m m m m m m m m m m m m
d Edition Scannell
m m
Scannell/Ruggiero Pagem 1m ofm 15
DavismAdvantagemformMaternal-ChildmNursingm3e TestmBank
Chapterm2:mReproductio
nmMULTIPLEmCHOICE
1. Ampatientmismhavingmanminfertilitymwork-
upmandmhasmbeenmtoldmshemhasmscarringmofmhermfallopianmtubes.mWhatmactionmbymthemnursemism
best?
A. Askmthempatientmhowmmanymsexuallymtransmittedminfectionsmshemhasmhad.
B. Assessmthempatientmformpreviousmvaginalminfectionsmandmtheirmtreatment.
C. Gentlymtellmthempatientmthatmnothingmcanmbemdonemaboutmscarringmofmthemtubes.
D. Questionmthempatientmaboutmgeneticmdefectsmormfamilymhistorymofminfertility.
ANS:m B
Chapter:mChapterm2:mReproduction
Objective:m#1.mIdentifymanatomymandmexplainmphysiologicalmfunctionsmofmthemfemalemandmm
alemreproductivemsystem.
Page:m28
Heading:mFallopianmTubes
IntegratedmProcesses:mNursingmProcess:mAssessment
ClientmNeed:mPhysiologicalmIntegrity:mPhysiologicalmAdaptatio
nmCognitivemLevel:mApplicationm[Applying]
Difficulty:mModerate
Feedback
A. Notmallmvaginalminfectionsmaremsexuallymtransmittedminfectionsm(STIs),mandmtomspecifi
callymaskmaboutmSTIsmsoundsmjudgmentalminmadditionmtomnotmprovidingmadequateminfo
rmation.
B. Anatomically,mtheremismamcontinuousmpassagemfrommthemvaginamintomthemuterusmandmo
nmintomthemfallopianmtubesmandmovaries.mAmvaginalminfectionmcanmleadmtomresidualmsca
rringmofmthemtubesmfrommtheminflammatorymprocess.mThismputsmthempatientmatmincrease
dmriskmformectopicmpregnanciesmandminfertility.
C. Theremaremseveralmtreatmentmoptionsmformthismpatient.
D. Geneticmdefectsmmaymplaymamroleminmthismpatient’smproblem,mbutmthemhighermlikeliho
odmismthatmhermscarredmtubesmaremduemtomamvaginalminfection.
2. Amnewmnursemismattemptingmtomcatheterizemamfemalempatient.mThemnursemhasmamdifficultmtimem
andmaftermthreemattempts,mfinallyminsertsmthemcathetermintomthembladdermandmhasmurinemoutput.m
Whatmsuggestionmbymthemmoremexperiencedmnursemismbest?
A. “Leavemthemincorrectlymplacedmcathetersmwheremtheymaremwhileminsertingmamfreshmone.”
B. “PlacemthempatientminmamhighmFowler’smpositionmandmhavemanothermnursemadductmt
hemlegs.”
C. “Positionmthempatientmpronemwithmanothermnursemabductingmthempatient’smlegs.”
D. “Tomsavemthempatientmsomemcharges,musemthemsamemcathetermformtwomattempts.”
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m m m m m m m m m m m m
d Edition Scannell
m m
Scannell/Ruggiero Pagem 2m ofm 15
DavismAdvantagemformMaternal-ChildmNursingm3e TestmBank
ANS:m A
Chapter:mChapterm2:mReproduction
Objective:m#1.mIdentifymanatomymandmexplainmphysiologicalmfunctionsmofmthemfemalemandmm
alemreproductivemsystems.
Page:m26mHeadin
g:mClitoris
IntegratedmProcesses:mTeachingmandmLearning
ClientmNeed:mPhysiologicalmIntegrity:mPhysiologicalmAdaptatio
nmCognitivemLevel:mApplicationm[Applying]
Concept:mAssessment
Difficulty:mModerate
m
Feedback
A. Becausemthemclitorismoftenmresemblesmthemurinarymmeatus,mnursesmsometimesmtrymt
ominsertmamcatheterminmitminsteadmofmthemrealmmeatus.mLeavingmthemincorrectlymplac
edmcathetermwhilemattemptingmanotherminsertionmshowsmthemnursemwheremnotmtomins
ertmit.
