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Women's Health Care Testbank, 2nd Ed

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Thissectiontypicallycovers:**Glycolysis**:Breakdownofglucoseintopyruvate,withthenetproductionofATPandNADH.**KrebsCycle(CitricAcidCycle)**:Furtherbreakdownofpyruvateinthemitochondriatogenerateelectr

oncarriers(NADH,FADH2)andCO2.**ElectronTransportChain(ETC)**:Finalstageofaerobicrespiration,whereelectroncarriersdonateelectronstogenerateATPviaoxidativephosphorylation.**AnaerobicRespirationandFer
mentation**:Overviewofanaerobicpathways(e.g.,fermentation)asalternativemechanismsforATPproductionintheabsenceofoxygen.Comparisontoaerobicrespirationintermsofefficiencyandendproducts.**Photosynthesis*
*:Recapitulationofphotosynthesisastheprocessbywhichplants,algae,andsomebacteriaconvertlightenergyintochemicalenergy(glucose)andoxygen.Includes:**LightReactions**:Conversionoflightenergytochemicalenergy(
ATP,NADPH).**CalvinCycle(DarkReactions)**:Incorporationofcarbondioxideintoorganicmolecules(sugarsynthesis).**MetabolicPathwaysandRegulation**:Integrationofmetabolicpathwayswithincellstosupportgrowt
h,maintenance,andreproduction.Discussiononcatabolic(breakdown)andanabolic(synthesis)pathways,energycoupling,andregulationofmetabolicactivity.**EnergyandHomeostasis**:Importanceofenergybalanceandhome
ostasisinmaintainingcellularfunctionandoverallorganismalhealth.Roleoffeedbackmechanismsandmetabolicregulationinrespondingtoenergyneeds.**CellularRespirationinDetail**:Examinationofthebiochemicalreactions
involvedincellularrespiration,focusingontheroleofenzymes,electroncarriers(NADH,FADH2),andtheATPsynthasecomplexinATPproduction.**MetabolicAdaptationsandRegulation**:Examplesofmetabolicadaptationsin
responsetoenvironmentalchanges,dietaryintake,andphysiologicaldemands.Regulationofmetabolicpathwaysthroughenzymeactivityandgeneexpression.**EnergyEfficiencyandConservation**:Discussionontheefficiencyo
fATPproductionthroughaerobicrespirationcomparedtoanaerobicpathways.Energyconservationstrategiesinbiologicalsystems.**EmergingTopicsinCellularEnergy**:Introductiontocurrentresearchtopicsandadvancementsi
ncellularenergymetabolism,suchasmetabolicdisorders,metabolicengineering,andbiofuels.**SummaryandKeyConcepts**:Thechapterconcludeswithasummaryofkeyconceptsrelatedtoenergyforcells,reinforcingunderstand
ingoftheprinciplesgoverningenergyacquisition,utilization,andregulationinbiologicalsystems.Chapter7providesacomprehensiveexplorationofcellularenergyprocesses,highlightingtheinterconnectedpathwaysandregulatory
mechanismsthatallowcellstomaintainlifeandrespondtotheirenvironment.Itbuildsuponfoundationalknowledgeofenergymetabolismandpreparesstudentsforfurtherexplorationintophysiologicalmechanisms,genetics,andecol
ogicalinteractionscoveredinsubsequentchaptersofthetextbook.Ifyouhavespecificquestionsaboutanyofthesetopicsorwouldlikemoredetailedinformati




Women’s Health Care in
Advanced Practice Nursing
nd
2 Edition Testbank

Chapter 1 Women and Their Health

The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for
1. 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
When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review
3. 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
1

, Thissectiontypicallycovers:**Glycolysis**:Breakdownofglucoseintopyruvate,withthenetproductionofATPandNADH.**KrebsCycle(CitricAcidCycle)**:Furtherbreakdownofpyruvateinthemitochondriatogen

erateelectroncarriers(NADH,FADH2)andCO2.**ElectronTransportChain(ETC)**:Finalstageofaerobicrespiration,whereelectroncarriersdonateelectronstogenerateATPviaoxidativephosphorylation.**Anaerobi

cRespirationandFermentation**:Overviewofanaerobicpathways(e.g.,fermentation)asalternativemechanismsforATPproductionintheabsenceofoxygen.Comparisontoaerobicrespirationintermsofefficiencyanden

dproducts.**Photosynthesis**:Recapitulationofphotosynthesisastheprocessbywhichplants,algae,andsomebacteriaconvertlightenergyintochemicalenergy(glucose)andoxygen.Includes:**LightReactions**:Con

versionoflightenergytochemicalenergy(ATP,NADPH).**CalvinCycle(DarkReactions)**:Incorporationofcarbondioxideintoorganicmolecules(sugarsynthesis).**MetabolicPathwaysandRegulation**:Integratio

nofmetabolicpathwayswithincellstosupportgrowth,maintenance,andreproduction.Discussiononcatabolic(breakdown)andanabolic(synthesis)pathways,energycoupling,andregulationofmetabolicactivity.**Energ

yandHomeostasis**:Importanceofenergybalanceandhomeostasisinmaintainingcellularfunctionandoverallorganismalhealth.Roleoffeedbackmechanismsandmetabolicregulationinrespondingtoenergyneeds.**C

ellularRespirationinDetail**:Examinationofthebiochemicalreactionsinvolvedincellularrespiration,focusingontheroleofenzymes,electroncarriers(NADH,FADH2),andtheATPsynthasecomplexinATPproduction

