Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
Chapter53:NursingAssessment:ReproductiveSystem
Lewis:Medical-Surgical Nursing in Canada, 4th Canadian Edition
i i kjgv kjgv i
MULTIPLEkjgvCHOICE
i
1. Whichkjgvofthekjgvfollowingkjgvquestionskjgvshouldkjgvthekjgvnursekjgvaskkjgvwhenkjgvassessingkjgva clientkjg
i
vwhokjgvhaskjgvakjgvhistorykjgvofkjgvbenignkjgvprostatickjgvhyperplasiakjgv(BPH)?
a. “Havekjgvyoukjgvnoticedkjgvanykjgvunusualkjgvdischargekjgvfromkjgvyourkjgvpenis?”
b. “Haskjgvtherekjgvbeenkjgvanykjgvchangekjgvinkjgvyourkjgvsexkjgvlifekjgvinkjgvthekjgvlastkjgvyear?”
c. “Dokjgvyoukjgvfindkjgvitkjgvhardkjgvtokjgvinitiatekjgvyourkjgvurinarykjgvstream?”
d. “Havekjgvyoukjgvbeenkjgvexperiencingkjgvanykjgvdifficultykjgvinkjgvachievingkjgvankjgverection?”
CORRECT kjgvANSWE
i
R: C
Enlargementkjgvofkjgvthekjgvprostatekjgvblockskjgvthekjgvurethra,kjgvleadingkjgvtokjgvurinarykjgvchanges.kjgvBenignkjgvpros
tatickjgvhyperplasiakjgviskjgva kjgvcommonkjgvproblemkjgvofkjgvolderkjgvmen.kjgvItkjgvcankjgvalterkjgvnormalkjgvurination,kjgv
i
causingkjgvretentionkjgvandkjgvdifficultykjgvinkjgvinitiatingkjgvthekjgvurinarykjgvstream.kjgvThekjgvotherkjgvquestionskjgv
addresskjgvpossiblekjgvproblemskjgvwithkjgvinfectionkjgvorkjgvsexualkjgvdifficultieskjgvbutkjgvwouldkjgvnotkjgvbekjgvhelpfulkjgvi
nkjgvdeterminingkjgvwhetherkjgvtherekjgvwerekjgvfunctionalkjgvchangeskjgvcausedkjgvbykjgvBPH.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
2. Thenurseiskjgvprovidingkjgvteachingkjgva kjgvclientkjgvwhokjgvhaskjgvbeenkjgvtreatedkjgvforkjgvpelvickjgvinflamm
i
atorykjgvdisease.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvteachkjgvthekjgvcl
ientkjgvabout?
a. Irregularitieskjgvinkjgvthekjgvmenstrualkjgvcycle
b. Changeskjgvinkjgvsecondarykjgvsexkjgvcharacteristics
c. Possiblekjgvdifficultykj gv withkjgvb e co ming pr egn ant
N R I G B .CM
d. UsekjgvofkjgvhormonekjgvreplacemeU ntk j g v t Sh kjgve r aNpkjgvykjgvT
(HRT)k j g v O
CORRECT kjgvANSWE C
i
R:
Pelvickjgvinflammatorykjgvdiseasemaycausekjgvscarringkjgvofkjgvthekjgvfallopiankjgvtubeskjgvandkjgvresultkjgvinkjgvdifficultykjg
vinkjgvfertilizationkjgvorkjgvimplantationkjgvofkjgvthekjgvfertilizedkjgvegg.kjgvBecausekjgvovariankjgvfunctionkjgviskjgvnot i
kjgvaffected,kjgvthekjgvclientkjgvwillkjgvnotkjgvrequirekjgvHRT,kjgvhavekjgvirregularkjgvmenstrualkjgvcycles,kjgvorkjgvexperi
encekjgvchangeskjgvinkjgvsecondarykjgvsexkjgvcharacteristics.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
3. Thekjgvnursekjgviskjgvassessingkjgvankjgvolder-
adultkjgvmalekjgvclient,kjgvandkjgvthekjgvclientkjgvsayskjgvthatkjgvhekjgvdoeskjgvnotkjgvrespondkjgvtokjgvsexualkjgvstimulationkjgv
thekjgvwaykjgvhekjgvdidkjgvwhenkjgvhekjgvwaskjgvyounger.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvresponseskjgvtokjgvthekjgvcli
ent’skjgvcommentkjgviskjgvbest?
a. “Manykjgvmenkjgvneedkjgvmorekjgvsexualkjgvstimulationkjgvwithkjgvaging.”
b. “Interestkjgvinkjgvsexkjgvfrequentlykjgvdecreaseskjgvaskjgvmenkjgvgetkjgvolder.”
c. “Erectilekjgvdysfunctionkjgviskjgvakjgvcommonkjgvproblemkjgvwithkjgvolderkjgvmen.”
d. “Tellkjgvmekjgvmorekjgvaboutkjgvhowkjgvyourkjgvsexualkjgvresponsekjgvhaskjgvchanged.”
CORRECT kjgvANSWE D
i
R:
Theinitial kjgvresponsekjgvbykjgvthekjgvnurseshouldkjgvbekjgvfurtherkjgvassessmentkjgvofkjgvthekjgvproblem.kjgvThekjgvotherkjgvst
atementskjgvbykjgvthekjgvnursekjgvarekjgvaccuratekjgvbutkjgvmightkjgvnotkjgvrespondkjgvtokjgvthekjgvclient’skjgvconcerns.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
4. WhenkjgvschedulingkjgvakjgvpelvickjgvexaminationkjgvandkjgvPapkjgvtestkjgvforkjgvakjgvclient,kjgvwhichkjgvofkjgvthekjgvfo
llowingkjgvinstructionskjgvshouldkjgvthekjgvnursekjgvincludekjgvwhenkjgvpreparingkjgvthekjgvclient?
