Details of Test Bank Maternity and Pediatric Nursing 3rd Edition by Ricci, Kyle and CarmanContents Chapter 1- Perspectives on Maternal, Newborn, and
... [Show More] Women’s Health Care ..................... 2 Chapter 2- Family-Centered Community-Based Care ................................ ......... 6 Chapter 3- Anatomy and Physiology of the Reproductive System ............................. 10 Chapter 4- Common Reproductive Issues ................................ ................. 14 Chapter 5- Sexually Transmitted Infections ................................ ................ 18 Chapter 6- Disorders of the Breasts ................................ ...................... 23 Chapter 7- Benign Disorders of the Female Reproductive Tract .............................. 27 Chapter 8- Cancers of the Female Reproductive Tract ................................ ....... 31 Chapter 9- Violence and Abuse ................................ .......................... 36 Chapter 10- Fetal Development and Genetics ................................ .............. 40 Chapter 11- Maternal Adaptation During Pregnancy ................................ ........ 44 Chapter 12- Nursing Management During Pregnancy ................................ ....... 48 Chapter 13- Labor and Birth Process ................................ ..................... 52 Chapter 14- Nursing Management During Labor and Birth ................................ ... 57 Chapter 15- Postpartum Adaptations ................................ ..................... 62 Chapter 16- Nursing Management During the Postpartum Period ............................. 66 Chapter 17- Newborn Transitioning ................................ ..................... 70 Chapter 18- Nursing Management of the Newborn ................................ ......... 75 Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ........................... 80 Chapter 20- Nursing Management of the Pregnancy at Risk ................................ .. 85 Chapter 21- Nursing Management of Labor and Birth at Risk ................................ . 89 Chapter 22- Nursing Management of the Postpartum Woman at Risk ......................... 94 Chapter 23- Nursing Care of the Newborn With Special Needs ................................ 98 Chapter 24- Nursing Management of the Newborn at Risk ................................ .. 103 Chapter 25- Growth and Development of the Newborn and Infant ........................... 108 Chapter 26- Growth and Development of the Toddler ................................ ...... 113 Chapter 27- Growth and Development of the Preschooler ................................ .. 118 Chapter 28- Growth and Development of the School-Age Child .............................. 123 Chapter 29- Growth and Development of the Adolescent ................................ ... 129 Chapter 30- Atraumatic Care of Children and Families ................................ ..... 135 Chapter 31- Health Supervision ................................ ........................ 138 Chapter 32- Health Assessment of Children ................................ .............. 144 Chapter 33- Caring for Children in Diverse Settings ................................ ........ 149 Chapter 34- Caring for the Special Needs Child ................................ ........... 155 Chapter 35- Key Pediatric Nursing Interventions ................................ .......... 160 Chapter 36- Pain Management in Children ................................ ............... 165 Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ........... 171 Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic
1 | P a g eDisorder ................................ ................................ ........... 176
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the
Eyes or Ears ................................ ................................ ........ 181
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder 187
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder . 191
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal
Disorder ................................ ................................ ........... 196
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary
Disorder ................................ ................................ ........... 201
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or
Musculoskeletal Disorder ................................ ............................. 206
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary
Disorder ................................ ................................ ........... 217
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or
Neoplastic Disorder ................................ ................................ . 221
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder . 231
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ... 236
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ......................... 241
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development 247
Chapter 51- Nursing Care During a Pediatric Emergency ................................ ... 252
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in decreasing
these rates, which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
2 | P a g e4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers’ attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A) “Childbirth affects the entire family, and relationships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”
10. A nursing instructor is preparing a class discussion on the trends in health care and health
care delivery over the past several centuries. When discussing the changes during the past
century, which of the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
3 | P a g eD) Analysis of morbidity and mortality
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
with the understanding that based on this client’s cultural background, the client most likely
views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
12. A nurse is developing a plan of care for a woman to ensure continuity of care during
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse
to incorporate into that plan?
