Test Bank for Introduction to
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 11-15
Chapter 11: The Nurse’s Role in Women’s
Health Care
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty
concentrating. What remedy might the nurse suggest to relieve these symptoms?
a. Drink tea or hot chocolate before going to bed.
b. Take a daily folic acid and vitamin C supplement.
c. Include complex carbohydrates and fiber in the diet.
d. Avoid exercise when symptoms occur.
ANS: C
, A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic
disorder.
DIF: Cognitive Level: Application REF: p. 268 OBJ: 3
TOP: Premenstrual Dysmorphic Disorder
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. At her regular gynecological examination, a woman tells the nurse that she is concerned about
osteoporosis. What suggestion can the nurse make to this patient?
a. Take a vitamin E supplement daily.
b. Do isometric exercises that can be practiced every day.
c. Include more dairy products and green, leafy vegetables in her diet.
d. Try to limit her intake of caffeine.
ANS: C
Foods rich in calcium include milk, dairy products, and green, leafy vegetables.
DIF: Cognitive Level: Application REF: p. 285 OBJ: 7 | 8
TOP: Prevention of Osteoporosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. A 48-year-old woman tells the nurse, “I missed my period last month. Am I in menopause?” The
nurse knows that at which point is a woman considered to be menopausal?
a. Her periods have stopped for 1 year.
b. Her periods have been irregular and light for 12 months.
c. She has symptoms of vasomotor instability.
d. She experiences symptoms of decreased estrogen, such as dyspareunia.
ANS: A
When a woman‘s menstrual periods have stopped for 1 year, she is considered menopausal.
DIF: Cognitive Level: Comprehension REF: pp. 285-286 OBJ: 7 | 8
TOP: Menopause KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
,4. The nurse is planning to teach a woman about perimenopause. What would the nurse include
regarding lowered estrogen level?
a. It prevents osteoporosis.
b. It decreases vaginal lubrication.
c. It raises the level of low-density lipoproteins.
d. It raises the level of high-density lipoproteins.
ANS: C
Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body
cells to the liver for excretion. With lowered levels of estrogen, low-density lipoproteins
increase, causing an increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: p. 284 OBJ: 7
TOP: Menopause KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. What side effect would the nurse instruct a woman to look for when starting hormone
replacement therapy (HRT)?
a. Fatigue
b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HRT are reminded to have regular follow-up care and report headaches,
vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: p. 286 OBJ: 8
TOP: HRT KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot
flashes?
a. “Aerobic exercise helps control hot flashes.”
b. “Increase the amount of calcium and vitamin D in your diet.”
c. “Dress in layers of cotton clothing.”
, d. “Drink plenty of fluids, particularly caffeinated beverages.”
ANS: C
Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take
off or put on clothes when symptoms occur.
DIF: Cognitive Level: Application REF: p. 285 | NCP 11.1
OBJ: 8 TOP: Prevention of Hot Flashes
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. Which statement made by the nurse would teach an adolescent using tampons how to prevent
toxic shock syndrome (TSS)?
a. Super-absorbency tampons are effective for overnight absorption.
b. Tampons should be changed at least every 4 hours.
c. Gloves should be worn when changing tampons.
d. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
ANS: B
Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent
environment for bacteria.
DIF: Cognitive Level: Comprehension REF: p. 269 OBJ: 4
TOP: TSS KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
8. What statement by a man considering a vasectomy indicates a need for further information?
a. “Sterility does not occur immediately after the procedure.”
b. “We will need to use some form of birth control for about a month afterward.”
c. “The procedure involves the use of local anesthesia.”
d. “I‘ll need to remain in the hospital for a few days.”
ANS: D
A vasectomy takes about 20 minutes and is performed on an outpatient basis under local
anesthesia.
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 11-15
Chapter 11: The Nurse’s Role in Women’s
Health Care
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty
concentrating. What remedy might the nurse suggest to relieve these symptoms?
a. Drink tea or hot chocolate before going to bed.
b. Take a daily folic acid and vitamin C supplement.
c. Include complex carbohydrates and fiber in the diet.
d. Avoid exercise when symptoms occur.
ANS: C
, A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic
disorder.
DIF: Cognitive Level: Application REF: p. 268 OBJ: 3
TOP: Premenstrual Dysmorphic Disorder
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. At her regular gynecological examination, a woman tells the nurse that she is concerned about
osteoporosis. What suggestion can the nurse make to this patient?
a. Take a vitamin E supplement daily.
b. Do isometric exercises that can be practiced every day.
c. Include more dairy products and green, leafy vegetables in her diet.
d. Try to limit her intake of caffeine.
ANS: C
Foods rich in calcium include milk, dairy products, and green, leafy vegetables.
DIF: Cognitive Level: Application REF: p. 285 OBJ: 7 | 8
TOP: Prevention of Osteoporosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. A 48-year-old woman tells the nurse, “I missed my period last month. Am I in menopause?” The
nurse knows that at which point is a woman considered to be menopausal?
a. Her periods have stopped for 1 year.
b. Her periods have been irregular and light for 12 months.
c. She has symptoms of vasomotor instability.
d. She experiences symptoms of decreased estrogen, such as dyspareunia.
ANS: A
When a woman‘s menstrual periods have stopped for 1 year, she is considered menopausal.
DIF: Cognitive Level: Comprehension REF: pp. 285-286 OBJ: 7 | 8
TOP: Menopause KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
,4. The nurse is planning to teach a woman about perimenopause. What would the nurse include
regarding lowered estrogen level?
a. It prevents osteoporosis.
b. It decreases vaginal lubrication.
c. It raises the level of low-density lipoproteins.
d. It raises the level of high-density lipoproteins.
ANS: C
Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body
cells to the liver for excretion. With lowered levels of estrogen, low-density lipoproteins
increase, causing an increase in the incidence of heart attacks and strokes.
DIF: Cognitive Level: Knowledge REF: p. 284 OBJ: 7
TOP: Menopause KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. What side effect would the nurse instruct a woman to look for when starting hormone
replacement therapy (HRT)?
a. Fatigue
b. Headache
c. Weight loss
d. Amenorrhea
ANS: B
Patients initiating HRT are reminded to have regular follow-up care and report headaches,
vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
DIF: Cognitive Level: Comprehension REF: p. 286 OBJ: 8
TOP: HRT KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot
flashes?
a. “Aerobic exercise helps control hot flashes.”
b. “Increase the amount of calcium and vitamin D in your diet.”
c. “Dress in layers of cotton clothing.”
, d. “Drink plenty of fluids, particularly caffeinated beverages.”
ANS: C
Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take
off or put on clothes when symptoms occur.
DIF: Cognitive Level: Application REF: p. 285 | NCP 11.1
OBJ: 8 TOP: Prevention of Hot Flashes
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. Which statement made by the nurse would teach an adolescent using tampons how to prevent
toxic shock syndrome (TSS)?
a. Super-absorbency tampons are effective for overnight absorption.
b. Tampons should be changed at least every 4 hours.
c. Gloves should be worn when changing tampons.
d. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
ANS: B
Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent
environment for bacteria.
DIF: Cognitive Level: Comprehension REF: p. 269 OBJ: 4
TOP: TSS KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
8. What statement by a man considering a vasectomy indicates a need for further information?
a. “Sterility does not occur immediately after the procedure.”
b. “We will need to use some form of birth control for about a month afterward.”
c. “The procedure involves the use of local anesthesia.”
d. “I‘ll need to remain in the hospital for a few days.”
ANS: D
A vasectomy takes about 20 minutes and is performed on an outpatient basis under local
anesthesia.