a. Shower,kjgvbutkjgvnotkjgvakjgvtubkjgvbath,kjgvbeforekjgvthekjgvexamination
b. DokjgvnotkjgvhavekjgvsexualkjgvintercoursekjgvthekjgvdaykjgvbeforekjgvthekjgvPapkjgvtest
c. PlankjgvtokjgvhavekjgvthekjgvPapkjgvtestkjgvjustkjgvafterkjgvherkjgvmenstrualkjgvperiod
d. Avoidkjgvdouchingkjgvforkjgvatkjgvleastkjgv24kjgvhourskjgvbeforekjgvthekjgvexamination
CORRECT kjgvANSWE D
i
R:
ThekjgvresultskjgvofkjgvakjgvPapkjgvtestkjgvmaykjgvbekjgvaffectedkjgvbykjgvdouching,kjgvandkjgvsokjgvthekjgvclientkjgvshouldkjgvnotkj
douchekjgvbeforekjgvtheexamination.kjgvTheexaminationkjgvmaykjgvbekjgvscheduledkjgvwithoutkjgvregardkjgvtokjgvth
gv
emenstrualkjgvperiod.kjgvThekjgvclient kjgvmaykjgvshowerkjgvorbathekjgvbeforethekjgvexamination.kjgvSexualkjgvinter
i
coursekjgvdoeskjgvnotkjgvaffectkjgvthekjgvresultskjgvofkjgvthekjgvexaminationkjgvorkjgvPapkjgvtest.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
5. Thenurseiskjgvassessingkjgvakjgvclientkjgvwhokjgvhaskjgvamenorrhea kjgvwithkjgvakjgvweightkjgvofkjgv41kjgvkg.kjgvTheclien
i
tkjgvmakeskjgvallkjgvofkjgvthekjgvfollowingkjgvstatementskjgvtokjgvthekjgvnurse.kjgvWhichkjgvonekjgvindicateskjgvakjgvneedkjgv
forkjgvclientkjgvteaching?
a. “IkjgvhavekjgvnotkjgvbeenkjgvablekjgvtokjgveatkjgvmuchkjgvforkjgvthekjgvpastkjgvfewkjgvmonthskjgvandkjgvIkjgvamkjgvsokjgvfat.”
b. “Ikjgvdrinkkjgvatkjgvleastkjgvthreekjgvglasseskjgvofkjgvnonfatkjgvmilkkjgveverykjgvday.”
c. “IkjgvamkjgvnotkjgvsexuallykjgvactivekjgvbutkjgvcurrentlykjgvIhavekjgvankjgvIUDkjgv[intrauterinekjgvdevice].”
d. “Ikjgvwaskjgvrecentlykjgvtreatedkjgvforkjgva kjgvsexuallykjgvtransmittedkjgvdisease.”
i
CORRECT kjgvANSWE A
i
R: kjgvbeingkjgvaboutkjgvtokjgveatkjgvmuchkjgvatkjgvallkjgvforkjgvthekjgvpastkjgvthreekjgvmonthskjgvindicateskjgvthatkjgvthekjgvclientkjgvmay
Not
bekjgvexperiencingkjgvanorexia.kjgvAnorexiacankjgvcauseamenorrhea.kjgvThekjgvotherstatementskjgvbykjgvthekjgvclientkjgvdokj
kjgv
gvnotkjgvsuggestkjgvanykjgvurgentkjgvteachingkjgvneeds.
DIF: Cognitivek j g v Level:k j g v Appli cN
at iUonR S I N GTT
OBP :.C
NuOr sMi ng Process:k j g v Assessment
6. Thenursekjgviskjgvassessingkjgvthekjgvsexual-
reproductivekjgvfunctionalkjgvhealthkjgvpatternkjgvforkjgva kjgvclient.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvquestions
i
kjgviskjgvmostkjgvusefulkjgvinkjgvdeterminingkjgvthekjgvclient’skjgvsexualkjgvorientationkjgvandkjgvriskkjgvfactors?
a. “Dokjgvyoukjgvhavekjgvsexkjgvwithkjgvmen,kjgvwomen,kjgvorkjgvboth?”
b. “Whichkjgvgenderkjgvdokjgvyoukjgvpreferkjgvtokjgvhavekjgvsexkjgvwith?”
c. “Whatkjgvtypeskjgvofkjgvsexualkjgvactivitieskjgvdokjgvyoukjgvprefer?”
d. “Arekjgvyoukjgvheterosexual,kjgvhomosexual,kjgvorkjgvbisexual?”
CORRECT kjgvANSWE A
i
R:
Thiskjgvquestionkjgviskjgvthekjgvmostkjgvsimplykjgvstatedkjgvandkjgvwillkjgvincreasekjgvthekjgvlikelihoodkjgvofkjgvobtainingkj
gv thekjgvrelevantkjgvinformationkjgvaboutkjgvsexualkjgvorientationkjgvandkjgvpossiblekjgvriskkjgvfactorskjgvassociatedkj
gvwithkjgvsexualkjgvactivity.kjgvA k j g v client kjgvwhokjgvpreferskjgvintercoursekjgvwithkjgvwomenkjgvalsokjgvmaykjgvhavekjgvi
i i
ntercoursekjgvatkjgvtimeskjgvwithkjgvmen.kjgvThekjgvtypeskjgvofkjgvsexualkjgvactivitieskjgvengagedkjgvinkjgvmaykjgvnotkjgvindica
tekjgvsexualkjgvorientation.kjgvManykjgvclientskjgvwhokjgvhavekjgvintercoursekjgvwithkjgvbothkjgvmenkjgvandkjgvwomenkjgvdo
kjgvnotkjgvidentifykjgvthemselveskjgvaskjgvhomosexualkjgvorkjgvbisexual.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
7. Thenurseiskjgvpreparingkjgvakjgvclient kjgvforkjgvcolposcopykjgvwithkjgva kjgvcervicalkjgvbiopsy.kjgvWhichkjgvof
i i
thefollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvexplainkjgvtokjgvthekjgvclientkjgvaboutkjgvthekjgv
kjgv
procedure?
a. Itkjgvinvolveskjgvdilationkjgvofkjgvthekjgvcervixkjgvandkjgvbiopsykjgvofkjgvthekjgvtissuekjgvliningkjgvthekjgvuterus.
b. Itkjgvwillkjgvtakekjgvplacekjgvinkjgvakjgvsame-day-surgerykjgvcentrekjgvsokjgvthatkjgvlocalkjgvanesthesiakjgvcankjgvbekjgvused.
