OB FINAL EXAM LATEST TEST BANK |2023
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic
... [Show More] changes in the breast is important for the nurse to share?
a. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
b. It is a premalignant disorder characterized by lumps found in the breast tissue.
c. Fibrocystic breast disease causes lumpiness with or without pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
d. Lumpiness is accompanied by tenderness after menses.
{{Ans- C
A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group?
a. Genetic mutations account for 50% of women who will develop breast cancer.
b. Breast cancer is the leading cause of cancer death in women.
c. In the United States, 1 in 10 women will develop breast cancer in her lifetime.
d. The exact cause of breast cancer remains unknown.
{{Ans- D
Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
a. Mammogram
b. Ultrasound
c. Core needle biopsy
d. Magnetic resonance imaging (MRI)
{{Ans- C
A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic. She is due for a mammogram. At her first visit, her health care provider is concerned about the 3- week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to
have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client?
a. "Do you have transportation to the teaching hospital so that you can get your mammogram?"
b. "I'm concerned that you missed your appointment; let me make another one for you."
c. "It's very dangerous to skip your mammograms; your breasts need to be checked."
d. "Would you like me to make an appointment for you to have your mammogram here?" {{Ans- D
A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, "The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?" What is the name of the test that gave the health care provider this information?
a. Tumor ploidy
b. S-phase index
c. Nuclear grade
d. Estrogen-receptor assay {{Ans- B
Breast pain occurs in many women during their perimenopausal years. Which information is a priority for the nurse to share with the client?
a. Breast pain is an early indication of cancer.
b. Pain is almost always an indication of a solid mass.
c. Distinguishing between cyclical and noncyclical pain is important.
d. Breast pain is most often treated with narcotics. {{Ans- C
After a mastectomy, which activity should the client be instructed to avoid?
a. Emptying surgical drains twice a day and as needed
b. Lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon
c. Wearing clothing with snug sleeves to support the tissue of the arm on the operative side
d. Immediately reporting inflammation that develops at the incision site or in the affected arm {{Ans- C
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
a. The blood pressure (BP) cuff should not be applied to the affected arm.
b. Venipuncture for blood work should be performed on the affected arm.
c. The affected arm should be used for intravenous (IV) therapy.
d. The affected arm should be held down close to the woman's side. {{Ans- A
A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. Which condition is this client experiencing?
a. Fibroadenoma
b. Lipoma
c. Intraductal papilloma
d. Mammary duct ectasia {{Ans- C
A client is concerned because she has been experiencing some milky, sticky breast discharge. Which nonmalignant condition is exhibited with this finding?
a. Relative inflammatory lesion
b. Galactorrhea
c. Mammary duct ectasia
d. Breast infection {{Ans- B
A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
a. Weight gain, hot flashes, and blood clots
b. Vomiting, weight loss, and hair loss
c. Nausea, vomiting, and diarrhea
d. Hot flashes, weight gain, and headaches {{Ans- A
What is the correct name describing a benign breast condition that includes dilation and inflammation of the collecting ducts?
a. Mammary duct ectasia
b. Intraductal papilloma
c. Chronic cystic disease
d. Fibroadenoma {{Ans- A
Which client is most at risk for fibroadenoma of the breast?
a. 38-year-old woman
b. 50-year-old woman
c. 16-year-old girl
d. 27-year-old woman {{Ans- C
Which client should the nurse refer for further testing?
a. Left breast slightly smaller than right breast
b. Eversion (elevation) of both nipples
c. Faintly visible bilateral symmetry of venous network
d. Small dimple located in the upper outer quadrant of the right breast {{Ans- D
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
a. Radiation
b. Adjuvant systemic therapy
c. Hormonal therapy
d. Chemotherapy {{Ans- A
Breast hyperplasia can be corrected with a. Which statement regarding reduction mammoplasty is the most accurate?
a. Breast reduction surgery is covered by insurance.
b. Breastfeeding might be difficult.
c. No sequelae after the procedure is known.
d. Pain in the back and shoulders may not be relieved. {{Ans- B
Which condition does NOT increase a client's risk for breast cancer?
a. BRCA1 or BRCA2 gene mutation
b. Li-Fraumeni syndrome
c. Paget disease
d. Cowden syndrome {{Ans- C
Which explanation best describes a skin-sparing mastectomy?