A) Adhering to strict, specific routines
B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support team
13. A nursing instructor is preparing a class discussion on case management in maternal and
newborn health care. Which of the following would the instructor include as a key component?
Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care
14. After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
A) “The rate includes accidental causes for deaths.”
B) “It addresses pregnancy-related causes.”
C) “The duration of the pregnancy is not a concern.”
D) “The time frame is typically for a specified year.”
15. A group of students are reviewing the historical aspects about childbirth. The students
demonstrate understanding of the information when they identify the use of twilight sleep as a
key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which
action would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
A) Chromosomal abnormalities
4 | P a g eB) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment
18. A nurse is preparing a presentation for a local community group about health status and
children’s health. Which of the following would the nurse include as one of the most significant
measures?
A) Fetal mortality rate
B) Neonatal mortality rate
C) Infant mortality rate
D) Maternal mortality rate
19. A group of students are reviewing an article describing information related to indicators for
women’s health and the results of a national study. Which of the following would the students
identify as being satisfactory for women? Select all that apply.
A) Smoking cessation
B) Colorectal cancer screening
C) Violence against women
D) Health insurance coverage
E) Mammograms
20. A nurse is preparing a presentation for a local women’s group about heart disease and
women. Which of the following would the nurse expect to address when discussing measures to
promote health.
A) Women have similar symptoms as men for a heart attack.
B) Heart disease is no longer viewed as a “man’s disease.”
C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
21. A nurse is working to develop a health education program for a local community to address
breast cancer awareness. Which of the following would the nurse expect to include when
describing this problem to the group? Select all that apply.
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
22. A group of nursing students are reviewing information about factors affecting maternal,
newborn, and women’s health. The students demonstrate understanding of the information when
they identify which of the following deficiencies as being associated with poverty? Select all that
apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
Answer Key
1. B
5 | P a g e2. C
3. D
4. B
5. B
6. D
7. A
8. A
9. A
10. D
11. D
12. C
13. A, B, C, D
14. A
15. C
16. C
17. B, C, D
18. C
19. B, E
20. C
21. A, B
22. A, B, C, D, E
Chapter 2- Family-Centered Community-Based Care
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the
following activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care
C) Collaborating with the child and family as equals
D) Showing respect for the family’s beliefs and wishes
2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching parents to administer albuterol
C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
3. A nursing student is reviewing information about documenting client care and education in the
medical record and the purposes that it serves. The student demonstrates a need for additional
study when the nurse identifies which of the following as a reason?
A) Serves as a communication tool for the interdisciplinary team.
B) Demonstrates education the family has received if legal matters arise.
C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
6 | P a g e4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages, which statement would indicate that
the client understood the information?
A) “I like having the privacy, but it might be too expensive for me to set up in my home.”
B) “I want to have more control, but I am concerned if an emergency would arise.”
C) “It is safer because I will have a midwife.”
D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.”
5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment
reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She
states, “I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The
medication helps a bit but not much. My mom has been helping with the baby.” Her incision is
clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this
client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
6. When caring for childbearing families from cultures different from one’s own, which of the
following must be accomplished first?
A) Adapt to the practices of the family’s culture
B) Determine similarities between both cultures
C) Assess personal feelings about that culture
D) Learn as much as possible about that culture
7. After teaching a group of students about the changes in health care delivery and funding,
which of the following, if identified by the group as a current trend seen in the maternal and
child health care settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
8. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects with pregnant women?
A) Calcium
B) Folic acid
C) Vitamin C
D) Iron
9. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection?
A) Provide treatment for clients who test positive for HIV
B) Monitor viral load counts periodically
C) Educate clients in how to practice safe sex
D) Offer testing for clients who practice unsafe sex
10. When assuming the role of discharge planner for a woman requiring ventilator support at
home, the nurse would do which of the following?
A) Confer with the client’s mother
B) Teach new self-care skills to the client
7 | P a g eC) Determine if there is a need for back-up power
D) Discuss coverage with the insurance company
11. When comparing community-based nursing with nursing in the acute care setting to a group
of nursing students, the nurse describes the challenges associated with community-based nursing.