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
c. Itkjgvrequires kjgvthatkjgvthekjgvclientkjgvhavekjgvnothingkjgvtokjgveatkjgvorkjgvdrinkkjgvforkjgv6kjgvhourskjgvb
eforethekjgvprocedure.
d. Itkjgviskjgvsimilarkjgvtokjgvakjgvspeculumkjgvexaminationkjgvofthekjgvcervixkjgvandkjgvshouldkjgvresult kjgvi i
nkjgvlittlekjgvorkjgvnokjgvpain.
CORRECT kjgvANSWE D
i
R:
Colposcopykjgvinvolveskjgvvisualizationkjgvofkjgvthekjgvcervixkjgvwithkjgvakjgvbinocularkjgvmicroscopeandkjgviskjgvsimilarkjgvtokjgv
akjgvspeculumkjgvexamination.kjgvA kjgvcervicalkjgvbiopsykjgvmaykjgvcausekjgvakjgvminimalkjgvamountkjgvofkjgvpain.
i
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
8. AkjgvcouplekjgvwhokjgvhaskjgvnotkjgvbeenkjgvablekjgvtokjgvconceivekjgviskjgvscheduledkjgvforkjgvakjgvHuhnerkjgvtestkjgvforkjgvinfer
tility.kjgvWhichkjgvofthekjgvfollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvprovidekjgvtokjgvthekjgvcouplekjgvinkjgvpr
eparationkjgvforkjgvthekjgvtest?
a. Possiblekjgvshoulderkjgvpainkjgvafterkjgvthekjgvprocedure
b. Sedativekjgvmedicationskjgvusedkjgvduringkjgvthekjgvprocedure
c. Wayskjgvtokjgvdeterminekjgvthekjgvestimatedkjgvtimekjgvofkjgvovulation
d. Howkjgvlongkjgvtokjgvrefrainkjgvfromkjgvintercoursekjgvbeforekjgvthekjgvtest
CORRECT kjgvANSWE C
i
R: kjgvthekjgvHuhnerkjgvtest,kjgvthekjgvcouplekjgvshouldkjgvhavekjgvintercoursekjgvatkjgvthekjgvestimatedkjgvtimekjgvofkjgvc
For
onceptionkjgvandkjgvthenkjgvarrivekjgvforkjgvthekjgvtestkjgv2–
8kjgvhourskjgvafterkjgvintercourse.kjgvThekjgvotherkjgvinstructionskjgvwouldkjgvbekjgvusedkjgvforkjgvotherkjgvtypeskjgvofkjgvf
ertilitykjgvtesting.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
9. ThekjgvnursekjgviskjgvassessingkjgvakjgvclientkjgvinkjgvthekjgvSexualkjgvHealthkjgvClinickjgvwhokjgvhaskjgvakjgvpositivekjgvVenere
alkjgvDiseasekjgvResearchkjgvLaboratoryN(VR DRIL)kjgvkjgvt G
est,B but. Cn kjgvok j g v cMhancrekjgviskjgvnoted.kjgvThekjgvnurs
UkjgvS kjgvNkjgvT O
i i
ekjgvshouldplankjgvtosendkjgvthekjgvspecimens
i i kjgvforkjgvwhichkjgvofkjgvthekjgvfollowingkjgvtests?
a. Gramkjgvstain
b. Cytologick j g v studies
c. Rapidk j gv plasma kjgvreagink j g v (RPR)k j g v agglutination
i
d. Fluorescentkjgvtreponemalkjgvantibodykjgvabsorptionkjgv(FTA-ABS)
CORRECT kjgvANSWE D
i
R:
SincekjgvfalsekjgvpositiveskjgvarekjgvcommonkjgvwithkjgvVDRLkjgvandkjgvRPRkjgvtesting,kjgvFTA-
ABSkjgvtestingkjgviskjgvrecommendedkjgvtokjgvconfirmkjgvakjgvdiagnosiskjgvofkjgvsyphilis.kjgvGramkjgvstainingkjgviskjgvusedkjgv
forkjgvotherkjgvsexuallykjgvtransmittedkjgvinfectionskjgv(STIs)kjgvsuchkjgvaskjgvgonorrhea andkjgvchlamydia kjgvandkjgvcytol
i i
ogickjgvstudieskjgvarekjgvusedkjgvtokjgvdetectkjgvabnormalkjgvcellskjgv(suchkjgvaskjgvneoplastickjgvcells).
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
10. Whichkjgvinformationkjgvaboutkjgvafemalekjgvclientkjgvwhokjgvwantskjgvtokjgvstart kjgvusingkjgvoralkjgvcontracepti
i
veskjgviskjgvmostkjgvimportantkjgvtokjgvreportkjgvtokjgvthekjgvhealthkjgvcarekjgvprovider?
a. Thekjgvclientkjgvquitkjgvsmokingkjgv6kjgvmonthskjgvpreviously.
b. Thekjgvclient’skjgvbloodkjgvpressurekjgviskjgv164/90kjgvmmkjgvHg.
c. Thekjgvclientkjgvhaskjgvnotkjgvbeenkjgvvaccinatedkjgvforkjgvrubella.
d. Thekjgvclientkjgvhaskjgvchronickjgviron-deficiencykjgvanemia.
