Test bank for Maternal and Child Nursing Care 4th edition ...testbankview.com/wp-content/uploads/2017/10/Test... · Test bank for Maternal and Child Nursing Care 4th edition by Marcia

Test bank for Maternal and Child Nursing Care 4th edition by Marcia L.

London

Link full download: http://testbankcollection.com/download/test-bank-for-maternal-and-child-nursing-care-4th-

edition-by-marcia-l-london/

Question 139304

Id: 139304 Question Title:

Type: MCSA Difficulty Level:

Calculator: false

Question Stem

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

Stimulus

Answer

Choice 1 17-year-old, has never had a menstrual cycle

Rationale 1 This is primary amenorrhea, or the lack of menses.

Answer 1 false

Choice 2 16-year-old, had regular menses for 4 years, but has had no menses in four

months

Rationale 2 Secondary amenorrhea is the term used when a patient has had regular cycles

that cease.

Answer 2 false

Choice 3 19-year-old, regular menses for 5 years that have suddenly become painful

Rationale 3 Secondary dysmenorrheal is the sudden onset of pain and discomfort with

menses.

Answer 3 false

Choice 4 14-year-old, irregular menses for one year, experiences cramping every cycle

Rationale 4 Primary dysmenorrhea is when menstruation has been painful from the first

menstrual cycle and consistently continues to be painful each month.

Answer 4 true

Global Rationale

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Meta 1

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Content Area:

Content Area

Sub:

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Clinical Domain:

Topical Category:

Topical SubCategory:

Pearson Nursing Taxonomy #:

Taxonomy Category Comments:

Key

Terms:

Strategy:

Meta 3

Reference:

Source Id: 05_LO2 _Q03

Source Chapter Number:

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Writer First Name: admin

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Meta 4

Learning Outcome 1: LO01 - Describe accurate information to be provided to girls and women so that

they can implement effective self-care measures for dealing with menstruation.

Learning Outcome 2:

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Question 139305



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Question Stem

A patient asks her nurse, "Is it okay for me to use a vaginal douche each day when I'm on my period?" The

nurse's correct response is:

Stimulus

Answer

Choice 1 "Douching should be avoided when you're on your period."

Rationale 1

Women should avoid douching during menstruation because the cervix is

dilated to permit the downward flow of menstrual fluids from the uterine

lining.

Answer 1 true

Choice 2 "Using a douche each day will help prevent vaginal infections from occurring."

Rationale 2 Douching washes away the natural mucus and upsets the vaginal flora, which

can make the vagina more susceptible to infection.

Answer 2 false

Choice 3 "During your period, douching will help promote the flow of menstrual

secretions."

Rationale 3 During menstruation, douching may interfere with downward flow of

menstrual fluids from the uterine lining.

Answer 3 false

Choice 4 "Regular douching is necessary in order to promote good hygiene."

Rationale 4 Douching as a hygiene practice is unnecessary because the vagina cleanses

itself.

Answer 4 false

Global Rationale

Meta 1

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Content Area:

Content Area

Sub:

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Clinical Domain:

Topical Category:




Key

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Strategy:

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Reference:

Source Id: Chapter 05_LO2 _Q04



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Meta 4

Learning Outcome 1: LO01 - Describe accurate information to be provided to girls and women so that

they can implement effective self-care measures for dealing with menstruation.

Learning Outcome 2:

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Question 139306



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Question Stem

What should the gynecology clinic nurse recommend for the patient experiencing premenstrual syndrome?

Stimulus

Answer

Choice 1 “Eat more chocolate and drink more caffeine beginning a week prior to when

your menstrual cycle bleeding should begin.”

Rationale 1 Chocolate and caffeine contain methylxanthines; therefore, intake of chocolate,

coffee, and colas should be limited throughout the month.

Answer 1 false

Choice 2 “Engage in aerobic activity often throughout the month, and continue

exercising when your symptoms begin.”

Rationale 2 Regular aerobic activity helps to decrease PMS symptoms.

Answer 2 true

Choice 3 “Decrease your dietary intake of dairy and soy slightly during the month, and

especially during your days of bleeding.”

Rationale 3

1,200 mg of calcium per day can help decrease PMS symptoms. The calcium

can either come from supplements or be obtained through dietary intake of

dairy and soy products.

Answer 3 false

Choice 4 “Increase your consumption of red meat when you feel symptoms, and eat

three large meals per day.”

