Olds’ Maternal Newborn Nursing & Women’s Health Across the Lifespan 8th Edition – Test Bank

Olds’ Maternal Newborn Nursing & Women’s Health Across the Lifespan 8th Edition by Michele C. Davidson – Test Bank

Chapter 4        Women’s Health Across the Lifespan       MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question. 1)
A client asks her nurse “Is it okay for me to take a tub bath during the heavy part of my menstruation?” The best response by the nurse is:  A)
“Either a bath or a shower is fine at that time.”  B)
“You should bathe and use a feminine deodorant spray during menstruation.”  C)
“Tub baths are contraindicated during menstruation.”  D)
“You should shower and douche daily instead.”  Answer: 
A
2)
An adolescent client is asking the nurse about using tampons during heavy menstrual flow. Which answer is best for the nurse to provide?  A)
Tampons are recommended for use at the end of the menstrual period rather than at the beginning.  B)
Tampons should be avoided when the menstrual flow is heavy.  C)
Super tampons with added deodorants are recommended for the day, while regular tampons may be worn at night.  D)
Tampons should be used during the day; change to napkins at night when flow is lighter to decrease the risk of toxic shock syndrome.  Answer: 
D
SHORT ANSWER.  Write the word or phrase that best completes each statement or answers the question. 3)
The nurse is beginning to take a sexual history from the client. List the answer choices in chronological order of how the nurse should proceed. Your answer should be a four digit number.

1. Ask specific questions about the client’s current sexual practices.

2. Ask the client mostly open-ended questions.

3. Have the client fill out a comprehensive questionnaire.

4. Explain that the history is obtained from all clients and will be confidential.  Answer: 
4321 
MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question. 4)
The nurse has successfully completed a client’s sexual and gynecologic history. Which of the following questions is the nurse most likely to have included? A)
When was the last time you had intercourse?  B)
Have you had a sexually-transmitted infection?  C)
Have you ever had any type of surgery?  D)
Have you had any elective abortions?  Answer: 
C
5)
A 19-year-old woman comes to the gynecologist’s office. When the nurse asks the reason for this visit, the woman explains that she has never had a menstrual period and that she is concerned there may be something wrong. The diagnosis that the physician is most likely to make based on this information is:  A)
Primary amenorrhea.  B)
Secondary amenorrhea.  C)
Secondary infertility.  D)
Primary dysmenorrhea.  Answer: 
A
6)
The nurse is interviewing an adolescent client. The client reports a weight loss of 50 pounds over the last four months, and reports running at least five miles per day. The client asserts that her menarche was five years ago. Her menses are usually every 28 days, but her last menstrual period was four months ago. The client denies any sexual activity. Which of the following statements is best for the nurse to make?  A)
“Adolescents rarely have regular menses, even if they used to be regular.”  B)
“Your lack of menses may be related to your rapid weight loss.”  C)
“Increase your intake of iron-rich foods to reestablish menses.”  D)
“It is common and normal for runners to stop having any menses.”  Answer: 
B
7)
A client 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 client’s complaint is: A)
Primary dysmenorrhea.  B)
Menorrhagia.  C)
Secondary dysmenorrhea.  D)
Hypermenorrhea.  Answer: 
C
8)
A teaching plan for a client with premenstrual syndrome (PMS) should include a recommendation to restrict her intake of:  A)
Chicken, eggs, and fish.  B)
Coffee, colas, and chocolate cake.  C)
Whole grain breads and cereals, and beans.  D)
High-starch foods such as potatoes and spaghetti.  Answer: 
B
9)
A 49-year-old client comes to the clinic with complaints of severe perimenopausal symptoms including hot flashes, night sweats, urinary urgency, and vaginal dryness. The physician has prescribed a combination hormone replacement therapy of estrogen and progestin. When the client asks the nurse why she must take both hormones, the best reply is:  A)
“There is an increased risk of tissue abnormality inside the uterus if only one is given.”  B)
“Your blood pressure may become elevated if only one hormone is used.”  C)
“Hot flashes respond better when replacement includes both hormones.”  D)
“You are having very severe symptoms, so you need more hormones replaced.”  Answer: 
A
10)
The nurse is answering the perimenopausal client’s questions about hormone replacement therapy. Which client statement indicates a need for additional teaching? “The Women’s Health Initiative of 2002 reported that long-term hormone replacement therapy caused decreased:  A)
Risk of heart attack.”  B)
Hip fractures.”  C)
Risk of blood clots to the lungs.”  D)
Risk of gallbladder disease.”  Answer: 
B
SHORT ANSWER.  Write the word or phrase that best completes each statement or answers the question. 11)
Rank the following clients in order from highest to lowest risk for developing osteoporosis. Your answer should be a four-digit number.

1. Small-boned, underweight 40-year-old woman

2. Overweight 55-year-old with type II diabetes

3. 60-year-old African American woman who smokes.

4. 75-year-old male who plays tennis three times per week  Answer: 
3124 
MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question. 12)
The client is given a prescription for hormone replacement therapy (HRT). She asks the nurse, “What type of side effects or consequences should I expect from taking this medicine?” The nurse’s best response would be: “You may  A)
Experience irregular, heavy menstrual bleeding.”  B)
Notice chest pains initially that will subside.”  C)
Notice some intermittent abdominal cramping.”  D)
Have a decrease in vaginal dryness.”  Answer: 
D
13)
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during sexual intercourse and asks, “What should I use as a lubricant?” The nurse should recommend:  A)
Less frequent intercourse.  B)
Petroleum jelly.  C)
Body cream or body lotion.  D)
A water-soluble lubricant.  Answer: 
D