CORRECT kjgvANSWE
i B
R:
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
Sincekjgvhypertensionkjgvincreaseskjgvthekjgvriskkjgvforkjgvmorbiditykjgvandkjgvmortalitykjgvinkjgvwomenkjgvtakingkjgvor
alkjgvcontraceptives,kjgvthekjgvclient’skjgvbloodkjgvpressureshouldkjgvbekjgvcontrolledkjgvbeforeoralkjgvcontraceptiveskj
gvarekjgvprescribed.kjgvThekjgvotherkjgvinformationkjgvwillkjgvalsokjgvbekjgvreportedkjgvbutkjgvwillkjgvnotkjgvaffectkjgvthekjgvch
oicekjgvofkjgvcontraceptive.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
11. Thekjgvnursekjgviskjgvassessingkjgvakjgvmalekjgvclientkjgvwhokjgviskjgvtakingkjgvthekjgvfollowingkjgvmedicationskjgvandkjgvtel
lskjgvthekjgvnursekjgvthat kjgvhekjgvhaskjgvhadkjgvdifficultykjgvinkjgvachievingkjgvankjgverection.kjgvWhichkjgvofthekjgvfollowi
i
ngkjgvmedicationskjgvmaykjgvcausekjgverectilekjgvdysfunctionkjgv(ED)?
a. Atorvastatin
b. Metformin
c. Propranolol
d. Ranitidine
CORRECT kjgvANSWE C
i
R: kjgvantihypertensiveskjgvmaykjgvcausekjgverectilekjgvdysfunction,kjgvandkjgvthekjgvnursekjgvshouldkjgvanticipate
Some
a changekjgvinkjgvantihypertensivekjgvtherapy.kjgvTheothermedicationskjgvwillkjgvnotkjgvaffectkjgverectilekjgvfunctio
kjgv kjgv
n.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
12. Akjgvclientkjgvcallskjgvthekjgvclinickjgvandkjgvtellskjgvthekjgvnurse,kjgv“Mykjgvmenstrualkjgvperiodkjgviskjgvverykjgvheavy.kjgvIh
avekjgvtokjgvchangekjgvmykjgvtamponkjgveverykjgv4kjgvhours.”kjgvWhichkjgvofkjgvthekjgvfollowingkjgvactionskjgvshouldkjgvt
hekjgvnursekjgvtakekjgvnext?
a. Tellkjgvthekjgvclientkjgvthatkjgvherkjgvflowkjgviskjgvnotkjgvunusuallykjgvheavy.
b. Schedulekjgvthekjgvclientkjgvforkjgvankjgvappointmentkjgvlaterkjgvthatkjgvday.
c. Askkjgvthekjgvclientkjgvhowkjgvheavykjgvherkjgvusualkjgvmenstrualkjgvflowkjgvis.
d. Havekjgvthekjgvclientkjgvcallkjgvagain ifkjgvt h kjgvek j g v he a v y kjgvfl ow cont inues.
i
N USNT
R I G OB .C M i
CORRE
CT k j g v A
i
NSWEkjgv
R: C
Becausekjgvakjgvheavykjgvmenstrualkjgvflowkjgviskjgvusuallykjgvindicatedkjgvbykjgvsaturatingkjgvakjgvpadkjgvorkjgvtamponkjgvinkjg
v1–
2kjgvhours,kjgvthekjgvnursekjgvshouldkjgvfirstkjgvassesskjgvhowkjgvheavykjgvthekjgvclient’skjgvusualkjgvflowkjgvis.kjgvTherekjgviskjgv
nokjgvneedkjgvtokjgvschedulekjgvthekjgvclientkjgvforkjgvankjgvappointmentkjgvthatkjgvday.kjgvThekjgvclientkjgvmaykjgvneedkjgvt
okjgvcallkjgvagain,kjgvbut kjgvthiskjgviskjgvnot kjgvthekjgvfirst kjgvactionkjgvthat kjgvthekjgvnursekjgvshouldkjgvtake.kjgvTellingkjgvthekjgv
i i i i
clientkjgvthatkjgvshekjgvdoeskjgvnotkjgvhavekjgvakjgvheavykjgvflowkjgvimplieskjgvthatkjgvthekjgvclient’skjgvconcernkjgviskjgvnotkjgvi
mportant.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
13. Thekjgvnursekjgviskjgvcaringkjgvforkjgvakjgvclientkjgvwithkjgvakjgvpossiblekjgvovariankjgvcystkjgvwhokjgviskjgvscheduledkjgvfork
ankjgvultrasound.kjgvWhichkjgvofthekjgvfollowingkjgvinformationshouldkjgvthekjgvnursekjgvincludekjgvwhenkjgvtea
jgv
chingkjgvthekjgvclientkjgvaboutkjgv thekjgvultrasound?
a. DiscontinuekjgvtakingkjgvAspirinkjgvbeforekjgvthekjgvprocedure
b. ReceivekjgvIVkjgvcontrastkjgvsolutionkjgvduringkjgvthekjgvprocedure
c. Expectkjgvmildkjgvabdominalkjgvcrampskjgvafterkjgvthekjgvprocedure
d. Drinkkjgvseveralkjgvglasseskjgvofkjgvfluidskjgvbeforekjgvthekjgvprocedure
CORRECT kjgvANSWE D
i
R:
Akjgvfullkjgvbladderkjgviskjgvneededkjgvforkjgvmanykjgvultrasoundkjgvprocedures,kjgvsokjgvthekjgvnursekjgvwillkjgvhavekjgvthekjgv
clientkjgvdrinkkjgvfluidskjgvbeforekjgvarrivingkjgvforkjgvthekjgvultrasound.kjgvThekjgvotherinstructionskjgvarekjgvnotkjgvaccurat
ekjgvforkjgvthiskjgvprocedure.