Rationale 4 Decreased red meat consumption can be beneficial to reduce PMS symptoms,

as will eating several small meals per day rather than three large meals.

Answer 4 false

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Learning Outcome 1: LO02 - Contrast the signs, symptoms, and nursing management of women with

dysmenorrhea and those with premenstrual syndrome.

Learning Outcome 2:

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Question 139307



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Question Stem

A patient comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been

diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for two years. The most likely cause for

the patient’s complaint is:

Stimulus

Answer

Choice 1 Primary dysmenorrhea.

Rationale 1 Primary dysmenorrhea is defined as cramps without underlying disease.

Answer 1 false

Choice 2 Secondary dysmenorrhea.

Rationale 2

Secondary dysmenorrhea is associated with pathology of the reproductive tract

and usually appears after menstruation has been established. Conditions that

most frequently cause secondary dysmenorrhea include ovarian cysts and the

presence of an intrauterine device.

Answer 2 true

Choice 3 Menorrhagia.

Rationale 3 Menorrhagia is excessive, profuse flow.

Answer 3 false

Choice 4 Hypermenorrhea.

Rationale 4 Hypermenorrhea is an abnormally long menstrual flow.

Answer 4 false

Global Rationale

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Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

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Key

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Source Au Title Ed:

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Meta 4

Learning Outcome 1: LO02 – Contrast the signs, symptoms, and nursing management of women with

dysmenorrhea and those with premenstrual syndrome.

Learning Outcome 2:

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Question 139308


Type: MCMA Difficulty Level:

Calculator: false

Question Stem

Which issues should the nurse consider when counseling a patient on contraceptive methods?

Standard Text

Select all that apply.

Stimulus

Answer

Choice 1 Cultural perspectives on menstruation and pregnancy

Rationale 1

Cultural and religious beliefs, practices, and sanctions must be considered

when discussing contraception with patients in order to avoid insulting a

patient for whom a particular type of contraceptive method is prohibited by her

background.

Answer 1 true

Choice 2 Efficacy of the method

Rationale 2

Efficacy of contraceptive methods varies and must be considered when

discussing contraception with patients. When pregnancy is medically

contraindicated, high-efficacy methods (such as an IUD, hormonal methods, or

sterilization) should be discussed with the patient. When the patient would like

to avoid pregnancy at this time, but pregnancy is not medically

contraindicated, lower-efficacy methods (such as diaphragm, cervical cap, or

Today sponge) could be discussed.

Answer 2 true

Choice 3 Future childbearing plans

Rationale 3 If a patient desires children in the future, sterilization methods would be

inappropriate to discuss.

Answer 3 true

Choice 4 Whether the patient is a vegetarian

Rationale 4 Vegetarianism has no impact on contraceptive method use.

Answer 4 false

Choice 5 Age at menarche

Rationale 5 Age at menarche has no impact on contraceptive method use.

Answer 5 false

Global Rationale

Meta 1



Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:

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Topical Category:




Key

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Reference:

Source Id: 05_LO 04_Q07



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Learning Outcome 1: LO03- Compare the advantages, disadvantages, and effectiveness of the various

methods of contraception available today.

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Question 139309



Calculator: false

Question Stem

A patient has decided to use the NuvaRing vaginal contraceptive ring as her method of contraception. Which

statement suggests the patient needs further instruction?

Stimulus

Answer

Choice 1 "I do not need to be examined in order to determine the contraceptive ring size

that is correct for me."

Rationale 1 One size of the NuvaRing fits virtually all women.

Answer 1 false

Choice 2 "Every three months, I will need to remove the contraceptive ring and replace

it with a new one."

Rationale 2 The ring is left in place for 3 weeks and then removed for 1 week to allow for

withdrawal bleeding.

Answer 2 true

Choice 3 "When I store my replacement rings, I should keep them in my refrigerator."

Rationale 3 Replacement rings should be kept in the refrigerator to maintain integrity.

Answer 3 false

Choice 4 "The contraceptive ring provides a sustained release of low-dose

contraceptive."

Rationale 4 The contraceptive ring provides a low-dose, sustained-release hormonal

contraceptive.

Answer 4 false

Global Rationale

Meta 1



Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Content Area:

Content Area

Sub:

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Clinical Domain:

Topical Category:




Key

Terms:

Strategy:

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Reference:

Source Id: Chapter 05_LO 04_Q08



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Learning Outcome 1: LO03 - Compare the advantages, disadvantages, and effectiveness of the various


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Question 139310



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Question Stem

Which patient is not a good candidate for Depo-Provera (DMPA)?