Which of the following would the nurse include?
A) Increased time available for education
B) Improved access to resources
C) Decision making in isolation
D) Greater environmental structure
12. After teaching a group of students about the different levels of prevention, the instructor
determines a need for additional teaching when the students identify which of the following as a
secondary prevention level activity in community-based health care?
A) Teaching women to take folic acid supplements to prevent neural tube defects
B) Working with women who are victims of domestic violence
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies
D) Teaching hypertensive clients to monitor blood pressure
13. A nursing instructor is describing trends in maternal and newborn health care. The instructor
addresses the length of stay for vaginal births during the past decade, citing that which of the
following denotes the average stay?
A) 24–48 hours or less
B) 72–96 hours or less
C) 48–72 hours or less
D) 96–120 hours or less
14. Which of the following statements is accurate regarding women’s health care in today’s
system?
A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of
all health care decisions.
C) Women are still the minority in the United States. D) Men use more health services than
women.
15. A nurse is educating a client about a care plan. Which of the following statements would be
appropriate to assess the client’s learning ability?
A) “Did you graduate from high school; how many years of schooling did you have?”
B) “Do you have someone in your family who would understand this information?” C) “Many
people have trouble remembering information; is this a problem for you?” D) “Would you prefer
that the doctor give you more detailed medical information?”
16. A nurse is developing cultural competence. Which of the following indicates that the nurse is
in the process of developing cultural knowledge? Select all that apply.
A) Examining personal sociocultural heritage
B) Reviewing personal biases and prejudices
C) Seeking resources to further understanding of other cultures
D) Becoming familiar with other culturally diverse lifestyles
E) Performing a competent cultural assessment
F) Advocating for social justice to eliminate disparities.
17. A nurse is engaged in providing family-centered care for a woman and her family. The nurse
is providing instrumental support with which activity?
8 | P a g eA) Explaining to the woman and family what to expect during the birth process.
B) Assisting the woman in breathing techniques to cope with labor contractions. C) Reinforcing
the woman’s role as a mother after birth
D) Helping the family obtain extra financial help for prescribed phototherapy
18. A nurse is considering a change in employment from the acute care setting to community-
based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the
following would the nurse most likely find as a possible setting? Select all that apply.
A) Urgent care center
B) Hospice care
C) Immunization clinic
D) Physician’s office E) Day surgery center F) Nursing home
19. A nursing instructor is presenting a class for a group of students about community-based
nursing interventions. The instructor determines that additional teaching is needed when
the students identify which of the following?
A) Conducting childbirth education classes
B) Counseling a pregnant teen with anemia
C) Consulting with a parent of a child who is vomiting
D) Performing epidemiologic investigations
20. During class, a nursing student asks, “I read an article that was talking about integrative
medicine. What is that?” Which response by the instructor would be most appropriate?
A) “It refers to the use of complementary and alternative medicine in place of traditional
therapies for a condition.”
B) “It means that complementary and alternative medicine is used together with conventional
therapies to reduce pain or discomfort.”
C) “It means that mainstream medical therapies and complementary and alternative therapies
are combined based on scientific evidence for being effective.”
D) “It refers to situations when a client and his or her family prefer to use an unproven method of
treatment over a proven one.”
21. While a nurse is obtaining a health history, the client tells the nurse that she practices
aromatherapy. The nurse interprets this as which of the following?
A) Use of essential oils to stimulate the sense of smell to balance the mind and body
B) Application of pressure to specific points to allow self-healing
C) Use of deep massage of areas on the foot or hand to rebalance body parts
D) Participation in chanting and praying to promote healing.
22. A pregnant woman asks the nurse about giving birth in a birthing center. She says, “I’m
thinking about using one but I’m not sure.” Which of the following would the nurse need to
integrate into the explanation about this birth setting? (Select all that apply.)
A) An alternative for women who are uncomfortable with a home birth.
