Test Bank for Davis Advantage for Maternal-Child Nursing Care 3rd Edition by Scannell Ruggiero RATED A+

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Scannell/Ruggiero Pageg 1g ofg 15
DavisgAdvantagegforgMaternal-ChildgNursingg3e TestgBank


Chapterg2:gReproductiongMULTIPL

EgCHOICE

1. Agpatientgisghavingganginfertilitygwork-
upgandghasgbeengtoldgsheghasgscarringgofghergfallopiangtubes.gWhatgactiongbygthegnursegisgb
est?
A. Askgthegpatientghowgmanygsexuallygtransmittedginfectionsgsheghasghad.
B. Assessgthegpatientgforgpreviousgvaginalginfectionsgandgtheirgtreatment.
C. Gentlygtellgthegpatientgthatgnothinggcangbegdonegaboutgscarringgofgthegtubes.
D. Questiongthegpatientgaboutggeneticgdefectsgorgfamilyghistorygofginfertility.


ANS:g B
Chapter:gChapterg2:gReproduction
Objective:g#1.gIdentifyganatomygandgexplaingphysiologicalgfunctionsgofgthegfemalegandgmalegreproduct
ivegsystem.
Page:g28
Heading:gFallopiangTubes
IntegratedgProcesses:gNursinggProcess:gAssessment
ClientgNeed:gPhysiologicalgIntegrity:gPhysiologicalgAdaptationg
CognitivegLevel:gApplicationg[Applying]
Difficulty:gModerate


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A. Notgallgvaginalginfectionsgaregsexuallygtransmittedginfectionsg(STIs),gandgtogspecifica
llygaskgaboutgSTIsgsoundsgjudgmentalgingadditiongtognotgprovidinggadequateginformat
ion.
B. Anatomically,gtheregisgagcontinuousgpassagegfromgthegvaginagintogtheguterusgandgon
gintogthegfallopiangtubesgandgovaries.gAgvaginalginfectiongcangleadgtogresidualgscarri
nggofgthegtubesgfromgtheginflammatorygprocess.gThisgputsgthegpatientgatgincreasedgri
skgforgectopicgpregnanciesgandginfertility.
C. Theregaregseveralgtreatmentgoptionsgforgthisgpatient.
D. Geneticgdefectsgmaygplaygagrolegingthisgpatient’sgproblem,gbutgtheghigherglikelihoo
dgisgthatghergscarredgtubesgaregduegtogagvaginalginfection.


2. Agnewgnursegisgattemptinggtogcatheterizegagfemalegpatient.gThegnurseghasgagdifficultgtimegan
dgaftergthreegattempts,gfinallyginsertsgthegcathetergintogthegbladdergandghasgurinegoutput.gW
hatgsuggestiongbygthegmoregexperiencedgnursegisgbest?
A. “Leavegthegincorrectlygplacedgcathetersgwheregtheygaregwhileginsertinggagfreshgone.”
B. “PlacegthegpatientgingaghighgFowler’sgpositiongandghaveganothergnursegadductgth
eglegs.”
C. “Positiongthegpatientgpronegwithganothergnursegabductinggthegpatient’sglegs.”
D. “Togsavegthegpatientgsomegcharges,gusegthegsamegcathetergforgtwogattempts.”


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3rdgEditiongScannell
Scannell/Ruggiero Pageg 2g ofg 15
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ANS:g A
Chapter:gChapterg2:gReproduction
Objective:g#1.gIdentifyganatomygandgexplaingphysiologicalgfunctionsgofgthegfemalegandgmalegreproduct
ivegsystems.
Page:g26gHeadin
g:gClitoris
IntegratedgProcesses:gTeachinggandgLearning
ClientgNeed:gPhysiologicalgIntegrity:gPhysiologicalgAdaptationg
CognitivegLevel:gApplicationg[Applying]
Concept:gAssessment
gDifficulty:gModerat
e

Feedback
A. Becausegthegclitorisgoftengresemblesgthegurinarygmeatus,gnursesgsometimesgtrygtogin
sertgagcathetergingitginsteadgofgthegrealgmeatus.gLeavinggthegincorrectlygplacedgcathe
tergwhilegattemptingganotherginsertiongshowsgthegnursegwheregnotgtoginsertgit.
B. Thegpatientgshouldgbegingaglowgsemi-
Fowler’sgorgsupinegpositiongwithgtheglegsgabductedg(orgfrog-
legged).gTogmaintainginfectiongcontrol,gnevergusegagcathetergforgmoregthangonegcath
eterizationgattempt.
C. Thegpatientgshouldgbegingaglowgsemi-
Fowler’sgorgsupinegpositiongwithgtheglegsgabductedg(orgfrog-legged).
D. Togmaintainginfectiongcontrol,gnevergusegagcathetergforgmoregthangonegcatheterization
gattempt.