Stimulus

Answer

Choice 1 One who wishes to get pregnant within three months

Rationale 1 Return of fertility after the use of Depo-Provera takes an average of nine

months.

Answer 1 true

Choice 2 One who wishes to breastfeed

Rationale 2 Studies have proven there is no harm to a breastfed baby when a woman uses

Depo-Provera.

Answer 2 false

Choice 3 One with a vaginal prolapse

Rationale 3 There is no correlation between a vaginal prolapse and use of Depo-Provera.

Answer 3 false

Choice 4 One who weighs 200 pounds

Rationale 4 There is no correlation between one’s weight and use of Depo-Provera.

Answer 4

Global Rationale

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Cognitive Level: Understanding


Client Need Sub:


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Learning Outcome 1: LO03 - Compare the advantages, disadvantages, and effectiveness of the various


Learning Outcome 2:

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Question 139311



Calculator: false

Question Stem

The Public Health Nurse receives a phone call from a 16-year-old girl who asks, "Do I need to have a Pap smear

just because I'm sexually active?" What is the nurse's correct response?

Stimulus

Answer

Choice 1 "Yes, all sexually active females should be screened for both cervical cancer

and HPV.”

Rationale 1 Engaging in sexual activity is not an indication for routine cervical cancer or

for HPV screening.

Answer 1 false

Choice 2 "No, you do not need to be screened for cervical cancer until you are 21 years

old."

Rationale 2 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)

recommend initiating cervical cancer screening at age 21.

Answer 2 true

Choice 3 "Yes, all women under the age of 29 should be screened for both cervical

cancer and HPV."

Rationale 3

2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)

recommend cervical cancer screening without HPV co-testing in women ages

21 to 29.

Answer 3 false

Choice 4 "No, but you will need to begin your screenings for both cervical cancer and

HPV when you are 18 years old."

Rationale 4 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)

recommend initiating cervical cancer screening at age 21.

Answer 4 false

Global Rationale

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Client Need Sub:


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Learning Outcome 1: LO04 – Identify basic gynecologic screening procedures indicated for well

women.

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Question 139312


Type: MCMA Difficulty Level:

Calculator: false

Question Stem

A nurse is providing a patient with instructions regarding breast self-examination (BSE). Which of the following

statements by the patient would indicate the likelihood that she understands how to detect changes such as lumps

in her breast?

Standard Text

Select all that apply.

Stimulus

Answer

Choice 1 “I should perform BSE one week prior to the start of my period.”

Rationale 1

BSE should be performed one week after the start of each menstrual period

because hormonal levels are lowest and allow closer exam of softer breast

tissue.

Answer 1 false

Choice 2 “When I reach menopause, I will perform BSE every two months.”

Rationale 2 BSE should be performed monthly, on the same day each month, during

menopause.

Answer 2 false

Choice 3 “Knowing the texture and feel of my breasts is important.”

Rationale 3 A woman who knows the texture and feel of her own breasts is far more likely

to detect changes that develop.

Answer 3 true

Choice 4 “I should inspect my breasts in a circular manner.”

Rationale 4 Checking breasts in a circular manner, feeling all parts of the breast, provides

adequate palpation and possible detection of lumps.

Answer 4 true

Choice 5 “I should inspect my breasts while in a supine position, with my arms at my

sides.”

Rationale 5 The breasts should be inspected while standing with arms at sides.

Answer 5 false

Global Rationale

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Client Need Sub:


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Meta 4

Learning Outcome 1: LO04 - Identify basic gynecologic screening procedures indicated for well

women.

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Question 139313



Calculator: false

Question Stem

What is the best indicator that the patient is experiencing menopause?

Stimulus

Answer

Choice 1 No menses for 8 consecutive months

Rationale 1 Menopause is defined as 12 months of amenorrhea.

Answer 1 false

Choice 2 Hot flashes and night sweats

Rationale 2 Although hot flashes and night sweats are common in menopause, lab values

or twelve months of amenorrhea are better indicators.

Answer 2 false

Choice 3 High serum FSH with low serum estrogen

Rationale 3 Examining serum levels of the hormones FSH and estrogen is a very accurate

indication of menopause.

Answer 3 true

Choice 4 Diagnosed with osteoporosis 4 months ago

Rationale 4 Menopause is not the only cause of osteoporosis; therefore, the diagnosis of

osteoporosis 4 months ago is not an indicator of menopause.

