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Chapter 04: Assessment and Health Promotion Lowdermilk: Maternity & Women's Health Care, 12th Edition Exam.

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Chapter 04: Assessment and Health Promotion Lowdermilk: Maternity & Women's Health Care, 12th Edition Exam. 1. 1. Due to the effects of cyclic ovar- ANS: A ian changes in the breast, when is The physiologic alterations in breast size and activity the best time for breast self-exam- reach their minimal level approximately 5 to 7 days after ination (BSE)? a. Between 5 and 7 days after menses ceases b. Day 1 of the endometrial cycle c. Midmenstrual cycle d. Any time during a shower or bath 2. 2. Individual irregularities in the menstruation ceases. Therefore, BSE is best performed during this phase of the menstrual cycle. Day 1 of the endometrial cycle is too early to perform an accurate BSE. After the midmenstrual cycle, breasts are likely to become tender and increase in size, which is not the ideal time to perform BSE. Lying down after a shower or bath with a small towel under the shoulder of the side being examined is appropriate teaching for BSE. A secondary BSE may be performed while in the shower. ANS: A ovarian (menstrual) cycle are most Almost all variations in the length of the ovarian cycle often caused by what? a. Variations in the follicular (pre- ovulatory) phase b. Intact hypothalamic-pituitary feedback mechanism c. Functioning corpus luteum d. Prolonged ischemic phase 3. 3. How would the physiologic process of the sexual response best be characterized? are the result of variations in the length of the follicular phase. This information discounts the other options as being correct. An intact hypothalamic-pituitary feedback mechanism would be regular, not irregular. The luteal phase begins after ovulation. The corpus luteum is de- pendent on the ovulatory phase and fertilization. During the ischemic phase, the blood supply to the function- al endometrium is blocked, and necrosis develops. The functional layer separates from the basal layer, and men- strual bleeding begins ANS: B Physiologically, sexual response can be analyzed in terms of two processes: vasocongestion and myotonia. Coitus, a. Coitus, masturbation, and fanta- masturbation, and fantasy are forms of stimulation for sy the physical manifestation of the sexual response. Erec- b. Myotonia and vasocongestion c. Erection and orgasm d. Excitement, plateau, and or- gasm 4. 4. The nurse guides a woman to the examination room and asks tion and orgasm occur in two of the four phases of the sexual response cycle. Excitement, plateau, and orgasm are three of the four phases of the sexual response cycle ANS: C Explaining the examination procedure reflects cultural her to remove her clothes and put competence by the nurse and shows respect for the on an examination gown with the front open. The woman replies, "I have special undergarments that I do not remove for religious rea- woman's religious practices. The nurse must respect the rich and unique qualities that cultural diversity brings to individuals. The examination can be modified to ensure that modesty is maintained. In recognizing the value of sons." Which is the most appropri- cultural ditterences, the nurse can modify the plan of ate response from the nurse? a. "You can't have an examina- tion without removing all your clothes." b. "I'll ask the physician to modify the examination." c. "I'll explain the examination pro- cedure, and then we can discuss how you can comfortably have your examination." d. "I have no idea how we can ac- commodate your beliefs." 5. 5. A woman tells the nurse that she thinks she has a vaginal in- fection, and has been using an over-the-counter cream for the past 2 days to treat it. How should care to meet the needs of each woman. Telling the client

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Chapter 04: Assessment and Health Promotion Lowdermilk:
Maternity & Women's Health Care, 12th Edition Exam.


1. 1. Due to the effects of cyclic ovar- ANS: A
ian changes in the breast, when is The physiologic alterations in breast size and
activity
the best time for breast self-exam- reach their minimal level approximately 5 to 7
days after
ination (BSE)? menstruation ceases. Therefore, BSE is best
a. Between 5 and 7 days performed during this phase of the menstrual
after menses ceases cycle. Day 1 of the endometrial cycle is too early
b. Day 1 of the endometrial
to perform an accurate BSE. After the
cycle
midmenstrual cycle, breasts are likely to become
c. Midmenstrual cycle
tender and increase in size, which is not the ideal
d. Any time during a shower
or bath time to perform BSE. Lying down after a shower or
bath with a small towel under the shoulder of the
side being examined is appropriate teaching for
2. 2. Individual irregularities in BSE. A secondary BSE may be performed while in
the the shower.

ANS: A
ovarian (menstrual) cycle are most Almost all variations in the length of the ovarian
cycle
often caused by what? sexual response best be
a. Variations in the follicular characterized?
(pre- ovulatory) phase
b. Intact hypothalamic-
pituitary feedback
mechanism
c. Functioning corpus luteum
d. Prolonged ischemic phase



3. 3. How would the
physiologic process of the


, Chapter 04: Assessment and Health Promotion Lowdermilk:
Maternity & Women's Health Care, 12th Edition Exam.

are the result of variations in the length of the blood supply to the function-
follicular phase. This information discounts the al endometrium is blocked, and necrosis
other options as being correct. An intact develops. The functional layer separates from the
hypothalamic-pituitary feedback mechanism basal layer, and men- strual bleeding begins
would be regular, not irregular. The luteal
phase begins after ovulation. The corpus ANS: B
luteum is de- pendent on the ovulatory phase and Physiologically, sexual response can be analyzed in
fertilization. During the ischemic phase, the terms of two processes: vasocongestion and
myotonia. Coitus,
a.Coitus, masturbation, and fanta- masturbation, and fantasy are forms of stimulation
for
sy the physical manifestation of the sexual response.
Erec-






, Chapter 04: Assessment and Health Promotion Lowdermilk:
Maternity & Women's Health Care, 12th Edition Exam.


b. Myotonia and tion and orgasm occur in two of the four
vasocongestion phases of the sexual response cycle. Excitement,
c. Erection and orgasm plateau, and orgasm are three of the four phases
d. Excitement, plateau, and of the sexual response cycle
or- gasm
4. 4. The nurse guides a woman
to the examination room and ANS: C
asks Explaining the examination procedure reflects
cultural
her to remove her clothes and put competence by the nurse and shows respect for
the
on an examination gown with woman's religious practices. The nurse must
the front open. The woman respect the rich and unique qualities that cultural
replies, "I have special
undergarments that I do not diversity brings to individuals. The examination
remove for religious rea- can be modified to ensure that modesty is
maintained. In recognizing the value of
sons." Which is the most appropri- cultural ditterences, the nurse can modify the plan
of
ate response from the nurse? over-the-counter cream for the
a. "You can't have an past 2 days to treat it. How
examina- tion without should
removing all your clothes."
b. "I'll ask the physician to
modify the examination."
c. "I'll explain the examination
pro- cedure, and then we can
discuss how you can
comfortably have your
examination."
d. "I have no idea how we can
ac- commodate your beliefs."
5. 5. A woman tells the nurse that
she thinks she has a vaginal in-
fection, and has been using an

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