NURSINGTB.COM
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
Chapter53:NursingAssessment:ReproductiveSystem
Lewis:Medical-Surgical Nursing in Canada, 4th Canadian Edition
i i kjgv kjgv i
MULTIPLEkjgvCHOICE
i
1. Whichkjgvofthekjgvfollowingkjgvquestionskjgvshouldkjgvthekjgvnursekjgvaskkjgvwhenkjgvassessingkjgva clientkjg
i
vwhokjgvhaskjgvakjgvhistorykjgvofkjgvbenignkjgvprostatickjgvhyperplasiakjgv(BPH)?
a. “Havekjgvyoukjgvnoticedkjgvanykjgvunusualkjgvdischargekjgvfromkjgvyourkjgvpenis?”
b. “Haskjgvtherekjgvbeenkjgvanykjgvchangekjgvinkjgvyourkjgvsexkjgvlifekjgvinkjgvthekjgvlastkjgvyear?”
c. “Dokjgvyoukjgvfindkjgvitkjgvhardkjgvtokjgvinitiatekjgvyourkjgvurinarykjgvstream?”
d. “Havekjgvyoukjgvbeenkjgvexperiencingkjgvanykjgvdifficultykjgvinkjgvachievingkjgvankjgverection?”
CORRECT kjgvANSWE
i
R: C
Enlargementkjgvofkjgvthekjgvprostatekjgvblockskjgvthekjgvurethra,kjgvleadingkjgvtokjgvurinarykjgvchanges.kjgvBenignkjgvpros
tatickjgvhyperplasiakjgviskjgva kjgvcommonkjgvproblemkjgvofkjgvolderkjgvmen.kjgvItkjgvcankjgvalterkjgvnormalkjgvurination,kjgv
i
causingkjgvretentionkjgvandkjgvdifficultykjgvinkjgvinitiatingkjgvthekjgvurinarykjgvstream.kjgvThekjgvotherkjgvquestionskjgv
addresskjgvpossiblekjgvproblemskjgvwithkjgvinfectionkjgvorkjgvsexualkjgvdifficultieskjgvbutkjgvwouldkjgvnotkjgvbekjgvhelpfulkjgvi
nkjgvdeterminingkjgvwhetherkjgvtherekjgvwerekjgvfunctionalkjgvchangeskjgvcausedkjgvbykjgvBPH.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
2. Thenurseiskjgvprovidingkjgvteachingkjgva kjgvclientkjgvwhokjgvhaskjgvbeenkjgvtreatedkjgvforkjgvpelvickjgvinflamm
i
atorykjgvdisease.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvteachkjgvthekjgvcl
ientkjgvabout?
a. Irregularitieskjgvinkjgvthekjgvmenstrualkjgvcycle
b. Changeskjgvinkjgvsecondarykjgvsexkjgvcharacteristics
c. Possiblekjgvdifficultykj gv withkjgvb e co ming pr egn ant
N R I G B .CM
d. UsekjgvofkjgvhormonekjgvreplacemeU ntk j g v t Sh kjgve r aNpkjgvykjgvT
(HRT)k j g v O
CORRECT kjgvANSWE C
i
R:
Pelvickjgvinflammatorykjgvdiseasemaycausekjgvscarringkjgvofkjgvthekjgvfallopiankjgvtubeskjgvandkjgvresultkjgvinkjgvdifficultykjg
vinkjgvfertilizationkjgvorkjgvimplantationkjgvofkjgvthekjgvfertilizedkjgvegg.kjgvBecausekjgvovariankjgvfunctionkjgviskjgvnot i
kjgvaffected,kjgvthekjgvclientkjgvwillkjgvnotkjgvrequirekjgvHRT,kjgvhavekjgvirregularkjgvmenstrualkjgvcycles,kjgvorkjgvexperi
encekjgvchangeskjgvinkjgvsecondarykjgvsexkjgvcharacteristics.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
3. Thekjgvnursekjgviskjgvassessingkjgvankjgvolder-
adultkjgvmalekjgvclient,kjgvandkjgvthekjgvclientkjgvsayskjgvthatkjgvhekjgvdoeskjgvnotkjgvrespondkjgvtokjgvsexualkjgvstimulationkjgv
thekjgvwaykjgvhekjgvdidkjgvwhenkjgvhekjgvwaskjgvyounger.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvresponseskjgvtokjgvthekjgvcli
ent’skjgvcommentkjgviskjgvbest?
a. “Manykjgvmenkjgvneedkjgvmorekjgvsexualkjgvstimulationkjgvwithkjgvaging.”
b. “Interestkjgvinkjgvsexkjgvfrequentlykjgvdecreaseskjgvaskjgvmenkjgvgetkjgvolder.”
c. “Erectilekjgvdysfunctionkjgviskjgvakjgvcommonkjgvproblemkjgvwithkjgvolderkjgvmen.”
d. “Tellkjgvmekjgvmorekjgvaboutkjgvhowkjgvyourkjgvsexualkjgvresponsekjgvhaskjgvchanged.”
CORRECT kjgvANSWE D
i
R:
Theinitial kjgvresponsekjgvbykjgvthekjgvnurseshouldkjgvbekjgvfurtherkjgvassessmentkjgvofkjgvthekjgvproblem.kjgvThekjgvotherkjgvst
atementskjgvbykjgvthekjgvnursekjgvarekjgvaccuratekjgvbutkjgvmightkjgvnotkjgvrespondkjgvtokjgvthekjgvclient’skjgvconcerns.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
4. WhenkjgvschedulingkjgvakjgvpelvickjgvexaminationkjgvandkjgvPapkjgvtestkjgvforkjgvakjgvclient,kjgvwhichkjgvofkjgvthekjgvfo
llowingkjgvinstructionskjgvshouldkjgvthekjgvnursekjgvincludekjgvwhenkjgvpreparingkjgvthekjgvclient?
