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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