Taking vitamin supplements B ) Eating high-fiber, high-calorie foods C ) Restricting fluid to 1,000 mL daily D ) Participating in regular daily exercise A ) Taking vitamin supplements B ) Eating high-fiber, high-calorie foods C ) Restricting fluid to 1,000 mL daily D ) Participating in regular daily exercise 8 . When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which of the following as the primary cause? A ) Poor dietary intake B ) Estrogen deficiency C ) Active lifestyle D ) Changes in vaginal pH 9 . A client states that she is to have a test to measure bone mass to help diagnose osteoporosis. The nurse would most likely plan to prepare the client for: A ) DEXA scan B ) Ultrasound C ) MRI D ) Pelvic x-ray 1 0 . The nurse is reviewing the medical records of several clients. Which client would the nurse expect to have an increased risk for developing osteoporosis? A ) A woman of African American descent B ) A woman who plays tennis twice a week C ) A thin woman with small bones D ) A woman who drinks one cup of coffee a day 1 1 . Which of the following would the nurse emphasize when teaching postmenopausal women about ways to reduce the risk of osteoporosis? A ) Swimming daily B ) Taking vitamin A C ) Following a low-fat diet D ) Taking calcium supplements 1 2 . Which finding would the nurse expect to find in a client with endometriosis? A ) Hot flashes B ) Dysuria C ) Fluid retention D Fever 2 . A ) Hot flashes B ) Dysuria C ) Fluid retention D ) Fever 1 3 . After the nurse teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching? A ) I will make sure to take my estrogen supplements a week before my period. B ) Ive signed up for an aerobic exercise class three times a week. C ) Ill cut down on the amount of coffee and colas I drink. D ) I quit smoking about a month ago, so that should help. 1 4 . A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which of the following? A ) Onset of menses B ) Ovulation C ) Pregnancy D ) Safe period for intercourse B ) Ovulation C ) Pregnancy D ) Safe period for intercourse 1 5 . A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The nurse interprets this as which of the following? A ) Spinnbarkeit mucus B ) Purulent mucus C ) Postovulatory mucus D ) Normal preovulation mucus 1 6 . The nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern? A ) Negative pregnancy test B ) Hemoglobin level of 10.1 g/dL C ) Prothrombin time of 60 seconds D ) Serum cholesterol of 140 mg/dL 1 7 . A nurse is preparing a class for a group of women at a family planning clinic about contraceptives. When describing the health benefits of oral contraceptives, which of the following would the nurse most likely include? (Select all that apply.) A ) Protection against pelvic inflammatory disease B ) Reduced risk for endometrial cancer C ) Decreased risk for depression D ) Reduced risk for migraine headaches E ) Improvement in acne 1 8 . After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which of the following as a mechanical barrier method? (Select all that apply.) A ) Condom B ) Cervical cap C ) Cervical sponge D ) Diaphragm E ) Vaginal ring 1 9 . After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the nurses suspicions? A ) Ive been having bleeding off and on thats irregular and sometimes heavy. B ) I get sharp pain in my lower abdomen usually starting soon after my period comes. C ) I get really irritable and moody about a week before my period. D ) My periods have been unusually long and heavy lately. 2 0 . After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A ) Bloating B ) Tension C ) Dysphoria D ) Weight loss 2 1 . A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A ) Appetite changes B ) Sleep difficulties C ) Persistent anger D Chronic fatigue 1 . dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A ) Appetite changes B ) Sleep difficulties C ) Persistent anger D ) Chronic fatigue 2 2 . When reviewing the medical record of a client diagnosed with endometriosis, which of the following would the nurse identify as a risk factor for this woman? A ) Low fat in the diet B ) Age of 14 years for menarche C ) Menstrual cycles of 24 days D ) Short menstrual flow 2 3 . A client who has come to the clinic is diagnosed with endometriosis. Which of the following would the nurse expect the physician to prescribe as a first-line treatment? A ) Progestins B ) Antiestrogens C ) Gonadotropin-releasing hormone analogues D ) NSAIDs B ) Antiestrogens C ) Gonadotropin-releasing hormone analogues D ) NSAIDs 2 4 . A woman comes to the clinic because she has been unable to conceive. When reviewing the womans history, which of the following would the nurse least likely identify as a possible risk factor? A ) Age of 25 years B ) History of smoking C ) Diabetes since age 15 years D ) Weight below standard for height and age 2 5 . A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis. After teaching the partner about this test, which client statement indicates that the client has understood the instructions? A ) I need to bring the specimen to the lab the day after collecting it. B ) I will place the specimen in a special plastic bag to transport it. C ) I have to abstain from sexual activity for about 12 days before the sample. D ) I will withdraw before I ejaculate during sex to collect the specimen. 2 6 . A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). Which of the following would the nurse need to stress to the group. Select all that apply. A ) ECs induce an abortion like reaction. B ) ECs provide some protection against STIs 2 6 . A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). Which of the following would the nurse need to stress to the group. Select all that apply. A ) ECs induce an abortion like reaction. B ) ECs provide some protection against STIs C ) ECs are birth control pills in higher, more frequent doses D ) ECs are not to be used in place of regular birth control E ) ECs provide little protection for future pregnancies. Chapter 5 Sexually Transmitted Infections 1 . The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. The goal of this therapy is to: A ) Promote the progression of disease B ) Intervene in late-stage AIDS C ) Improve survival rates D ) Conduct additional drug research 2 . A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which of the following areas would be most important to assess initially? A ) The womans beliefs and education B ) The womans financial situation and insurance C ) The womans activity level and nutrition D ) The womans family and living arrangements 3 . When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection? A ) Native Americans B ) Heterosexual women C ) New health care workers D ) Asian immigrants 4 . After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which of the following? A ) Sexual intercourse B ) Sharing needles for IV drug use C ) Perinatal transmission determines that the teaching was successful when the group identifies which of the following? A ) Sexual intercourse B ) Sharing needles for IV drug use C ) Perinatal transmission D ) Blood transfusion 5 . The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS? A ) 1,000 cells/mm3 B ) 700 cells/mm3 C ) 450 cells/mm3 D ) 200 cells/mm3 6 . When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)? A ) Hive-like rash for the past 2 days B ) Five different sexual partners C ) Weight gain of 5 lbs in 1 year D ) Clear vaginal discharge B ) Five different sexual partners C ) Weight gain of 5 lbs in 1 year D ) Clear vaginal discharge 7 . Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: A ) Trichomoniasis B ) Bacterial vaginosis C ) Candidiasis D ) Genital herpes simplex 8 . A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug? A ) Alcohol B ) Nicotine C ) Chocolate D ) Caffeine 9 . A woman gives birth to a healthy newborn. As part of the newborns care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? A ) Genital herpes B ) Hepatitis B C Syphilis 9 . A woman gives birth to a healthy newborn. As part of the newborns care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? A ) Genital herpes B ) Hepatitis B C ) Syphilis D ) Gonorrhea 1 0 . Which findings would the nurse expect to find in a client with bacterial vaginosis? A ) Vaginal pH of 3 B ) Fish-like odor of discharge C ) Yellowish-green discharge D ) Cervical bleeding on contact 1 1 . A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: A ) Amniotic fluid B ) Placenta C ) Birth canal D ) Breast milk A ) Amniotic fluid B ) Placenta C ) Birth canal D ) Breast milk 1 2 . The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for: A ) Infertility B ) Dyspareunia C ) Cervical cancer D ) Dysmenorrhea 1 3 . A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the clients medical record, which of the following would the nurse expect to find? (Select all that apply.) A ) Oral temperature of 100.4 degrees F B ) Dysmenorrhea C ) Dysuria D ) Lower