a. Shower,kjgvbutkjgvnotkjgvakjgvtubkjgvbath,kjgvbeforekjgvthekjgvexamination
b. DokjgvnotkjgvhavekjgvsexualkjgvintercoursekjgvthekjgvdaykjgvbeforekjgvthekjgvPapkjgvtest
c. PlankjgvtokjgvhavekjgvthekjgvPapkjgvtestkjgvjustkjgvafterkjgvherkjgvmenstrualkjgvperiod
d. Avoidkjgvdouchingkjgvforkjgvatkjgvleastkjgv24kjgvhourskjgvbeforekjgvthekjgvexamination
CORRECT kjgvANSWE D
i
R:
ThekjgvresultskjgvofkjgvakjgvPapkjgvtestkjgvmaykjgvbekjgvaffectedkjgvbykjgvdouching,kjgvandkjgvsokjgvthekjgvclientkjgvshouldkjgvnotkj
douchekjgvbeforekjgvtheexamination.kjgvTheexaminationkjgvmaykjgvbekjgvscheduledkjgvwithoutkjgvregardkjgvtokjgvth
gv
emenstrualkjgvperiod.kjgvThekjgvclient kjgvmaykjgvshowerkjgvorbathekjgvbeforethekjgvexamination.kjgvSexualkjgvinter
i
coursekjgvdoeskjgvnotkjgvaffectkjgvthekjgvresultskjgvofkjgvthekjgvexaminationkjgvorkjgvPapkjgvtest.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
5. Thenurseiskjgvassessingkjgvakjgvclientkjgvwhokjgvhaskjgvamenorrhea kjgvwithkjgvakjgvweightkjgvofkjgv41kjgvkg.kjgvTheclien
i
tkjgvmakeskjgvallkjgvofkjgvthekjgvfollowingkjgvstatementskjgvtokjgvthekjgvnurse.kjgvWhichkjgvonekjgvindicateskjgvakjgvneedkjgv
forkjgvclientkjgvteaching?
a. “IkjgvhavekjgvnotkjgvbeenkjgvablekjgvtokjgveatkjgvmuchkjgvforkjgvthekjgvpastkjgvfewkjgvmonthskjgvandkjgvIkjgvamkjgvsokjgvfat.”
b. “Ikjgvdrinkkjgvatkjgvleastkjgvthreekjgvglasseskjgvofkjgvnonfatkjgvmilkkjgveverykjgvday.”
c. “IkjgvamkjgvnotkjgvsexuallykjgvactivekjgvbutkjgvcurrentlykjgvIhavekjgvankjgvIUDkjgv[intrauterinekjgvdevice].”
d. “Ikjgvwaskjgvrecentlykjgvtreatedkjgvforkjgva kjgvsexuallykjgvtransmittedkjgvdisease.”
i
CORRECT kjgvANSWE A
i
R: kjgvbeingkjgvaboutkjgvtokjgveatkjgvmuchkjgvatkjgvallkjgvforkjgvthekjgvpastkjgvthreekjgvmonthskjgvindicateskjgvthatkjgvthekjgvclientkjgvmay
Not
bekjgvexperiencingkjgvanorexia.kjgvAnorexiacankjgvcauseamenorrhea.kjgvThekjgvotherstatementskjgvbykjgvthekjgvclientkjgvdokj
kjgv
gvnotkjgvsuggestkjgvanykjgvurgentkjgvteachingkjgvneeds.
DIF: Cognitivek j g v Level:k j g v Appli cN
at iUonR S I N GTT
OBP :.C
NuOr sMi ng Process:k j g v Assessment
6. Thenursekjgviskjgvassessingkjgvthekjgvsexual-
reproductivekjgvfunctionalkjgvhealthkjgvpatternkjgvforkjgva kjgvclient.kjgvWhichkjgvofkjgvthekjgvfollowingkjgvquestions
i
kjgviskjgvmostkjgvusefulkjgvinkjgvdeterminingkjgvthekjgvclient’skjgvsexualkjgvorientationkjgvandkjgvriskkjgvfactors?
a. “Dokjgvyoukjgvhavekjgvsexkjgvwithkjgvmen,kjgvwomen,kjgvorkjgvboth?”
b. “Whichkjgvgenderkjgvdokjgvyoukjgvpreferkjgvtokjgvhavekjgvsexkjgvwith?”
c. “Whatkjgvtypeskjgvofkjgvsexualkjgvactivitieskjgvdokjgvyoukjgvprefer?”
d. “Arekjgvyoukjgvheterosexual,kjgvhomosexual,kjgvorkjgvbisexual?”
CORRECT kjgvANSWE A
i
R:
Thiskjgvquestionkjgviskjgvthekjgvmostkjgvsimplykjgvstatedkjgvandkjgvwillkjgvincreasekjgvthekjgvlikelihoodkjgvofkjgvobtainingkj
gv thekjgvrelevantkjgvinformationkjgvaboutkjgvsexualkjgvorientationkjgvandkjgvpossiblekjgvriskkjgvfactorskjgvassociatedkj
gvwithkjgvsexualkjgvactivity.kjgvA k j g v client kjgvwhokjgvpreferskjgvintercoursekjgvwithkjgvwomenkjgvalsokjgvmaykjgvhavekjgvi
i i
ntercoursekjgvatkjgvtimeskjgvwithkjgvmen.kjgvThekjgvtypeskjgvofkjgvsexualkjgvactivitieskjgvengagedkjgvinkjgvmaykjgvnotkjgvindica
tekjgvsexualkjgvorientation.kjgvManykjgvclientskjgvwhokjgvhavekjgvintercoursekjgvwithkjgvbothkjgvmenkjgvandkjgvwomenkjgvdo
kjgvnotkjgvidentifykjgvthemselveskjgvaskjgvhomosexualkjgvorkjgvbisexual.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
7. Thenurseiskjgvpreparingkjgvakjgvclient kjgvforkjgvcolposcopykjgvwithkjgva kjgvcervicalkjgvbiopsy.kjgvWhichkjgvof
i i
thefollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvexplainkjgvtokjgvthekjgvclientkjgvaboutkjgvthekjgv
kjgv
procedure?
a. Itkjgvinvolveskjgvdilationkjgvofkjgvthekjgvcervixkjgvandkjgvbiopsykjgvofkjgvthekjgvtissuekjgvliningkjgvthekjgvuterus.
b. Itkjgvwillkjgvtakekjgvplacekjgvinkjgvakjgvsame-day-surgerykjgvcentrekjgvsokjgvthatkjgvlocalkjgvanesthesiakjgvcankjgvbekjgvused.
