1
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
" For discomfort I can try using warm compresses on my abdomen."
ANSWERA nurse is giving discharge instructions to a client who has
undergone anterior colporrhaphy. The nurse knows the teaching has
been understood if the client says:
appointment. What symptom of mild anxiety does the nurse expect this
client to experience?
Increased blood pressure ANSWERA client who wishes to postpone
having children until she and her husband are financially sound tells the
nurse she has been taking oral contraceptive pills for several years. What
finding indicates a potential risk in regard to continued use of birth
control pills?
"A hysterectomy doesn't affect the chronological age when menopause
usually occurs." ANSWERA 35-year-old client is scheduled for a
vaginal hysterectomy. She asks the nurse about the changes she should
expect after surgery. How should the nurse respond?
"Applying heat to my breasts will help ease the discomfort."
ANSWERA nurse on the postpartum unit discusses breast care with a
client who is formula feeding her newborn. Which statement indicates to
the nurse that more teaching is needed?
"Breast size is not related to milk production." ANSWERWhile
teaching a prenatal class about infant feeding, the nurse is asked about
the relationship between breast size and ease of breastfeeding. How
should the nurse respond?
,2
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
"Have you considered the option of genetic counseling?" ANSWERA
client has a child with Tay-Sachs disease and wants to become pregnant
again. She tells the nurse, "I'm worried it will happen again." How
should the nurse respond?
"Have you talked to your wife about your concerns?" ANSWERA
postpartum client is scheduled to have a tubal ligation. She has asked
that her husband not be told about the procedure because she has told
him that she is having exploratory surgery. The client's husband asks the
nurse why his wife needs to have exploratory surgery. How should the
nurse respond?
"I can use my albuterol inhaler if it's absolutely necessary." ANSWERA
nurse teaches a client with asthma about her illness during pregnancy.
Which statement by the client indicates that the nurse's teaching has
been effective?
"I feel washed out; there isn't much left." ANSWERAfter a mastectomy
or a hysterectomy a client may feel incomplete as a woman. What
statement should alert the nurse to this feeling in a client who has
undergone total hysterectomy?
"I must be careful when I have sex because herpes is a lifelong
problem." ANSWERWhat statement helps the nurse determine that a
woman with genital herpes (HSV-2) understands her self-care in regard
to this infection?
,3
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
"I won't have unprotected sex again, and I'll tell my partners to be tested
for STIs." ANSWERThe nurse determines that a young female client
who is being treated for a sexually transmitted infection (STI)
understands instructions regarding future sexual contacts. Which
statement confirms the nurse's conclusion?
"I'll be here if you want to talk." ANSWERAfter a client has a
spontaneous abortion at 12 weeks' gestation, the nurse notes that she and
her partner are visibly upset. The partner has tears in his eyes, and the
client is sobbing quietly with her face turned to the wall. At this time,
what is the nurse's most therapeutic statement?
"I'll notify the clinic if my lochia starts to smell bad." ANSWERA nurse
is teaching a postpartum client the characteristics of lochia and any
deviations that should be reported immediately. What client statement
indicates that the teaching was effective?
"I'll start limiting my carbohydrates."
"I'll lie down for at least 2 hours after I eat." ANSWERWhich
statements by a client with hyperemesis gravidarum would confirm that
the client needs further teaching? (Select all that apply.)
"I'll start the pills on the fifth day of my cycle." ANSWERAfter 18
months of unsuccessful attempts at conception by a client, primary
infertility related to anovulatory cycles is diagnosed. Clomiphene citrate
(Clomid) is prescribed. The nurse concludes that the client understands
, 4
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
the teaching about the correct time to take the clomiphene when the she
states:
"If you can't cough, try taking six very deep breaths." ANSWERA nurse
is instructing a client to cough and deep-breathe after an emergency
cesarean birth. The client says, "Get out of here. Can't you see that I'm in
pain?" Which response will be the most effective?
"Irreversible damage occurs after a few hours." ANSWERA client is
admitted with a diagnosis of torsion of the testes. How should the nurse
respond when the client asks, "Why do I have to have surgery right
now?"?
"It produces a spermicidal intrauterine environment." ANSWERA client
seeking advice about contraception asks a nurse about how an
intrauterine device (IUD) prevents pregnancy. How should the nurse
respond?
"It's all right for you to walk as long as you feel comfortable and your
membranes are intact." ANSWERA primigravida is admitted to the
birthing suite at term with contractions occurring every 5 to 8 minutes
and a bloody show. She and her partner attended childbirth preparation
classes. Vaginal examination reveals that the cervix is dilated 3 cm and
75% effaced. The fetus is at +1 station in occiput anterior position, and
the membranes are intact. The client is cheerful and relaxed and asks the
nurse whether it is all right for her to walk around. In light of the nurse's
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
" For discomfort I can try using warm compresses on my abdomen."