a. Removal of the breast, nipple, and areola, leaving the skin in tact
b. Removal of the breast, nipple, areola, and axillary node dissection
c. Incision on the outside of the breast, leaving the nipple intact
d. Removal of both breasts in their entirety {{Ans- A
Researchers have found a number of common risk factors that increase a woman's chance of developing a breast malignancy. It is essential for the nurse who provides care to women of any age to be aware of which risk factors? (Select all that apply.)
a. Family history
b. Late menarche
c. Early menopause
d. Race
e. Nulliparity or first pregnancy after age 40 years {{Ans- A, D, E
Cellulitis with or without abscess formation is a common condition. The nurse is providing education for a client whose presentation to the emergency department includes an infection of the breast. Which information should the nurse share with this client? (Select all that apply.)
a. Nipple piercing may be the cause of a recent infection.
b. Treatment for cellulitis will include antibiotics.
c. Streptococcus aureus is the most common pathogen.
d. Obesity, smoking, and diabetes are risk factors.
e. Breast is pale in color and cool to the touch. {{Ans- A, B, D
Chemotherapy with multiple drug agents is used in the treatment of recurrent and advanced breast cancer with positive results. Which side effects would the nurse anticipate for the client once treatment has begun? (Select all that apply.)
a. Hair loss
b. Severe constipation
c. Anemia
d. Leukopenia
e. Thrombocytopenia {{Ans- A, C, D, E
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
a. Cystocele
b. Uterine prolapse
c. Rectocele
d. Stress urinary incontinence {{Ans- B
A postmenopausal woman has been diagnosed with two leiomyomas (fibroids). Which clinical finding is most commonly associated with the presence of leiomyomas?
a. Abnormal uterine bleeding
b. Diarrhea
c. Weight loss
d. Acute abdominal pain {{Ans- A
Which woman is at the greatest risk for psychologic complications after hysterectomy?
a. 55-year-old woman who has been having abnormal bleeding and pain for 3 years
b. 46-year-old woman who has had three children and has just been promoted at work
c. 62-year-old widow who has three friends who have had uncomplicated hysterectomies
d. 19-year-old woman who had a ruptured uterus after giving birth to her first child {{Ans- D
A 48-year-old woman has just had a hysterectomy for endometrial cancer. Which statement alerts the nurse that further teaching is needed?
a. "I can't wait to go on the cruise that I have planned for this summer."
b. "I know that the surgery saved my life, but I will miss having sexual intercourse with my husband."
c. "I have asked my daughter to come and stay with me next week after I am discharged from the hospital."
d. "Well, I don't have to worry about getting pregnant anymore." {{Ans- B
Considering the treatment plan for a pregnant woman with gynecologic cancer, which stateme nt about timing or type of treatment is correct?
a. The fetus is most at risk during the first trimester.
b. The fetus is most at risk during the second trimester.
c. The fetus is most at risk during the third trimester.
d. Surgery is riskier than chemotherapy in the first trimester. {{Ans- A
Which precaution should the nurse take while caring for a client who is undergoing internal radiation therapy for cervical cancer?
a. Wear gloves when assessing the cervical intracavity implant.
b. Instruct the client to urinate in the lead-lined bedpan or "hat" every 2 hours.
c. Prepare the client for an enema before inserting the implant.
d. Limit staff or visitor exposure to 30 minutes or less in an 8-hour period. {{Ans- D
Which nursing diagnosis fails to address the psychologic effect of these disorders of a client diagnosed with a neoplasm of the reproductive system?
a. Anxiety related to surgical procedures
b. Reduced self-concept, resulting from changes in anatomy
c. Potential for injury, related to lack of skill for self-care
d. Inadequate family processes {{Ans- C
Which of these interventions should the nurse instruct the client diagnosed with urinary incontinence (UI) to use first?
a. Pelvic floor support devices
b. Pelvic muscle exercises
c. Surgery
d. Medications {{Ans- B
What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy?
a. Expect to be fully recovered in 4 to 6 weeks.
b. Expect no changes in hormone levels.
c. Expect surgical menopause.
d. Take tub baths to aid in healing. {{Ans- B
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
a. Cryosurgery
b. Colposcopy
c. Hysterectomy
d. Internal radiation {{Ans- A
Which condition is the most common malignancy of the reproductive system?
a. Endometrial cancer
b. Cervical cancer
c. Ovarian cancer
d. Vulvar and vaginal cancer {{Ans- A
A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems, as well as sensations of bearing down and of something in her vagina. What condition would the nurse suspect based upon this report?