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
c. Itkjgvrequires kjgvthatkjgvthekjgvclientkjgvhavekjgvnothingkjgvtokjgveatkjgvorkjgvdrinkkjgvforkjgv6kjgvhourskjgvb
eforethekjgvprocedure.
d. Itkjgviskjgvsimilarkjgvtokjgvakjgvspeculumkjgvexaminationkjgvofthekjgvcervixkjgvandkjgvshouldkjgvresult kjgvi i
nkjgvlittlekjgvorkjgvnokjgvpain.
CORRECT kjgvANSWE D
i
R:
Colposcopykjgvinvolveskjgvvisualizationkjgvofkjgvthekjgvcervixkjgvwithkjgvakjgvbinocularkjgvmicroscopeandkjgviskjgvsimilarkjgvtokjgv
akjgvspeculumkjgvexamination.kjgvA kjgvcervicalkjgvbiopsykjgvmaykjgvcausekjgvakjgvminimalkjgvamountkjgvofkjgvpain.
i
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
8. AkjgvcouplekjgvwhokjgvhaskjgvnotkjgvbeenkjgvablekjgvtokjgvconceivekjgviskjgvscheduledkjgvforkjgvakjgvHuhnerkjgvtestkjgvforkjgvinfer
tility.kjgvWhichkjgvofthekjgvfollowingkjgvinformationkjgvshouldkjgvthekjgvnursekjgvprovidekjgvtokjgvthekjgvcouplekjgvinkjgvpr
eparationkjgvforkjgvthekjgvtest?
a. Possiblekjgvshoulderkjgvpainkjgvafterkjgvthekjgvprocedure
b. Sedativekjgvmedicationskjgvusedkjgvduringkjgvthekjgvprocedure
c. Wayskjgvtokjgvdeterminekjgvthekjgvestimatedkjgvtimekjgvofkjgvovulation
d. Howkjgvlongkjgvtokjgvrefrainkjgvfromkjgvintercoursekjgvbeforekjgvthekjgvtest
CORRECT kjgvANSWE C
i
R: kjgvthekjgvHuhnerkjgvtest,kjgvthekjgvcouplekjgvshouldkjgvhavekjgvintercoursekjgvatkjgvthekjgvestimatedkjgvtimekjgvofkjgvc
For
onceptionkjgvandkjgvthenkjgvarrivekjgvforkjgvthekjgvtestkjgv2–
8kjgvhourskjgvafterkjgvintercourse.kjgvThekjgvotherkjgvinstructionskjgvwouldkjgvbekjgvusedkjgvforkjgvotherkjgvtypeskjgvofkjgvf
ertilitykjgvtesting.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
9. ThekjgvnursekjgviskjgvassessingkjgvakjgvclientkjgvinkjgvthekjgvSexualkjgvHealthkjgvClinickjgvwhokjgvhaskjgvakjgvpositivekjgvVenere
alkjgvDiseasekjgvResearchkjgvLaboratoryN(VR DRIL)kjgvkjgvt G
est,B but. Cn kjgvok j g v cMhancrekjgviskjgvnoted.kjgvThekjgvnurs
UkjgvS kjgvNkjgvT O
i i
ekjgvshouldplankjgvtosendkjgvthekjgvspecimens
i i kjgvforkjgvwhichkjgvofkjgvthekjgvfollowingkjgvtests?
a. Gramkjgvstain
b. Cytologick j g v studies
c. Rapidk j gv plasma kjgvreagink j g v (RPR)k j g v agglutination
i
d. Fluorescentkjgvtreponemalkjgvantibodykjgvabsorptionkjgv(FTA-ABS)
CORRECT kjgvANSWE D
i
R:
SincekjgvfalsekjgvpositiveskjgvarekjgvcommonkjgvwithkjgvVDRLkjgvandkjgvRPRkjgvtesting,kjgvFTA-
ABSkjgvtestingkjgviskjgvrecommendedkjgvtokjgvconfirmkjgvakjgvdiagnosiskjgvofkjgvsyphilis.kjgvGramkjgvstainingkjgviskjgvusedkjgv
forkjgvotherkjgvsexuallykjgvtransmittedkjgvinfectionskjgv(STIs)kjgvsuchkjgvaskjgvgonorrhea andkjgvchlamydia kjgvandkjgvcytol
i i
ogickjgvstudieskjgvarekjgvusedkjgvtokjgvdetectkjgvabnormalkjgvcellskjgv(suchkjgvaskjgvneoplastickjgvcells).
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
10. Whichkjgvinformationkjgvaboutkjgvafemalekjgvclientkjgvwhokjgvwantskjgvtokjgvstart kjgvusingkjgvoralkjgvcontracepti
i
veskjgviskjgvmostkjgvimportantkjgvtokjgvreportkjgvtokjgvthekjgvhealthkjgvcarekjgvprovider?
a. Thekjgvclientkjgvquitkjgvsmokingkjgv6kjgvmonthskjgvpreviously.
b. Thekjgvclient’skjgvbloodkjgvpressurekjgviskjgv164/90kjgvmmkjgvHg.
c. Thekjgvclientkjgvhaskjgvnotkjgvbeenkjgvvaccinatedkjgvforkjgvrubella.
d. Thekjgvclientkjgvhaskjgvchronickjgviron-deficiencykjgvanemia.
