TEST BANK FOR
Guidelines for Nurse Practitioners in Gynecologic
Settings
by Heidi Collins Fantasia
13th Edition
,Guidelines For Nurse Practitioners In Gynecologic Settings, 13th
Edition
Chapter 1. Well-Woman Initial/Annual Gynecologic Exam
1. Due To The Effects Of Cyclic Ovarian Changes In The Breast, When Is The Best Time
For Breast Self- Examination (BSE)?
a. Between 5 And 7 Days After Menses Ceases
b. Day 1 Of The Endometrial Cycle
c. Midmenstrual Cycle
d. Any Time During A Shower Or
Bath ANS: A
The Physiologic Alterations In Breast Size And Activity Reach Their Minimal Level
Approximately 5
To 7 Days After Menstruation Ceases. Therefore, BSE Is Best Performed During This
Phase Of The Menstrual Cycle. Day 1 Of The Endometrial Cycle Is Too Early To Perform
An Accurate BSE. After The Midmenstrual Cycle, Breasts Are Likely To Become Tender
And Increase In Size, Which Is Not The Ideal Time To Perform BSE. Lying Down After A
Shower Or Bath With A Small Towel Under The Shoulder Of The Side Being Examined Is
Appropriate Teaching For BSE. A Secondary BSE May Be Performed While In The
Shower.
2. Individual Irregularities In The Ovarian (Menstrual) Cycle Are Most Often Caused By What?
a. Variations In The Follicular (Preovulatory) Phase
b. Intact Hypothalamic-Pituitary Feedback Mechanism
c. Functioning Corpus Luteum
d. Prolonged Ischemic
Phase ANS: A
Almost All Variations In The Length Of The Ovarian Cycle Are The Result Of Variations In The
Length Of
,The Follicular Phase. An Intact Hypothalamic-Pituitary Feedback Mechanism Would Be
Regular, Not Irregular. The Luteal Phase Begins After Ovulation. The Corpus Luteum Is
Dependent On The Ovulatory Phase And Fertilization. During The Ischemic Phase, The
Blood Supply To The Functional Endometrium Is Blocked, And Necrosis Develops. The
Functional Layer Separates From The Basal Layer, And Menstrual Bleeding Begins.
3. How Would The Physiologic Process Of The Sexual Response Best Be Characterized?
a. Coitus, Masturbation, And Fantasy
b. Myotonia And Vasocongestion
c. Erection And Orgasm
d. Excitement, Plateau, And
Orgasm ANS: B
Physiologically, According To Masters (1992), Sexual Response Can Be Analyzed In Terms Of
Two
Processes: Vasocongestion And Myotonia. Coitus, Masturbation, And Fantasy Are Forms
Of Stimulation For The Physical Manifestation Of The Sexual Response. Erection And
Orgasm Occur In
, Two Of The Four Phases Of The Sexual Response Cycle. Excitement, Plateau, And
Orgasm Are Three Of The Four Phases Of The Sexual Response Cycle.
4. Which Action Would Be Inappropriate For The Nurse To Perform Before
Beginning The Health History Interview?
a. Smile And Ask The Client Whether She Has Any Special Concerns.
b. Speak In A Relaxed Manner With An Even, Nonjudgmental Tone.
c. Make The Client Comfortable.
d. Tell The Client Her Questions Are
Irrelevant. ANS: D
The Woman Should Be Assured That All Of Her Questions Are Relevant And Important.
Beginning Any
Client Interaction With A Smile Is Important And Assists In Putting The Client At Ease. If
The Nurse Speaks In A Relaxed Manner, Then The Client Will Likely Be More Relaxed
During The Interview. The Clients Comfort Should Always Be Ensured Before Beginning
The Interview.
5. The Nurse Guides A Woman To The Examination Room And Asks Her To Remove
Her Clothes And Put On An Examination Gown With The Front Open. The Woman
Replies, I Have Special Undergarments That I Do Not Remove For Religious Reasons.
Which Is The Most Appropriate Response From The Nurse?
a. You Cant Have An Examination Without Removing All Your Clothes.
b. Ill Ask The Physician To Modify The Examination.