ANSWERA nurse is giving discharge instructions to a client who has
undergone anterior colporrhaphy. The nurse knows the teaching has
been understood if the client says:
appointment. What symptom of mild anxiety does the nurse expect this
client to experience?
Increased blood pressure ANSWERA client who wishes to postpone
having children until she and her husband are financially sound tells the
nurse she has been taking oral contraceptive pills for several years. What
finding indicates a potential risk in regard to continued use of birth
control pills?
"A hysterectomy doesn't affect the chronological age when menopause
usually occurs." ANSWERA 35-year-old client is scheduled for a
vaginal hysterectomy. She asks the nurse about the changes she should
expect after surgery. How should the nurse respond?
"Applying heat to my breasts will help ease the discomfort."
ANSWERA nurse on the postpartum unit discusses breast care with a
client who is formula feeding her newborn. Which statement indicates to
the nurse that more teaching is needed?
"Breast size is not related to milk production." ANSWERWhile
teaching a prenatal class about infant feeding, the nurse is asked about
the relationship between breast size and ease of breastfeeding. How
should the nurse respond?
,2
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
"Have you considered the option of genetic counseling?" ANSWERA
client has a child with Tay-Sachs disease and wants to become pregnant
again. She tells the nurse, "I'm worried it will happen again." How
should the nurse respond?
"Have you talked to your wife about your concerns?" ANSWERA
postpartum client is scheduled to have a tubal ligation. She has asked
that her husband not be told about the procedure because she has told
him that she is having exploratory surgery. The client's husband asks the
nurse why his wife needs to have exploratory surgery. How should the
nurse respond?
"I can use my albuterol inhaler if it's absolutely necessary." ANSWERA
nurse teaches a client with asthma about her illness during pregnancy.
Which statement by the client indicates that the nurse's teaching has
been effective?
"I feel washed out; there isn't much left." ANSWERAfter a mastectomy
or a hysterectomy a client may feel incomplete as a woman. What
statement should alert the nurse to this feeling in a client who has
undergone total hysterectomy?
"I must be careful when I have sex because herpes is a lifelong
problem." ANSWERWhat statement helps the nurse determine that a
woman with genital herpes (HSV-2) understands her self-care in regard
to this infection?
,3
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
"I won't have unprotected sex again, and I'll tell my partners to be tested
for STIs." ANSWERThe nurse determines that a young female client
who is being treated for a sexually transmitted infection (STI)
understands instructions regarding future sexual contacts. Which
statement confirms the nurse's conclusion?
"I'll be here if you want to talk." ANSWERAfter a client has a
spontaneous abortion at 12 weeks' gestation, the nurse notes that she and
her partner are visibly upset. The partner has tears in his eyes, and the
client is sobbing quietly with her face turned to the wall. At this time,
what is the nurse's most therapeutic statement?
"I'll notify the clinic if my lochia starts to smell bad." ANSWERA nurse
is teaching a postpartum client the characteristics of lochia and any
deviations that should be reported immediately. What client statement
indicates that the teaching was effective?
"I'll start limiting my carbohydrates."
"I'll lie down for at least 2 hours after I eat." ANSWERWhich
statements by a client with hyperemesis gravidarum would confirm that
the client needs further teaching? (Select all that apply.)
"I'll start the pills on the fifth day of my cycle." ANSWERAfter 18
months of unsuccessful attempts at conception by a client, primary
infertility related to anovulatory cycles is diagnosed. Clomiphene citrate
(Clomid) is prescribed. The nurse concludes that the client understands
, 4
MATERNITY AND WOMEN'S HEALTH CARE
11TH EDITION LOWDERMILK TEST BANK
the teaching about the correct time to take the clomiphene when the she
states:
"If you can't cough, try taking six very deep breaths." ANSWERA nurse
is instructing a client to cough and deep-breathe after an emergency
cesarean birth. The client says, "Get out of here. Can't you see that I'm in
pain?" Which response will be the most effective?
"Irreversible damage occurs after a few hours." ANSWERA client is
admitted with a diagnosis of torsion of the testes. How should the nurse
respond when the client asks, "Why do I have to have surgery right
now?"?
"It produces a spermicidal intrauterine environment." ANSWERA client
seeking advice about contraception asks a nurse about how an
intrauterine device (IUD) prevents pregnancy. How should the nurse
respond?
"It's all right for you to walk as long as you feel comfortable and your
membranes are intact." ANSWERA primigravida is admitted to the
birthing suite at term with contractions occurring every 5 to 8 minutes
and a bloody show. She and her partner attended childbirth preparation
classes. Vaginal examination reveals that the cervix is dilated 3 cm and
75% effaced. The fetus is at +1 station in occiput anterior position, and
the membranes are intact. The client is cheerful and relaxed and asks the
nurse whether it is all right for her to walk around. In light of the nurse's