Maternity and Pediatric Nursing 2nd Edition by Susan , Theresa Kyle – Test Bank
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Sample Test
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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