B) The longer length of stay needed when compared to hospital births
C) Focus on supporting women through labor instead of managing labor
D) View of labor and birth as a normal process requiring no intervention
E) Care provided primarily by obstetricians with midwives as backup care
23. A nurse practicing in the community is preparing a presentation for a group of nursing
students about this practice setting. Which of the following would the nurse include as
characteristic of this role?
A) Greater emphasis on direct physical care
9 | P a g eB) Broader assessment to include the environment
C) Increased dependency on physician
D) Limited decision making and support
24. A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of
the following would the nurse incorporate into the teaching plan to foster the client’s learning?
(Select all that apply.)
A) Teach “survival skills” first
B) Use simple, nonmedical language
C) Refrain from using a hands-on approach
D) Avoid repeating information
E) Use visual materials such as photos and videos
25. A group of nurses are reviewing the steps for developing cultural competence. The students
demonstrate understanding when they identify which of the following as the final step?
A) Cultural knowledge
B) Cultural skills
C) Cultural encounter
D) Cultural awareness
Answer Key
1. A
2. A
3. C
4. B
5. D
6. C
7. A
8. B
9. C
10. C
11. C
12. A
13. A
14. B
15. C
16. C, D
17. D
18. A, D, E
19. D
20. C
21. A
22. A, C, D
23. B
24. A, B, E
25. C
Chapter 3- Anatomy and Physiology of the Reproductive System
10 | P a g e1. When describing the menstrual cycle to a group of young women, the nurse explains that
estrogen levels are highest during which phase of the endometrial cycle?
A) Menstrual
B) Proliferative
C) Secretory
D) Ischemic
2. After teaching a group of adolescent girls about female reproductive development, the nurse
determines that teaching was successful when the girls state that menarche is defined as a
woman’s first:
A) Sexual experience
B) Full hormonal cycle
C) Menstrual period
D) Sign of breast development
3. A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the
client’s next menses to begin on:
A) May 24
B) May 26
C) May 30
D) June 1
4. Which female reproductive tract structure would the nurse describe to a group of young
women as containing rugae that enable it to dilate during labor and birth?
A) Cervix
B) Fallopian tube
C) Vagina
D) Vulva
5. After teaching a group of pregnant women about breast-feeding, the nurse determines that the
teaching was successful when the group identifies which hormone as important for the
production of breast milk after childbirth?
A) Placental estrogen
B) Progesterone
C) Gonadotropin-releasing hormone
D) Prolactin
6. The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following
events would the nurse expect to have occurred first?
A) Evidence of pubic hair
B) Development of breast buds
C) Onset of menses
D) Growth spurt
7. When describing the ovarian cycle to a group of students, which phase would the instructor
include?
A) Luteal phase
B) Proliferative phase
C) Menstrual phase
D) Secretory phase
8. The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse
11 | P a g eidentify as being primarily responsible for ovulation?
A) Estrogen
B) Progesterone
C) Follicle-stimulating hormone
D) Luteinizing hormone
9. The nurse is teaching a health education class on male reproductive anatomy and asks the
students to identify the site of sperm production. Which structure, if identified by the group,
would indicate to the nurse that the teaching was successful?
A) Testes
B) Seminal vesicles
C) Scrotum
D) Prostate gland
10. The nurse is creating a diagram that illustrates the components of the male reproductive
system. Which structure would be inappropriate for the nurse to include as an accessory gland?
A) Seminal vesicles
B) Prostate gland
C) Cowper’s glands
D) Vas deferens
11. The nurse is preparing an outline for a class on the physiology of the male sexual response.
Which event would the nurse identify as occurring first?
A) Sperm emission
B) Penile vasodilation
C) Psychological release
D) Ejaculation
12. A woman comes to the clinic complaining that she has little sexual desire. As part of the
client’s evaluation, the nurse would anticipate the need to evaluate which hormone level?
A) Progesterone
B) Estrogen
C) Gonadotropin-releasing hormone
D) Testosterone
13. A nurse is conducting a class for a group of teenage girls about female reproductive anatomy
and physiology. Which of the following would the nurse include as an external female
reproductive organ? Select all that apply.
