Maternity and Pediatric Nursing 2nd Edition by Susan , Theresa Kyle – Test Bank
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Chapter 03
 
| 
   1.  | 
  
   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 identify 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 nursing 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 urethra  | 
 
| 
      | 
  
   C)  | 
  
   Dilation of the penile
  arteries with increased blood flow to the tissues.  | 
 
| 
      | 
  
   D)  | 
  
   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  | 
 
| 
   14.  | 
  
   B  | 
 
| 
   15.  | 
  
   B  | 
 
| 
   16.  | 
  
   B  | 
 
| 
   17.  | 
  
   C  | 
 
| 
   18.  | 
  
   B  | 
 
| 
   19.  | 
  
   B, C, D  | 
 
| 
   20.  | 
  
   A  | 
 
| 
   21.  | 
  
   B  | 
 
| 
   22.  | 
  
   B  | 
 
 
Chapter 4
 
| 
   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
  endometriosis. 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  | 
 
| 
      | 
  
   B)  | 
  
   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  | 
 
 
 
| 
   18.  | 
  
   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  | 
 
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