abdominal tenderness E ) Discomfort with cervical motion F ) Multiparity C ) Dysuria D ) Lower abdominal tenderness E ) Discomfort with cervical motion F ) Multiparity 1 4 . Which instructions would the nurse include when teaching a woman with pediculosis pubis? A ) Take the antibiotic until you feel better. B ) Wash your bed linens in bleach and cold water. C ) Your partner doesnt need treatment at this time. D ) Remove the nits with a fine-toothed comb. 1 5 . A client with genital herpes simplex infection asks the nurse, Will I ever be cured of this infection? Which response by the nurse would be most appropriate? A ) There is a new vaccine available that prevents the infection from returning. B ) All you need is a dose of penicillin and the infection will be gone. C ) There is no cure, but drug therapy helps to reduce symptoms and recurrences. D ) Once you have the infection, you develop an immunity to it. 1 6 . A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes. Which of the following would the nurse expect to include as a possible precipitating factor for a recurrent outbreak? (Select all that apply.) A ) Exposure to ultraviolet light B ) Exercise C ) Use of corticosteroids D ) Emotional stress E ) Sexual intercourse. 1 7 . After teaching a class on sexually transmitted infections, the instructor determines that the teaching was successful when the class identifies which statement as true? A ) STIs can affect anyone if exposed to the infectious organism. B ) STIs have been addressed more on a global scale. C ) Clients readily view the diagnosis of STI openly. D ) Most individuals with STIs are over the age of 30. 1 8 . A group of students are reviewing information about STIs. The students demonstrate understanding of the information when they identify which of the following as the most common bacterial STI in the United States? A ) Gonorrhea B ) Chlamydia 1 8 . A group of students are reviewing information about STIs. The students demonstrate understanding of the information when they identify which of the following as the most common bacterial STI in the United States? A ) Gonorrhea B ) Chlamydia C ) Syphilis D ) Candidiasis 1 9 . A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of the following would the nurse identify? A ) Asian American ethnicity B ) Age under 25 years C ) Married D ) Consistent use of barrier contraception 2 0 . A nurse at a local community clinic is developing a program to address STI prevention. Which of the following would the nurse least likely include in the program? A ) Outlining safer sexual behavior B ) Recommending screening for symptomatic individuals C ) Promoting the use of barrier contraceptives D ) Offering education about STI transmission A ) Outlining safer sexual behavior B ) Recommending screening for symptomatic individuals C ) Promoting the use of barrier contraceptives D ) Offering education about STI transmission 2 1 . After teaching a class on preventing pelvic inflammatory disease, the instructor determines that the teaching was successful when the class identifies which of the following as an effective method? A ) Advising sexually active females to use hormonal contraception B ) Encouraging vaginal douching on a weekly basis. C ) Emphasizing the need for infected sexual partners to receive treatment D ) Promoting routine treatment for asymptomatic females as risk 2 2 . A group of nursing students are reviewing information about vaccines used to prevent STIs. The students would expect to find information about which of the following? A ) HIV B ) HSV C ) HPV D ) HAV E ) HBV C ) HPV D ) HAV E ) HBV 2 3 . A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time? A ) In 2 month B ) In 2 months C ) In 3 months D ) In 4 months 2 4 . A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.) A ) Urinary frequency B ) Yellow/green discharge C ) Joint pain D ) Blister-like lesions E ) Muscle aches 2 5 . A nurse is teaching a women with genital ulcers how to care for them. Which statement by the client indicates a need for additional teaching? A ) I need to wash my hands after touching any of the ulcers. B ) I need to abstain from intercourse primarily when the lesions are present. C ) I should avoid applying ice or heat to my genital area. D ) I can try lukewarm sitz baths to help ease the discomfort. Chapter 6 Disorders of the Breasts 1 . The nurse is developing the discharge plan for a woman who has had a left-sided modified radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which suggestion would most likely increase the womans symptoms? A ) Wear gloves when you are doing any gardening. B ) Have your blood pressure taken in your right arm. C ) Wear clothing with elasticized sleeves. D ) Avoid driving to and from work every day. B ) Have your blood pressure taken in your right arm. C ) Wear clothing with elasticized sleeves. D ) Avoid driving to and from work every day. 2 . A laboratory technician arrives to draw blood for a complete blood count (CBC. for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the clients right arm. Which action by the nurse would be most appropriate? A ) Assist in holding the clients arm still. B ) Suggest a finger stick be done on one of the clients left fingers. C ) Tell the technician to obtain the blood sample from the clients left arm. D ) Call the surgeon to perform a femoral puncture. 3 . The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated what from her diet? A ) Caffeine B ) Cigarettes C ) Dairy products D ) Sweets 4 . When assessing a client with suspected breast cancer, which of the following would the nurse expect to find? A ) Painful lump B ) Absence of dimpling C ) Regularly shaped mass D ) Nipple retraction 5 . A woman who has undergone a right modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate at this time? A ) Ask the client how she feels about having her breast removed. B ) Attach a sign above her bed to have BP, IV lines, and lab work in her right arm. C ) Encourage her to turn, cough, and deep breathe at frequent intervals. D ) Position her right arm below heart level. 6 . A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the clients preoperative plan of care as the priority? A ) Risk for deficient fluid volume B ) Activity intolerance C ) Disturbed body image D ) Impaired urinary elimination A ) Risk for deficient fluid volume B ) Activity intolerance C ) Disturbed body image D ) Impaired urinary elimination 7 . A 42-year-old woman is scheduled for a mammogram. Which of the following would the nurse include when teaching the woman about the procedure? A ) The room will be darkened throughout the procedure. B ) Each breast will be firmly compressed between two plates. C ) Make sure to refrain from eating or drinking after midnight. D ) A small needle will be inserted to get a sample for evaluation. 8 . During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old womans left breast. The nurse notifies the physician. Which of the following would the nurse anticipate the physician to order next? A ) Mammogram B ) Hormone receptor status C ) Fine-needle aspiration D ) Genetic testing for BRCA 9 . A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy. Which agent would the nurse expect the client to receive? A ) Progestins B ) Tamoxifen C ) Cortisone D ) Estrogen 1 0 . As part of discharge planning, the nurse refers a woman to Reach to Recovery. This groups primary purpose is to: A ) Help support women who have undergone mastectomies B ) Raise funds to support early breast cancer detection programs C ) Provide all supplies needed after breast surgery for no cost D ) Collect statistics for research for the American Cancer Society 1 1 . A woman with breast cancer is undergoing chemotherapy. Which of the following side effects would the nurse interpret as being most serious? A ) Vomiting B ) Hair loss C ) Fatigue D Myelosuppression 1 . following side effects would the nurse interpret as being most serious? A ) Vomiting B ) Hair loss C ) Fatigue D ) Myelosuppression 1 2 . A woman comes to the clinic reporting a nipple discharge. On examination, the area below the areola is red and slightly swollen, with tortuous tubular swelling. The nurse interprets these findings as suggestive of which of the following? A ) Fibrocystic breast disorder B ) Intraductal papilloma C ) Duct ectasia D ) Fibroadenoma 1 3 . When performing a clinical breast examination, which would the nurse do first? A ) Palpate the axillary area. B ) Compress the nipple for a discharge. C ) Palpate the breasts. D ) Inspect the breasts. B ) Compress the nipple for a discharge. C ) Palpate the breasts. D ) Inspect the breasts. 