Answer 4 false

Global Rationale

Meta 1

Cognitive Level: Understanding


Client Need Sub:


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Learning Outcome 1: LO05 - Examine the physical and psychologic aspects and clinical treatment

options of menopause when caring for menopausal women.

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Question 139314



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Question Stem

A 63-year-old female patient requests information about complementary and alternative therapies that promote

wellness during menopause. Which therapies should the nurse recommend?

Stimulus

Answer

Choice 1 Non-weight-bearing exercise, such as swimming.

Rationale 1

Weight-bearing exercises such as walking, jogging, tennis, and low-impact

aerobics are encouraged in order to increase bone mass and decrease the risk of

osteoporosis.

Answer 1 false

Choice 2 Increased consumption of phytoestrogens (i.e., plant products with estrogen

properties) for women with a history of endometeriosis or fibroids.

Rationale 2 Women who have endometriosis or fibroids should be cautioned on the use of

phytoestrogens

Answer 2 false

Choice 3 Calcium intake of 600 mg per day to help prevent osteoporosis.

Rationale 3 Peri- and postmenopausal women are advised to have a calcium intake of at

least 1200 mg per day. Most women require supplements to achieve this level.

Answer 3 false

Choice 4 Soy for reducing insomnia symptoms.

Rationale 4 Research suggests that isoflavones, which are found in soy, are effective in

reducing symptoms of insomnia in postmenopausal women.

Answer 4 true

Global Rationale

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Learning Outcome 1: LO05 - Examine the physical and psychologic aspects and clinical treatment

options of menopause when caring for menopausal women.

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Question 139315



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Question Stem

The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further

education?

Stimulus

Answer

Choice 1 “My daughter is not to blame for the violence in her marriage.”

Rationale 1

The victims of violence are not the cause of the violence. Abusers are

responsible for their violent behavior. Avoiding blaming and shaming of

victims of domestic violence is important to establish a therapeutic

relationship.

Answer 1 false

Choice 2 “Everyone experiences anger and hitting in a relationship.”

Rationale 2 Violence is not a normal part of intimate relationships. This statement indicates

that the patient has likely been a victim of domestic violence.

Answer 2 true

Choice 3 “Abusers can be either husbands or boyfriends or girlfriends.”

Rationale 3

Abusers can be spouses or boyfriends or girlfriends. Intimate partner violence

can be experienced in any intimate relationship, regardless of whether the

couple is straight, gay, or lesbian, and both within marriage and outside of

marriage.

Answer 3 false

Choice 4 “The ‘honeymoon period’ follows an episode of violence.”

Rationale 4

An acute episode of battering is followed by the tranquil phase, or honeymoon

period, when the abuser is often repentant and promising never to abuse the

victim again. In some cases, the honeymoon period is the only time there is a

lack of building tension.

Answer 4 false

Global Rationale

Meta 1


Client Need: Psychosocial Integrity

Client Need Sub:


Content Area:

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Learning Outcome 1: LO06 – Discuss the nurse’s role in screening and caring for women who have

experienced domestic violence or rape.

Learning Outcome 2:

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Question 139316



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Question Stem

When a woman who has been raped is admitted to the emergency department, which nursing intervention has

priority?

Stimulus

Answer

Choice 1 Explain exactly what will need to be done to preserve legal evidence.

Rationale 1 Explaining exactly what will need to be done to preserve legal evidence is not

the top priority.

Answer 1 false

Choice 2 Assure the woman that everything will be all right.

Rationale 2 Assuring the woman that everything will be all right is not the top priority and

is giving false promise.

Answer 2 false

Choice 3 Create a safe, secure atmosphere for the woman.

Rationale 3 The first priority in caring for a survivor of a sexual assault is to create a safe,

secure atmosphere that will allow the woman to process what has happened.

Answer 3 true

Choice 4 Contact family members.

Rationale 4 Contacting family members is not the top priority and can wait until a safe

environment is established.

Answer 4 false

Global Rationale

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Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:

Content Area

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Clinical Domain:

Topical Category:




Key

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Reference:




Source Au Title Ed:

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Comments:

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Learning Outcome 1: LO06 - Discuss the nurse’s role in screening and caring for women who have

experienced domestic violence or rape.

Learning Outcome 2:

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Documents

Test bank for Maternal and Child Nursing Care 4th edition ...testbankview.com/wp-content/uploads/2017/10/Test... · Test bank for Maternal and Child Nursing Care 4th edition by Marcia