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Exam (elaborations)

Maternal-Child McKinney Ch 32: Women's HealthCare Test Bank Questions All Solved Correct.

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1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test? a. Gloves and eye protectors b. Speculum c. Fixative agent d. Lubricant - Answer ANS: D Lubricants interfere with the accuracy of the cytology report. Gloves and eye protectors, speculum, and a fixative agent are all used during the exam. 2. The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called a. bimanual palpation. b. rectovaginal palpation. c. a Papanicolaou test. d. DNA testing. - Answer ANS: C The Pap test is a microscopic examination for cancer that should be performed regularly, depending on the patient's age. Bimanual palpation is a physical examination of the vagina,. rectovaginal palpation is a physical examination performed through the rectum, and DNA testing for the various types of HPV that cause cervical cancer is now available. Samples are collected in the same way as a Pap test.

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McKinney Maternal-Child Nursing
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Uploaded on
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Maternal-Child McKinney Ch 32:
Women's HealthCare Test Bank
Questions All Solved Correct.

1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap
test?

a. Gloves and eye protectors

b. Speculum

c. Fixative agent

d. Lubricant - Answer ANS: D

Lubricants interfere with the accuracy of the cytology report. Gloves and eye protectors,
speculum, and a fixative agent are all used during the exam.



2. The microscopic examination of scrapings from the cervix, endocervix, or other mucous
membranes to detect premalignant or malignant cells is called

a. bimanual palpation.

b. rectovaginal palpation.

c. a Papanicolaou test.

d. DNA testing. - Answer ANS: C

The Pap test is a microscopic examination for cancer that should be performed regularly,
depending on the patient's age. Bimanual palpation is a physical examination of the vagina,.
rectovaginal palpation is a physical examination performed through the rectum, and DNA
testing for the various types of HPV that cause cervical cancer is now available. Samples are
collected in the same way as a Pap test.



3. The nurse providing care in a women's health care setting must be aware that which sexually
transmitted disease (STD) can be cured?

a. Herpes

b. Acquired immunodeficiency syndrome (AIDS)

c. Venereal warts

d. Chlamydia - Answer ANS: D

The usual treatment for chlamydia bacterial infection is doxycycline or azithromycin. Concurrent
treatment of all sexual partners is needed to prevent recurrence. Because no cure is known for

, 4. Which statement by a woman diagnosed with premenstrual syndrome indicates that further
health teaching is needed?

a. "I may have to try some antidepressants."

b. "I need to limit my intake of caffeine."

c. "I might try taking some vitamin E."

d. "Salty foods will not affect this condition." - Answer ANS: D

Eating salty foods contributes to edema and fluid retention and should be avoided as much as
possible. This statement indicates a lack of understanding. The other statements are all
accurate.



5. Which statement by the patient indicates that she understands breast self-examination?

a. "I will examine both breasts in two different positions."

b. "I will perform breast self-examination 1 week after my menstrual period starts."

c. "I will examine the outer upper area of the breast only."

d. "I will use the palm of the hand to perform the examination." - Answer ANS: B

The woman should examine her breasts when hormonal influences are at a low level, typically
the week after her menses. Women who don't menstruate should pick a date and perform SBE
on that date every month. She should use four positions: standing with arms at her sides,
standing with arms raised above her head, standing with hands pressed against hips, and lying
down. The entire breast needs to be examined, including the outer upper area. She should use
the sensitive pads of the middle three fingers.



6. A benign breast condition that includes dilation and inflammation of the collecting ducts is
called

a. ductal ectasia.

b. intraductal papilloma.

c. chronic cystic disease.

d. fibroadenoma. - Answer ANS: A

Generally occurring in women approaching menopause, ductal ectasia results in a firm irregular
mass in the breast, enlarged axillary nodes, and nipple discharge. Intraductal papillomas
develop in the epithelium of the ducts of the breasts; as the mass grows, it causes trauma or
erosion within the ducts. Chronic cystic disease causes pain and tenderness. The cysts that form
are multiple, smooth, and well delineated. Fibroadenoma is fibrous and glandular tissue. They
are felt as firm, rubbery, and freely mobile nodules.




7. Which patient is most at risk for fibroadenoma of the breast?

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