1 4 . Evaluation of a woman with breast cancer reveals that her mass is approximately 1.25 inches in diameter. Three adjacent lymph nodes are positive. The nurse interprets this as indicating that the woman has which stage of breast cancer? A ) 0 B ) I C ) II D ) III 1 5 . After teaching a woman how to perform breast self-examination, which statement would indicate that the nurses instructions were successful? A ) I should lie down with my arms at my side when looking at my breasts. B ) I should use the fingerpads of my three middle fingers to apply pressure to my breast. C ) I dont need to check under my arm on that side if my breast feels fine. D ) I need to work from the center of my breast outward toward my shoulder. 1 6 . A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. When describing the medications that can be used as treatment, which of the following would the nurse be least likely to include? A ) Tamoxifen B ) Bromocriptine C ) Danazol D ) Penicillin 1 7 . A group of students are reviewing information about benign and malignant breast masses. The students demonstrate understanding when they identify which of the following as indicating a benign breast mass. (Select all the apply.) A ) Painless B ) Unilateral location C ) Firm consistency D ) Absence of dimpling E ) Fixed to chest wall 1 8 . The nurse is developing a plan of care for a woman with breast cancer who is scheduled to undergo breast-conserving surgery. The nurse interprets this as which of the following? A ) Removal of nipple and areolar area B ) Lump removal followed by radiation C Entire breast removal without lymph nodes 1 8 . The nurse is developing a plan of care for a woman with breast cancer who is scheduled to undergo breast-conserving surgery. The nurse interprets this as which of the following? A ) Removal of nipple and areolar area B ) Lump removal followed by radiation C ) Entire breast removal without lymph nodes D ) Axillary lymph node removal 1 9 . A woman comes to the clinic and asks the nurse about when she should have her first mammogram. Using the recommendations of the American Cancer Society, which would the nurse suggest? A ) 30 years B ) 35 years C ) 40 years D ) 45 years 2 0 . After teaching a group of nursing students about the different types of chemotherapeutic agents used to treat breast cancer, the instructor determines that the teaching was successful when the students identify which of the following as an example of a selective estrogen receptor modulator (SERM)? (Select all that apply.) A ) Tamoxifen B ) Letozole C ) Raloxifene D ) Exemestane A ) Tamoxifen B ) Letozole C ) Raloxifene D ) Exemestane E ) Anastrozole 2 1 . A woman diagnosed with breast cancer is to receive trastuzumab. Which of the following would the nurse incorporate into the explanation about how this drug works? A ) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells. B ) The drug blocks the conversion of androgens to estrogens C ) It interferes with hormone receptors that allow estrogen to enter a cell D ) The drug ultimately attacks areas where micrometastasis has occurred. 2 2 . A nurse is conducting a class on breast cancer prevention. Which statement would the nurse most likely include in the discussion? A ) Most often a lump is felt before it is seen. B ) Early breast cancer usually has some symptoms. C ) If the mass is not painful, it is usually benign. D ) If lump is palpable, it has been there for some time. B ) Early breast cancer usually has some symptoms. C ) If the mass is not painful, it is usually benign. D ) If lump is palpable, it has been there for some time. 2 3 . When describing programs for breast cancer screening, the nurse include breast self-examination (BSE). Which of the following most accurately reflects the current thinking about breast self-examination? A ) BSE is essential for early breast cancer detection. B ) A woman performing BSE has breast awareness. C ) BSE plays a minimal role in detecting breast cancer D ) A clinical breast exam has replaced BSE. 2 4 . During a wellness visit to the clinic, a woman asks the nurse if there is anything she can do to reduce her risk for developing breast cancer. Which of the following would the nurse most likely include? (Select all that apply.) A ) Eating three servings of fruit daily B ) Keeping weight gain under 11 pounds after age 18 C ) Eating at least seven portions of complex carbohydrates daily D ) Limiting the intake of refined sugar products E ) Using salt liberally when cooking 2 5 . A woman comes to the clinic and tells the nurse that she has read an article about certain foods that have anticancer properties and help boost the immune system. The nurse identifies A ) Garlic B ) Soybeans C ) Milk D ) Leeks