a. Pelvic relaxation
b. Cystocele
c. Uterine prolapse
d. Genital fistulas {{Ans- B
Which woman has the highest risk for endometrial cancer?
a. Postmenopausal woman with hypertension
b. Woman who has an intrauterine device (IUD)
c. Client who has been on birth control for 15 years
d. Perimenopausal woman who has a cystocele {{Ans- A
A myomectomy is a procedure prescribed for symptom relief of what condition?
a. Numerous small fibroid tumors
b. Bartholin cysts
c. Fibroid tumors near the outer wall of the uterus with a uterine size no larger than at 12 weeks of gestation
d. Leiomyomas in a uterus larger than 14 weeks of gestation {{Ans- C
Which ovarian neoplasm is described as a growth that contains hair, teeth, and sebaceous secretions?
a. Ovarian fibroma
b. Dermoid cyst
c. Uterine polyp
d. Follicular cyst {{Ans- B
The client is undergoing treatment for ovarian cancer. Which common nutritional problems are related to gynecologic cancers and the treatment thereof? (Select all that apply.)
a. Stomatitis
b. Constipation
c. Increased appetite
d. Diarrhea
e. Nausea and vomiting {{Ans- A, B, D, E
Leiomyomas are benign tumors arising from the muscle tissue of the uterus. Which information related to these tumors is accurate? (Select all that apply.)
a. Are rapid growing
b. Are more common in African-American women
c. Are more common in women who have never been pregnant
d. Obesity is a risk factor with leiomyomas
e. Become malignant if left untreated {{Ans- B, C, D
The client has undergone hysteroscopic uterine ablation to destroy several smaller fibroids. The nurse is preparing to provide discharge instructions. Which information is a priority for the patient and should be included in the teaching plan? (Select all that apply.)
a. Analgesics and nonsteroidal anti-inflammatory drugs can be used for pain control.
b. Vaginal discharge is to be expected for 5 to 7 days.
c. Sexual activity can be resumed after 48 hours.
d. Next menstrual period will be irregular.
e. Provider should be notified if heavy bleeding occurs. {{Ans- A, D, E
A client with a history of bipolar disorder is called by the postpartum support nurse for follow-up. Which symptoms would reassure the nurse that the client is not experiencing a manic episode?
a. Psychomotor agitation and rapid speech patterns
b. Increased appetite and sleeping 8 hours a night
c. Hyperactivity and distractibility
d. Pressured speech and grandiosity {{Ans- B
When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse's primary concern in planning the client's care?
a. Displaying outbursts of anger
b. Neglecting her hygiene
c. Harming her infant
d. Losing interest in her husband {{Ans- C
During an inpatient psychiatric hospitalization, what is the most important nursing intervention?
a. Contacting the client's significant other
b. Supervising and guiding visits with her infant
c. Allowing no contact with anyone who annoys her
d. Having the infant with the mother the majority of the time {{Ans- B
Despite warnings, prenatal exposure to alcohol continues to far exceed exposure to illicit drugs. Which condition is rarely associated with fetal alcohol syndrome (FAS)?
a. Respiratory conditions
b. Intellectual impairment
c. Neural development disorder
d. Alcohol-related birth defects (ARBDs) {{Ans- A
As a powerful central nervous system (CNS) stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth?
a. Heroin
b. Alcohol
c. Phencyclidine (1-phenylcyclohexylpiperidine; PCP)
d. Cocaine {{Ans- D
According to research, which risk factor for postpartum depression (PPD) is likely to have the greatest effect on the client postpartum?
a. Prenatal depression
b. Single-mother status
c. Low socioeconomic status
d. Unplanned or unwanted pregnancy {{Ans- A
Which is the most accurate description of postpartum depression (PPD) without psychotic features?
a. Postpartum baby blues requiring the woman to visit with a counselor or psychologist
b. Condition that is more common among older Caucasian women because they have hi gher expectations
c. Distinguishable by pervasive sadness along with mood swings
d. Condition that disappears without outside help {{Ans- C
While providing care to the maternity client, the nurse should be aware that one of these anxiety disorders is likely to be triggered by the process of labor and birth. Which disorder fits this criterion?
a. Phobias
b. Panic disorder
c. Posttraumatic stress disorder (PTSD)
d. Obsessive-compulsive disorder (OCD) {{Ans- C
Which substance used during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications?