CORRECT kjgvANSWE
i B
R:
NURSINGTB.COM
, Medical-
SurgicalkjgvNursingkjgvinkjgvCanadakjgv4thkjgvEditionkjgvLewikjgvTestkjgvBan
k
Sincekjgvhypertensionkjgvincreaseskjgvthekjgvriskkjgvforkjgvmorbiditykjgvandkjgvmortalitykjgvinkjgvwomenkjgvtakingkjgvor
alkjgvcontraceptives,kjgvthekjgvclient’skjgvbloodkjgvpressureshouldkjgvbekjgvcontrolledkjgvbeforeoralkjgvcontraceptiveskj
gvarekjgvprescribed.kjgvThekjgvotherkjgvinformationkjgvwillkjgvalsokjgvbekjgvreportedkjgvbutkjgvwillkjgvnotkjgvaffectkjgvthekjgvch
oicekjgvofkjgvcontraceptive.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvAssessment
11. Thekjgvnursekjgviskjgvassessingkjgvakjgvmalekjgvclientkjgvwhokjgviskjgvtakingkjgvthekjgvfollowingkjgvmedicationskjgvandkjgvtel
lskjgvthekjgvnursekjgvthat kjgvhekjgvhaskjgvhadkjgvdifficultykjgvinkjgvachievingkjgvankjgverection.kjgvWhichkjgvofthekjgvfollowi
i
ngkjgvmedicationskjgvmaykjgvcausekjgverectilekjgvdysfunctionkjgv(ED)?
a. Atorvastatin
b. Metformin
c. Propranolol
d. Ranitidine
CORRECT kjgvANSWE C
i
R: kjgvantihypertensiveskjgvmaykjgvcausekjgverectilekjgvdysfunction,kjgvandkjgvthekjgvnursekjgvshouldkjgvanticipate
Some
a changekjgvinkjgvantihypertensivekjgvtherapy.kjgvTheothermedicationskjgvwillkjgvnotkjgvaffectkjgverectilekjgvfunctio
kjgv kjgv
n.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvPlanning
12. Akjgvclientkjgvcallskjgvthekjgvclinickjgvandkjgvtellskjgvthekjgvnurse,kjgv“Mykjgvmenstrualkjgvperiodkjgviskjgvverykjgvheavy.kjgvIh
avekjgvtokjgvchangekjgvmykjgvtamponkjgveverykjgv4kjgvhours.”kjgvWhichkjgvofkjgvthekjgvfollowingkjgvactionskjgvshouldkjgvt
hekjgvnursekjgvtakekjgvnext?
a. Tellkjgvthekjgvclientkjgvthatkjgvherkjgvflowkjgviskjgvnotkjgvunusuallykjgvheavy.
b. Schedulekjgvthekjgvclientkjgvforkjgvankjgvappointmentkjgvlaterkjgvthatkjgvday.
c. Askkjgvthekjgvclientkjgvhowkjgvheavykjgvherkjgvusualkjgvmenstrualkjgvflowkjgvis.
d. Havekjgvthekjgvclientkjgvcallkjgvagain ifkjgvt h kjgvek j g v he a v y kjgvfl ow cont inues.
i
N USNT
R I G OB .C M i
CORRE
CT k j g v A
i
NSWEkjgv
R: C
Becausekjgvakjgvheavykjgvmenstrualkjgvflowkjgviskjgvusuallykjgvindicatedkjgvbykjgvsaturatingkjgvakjgvpadkjgvorkjgvtamponkjgvinkjg
v1–
2kjgvhours,kjgvthekjgvnursekjgvshouldkjgvfirstkjgvassesskjgvhowkjgvheavykjgvthekjgvclient’skjgvusualkjgvflowkjgvis.kjgvTherekjgviskjgv
nokjgvneedkjgvtokjgvschedulekjgvthekjgvclientkjgvforkjgvankjgvappointmentkjgvthatkjgvday.kjgvThekjgvclientkjgvmaykjgvneedkjgvt
okjgvcallkjgvagain,kjgvbut kjgvthiskjgviskjgvnot kjgvthekjgvfirst kjgvactionkjgvthat kjgvthekjgvnursekjgvshouldkjgvtake.kjgvTellingkjgvthekjgv
i i i i
clientkjgvthatkjgvshekjgvdoeskjgvnotkjgvhavekjgvakjgvheavykjgvflowkjgvimplieskjgvthatkjgvthekjgvclient’skjgvconcernkjgviskjgvnotkjgvi
mportant.
DIF: CognitivekjgvLevel:kjgv Application TOP: NursingkjgvProcess:kjgvImplementation
13. Thekjgvnursekjgviskjgvcaringkjgvforkjgvakjgvclientkjgvwithkjgvakjgvpossiblekjgvovariankjgvcystkjgvwhokjgviskjgvscheduledkjgvfork
ankjgvultrasound.kjgvWhichkjgvofthekjgvfollowingkjgvinformationshouldkjgvthekjgvnursekjgvincludekjgvwhenkjgvtea
jgv
chingkjgvthekjgvclientkjgvaboutkjgv thekjgvultrasound?
a. DiscontinuekjgvtakingkjgvAspirinkjgvbeforekjgvthekjgvprocedure
b. ReceivekjgvIVkjgvcontrastkjgvsolutionkjgvduringkjgvthekjgvprocedure
c. Expectkjgvmildkjgvabdominalkjgvcrampskjgvafterkjgvthekjgvprocedure
d. Drinkkjgvseveralkjgvglasseskjgvofkjgvfluidskjgvbeforekjgvthekjgvprocedure
CORRECT kjgvANSWE D
i
R:
Akjgvfullkjgvbladderkjgviskjgvneededkjgvforkjgvmanykjgvultrasoundkjgvprocedures,kjgvsokjgvthekjgvnursekjgvwillkjgvhavekjgvthekjgv
clientkjgvdrinkkjgvfluidskjgvbeforekjgvarrivingkjgvforkjgvthekjgvultrasound.kjgvThekjgvotherinstructionskjgvarekjgvnotkjgvaccurat
ekjgvforkjgvthiskjgvprocedure.
NURSINGTB.COM
