Test Questions & Answers Ch3 Women’S Health Promotion Across - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 3: Women’s Health Promotion Across the Life Span
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A 17-year-old girl presents to the clinic for a sports physical. Which statement by the patient would cause the nurse to suspect she has secondary amenorrhea?
1) | “I haven’t started my period yet.” |
2) | “I have severe cramping when I’m on my period.” |
3) | “I haven’t had a period since I started running cross country.” |
4) | “I feel like I’m overly emotional the week before my period.” |
____ 2. The nurse is providing teaching to a group of teenage girls about menstrual cramp pain relief. What non-pharmacological suggestion should the nurse include?
1) | Place an ice pack on the lower abdomen. |
2) | Take ibuprofen. |
3) | Drink 2 L of water per day. |
4) | Exercise regularly. |
____ 3. Which intervention should the nurse include in the plan of care for a patient who is diagnosed with PMS?
1) | Light therapy |
2) | Increased intake of sugary foods |
3) | Hormone therapy, such as prescribed drospirenone and estrogen |
4) | Moderate physical activity for 2.5 hours each week |
____ 4. Which of the following data collected during the assessment process causes the nurse to anticipate a diagnosis of endometriosis?
1) | Fatigue |
2) | Light menses |
3) | Low back pain during cycles |
4) | Abdominal bloating between cycles |
____ 5. Which statement should the nurse include in the teaching session for depot medroxyprogesterone acetate, a hormonal contraceptive?
1) | “This medication is taken daily at the same time.” |
2) | “This medication is administered by a patch every week.” |
3) | “This medication is administered by injection every 3 months.” |
4) | “This medication is inserted into the vagina and is used with a cervical cap.” |
____ 6. A patient with dysfunctional uterine bleeding is asking the nurse about her plan of care. How should the nurse respond?
1) | “If your test results are normal, the provider will likely prescribe hormone therapy.” |
2) | “If your test results are normal, the problem will likely go away on its own.” |
3) | “If your test results are normal, the provider will likely perform an endometrial ablation.” |
4) | “If your test results are normal, the provider will likely perform a colposcopy.” |
____ 7. Which data collected during a patient’s health history support the current diagnosis of infertility?
1) | Current age of 30 years |
2) | Denies use of tobacco products |
3) | Gallbladder removal 10 years ago |
4) | Previous diagnosis of anorexia nervosa |
____ 8. Which clinical manifestation should the nurse educate a perimenopausal woman to anticipate?
1) | Night sweats |
2) | Cool, moist skin |
3) | Vaginal hypertrophy |
4) | Osteogenesis imperfecta |
____ 9. Which method of family planning requires the woman to track her menstrual periods and estimate the time of ovulation?
1) | Coitus interruptus |
2) | Lactational amenorrhea |
3) | Periodic abstinence |
4) | Diaphragm |
____ 10. Which data collected by the nurse during the health history support the suspected diagnosis of an ovarian cyst?
1) | Insomnia |
2) | Pelvic pressure |
3) | Vasomotor episodes |
4) | Pain during intercourse |
____ 11. The nurse is teaching a patient about barrier methods of contraception. Which of the following should not be included in the discussion?
1) | Sponge |
2) | Condom |
3) | Diaphragm |
4) | IUD |
____ 12. A patient who was recently prescribed an oral contraceptive calls the nurse to ask for advice. She has forgotten to take her pill for the last 3 days and wants to know how long she and her boyfriend should use a second form of protection. How should the nurse respond?
1) | “A second form of protection is needed until your menstrual period begins and you start a new pill package.” |
2) | “A second form of protection is not needed if you begin taking the pills again.” |
3) | “A second form of protection is needed for your next two cycles.” |
4) | “A second form of protection is needed for 1 week.” |
____ 13. All birth control methods have advantages and disadvantages. Which of the following statements is correct?
1) | Hirsutism is an adverse effect of the depot injection. |
2) | Oral contraceptives prevent STIs. |
3) | The transdermal patch decreases breast tenderness. |
4) | The implant is effective for 1 year. |
____ 14. The provider orders a hysterosalpingogram for a patient. The nurse knows that this test is used for:
1) | Verifying sterilization post-vasectomy |
2) | Confirming the effectiveness of a hysterectomy |
3) | Visualizing vaginal atrophy |
4) | Visualizing the vas deferens |
____ 15. The nurse is assessing the knowledge of a patient newly diagnosed with endometriosis. Which statement by the patient would the nurse need to follow up on?