a. Alcohol
b. Caffeine
c. Tobacco
d. Chocolate {{Ans- C
As part of the discharge teaching, the nurse can prepare the mother for her upcoming adjustment to her new role by instructing her regarding self-care activities to help prevent postpartum depression (PPD). Which statement regarding this condition is most helpful for the client?
a. Stay home and avoid outside activities to ensure adequate rest.
b. Be certain that you are the only caregiver for your baby to facilitate infant attachment.
c. Keep your feelings of sadness and adjustment to your new role to yourself.
d. Realize that PPD is a common occurrence that affects many women. {{Ans- D
A pregnant woman who abuses cocaine admits to exchanging sex to finance her drug habit. This behavior places the client at the greatest risk for what?
a. Depression of the CNS
b. Hypotension and vasodilation
c. Sexually transmitted infections (STIs)
d. Postmature birth {{Ans- C
What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?
a. Genetic changes and anomalies
b. Extensive CNS damage
c. Fetal addiction to the substance inhaled
d. Intrauterine growth restriction {{Ans- D
The use of methamphetamine (meth) has been described as a significant drug problem in the United States. The nurse who provides care to this client population should be cognizant of what regarding methamphetamine use?
a. Methamphetamines are similar to opiates.
b. Methamphetamines are stimulants with vasoconstrictive characteristics.
c. Methamphetamines should not be discontinued during pregnancy.
d. Methamphetamines are associated with a low rate of relapse. {{Ans- B
With one exception, the safest pregnancy is one during which the woman is drug and alcohol free. What is the optimal treatment for women addicted to opioids?
a. Methadone
b. Detoxification
c. Smoking cessation
d. 4 Ps Plus {{Ans- A
Reports have linked third trimester use of selective serotonin uptake inhibitors (SSRIs) with a constellation of neonatal signs. The nurse is about to perform an assessment on the infant of a mother with a history of a mood disorder. Which signs and symptoms in the neonate may be the result of maternal SSRI use? (Select all that apply.)
a. Hypotonia
b. Hyperglycemia
c. Shivering
d. Fever
e. Irritability {{Ans- C, D, E
Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women. The 4 Ps Plus is a screening tool specifically designed to identify the need for a more in-depth assessment. Which are the correct components of the 4 Ps Plus? (Select all that apply.)
a. Parents
b. Partner
c. Present
d. Past
e. Pregnancy {{Ans- A, B, D, E
A nurse is assessing a pregnant woman at 10 weeks of gestation who jogs three or four times per week. The client expresses concern about the effect of exercise on the fetus. How should the nurse respond?
A. "you don't need to modify your exercising any time during your pregnancy."
B. "jogging is too hard on your joints; switch to walking now."
C. "you may find that you need to modify your exercise to walking later in your pregnancy, around the 7th month."
D. "stop exercising, because it will harm the fetus." {{Ans- C
The nurse is reviewing danger signs of pregnancy with a client who is 32 weeks pregnant. What information should the nurse tell the client to observe for?
A. Edema in the ankles and feet at the end of the day
B. Alteration in the pattern of fetal movement
C. Constipation
D. Heart palpitations {{Ans- C
A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know whether it is safe for her to have a drink with dinner now. How should the nurse respond?
A. "One drink every night is too much. One drink three times a week should be fine."
B. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."
C. "Because you're in your second trimester, there's no problem with having one drink with dinner."
D. "Because you're in your second trimester, you can drink as much as you like." {{Ans- B
A nurse is working with a pregnant client. Which behavior if observed by the nurse indicates that a woman is "seeking safe passage" for herself and her infant?
A. She keeps all prenatal appointments.
B. She "eats for two."
C. She wears only low-heeled shoes.
D. She drives her car slowly. {{Ans- A
A nurse is reviewing barriers to prenatal care. What type of cultural concern should the nurse identify as being the most likely deterrent?
A. Modesty
B. Ignorance
C. Belief that physicians are evil
D. Religion {{Ans- A
A maternity nurse's role is to help guide a woman's acceptance of pregnancy. What information should the maternity nurse understand related to potential effects of maternal feeling as they relate to acceptance of pregnancy?
A. Mood swings are most likely the result of worries about finances and a changed lifestyle, as well as profound hormonal changes.
