Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017

Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017 nurse when she attends her prenatal appointments will reinforce the teens positive self-image. PTS: 1 DIF: Cognitive Level: Analysis REF: 50 OBJ: Nursing Process: Diagnosis MSC: Client Needs: Psychosocial Integrity MATCHING To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule. Tetanus-diphtheria-pertussis (Tdap) d. Hepatitis B Measles, mumps, rubella e. Influenza Herpes Zoster f. Human papillomavirus (HPV) Three injections for girls between the ages 9 to 26. Primary series of three injections. Annually. Once and then a booster every 10 years. One dose after age 65. Once if born after 1956. ANS: F PTS: 1 DIF: Cognitive Level: Application REF: 70 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. ANS: D PTS: 1 DIF: Cognitive Level: Application REF: 71 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. ANS: E PTS: 1 DIF: Cognitive Level: Application REF: 71 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. ANS: A PTS: 1 DIF: Cognitive Level: Application REF: 71 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. ANS: C PTS: 1 DIF: Cognitive Level: Application REF: 71 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. ANS: B PTS: 1 DIF: Cognitive Level: Application REF: 71 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance NOT: These guidelines are applicable to most women; however, health care providers individualize the timing of tests and immunizations for each woman. Chapter 04: Reproductive System Concerns MULTIPLE CHOICE When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused by: Anatomic abnormalities. c. Lack of exercise. Type 1 diabetes mellitus. d. Hysterectomy. ANS: C Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea. Anatomic abnormalities, type 1 diabetes mellitus, and hysterectomy all are possible causes of amenorrhea. PTS: 1 DIF: Cognitive Level: Comprehension REF: 74 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended? Increasing the intake of red meat and simple carbohydrates Reducing the intake of diuretic foods such as peaches and asparagus Temporarily substituting physical activity for a sedentary lifestyle Using a heating pad on the abdomen to relieve cramping ANS: D Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing uterine ischemia. Dietary changes such as eating less red meat may be recommended for women experiencing dysmenorrhea. Increasing the intake of diuretics, including natural diuretics such as asparagus, cranberry juice, peaches, parsley, and watermelon, may help ease the symptoms associated with dysmenorrhea. Exercise has been found to help relieve menstrual discomfort through increased vasodilation and subsequent decreased ischemia. PTS: 1 DIF: Cognitive Level: Analysis REF: 76 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)? I feel irritable and moody a week before my period is supposed to start. I have lower abdominal pain beginning the third day of my menstrual period. I have nausea and headaches after my period starts, and they last 2 to 3 days. I have abdominal bloating and breast pain after a couple days of my period. ANS: A PMS is a cluster of physical, psychologic, and behavioral symptoms that begin in the luteal phase of the menstrual cycle and resolve within a couple of days of the onset of menses. Complaints of lower abdominal pain, nausea and headaches, and abdominal bloating all are associated with PMS. However, the timing reflected is inaccurate. PTS: 1 DIF: Cognitive Level: Application REF: 78 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to: Endometriosis. c. Primary dysmenorrhea. PMS. d. Secondary dysmenorrhea. ANS: A Symptoms of endometriosis can change over time and may not reflect the extent of the disease. Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful intercourse). Impaired fertility may result from adhesions caused by endometriosis. Although endometriosis may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea or PMS. In addition, this woman is complaining of dyspareunia and infertility, which are associated with endometriosis, not with PMS or primary or secondary dysmenorrhea. PTS: 1 DIF: Cognitive Level: Comprehension REF: 80 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a woman taking this medication that the drug: Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian activity. Should be sprayed into one nostril every other day. Should be injected into subcutaneous tissue BID. Can cause her to experience some hot flashes and vaginal dryness. ANS: D Nafarelin is a GnRH agonist, and its side effects are similar to effects of menopause. The hypoestrogenism effect results in hot flashes and vaginal dryness. Nafarelin is a GnRH agonist that suppresses the secretion of GnRH and is administered twice daily by nasal spray. PTS: 1 DIF: Cognitive Level: Comprehension REF: 80 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the clients recent menstrual cycles. The nurse should collect additional information with which statement? The woman says her menstrual flow lasts 5 to 6 days. She describes her flow as very heavy. She reports that she has had a small amount of spotting midway between her periods for the past 2 months. She says the length of her menstrual cycle varies from 26 to 29 days. ANS: B Menorrhagia is defined as excessive menstrual bleeding, in either duration or amount. Heavy bleeding can have many causes. The amount of bleeding and its effect on daily activities should be evaluated. A menstrual flow lasting 5 to 6 days is a normal finding. Mittlestaining, a small amount of bleeding or spotting that occurs at the time of ovulation (14 days before onset of the next menses), is considered normal. During her reproductive years, a woman may have physiologic variations in her menstrual cycle. Variations in the length of a menstrual cycle are considered normal. PTS: 1 DIF: Cognitive Level: Comprehension REF: 82 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of: Stress. c. Pregnancy. Excessive exercise. d. Eating disorders. ANS: C Amenorrhea, or the absence of menstrual flow, is most often a result of pregnancy. Although stress, excessive exercise, and eating disorders all may be contributing factors, none is the most common factor associated with amenorrhea. PTS: 1 DIF: Cognitive Level: Knowle