1) | “My endometriosis is likely causing my painful menstrual cramps.” |
2) | “I might have a hard time getting pregnant.” |
3) | “My endometriosis will go away in a few years.” |
4) | “I have endometrial tissue outside of my uterus.” |
____ 16. The nurse is providing education to a perimenopausal woman. What should the nurse recommend in regard to sexual intercourse?
1) | Perimenopausal women may experience a fishlike odor after intercourse. |
2) | Positions with the female on top will be more comfortable. |
3) | Using vaginal lubricants will prevent pain during intercourse. |
4) | Birth control is not needed during perimenopause. |
____ 17. Which dietary modification should the nurse recommend to a patient with a family history of uterine fibroids?
1) | Decrease sugar intake. |
2) | Eat bland foods. |
3) | Eliminate dairy products from your diet. |
4) | Consume less red meat. |
___ _ 18. A patient reports to the emergency department 4 days after the onset of menstruation with influenza-like symptoms and a rash on her palms and feet. What diagnosis does the nurse suspect?
1) | Polycystic ovary syndrome (PCOS) |
2) | Toxic shock syndrome (TSS) |
3) | Chlamydia |
4) | Herpes simplex virus (HSV) |
___ _ 19. A patient is telling the nurse about her irregular menstrual periods. The nurse considers that the patient may have polycystic ovary syndrome (PCOS) when she mentions what other symptom?
1) | Extra hair growth on the face |
2) | Difficulty sleeping |
3) | Muscle aches |
4) | Vaginal itching |
___ _ 20. A patient reports thick, curd-like discharge and vaginal itching. The nurse expects which of the following prescriptions for the patient?
1) | Acyclovir 200 mg orally every 4 hours while awake for 10 days |
2) | Fluconazole 150 mg orally in a single dose |
3) | Ceftriaxone 250 mg IM in a single dose |
4) | Azithromycin 1 g orally in a single dose |
___ _ 21. Which statement is true about the herpes simplex virus (HSV)?
1) | An infection of HSV can be cured. |
2) | It can be treated with antibiotics. |
3) | If untreated HSV can cause blindness. |
4) | Some people never have symptoms. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. Which nursing interventions should be included in the plan of care for a patient who is diagnosed with a pelvic floor disorder? (Select all that apply.)
1) | Teaching Kegel exercises |
2) | Encouraging a low-sugar diet |
3) | Teaching relaxation exercises |
4) | Encouraging an increase in water intake |
5) | Providing educational materials for inserting a pessary |
____ 23. Which interventions should the nurse include in the plan of care for a patient who is experiencing menopause? (Select all that apply.)
1) | Encouraging weight-bearing exercise |
2) | Educating about the use of a transdermal estradiol patch |
3) | Encouraging natural approaches to coping with vasomotor episodes |
4) | Providing information related to the use of clonidine to treat osteoporosis |
5) | Providing information related to the use of selective serotonin reuptake inhibitors for hot flashes |
____ 24. Which preventive health screenings should the nurse include in the plan of care for a woman who is 30 years of age? (Select all that apply.)
1) | Pap test |
2) | Colonoscopy |
3) | Mammogram |
4) | Breast self-examination |
5) | Blood pressure screening |
____ 25. Which clinical manifestations support the diagnosis of PMS and PMDD? (Select all that apply.)
1) | Irritability |
2) | Dysmenorrhea |
3) | Monthly weight gain |
4) | Acne with menstruation |
5) | A marked lack of energy |
Chapter 3: Women’s Health Promotion Across the Life Span
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Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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