B. Ambivalent feelings during pregnancy are usually seen only in emotionally immature or very young mothers.
C. Nonacceptance of the pregnancy very often equates to rejection of the child.
D. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth. {{Ans- A
A maternity nurse is working with a father of a pregnant client to assist with acceptance of the pregnancy and preparation for childbirth. What should the nurse understand related to the father's role in pregnancy?
A. In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home.
B. The father goes through three phases of acceptance of his own.
C. Typically men remain ambivalent about fatherhood right up to the birth of their child.
D. The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. {{Ans- B
With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that during pregnancy:
A. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester.
B. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
C. Killed-virus vaccines (e.g., tetanus) should not be given, but live-virus vaccines (e.g., measles) are permissible.
D. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus. {{Ans- B
Which statement should the nurse identifyas not being accurate regarding multifetal pregnancy?
A. Twin pregnancies come to term with the same frequency as single pregnancies.
B. Backache and varicose veins are often more pronounced.
C. The mother should be counseled to increase her nutritional intake and gain more weight.
D. The expectant mother often experiences anemia because the fetuses have a greater demand for iron.
{{Ans- A
Which information should the nurse provide to the woman who wants to have a nurse -midwife provide obstetric care?
A. She will have to give birth at home.
B. She must see an obstetrician as well as the midwife during pregnancy.
C. She must be having a low-risk pregnancy.
D. She will not be able to have epidural analgesia for labor pain. {{Ans- C
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. How should the nurse respond?
A. Intercourse is safe until the third trimester.
B. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present.
C. Safer-sex practices should be used once the membranes rupture.
D. Intercourse should be avoided if any spotting from the vagina occurs afterward. {{Ans- B
The nurse has given information about relief of leg cramps to a pregnant client. Which client action if observed by the nurse indicates that the client has understood the instructions?
A. Applies cold compresses to the affected leg.
B. Avoids weight bearing on the affected leg during the cramp.
C. Wiggles and points her toes during the cramp.
D. Extends her leg and dorsiflexes her foot during the cramp. {{Ans- D
An expectant father confides in the nurse that his pregnant wife, at 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" What is the nurse's best reponse?
A. "This is normal behavior and should begin to subside by the second trimester."
B. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant."
C. "You seem imclient with her. Perhaps this is precipitating her behavior."
D. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know." {{Ans- B
A group of nurses are discussing trends in health care. What would the nurses identify as not being a trend in the delivery of health care in the United States?
A. Acute care is increasingly provided through home-based services.
B. Greater emphasis has been placed on curing disease and disability than on preventing them.
C. Hospital stays for many conditions have been shortened.
D. Hospital-based nurses are increasingly involved in follow-up care after discharge. {{Ans- B
A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement?
A. Refer the woman to a social worker.
B. Perform a nutrition assessment.
C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care appointments. {{Ans- D
When a nurse is unsure about how to perform a client care procedure, the best action would be to:
A. Consult the agency procedure manual and follow the guidelines for the procedure.
B. Ask another nurse.
C. Look up the procedure in a nursing textbook.
D. Discuss the procedure with the client's physician. {{Ans- A
When caring for pregnant women, the nurse should keep in mind that violence during pregnancy:
A. Has decreased in incidence as a result of better assessment techniques and record-keeping.
B. Increases a pregnant woman's risk for gestational hypertension.
C. Affects more than 25% of pregnant women in the United States.
D. May be associated with substance abuse by both the pregnant woman and her partner. {{Ans- D
Which condition would a nurse identify as not contributing to an increase in maternity-related health care costs?
A. Early postpartum discharges
B. The use of high-tech equipment
C. The cost of care for low-birth-weight (LBW) infants
D. Maternal medical risk factors, such as diabetes {{Ans- A
From the nurse's perspective, what measure should be the focus of the health care system in order to reduce the rate of infant mortality further?
A. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
B. Mandating that all pregnant women receive care from an obstetrician
C. Expanding the number of neonatal intensive care units (NICUs)
D. Implementing programs to ensure women's early participation in ongoing prenatal care {{Ans- D
The term used to describe professional interaction among health care providers in the clinical nursing practice is:
A. Evaluation
B. Collegiality
C. Accountability
D. Ethics {{Ans- B
A nurse is reviewing maternal medical risk factors. Which of the following would the nurse identifyas being the two most frequently reported maternal medical risk factors?