A) Mons pubis
B) Labia
C) Vagina
D) Clitoris
E) Uterus
14. When describing the hormones involved in the menstrual cycle, a nurse identifies which
hormone as responsible for initiating the cycle?
A) Estrogen
B) Luteinizing hormone
C) Progesterone
D) Prolactin
15. A nursing instructor is describing the hormones involved in the menstrual cycle to a group of
12 | P a g enursing students. The instructor determines the teaching was successful when the students
identify follicle-stimulating hormone as being secreted by which of the following?
A) Hypothalamus
B) Anterior pituitary gland
C) Ovaries
D) Corpus luteum
16. A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse
that her menstrual cycles have become irregular. “I’ve also been waking up at night feeling really
hot and sweating. The nurse interprets these findings as which of the following?
A) Menopause
B) Perimenopause
C) Climacteric
D) Menarche
17. After teaching a group of students about female reproductive anatomy, the instructor
determines that the teaching was successful when the students identify which of the following as
the site of fertilization?
A) Vagina
B) Uterus
C) Fallopian tubes
D) Vestibule
18. A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the
client has an infection. When gathering additional information, which of the following would the
nurse be least likely to identify as placing the client at risk for an infection?
A) Recent antibiotic therapy for an upper respiratory infection
B) Last menstrual period about 5 days ago.
C) Weekly douching
D) Frequent use of feminine hygiene sprays.
19. A group of nursing students are reviewing information about the male reproductive
structures. The students demonstrate understanding of the information when they identify which
of the following as accessory organs? (Select all that apply.)
A) Testes
B) Vas deferens
C) Bulbourethral glands
D) Prostate gland
E) Penis
20. A nurse is examining a female client and tests the client’s vaginal pH. Which finding would
the nurse interpret as normal?
A) 4.5
B) 7
C) 8.5
D) 10
21. When describing the male sexual response to a group of students, the instructor determines
that the teaching was successful when they identify emission as which of the following?
A) Semen forced through the urethra to the outside
B) Movement of sperm from the testes and fluid into the urethras
C) Dilation of the penile arteries with increased blood flow to the tissues.
13 | P a g eD) Body’s return to the physiologic nonstimulated state
22. A nurse is describing the structure and function of the reproductive system to an adolescent
health class. The nurse describes the secretion of the seminal vesicles as which of the following?
A) Mucus-like
B) Alkaline
C) Acidic
D) Semen
Answer Key
1. B
2. C
3. A
4. C
5. D
6. B
7. A
8. D
9. A
10. D
11. B
12. D
13. A, B, D
14. B
15. B
16. B
17. C
18. B
19. B, C, D
20. A
21. B
22. B
Chapter 4- Common Reproductive Issues
1. After discussing various methods of contraception with a client and her partner, the nurse
determines that the teaching was successful when they identify which contraceptive method as
providing protection against sexually transmitted infections (STIs)?
A) Oral contraceptives
B) Tubal ligation
C) Condoms
D) Intrauterine system
2. When discussing contraceptive options, which method would the nurse recommend as being
the most reliable?
A) Coitus interruptus
B) Lactational amenorrheal method (LAM) C) Natural family planning
D) Intrauterine system
3. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects
14 | P a g eendometriosis. The nurse expects to prepare the client for which of the following to confirm this
suspicion?
A) Pelvic examination
B) Transvaginal ultrasound
C) Laparoscopy
D) Hysterosalpingogram
4. A client is to receive an implantable contraceptive. The nurse describes this contraceptive as
containing:
A) Synthetic progestin
B) Combined estrogen and progestin
C) Concentrated spermicide
D) Concentrated estrogen
5. The nurse discusses various contraceptive methods with a client and her partner. Which
method would the nurse explain as being available only with a prescription?
A) Condom
B) Spermicide
C) Diaphragm
D) Basal body temperature
6. When developing a teaching plan for a couple considering contraception options, which of the
following statements would the nurse include?