B. Thempatientmshouldmbeminmamlowmsemi-
Fowler’smormsupinempositionmwithmthemlegsmabductedm(ormfrog-
legged).mTommaintainminfectionmcontrol,mnevermusemamcathetermformmoremthanmonem
catheterizationmattempt.
C. Thempatientmshouldmbeminmamlowmsemi-
Fowler’smormsupinempositionmwithmthemlegsmabductedm(ormfrog-legged).
D. Tommaintainminfectionmcontrol,mnevermusemamcathetermformmoremthanmonemcatheterizati
onmattempt.
3. Themnursemmanagermonmthemhigh-
riskmOBmunitmhasmbeenmtoldmbymanmOBmofficemnursemtompreparemformampatientmwithmamspinalmcor
dminjurym(SCI)mtomdelivermthere.mThempatientmwantsmtomtrymamvaginalmbirth.mWhatmresponsembymt
hemnursemmanagermismbest?
A. Assessmthemlevelmofmthempatient’smspinalmcordminjury.
B. Assuremthemofficemnursemthatmvaginalmbirthmismpossible.
C. ExplainmthatmpeoplemwithmSCImdomwellmwithmamwatermbirth.
D. Tellmthemofficemnursemthatmvaginalmbirthmismimpossible.
ANS:m A
Chapter:mChapterm2:mReproduction
Objective:m#1.mIdentifymanatomymandmexplainmphysiologicalmfunctionsmofmthemfemalemandmm
alemreproductivemsystems.
Page:m29mHeadi
ng:mUterus
IntegratedmProcesses:mNursingmProcess:mAssessment
ClientmNeed:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
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m m m m m m m m m m m m
d Edition Scannell
m m
Scannell/Ruggiero Pagem 3m ofm 15
DavismAdvantagemformMaternal-ChildmNursingm3e TestmBank
CognitivemLevel:mApplicationm[Applying
]mConcept:mPregnancy
Difficulty:mModerate
Feedback
A. PeoplemwithmSCImabovemthemlevelmofmT6mmaymbemablemtomdelivermvaginallymbecausem
themuterusmmaymretainmenoughmintrinsicmmotilitymtomcreatemeffectivemcontractions.mTh
emnursemmanagermshouldmaskmaboutmthemlevelmofmthemSCI.
B. Themnursemshouldmnotmassuremthemofficemnursemthatmvaginalmdeliverymismpossiblemwit
houtmthisminformation.
C. AmpatientmwithmanmSCImprobablymwouldmnotmdomwellminmamwatermbirthmduemtomimpai
redmmobility.
D. Themnursemshouldmnotmtellmthemofficemnursemthatmvaginalmbirthmismimpossiblemwith
outmfurtherminformation.
4. AmpregnantmpatientmcallsmthemOBmclinicmnursemtomcomplainmofmsharpmabdominalmpainmw
ithmcoughingmormsneezing.mWhatmactionmbymthemnursemismbest?
A. Explainmthatmthempainmismfrommstretchingmofmthemligaments.
B. Havemthempatientmcountmhermcontractionsmeachmhourmwhilemawake.
C. Placemthempatientmonmbedrestmuntilmhermnextmclinicmvisit.
D. Tellmthempatientmtomcomemtomthemclinicmtoday.
ANS:m A
Chapter:mChapterm2:mReproduction
Objective:m#1.mIdentifymanatomymandmexplainmphysiologicalmfunctionsmofmthemfemalemandmm
alemreproductivemsystems.
Page:m29
Heading:mUterinemSupportmStructuresmIntegr
atedmProcesses:mTeachingmandmLearning
ClientmNeed:mPhysiologicalmIntegrity:mPhysiologicalmAdaptatio
nmCognitivemLevel:mApplicationm[Applying]
Concept:mFemalemReproductio
nmDifficulty:mModerate
Feedback
A. Themuterusmismsupportedmbymseveralmligaments.mThemroundmligamentsmexpandminmdia
metermandmlengthmduringmpregnancymandmmaymbemassociatedmwithmsharpmpainmifmtheym
aremstretchedmtightmduringmsuddenmmovement,msuchmasmwithmsneezing,mcoughing,morm
positionmchanges.mThemnursemshouldmreassuremthempatientmthatmthismismnotmconcerning
mandmexplainmthemphenomenon.
B. Theremismnomneedmformthempatientmtomcountmcontractions.
C. Theremismnomneedmformthempatientmtombemplacedmonmbedrest.
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