A. Behaviors and lifestyles.
B. Drug use and alcohol abuse.
C. Hypertension associated with pregnancy and diabetes.
D. Homelessness and lack of insurance. {{Ans- C
Which action taken by the nurse would indicate that he or she is practicing appropriate family-centered care techniques?
A. The father is discouraged from accompanying his wife during a cesarean birth.
B. The nurse encourages the mother and father to make choices whenever possible.
C. The nurse updates the family about what is going to happen but instructs the client's sister that she cannot be present in the room during the birth.
D. The nurse believes that he or she is acting in the best interest of the client and commands her what to do throughout labor. {{Ans- B
Which of the following actions, if demonstrated by a nursing student, could lead to dismissal from the health program? (Select all that apply.)
A. A nursing student posts pictures of clinical site experiences on her Facebook page.
B. Nursing students go out for lunch following a clinical rotation to a local restaurant while still in uniform.
C. A student nurse offers her phone number to a client so that they can remain in touch.
D. Student nurses share their thoughts about their clinical site experiences on Twitter. {{Ans- A, D
Providing treatment and rehabilitation for people who have developed disease is part of:
A. Primordial preventive care.
B. Primary preventive care.
C. Secondary preventive care.
D. Tertiary preventive care. {{Ans- D
A nurse is reviewing the perinatal continuum of care. Which option should the nurse identify as representing the beginning of the continuum?
A. The diagnosis of pregnancy.
B. Identification of a pregnant woman as high risk.
C. Family planning and preconception care.
D. The interval just before birth. {{Ans- C
A nurse is working with a breastfeeding mother who is concerned that her baby is not getting enough to eat. What should the nurse include in discharge planning that would be most helpful and most cost- effective on the day after discharge?
A. Requesting a home visit
B. Calling the pediatrician for a lactation consult referral
C. Visiting a pediatric screening clinic at the hospital
D. Placing a call to the hospital nursery warm line {{Ans- D
Which personal safety precaution should guide the nurse working in home care?
A. Do not carry personal items, such as extra car keys or a cellular phone.
B. Avoid making a visit with another nurse.
C. Never wear a name tag.
D. Schedule visits during daylight hours. {{Ans- D
A nurse is preparing to make a family assessment. Which statement would the nurse select to best explain the difference between an echomap and a genogram?
A. They are equivalent assessments in that they both represent a graphic interpretaion.
B. Software is needed to create an echomap whereas a genogram can be drawn by hand.
C. The genogram provides a glimpse of the family structure for one generation whereas the echomap provides a more detailed view of multiple generations.
D. The genogram provides generational aspects whereas the echomap provides social aspects of the family. {{Ans- D
A group of nurses are reviewing types of family structures. A mother's household consists of her husband, his mother, and another child. Which type of family should the nurse identify?
A. Single-parent family.
B. Extended family.
C. Married-blended family.
D. Cohabitating-parent family. {{Ans- B
A nurse is reviewing cultural concepts. The process by which people retain some of their own culture while adopting the practices of the dominant society would be identified by the nurse as:
A. Acculturation.
B. Cultural relativism.
C. Ethnocentrism.
D. Assimilation. {{Ans- A
A labor and delivery nurse is reviewing cultural concepts as they apply to birthing practices. Which culture should the nurse identify is the father is more likely to be expected to participate in the labor and delivery?
A. Asian-American
B. Hispanic
C. African-American
D. European-American {{Ans- D
The nurse understands the priority of home care for the pregnant woman is based on:
A. Maintaining established standards with federal and state agencies relative to practice.
B. Compliance with prescribed treatments and procedures.
C. Individual relationship with a defined healthcare provider.
D. Continuous assessment of the client by a health professional in the home environment. {{Ans- A
A nurse is interviewing a family member who describes his philosophy of life as "living in the moment". What method of time orientation would the nurse identify for this patient?
A. Future.
B. More information is needed.
C. Present.
D. Past. {{Ans- C
A nurse is reviewing anatomy of the female reproductive system. What should the nurse identifyas the function of the uterus?
A. Cyclic menstruation.
B. Sex hormone production.
C. Fertilization.
D. Sexual arousal. {{Ans- A
A nurse is reviewing physiology of the female reproductive system. Which hormone should the nurse identify as being responsible for maturation of mammary gland tissue?
A. Testosterone.
B. Prolactin.
C. Progesterone.
D. Estrogen. {{Ans- C
A nurse is reviewing the concept of sexual response. Which statement should the nurse identify as inaccurate?