Tell Me About Your Undergarments. Ill Explain The Examination Procedure, And
Then We
c. Can Discuss How You Can Comfortably Have Your Examination.
d. I Have No Idea How We Can Accommodate Your
Beliefs. ANS: C
Explaining The Examination Procedure Reflects Cultural Competence By The Nurse And
Shows
Respect For The Womans Religious Practices. The Nurse Must Respect The Rich And
Guidelines for Nurse Practitioners in Gynecologic
Settings
by Heidi Collins Fantasia
13th Edition
,Guidelines For Nurse Practitioners In Gynecologic Settings, 13th
Edition
Chapter 1. Well-Woman Initial/Annual Gynecologic Exam
1. Due To The Effects Of Cyclic Ovarian Changes In The Breast, When Is The Best Time
For Breast Self- Examination (BSE)?
a. Between 5 And 7 Days After Menses Ceases
b. Day 1 Of The Endometrial Cycle
c. Midmenstrual Cycle
d. Any Time During A Shower Or
Bath ANS: A
The Physiologic Alterations In Breast Size And Activity Reach Their Minimal Level
Approximately 5
To 7 Days After Menstruation Ceases. Therefore, BSE Is Best Performed During This
Phase Of The Menstrual Cycle. Day 1 Of The Endometrial Cycle Is Too Early To Perform
An Accurate BSE. After The Midmenstrual Cycle, Breasts Are Likely To Become Tender
And Increase In Size, Which Is Not The Ideal Time To Perform BSE. Lying Down After A
Shower Or Bath With A Small Towel Under The Shoulder Of The Side Being Examined Is
Appropriate Teaching For BSE. A Secondary BSE May Be Performed While In The
Shower.
2. Individual Irregularities In The Ovarian (Menstrual) Cycle Are Most Often Caused By What?
a. Variations In The Follicular (Preovulatory) Phase
b. Intact Hypothalamic-Pituitary Feedback Mechanism
c. Functioning Corpus Luteum
d. Prolonged Ischemic
Phase ANS: A
Almost All Variations In The Length Of The Ovarian Cycle Are The Result Of Variations In The
Length Of
,The Follicular Phase. An Intact Hypothalamic-Pituitary Feedback Mechanism Would Be
Regular, Not Irregular. The Luteal Phase Begins After Ovulation. The Corpus Luteum Is
Dependent On The Ovulatory Phase And Fertilization. During The Ischemic Phase, The
Blood Supply To The Functional Endometrium Is Blocked, And Necrosis Develops. The
Functional Layer Separates From The Basal Layer, And Menstrual Bleeding Begins.
3. How Would The Physiologic Process Of The Sexual Response Best Be Characterized?
a. Coitus, Masturbation, And Fantasy
b. Myotonia And Vasocongestion
c. Erection And Orgasm
d. Excitement, Plateau, And
Orgasm ANS: B
Physiologically, According To Masters (1992), Sexual Response Can Be Analyzed In Terms Of
Two
Processes: Vasocongestion And Myotonia. Coitus, Masturbation, And Fantasy Are Forms
Of Stimulation For The Physical Manifestation Of The Sexual Response. Erection And
Orgasm Occur In
, Two Of The Four Phases Of The Sexual Response Cycle. Excitement, Plateau, And
Orgasm Are Three Of The Four Phases Of The Sexual Response Cycle.
4. Which Action Would Be Inappropriate For The Nurse To Perform Before
Beginning The Health History Interview?
a. Smile And Ask The Client Whether She Has Any Special Concerns.
b. Speak In A Relaxed Manner With An Even, Nonjudgmental Tone.
c. Make The Client Comfortable.
d. Tell The Client Her Questions Are
Irrelevant. ANS: D
The Woman Should Be Assured That All Of Her Questions Are Relevant And Important.
Beginning Any
Client Interaction With A Smile Is Important And Assists In Putting The Client At Ease. If
The Nurse Speaks In A Relaxed Manner, Then The Client Will Likely Be More Relaxed
During The Interview. The Clients Comfort Should Always Be Ensured Before Beginning
The Interview.
5. The Nurse Guides A Woman To The Examination Room And Asks Her To Remove
Her Clothes And Put On An Examination Gown With The Front Open. The Woman
Replies, I Have Special Undergarments That I Do Not Remove For Religious Reasons.
Which Is The Most Appropriate Response From The Nurse?
a. You Cant Have An Examination Without Removing All Your Clothes.
b. Ill Ask The Physician To Modify The Examination.
Tell Me About Your Undergarments. Ill Explain The Examination Procedure, And
Then We
c. Can Discuss How You Can Comfortably Have Your Examination.
d. I Have No Idea How We Can Accommodate Your
Beliefs. ANS: C
Explaining The Examination Procedure Reflects Cultural Competence By The Nurse And
Shows
Respect For The Womans Religious Practices. The Nurse Must Respect The Rich And