3. Thegnursegmanagergongtheghigh-
riskgOBgunitghasgbeengtoldgbygangOBgofficegnursegtogpreparegforgagpatientgwithgagspinalgcordg
injuryg(SCI)gtogdelivergthere.gThegpatientgwantsgtogtrygagvaginalgbirth.gWhatgresponsegbygtheg
nursegmanagergisgbest?
A. Assessgtheglevelgofgthegpatient’sgspinalgcordginjury.
B. Assuregthegofficegnursegthatgvaginalgbirthgisgpossible.
C. ExplaingthatgpeoplegwithgSCIgdogwellgwithgagwatergbirth.
D. Tellgthegofficegnursegthatgvaginalgbirthgisgimpossible.


ANS:g A
Chapter:gChapterg2:gReproduction
Objective:g#1.gIdentifyganatomygandgexplaingphysiologicalgfunctionsgofgthegfemalegandgmalegreproduct
ivegsystems.
Page:g29gHeadi
ng:gUterus
IntegratedgProcesses:gNursinggProcess:gAssessment
ClientgNeed:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
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3rdgEditiongScannell
Scannell/Ruggiero Pageg 3g ofg 15
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CognitivegLevel:gApplicationg[Applying]gCo
ncept:gPregnancy
Difficulty:gModerate

Feedback
A. PeoplegwithgSCIgabovegtheglevelgofgT6gmaygbegablegtogdelivergvaginallygbecausegth
eguterusgmaygretaingenoughgintrinsicgmotilitygtogcreategeffectivegcontractions.gThegn
ursegmanagergshouldgaskgaboutgtheglevelgofgthegSCI.
B. Thegnursegshouldgnotgassuregthegofficegnursegthatgvaginalgdeliverygisgpossiblegwith
outgthisginformation.
C. AgpatientgwithgangSCIgprobablygwouldgnotgdogwellgingagwatergbirthgduegtogimpairedg
mobility.
D. Thegnursegshouldgnotgtellgthegofficegnursegthatgvaginalgbirthgisgimpossiblegwithoutgfur
therginformation.



4. AgpregnantgpatientgcallsgthegOBgclinicgnursegtogcomplaingofgsharpgabdominalgpaingwit
hgcoughinggorgsneezing.gWhatgactiongbygthegnursegisgbest?
A. Explaingthatgthegpaingisgfromgstretchinggofgthegligaments.
B. Havegthegpatientgcountghergcontractionsgeachghourgwhilegawake.
C. Placegthegpatientgongbedrestguntilghergnextgclinicgvisit.
D. Tellgthegpatientgtogcomegtogthegclinicgtoday.


ANS:g A
Chapter:gChapterg2:gReproduction
Objective:g#1.gIdentifyganatomygandgexplaingphysiologicalgfunctionsgofgthegfemalegandgmalegreproduct
ivegsystems.
Page:g29
Heading:gUterinegSupportgStructuresgIntegrat
edgProcesses:gTeachinggandgLearning
ClientgNeed:gPhysiologicalgIntegrity:gPhysiologicalgAdaptationg
CognitivegLevel:gApplicationg[Applying]
Concept:gFemalegReproductiong
Difficulty:gModerate

Feedback
A. Theguterusgisgsupportedgbygseveralgligaments.gThegroundgligamentsgexpandgingdiam
etergandglengthgduringgpregnancygandgmaygbegassociatedgwithgsharpgpaingifgtheygare
gstretchedgtightgduringgsuddengmovement,gsuchgasgwithgsneezing,gcoughing,gorgposi
tiongchanges.gThegnursegshouldgreassuregthegpatientgthatgthisgisgnotgconcerninggandg
explaingthegphenomenon.
B. Theregisgnogneedgforgthegpatientgtogcountgcontractions.
C. Theregisgnogneedgforgthegpatientgtogbegplacedgongbedrest.




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