A. Facial grimaces and spasms of hands and feet are often part of arousal.
B. Women and men are more alike than different in their physiologic responses to sexual arousal and orgasm.
C. The orgasmic phase is the final state of the sexual response cycle.
D. Vasocongestion is the congestion of blood vessels. {{Ans- C
A nurse is providing preconception care to a client. Which statement should be included by the nurse?
A. Avoids teaching about safe sex to avoid political controversy.
B. Could include interventions to reduce substance use and abuse.
C. Includes risk factor assessments for potential medical and psychologic problems but by law cannot consider finances or workplace conditions.
D. Is designed for women who have never been pregnant. {{Ans- B
A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is
coming to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should:
A. Reassure the woman that a nurse practitioner is just as good as her old doctor.
B. Remind the woman that she is long overdue for her examination and that she should come in annually.
C. Listen carefully and allow extra time for this woman's health history interview.
D. Encourage the woman to talk about the death of her husband and her fears about her own death.
{{Ans- C
During a health history interview, a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. Which response made by the nurse would be appropriate?
A. Explain to her that most women have "bumps" on their labia.
B. Reassure the woman that the examination will not reveal any problems.
C. Tell the woman that "bumps" can be treated.
D. Explain the process of vulvar self-examination to the woman and reassure her that she will become familiar with normal and abnormal findings during the examination. {{Ans- D
A nurse is providing instructions related to a Papaniocolaou (Pap)test to a client. Which statement would the nurse identify as being correct?
A. The specimen for the Pap test should be obtained after specimens are collected for cervical infection.
B. It should be performed once a year beginning with the onset of puberty.
C. The woman should not douche, use vaginal medications, or have intercourse for at least 24 hours before the test.
D. A lubricant such as Vaseline should be used to ease speculum insertion. {{Ans- C
The nurse-midwife is teaching a group of women who are pregnant about Kegel exercises. Which statement by a participant would indicate to the nurse correct understanding of the instruction?
A. "I will see results only if I perform 100 Kegel exercises each day."
B. "I should perform Kegel exercises only in the sitting position."
C. "I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises."
D. "I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results." {{Ans- C
A nurse is caring for a young client in the Emergency Room setting and suspects that the client may be victim of human trafficking. What priority action should the nurse take?
A. Report the suspicions using the established protocol
B. Perform a thorough interview to determine if suspicions are correct.
C. If the client is of legal age, then just discharge with information for assistance.
D. Refer the client to a shelter. {{Ans- A
A group of nurses are discussing the impact of obesity in the United States. Which statements should the nurses indicate as being accurate?
Select all that apply.
A. Women who are obese may be more likely to have irregularities of the menstrual cycle.
B. Women in the age group 40 to 59 years have the highest prevalence.
C. Obesity is associated with hypercholesterolemia.
D. 25% of women in the United States are currently considered to be obese.
E. Obesity is associated with a decreased incidence of diabetes. {{Ans- A, B, C
A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse when such anomalies occur during development. Which response by the nurse is most accurate?
A. "We don't really know when such defects occur."
B. "It depends on what caused the defect."
C. "They occur between the third and fifth weeks of development."
D. "They usually occur in the first 2 weeks of development." {{Ans- C
A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which response by the nurse is most appropriate ?
A. "You'll need to ask the doctor if the baby can hear yet."
B. "Many women imagine what their baby is like."
C. "Thinking that your baby hears will help you bond with the baby."
D. "A baby in utero does respond to the mother's voice." {{Ans- D
A nurse is reviewing physiological concepts related to amniotic fluid. Which statement should the nurse identify as being accurate?
A. A volume of more than 2 L is associated with fetal renal abnormalities.
B. The volume remains about the same throughout the term of a healthy pregnancy.
C. A volume of less than 300 ml is associated with gastrointestinal malformations.
D. It serves as a source of oral fluid and as a repository for waste from the fetus. {{Ans- D
A nurse is planning to teach a pregnancy class to expectant parents and discuss multiple births. What information should the nurse include?
A. Rates of twinning and other multiple births are increasing because of the use of fertility drugs and delayed childbearing.
B. Identical twins are more common in Caucasian families.
C. Fraternal twins are same gender, usually male.
D. Dizygotic twins (two fertilized ova) have the potential to be conjoined twins. {{Ans- A [Show Less]