A) “You should select one that is considered to be 100% effective.”
B) “The best one is the one that is the least expensive and most convenient.”
C) “A good contraceptive doesn’t require a physician’s prescription.”
D) “The best contraceptive is one that you will use correctly and consistently.”
7. Which of the following measures would the nurse include in the teaching plan for a woman to
reduce the risk of osteoporosis after menopause?
A) Taking vitamin supplements
B) Eating high-fiber, high-calorie foods
C) Restricting fluid to 1,000 mL daily
D) Participating in regular daily exercise
8. When teaching a group of postmenopausal women about hot flashes and night sweats, the
nurse would address which of the following as the primary cause?
A) Poor dietary intake
B) Estrogen deficiency
C) Active lifestyle
D) Changes in vaginal pH
9. A client states that she is to have a test to measure bone mass to help diagnose osteoporosis.
The nurse would most likely plan to prepare the client for:
A) DEXA scan
B) Ultrasound
C) MRI
D) Pelvic x-ray
10. The nurse is reviewing the medical records of several clients. Which client would the nurse
expect to have an increased risk for developing osteoporosis?
A) A woman of African American descent
15 | P a g eB) A woman who plays tennis twice a week
C) A thin woman with small bones
D) A woman who drinks one cup of coffee a day
11. Which of the following would the nurse emphasize when teaching postmenopausal women
about ways to reduce the risk of osteoporosis?
A) Swimming daily
B) Taking vitamin A
C) Following a low-fat diet
D) Taking calcium supplements
12. Which finding would the nurse expect to find in a client with endometriosis? A) Hot flashes
B) Dysuria
C) Fluid retention
D) Fever
13. After the nurse teaches a client about ways to reduce the symptoms of premenstrual
syndrome, which client statement indicates a need for additional teaching?
A) “I will make sure to take my estrogen supplements a week before my period.”
B) “I’ve signed up for an aerobic exercise class three times a week.”
C) “I’ll cut down on the amount of coffee and colas I drink.”
D) “I quit smoking about a month ago, so that should help.”
14. A woman has opted to use the basal body temperature method for contraception. The nurse
instructs the client that a rise in basal body temperature indicates which of the following?
A) Onset of menses
B) Ovulation
C) Pregnancy
D) Safe period for intercourse
15. A woman using the cervical mucus ovulation method of fertility awareness reports that her
cervical mucus looks like egg whites. The nurse interprets this as which of the following?
A) Spinnbarkeit mucus
B) Purulent mucus
C) Postovulatory mucus
D) Normal preovulation mucus
16. The nurse is reviewing the laboratory test results of a client with dysfunctional uterine
bleeding (DUB). Which finding would be of concern?
A) Negative pregnancy test
B) Hemoglobin level of 10.1 g/dL
C) Prothrombin time of 60 seconds
D) Serum cholesterol of 140 mg/dL
17. A nurse is preparing a class for a group of women at a family planning clinic about
contraceptives. When describing the health benefits of oral contraceptives, which of the
following would the nurse most likely include? (Select all that apply.)
A) Protection against pelvic inflammatory disease
B) Reduced risk for endometrial cancer
C) Decreased risk for depression
D) Reduced risk for migraine headaches
E) Improvement in acne
16 | P a g e18. After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which of the following as a mechanical barrier method? (Select all that apply.) A) Condom B) Cervical cap C) Cervical sponge D) Diaphragm E) Vaginal ring
19. After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the nurse’s suspicions? A) “I’ve been having bleeding off and on that’s irregular and sometimes heavy.” B) “I get sharp pain in my lower abdomen usually starting soon after my period comes.” C) “I get really irritable and moody about a week before my period.” D) “My periods have been unusually long and heavy lately.” 20. After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A) Bloating B) Tension C) Dysphoria D) Weight loss
21. A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A) Appetite changes B) Sleep difficulties C) Persistent anger D) Chronic fatigue [Show Less]