.**MetabolicAdaptationsandRegulation**:Examplesofmetabolicadaptationsinresponsetoenvironmentalchanges,dietaryintake,andphysiologicaldemands.Regulationofmetabolicpathwaysthroughenzymeactivity

andgeneexpression.**EnergyEfficiencyandConservation**:DiscussionontheefficiencyofATPproductionthroughaerobicrespirationcomparedtoanaerobicpathways.Energyconservationstrategiesinbiologicalsyst

ems.**EmergingTopicsinCellularEnergy**:Introductiontocurrentresearchtopicsandadvancementsincellularenergymetabolism,suchasmetabolicdisorders,metabolicengineering,andbiofuels.**SummaryandKey

Concepts**:Thechapterconcludeswithasummaryofkeyconceptsrelatedtoenergyforcells,reinforcingunderstandingoftheprinciplesgoverningenergyacquisition,utilization,andregulationinbiologicalsystems.Chapte

r7providesacomprehensiveexplorationofcellularenergyprocesses,highlightingtheinterconnectedpathwaysandregulatorymechanismsthatallowcellstomaintainlifeandrespondtotheirenvironment.Itbuildsuponfoun

dationalknowledgeofenergymetabolismandpreparesstudentsforfurtherexplorationintophysiologicalmechanisms,genetics,andecologicalinteractionscoveredinsubsequentchaptersofthetextbook.Ifyouhavespecific

questionsaboutanyofthesetopicsorwouldlikemoredetailedinformati

C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
After teaching a group of students about pregnancy-related mortality, the instructor determines that
4. additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D)Infection
The nurse is working with a group of community health members to develop a plan to address the special
5. 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
When assessing a family for possible barriers to health care, the nurse would consider which factor to be
6. 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




2

, 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
The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents
8. 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
After teaching nursing students about the basic concepts of family-centered care, the instructor
9. 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.
A nursing instructor is preparing a class discussion on the trends in health care and health care delivery
10. 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?
Thissectiontypicallycovers:**Glycolysis**:Breakdownofglucoseintopyruvate,withthenetproductionofATPandNADH.**KrebsCycle(CitricAcidCycle)**:Furtherbreakdownofpyruvateinthemitochon
driatogenerateelectroncarriers(NADH,FADH2)andCO2.**ElectronTransportChain(ETC)**:Finalstageofaerobicrespiration,whereelectroncarriersdonateelectronstogenerateATPviaoxidativephosphor
ylation.**AnaerobicRespirationandFermentation**:Overviewofanaerobicpathways(e.g.,fermentation)asalternativemechanismsforATPproductionintheabsenceofoxygen.Comparisontoaerobicrespirati
onintermsofefficiencyandendproducts.**Photosynthesis**:Recapitulationofphotosynthesisastheprocessbywhichplants,algae,andsomebacteriaconvertlightenergyintochemicalenergy(glucose)andoxyg
en.Includes:**LightReactions**:Conversionoflightenergytochemicalenergy(ATP,NADPH).**CalvinCycle(DarkReactions)**:Incorporationofcarbondioxideintoorganicmolecules(sugarsynthesis).**
MetabolicPathwaysandRegulation**:Integrationofmetabolicpathwayswithincellstosupportgrowth,maintenance,andreproduction.Discussiononcatabolic(breakdown)andanabolic(synthesis)pathways,e
nergycoupling,andregulationofmetabolicactivity.**EnergyandHomeostasis**:Importanceofenergybalanceandhomeostasisinmaintainingcellularfunctionandoverallorganismalhealth.Roleoffeedbackm
echanismsandmetabolicregulationinrespondingtoenergyneeds.**CellularRespirationinDetail**:Examinationofthebiochemicalreactionsinvolvedincellularrespiration,focusingontheroleofenzymes,elec
troncarriers(NADH,FADH2),andtheATPsynthasecomplexinATPproduction.**MetabolicAdaptationsandRegulation**:Examplesofmetabolicadaptationsinresponsetoenvironmentalchanges,dietaryint
ake,andphysiologicaldemands.Regulationofmetabolicpathwaysthroughenzymeactivityandgeneexpression.**EnergyEfficiencyandConservation**:DiscussionontheefficiencyofATPproductionthrough
aerobicrespirationcomparedtoanaerobicpathways.Energyconservationstrategiesinbiologicalsystems.**EmergingTopicsinCellularEnergy**:Introductiontocurrentresearchtopicsandadvancementsincell
ularenergymetabolism,suchasmetabolicdisorders,metabolicengineering,andbiofuels.**SummaryandKeyConcepts**:Thechapterconcludeswithasummaryofkeyconceptsrelatedtoenergyforcells,reinfor
cingunderstandingoftheprinciplesgoverningenergyacquisition,utilization,andregulationinbiologicalsystems.Chapter7providesacomprehensiveexplorationofcellularenergyprocesses,highlightingtheinte
rconnectedpathwaysandregulatorymechanismsthatallowcellstomaintainlifeandrespondtotheirenvironment.Itbuildsuponfoundationalknowledgeofenergymetabolismandpreparesstudentsforfurtherexplo
rationintophysiologicalmechanisms,genetics,andecologicalinteractionscoveredinsubsequentchaptersofthetextbook.Ifyouhavespecificquestionsaboutanyofthesetopicsorwouldlikemoredetailedinformat
i