E ) Flax seeds Chapter 7 Benign Disorders of the Female Reproductive Tract 1 . A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find? A ) Sporadic vaginal bleeding accompanied by chronic pelvic pain B ) Heavy leukorrhea with vulvar pruritus C ) Menstrual irregularities and hirsutism on the chin D ) Stress incontinence with feeling of low abdominal pressure B ) Heavy leukorrhea with vulvar pruritus C ) Menstrual irregularities and hirsutism on the chin D ) Stress incontinence with feeling of low abdominal pressure 2 . To assist the woman in regaining control of the urinary sphincter for urinary incontinence, the nurse should teach the client to do which of the following? A ) Perform Kegel exercises daily. B ) Void every hour while awake. C ) Limit her intake of fluid. D ) Take a laxative every night. 3 . When developing the plan of care for a woman who has had an abdominal hysterectomy, which of the following would be contraindicated? A ) Ambulating the client B ) Massaging the clients legs C ) Applying elasticized stockings D ) Encouraging range-of-motion exercises 4 . Which of the following would the nurse include when teaching women about preventing pelvic support disorders? A ) Performing Kegel isometric exercises B ) Consuming low-fiber diets C ) Using hormone replacement 4 . Which of the following would the nurse include when teaching women about preventing pelvic support disorders? A ) Performing Kegel isometric exercises B ) Consuming low-fiber diets C ) Using hormone replacement D ) Voiding every 2 hours 5 . A client is diagnosed with an enterocele. The nurse interprets this condition as: A ) Protrusion of the posterior bladder wall downward through the anterior vaginal wall B ) Sagging of the rectum with pressure exerted against the posterior vaginal wall C ) Bulging of the small intestine through the posterior vaginal wall D ) Descent of the uterus through the pelvic floor into the vagina 6 . A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include? A ) This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position. B ) Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder. C ) This is a series of exercises that you will learn to do so that you can strengthen your bladder muscles. D ) These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position. 7 . The nurse would be least likely to find which of the following in a client with uterine fibroids? A ) Regularly shaped, shrunken uterus B ) Acute pelvic pain C ) Menorrhagia D ) Complaints of bloating 8 . A client with polycystic ovarian syndrome (PCOS. is receiving oral contraceptives as part of her treatment plan. The nurse understands that the rationale for this therapy is to: A ) Restore menstrual regularity B ) Induce ovulation C ) Improve insulin uptake D ) Alleviate hirsutism 9 . When teaching a woman how to perform Kegel exercises, the nurse explains that these exercises are designed to strengthen which muscles? A ) Gluteus B ) Lower abdominal C ) Pelvic floor D ) Diaphragmatic A ) Gluteus B ) Lower abdominal C ) Pelvic floor D ) Diaphragmatic 1 0 . A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect? A ) Increased vaginal discharge B ) Urinary tract infection C ) Vaginitis D ) Vaginal ulceration 1 1 . When preparing the discharge teaching plan for the woman who had surgery to correct pelvic organ prolapse, which of the following would the nurse include? A ) Care of the indwelling catheter at home B ) Emphasis on coughing to prevent complications C ) Return to usual activity level in a few days D ) Daily douching with dilute vinegar solution 1 2 . A woman with polycystic ovary syndrome tells the nurse, I hate this disease. Just look at me! I have no hair on the front of my head but Ive got hair on my chin and upper lip. I dont feel like a woman anymore. Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A ) Situational low self-esteem related to masculinization effects of the disease B ) Social isolation related to feelings about appearance C ) Risk for suicide related to effects of condition and fluctuating hormone levels D ) Ineffective peripheral tissue perfusion related to effects of disease on vasculature 1 3 . After teaching a local womans group about incontinence, the nurse determines that the teaching was successful when the group identifies which of the following as characteristic of stress incontinence? A ) Feeling a strong need to void B ) Passing a large amount of urine C ) Most common in wom