A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the
11. 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
A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor,
12. 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
A nursing instructor is preparing a class discussion on case management in maternal and newborn health
13. care. Which of the following would the instructor include as a key component? Select all that apply.
3

, A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care
14. 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?
Thissectiontypicallycovers:**Glycolysis**:Breakdownofglucoseintopyruvate,withthenetproductionofATPandNADH.**KrebsCycle(CitricAcidCycle)**:Furtherbreakdownofpyruvateinthemitochondriatoge
nerateelectroncarriers(NADH,FADH2)andCO2.**ElectronTransportChain(ETC)**:Finalstageofaerobicrespiration,whereelectroncarriersdonateelectronstogenerateATPviaoxidativephosphorylation.**Anaer
obicRespirationandFermentation**:Overviewofanaerobicpathways(e.g.,fermentation)asalternativemechanismsforATPproductionintheabsenceofoxygen.Comparisontoaerobicrespirationintermsofefficiencya
ndendproducts.**Photosynthesis**:Recapitulationofphotosynthesisastheprocessbywhichplants,algae,andsomebacteriaconvertlightenergyintochemicalenergy(glucose)andoxygen.Includes:**LightReactions*
*:Conversionoflightenergytochemicalenergy(ATP,NADPH).**CalvinCycle(DarkReactions)**:Incorporationofcarbondioxideintoorganicmolecules(sugarsynthesis).**MetabolicPathwaysandRegulation**:I
ntegrationofmetabolicpathwayswithincellstosupportgrowth,maintenance,andreproduction.Discussiononcatabolic(breakdown)andanabolic(synthesis)pathways,energycoupling,andregulationofmetabolicactivi
ty.**EnergyandHomeostasis**:Importanceofenergybalanceandhomeostasisinmaintainingcellularfunctionandoverallorganismalhealth.Ro leoffeedbackmechanismsandmetabolicregulationinrespondingtoener
gyneeds.**CellularRespirationinDetail**:Examinationofthebiochemicalreactionsinvolvedincellularrespiration,focusingontheroleofenzymes,electroncarriers(NADH,FADH2),andtheATPsynthasecomplexin
ATPproduction.**MetabolicAdaptationsandRegulation**:Examplesofmetabolicadaptationsinresponsetoenvironmentalchanges,dietaryintake,andphysiologicaldemands.Regulationofmetabolicpathwaysthrou
ghenzymeactivityandgeneexpression.**EnergyEfficiencyandConservation**:DiscussionontheefficiencyofATPproductionthroughaerobicrespirationcomparedtoanaerobicpathways.Energyconservationstrateg
iesinbiologicalsystems.**EmergingTopicsinCellularEnergy**:Introductiontocurrentresearchtopicsandadvancementsincellularenergymetabolism,suchasmetabolicdisorders,metabolicengineering,andbiofuels.
**SummaryandKeyConcepts**:Thechapterconcludeswithasummaryofkeyconceptsrelatedtoenergyforcells,reinforcingunderstandingoftheprinciplesgoverningenergyacquisition,utilization,andregulationinbiol
ogicalsystems.Chapter7providesacomprehensiveexplorationofcellularenergyprocesses,highlightingtheinterconnectedpathwaysandregulatorymechanismsthatallowcellstomaintainlifeandrespondtotheirenviron
ment.Itbuildsuponfoundationalknowledgeofenergymetabolismandpreparesstudentsforfurtherexplorationintophysiologicalmechanisms,genetics,andecologicalinteractionscoveredinsubsequentchaptersofthetex
tbook.Ifyouhavespecificquestionsaboutanyofthesetopicsorwouldlikemoredetailedinformati

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.
A group of students are reviewing the historical aspects about childbirth. The students demonstrate
15. 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
A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would
16. 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
When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of
17. 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
A nurse is preparing a presentation for a local community group about health status and childrens
18. 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
A group of students are reviewing an article describing information related to indicators for womens
19. 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.
4
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