Maternal Child Nursing Care - Chapter 3: Assessment and Health Promotion questions well answered and graded A+

The two primary functions of the ovary are: A) Normal female development and sex hormone release. B) Ovulation and internal pelvic support. C) Sexual response and ovulation. D) Ovulation and hormone production. D) Ovulation and hormone production. The uterus is a muscular, pear-shaped organ that is responsible for: A) Cyclic menstruation. B) Sex hormone production. C) Fertilization. D) Sexual arousal. A) Cyclic menstruation. 00:45 01:14 Unique muscle fibers make the uterine myometrium ideally suited for: A) Menstruation. B) The birth process. C) Ovulation. D) Fertilization. B) The birth process. The hormone responsible for maturation of mammary gland tissue is: A) Estrogen. B) Testosterone. C) Prolactin. D) Progesterone. D) Progesterone. Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is: A) 5 to 7 days after menses ceases. B) Day 1 of the endometrial cycle. C) Midmenstrual cycle. D) Any time during a shower or bath. A) 5 to 7 days after menses ceases. Menstruation is periodic uterine bleeding: A) That occurs every 28 days. B) In which the entire uterine lining is shed. C) That is regulated by ovarian hormones. D) That leads to fertilization. C) That is regulated by ovarian hormones. Individual irregularities in the ovarian (menstrual) cycle are most often caused by: A) Variations in the follicular (preovulatory) phase. B) An intact hypothalamic-pituitary feedback mechanism. C) A functioning corpus luteum. D) A prolonged ischemic phase. A) Variations in the follicular (preovulatory) phase. Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of prostaglandins is/are: A) Ovaries. B) Breast milk. C) Menstrual blood. D) The vagina. C) Menstrual blood. Physiologically, sexual response can be characterized by: A) Coitus, masturbation, and fantasy. B) Myotonia and vasocongestion. C) Erection and orgasm. D) Excitement, plateau, and orgasm. B) Myotonia and vasocongestion. The long-term treatment plan for an adolescent with an eating disorder focuses on: A) Managing the effects of malnutrition. B) Establishing sufficient caloric intake. C) Improving family dynamics. D) Restructuring perception of body image. D) Restructuring perception of body image. 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 states, I have special undergarments that I do not remove for religious reasons. The most appropriate response from the nurse would be: A) You cant have an examination without removing all your clothes. B) I'll ask the doctor to modify the examination. C) Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably. D) What? I've never heard of such a thing! That sounds different and strange. C) Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably. A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should: A) Remind the woman that she is long overdue for her examination and that she should come in annually. B) Listen carefully and allow extra time for this woman's health history interview. C) Reassure the woman that a nurse practitioner is just as good as her old doctor. D) Encourage the woman to talk about the death of her husband and her fears about her own death. B) Listen carefully and allow extra time for this woman's health history interview. During a health history interview, a woman states that she thinks that she has bumps on her labia. She also states that she is not sure how to check herself. The correct response would be to: A) Reassure the woman that the examination will not reveal any problems. B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination. C) Reassure the woman that bumps can be treated. D) Reassure her that most women have bumps on their labia. B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination. A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurses initial response should be to: A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled. B) Reassure the woman that using vaginal cream is not a problem for the examination. C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. D) Ask the woman to reschedule the appointment for the examination. C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. The transition phase during which ovarian function and hormone production decline is called: A) The climacteric. B) Menarche. C) Menopause. D) Puberty. A) The climacteric. Which statement would indicate that the client requires additional instruction about breast self- examination? A) Yellow discharge from my nipple is normal if I'm having my period. B) I should check my breasts at the same time each month, like after my period. C) I should also feel in my armpit area while performing my breast examination. D) I should check each breast in a set way, such as in a circular motion. A) Yellow discharge from my nipple is normal if I'm having my period. A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of intimate partner violence (IPV)? A) The woman and her partner are having an argument that is loud and hostile. B) The woman has injuries on various parts of her body that are in different stages of healing. C) Examination reveals a fractured arm and fresh bruises. D) She avoids making eye contact and is hesitant to answer questions. B) The woman has injuries on various parts of her body that are in different stages of healing. A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurses best response is: A) Don't worry about it. I'm sure its nothing. B) Wear a tight bra, and it should shrink. C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician. D) Check it again in 1 month and call me back if its still there. C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician. The female reproductive organ(s) responsible for cyclic menstruation is/are the: A) Uterus. B) Ovaries. C) Vaginal vestibule. D) Urethra. A) Uterus. The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the: A) Perineum. B) Bony pelvis. C) Vaginal vestibule. D) Fourchette. B) Bony pelvis. A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____ phase of the endometrial cycle. A) Menstrual B) Proliferative C) Secretory D) Ischemic C) Secretory The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the: A) Menstrual cycle. B) Endometrial cycle. C) Ovarian cycle. D) Hypothalamic-pituitary cycle. D) Hypothalamic-pituitary cycle. Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as: A) Gonadotropin-releasing hormone (GnRH). B) Prostaglandins (PGs). C) Follicle-stimulating hormone (FSH). D) Luteinizing hormone (LH). B) Prostaglandins (PGs). Which statement regarding female sexual response is inaccurate? A) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm. B) Vasocongestion is the congestion of blood vessels. C) The orgasmic phase is the final state of the sexual response cycle. D) Facial grimaces and spasms of hands and feet are often part of arousal. C) The orgasmic phase is the final state of the sexual response cycle. As part of their participation in the gynecologic portion of the physical examination, nurses should: A) Take a firm approach that encourages the client to facilitate the examination by following the physicians instructions exactly. B) Explain the procedure as it unfolds and continue to question the client to get information in a timely manner. C) Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer. D) Help the woman relax through proper placement of her hands and proper breathing during the examination. D) Help the woman relax through proper placement of her hands and proper breathing during the examination. During which phase of the cycle of violence does the batterer become contrite and remorseful? A) Battering phase B) Honeymoon phase C) Tension-building phase D) Increased drug-taking phase B) Honeymoon phase A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because: A) A daily consumption of alcohol indicates a risk for alcoholism. B) She will be at risk for abusing other substances as well. C) The fetus is placed at risk for altered brain growth. D) The fetus is at risk for multiple organ anomalies. C) The fetus is placed at risk for altered brain growth. As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? A) Heroin B) Alcohol C) PCP D) Cocaine D) Cocaine The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called: A) Bimanual palpation. B) Rectovaginal palpation. C) A Papanicolaou (Pap) test. D) A four A's procedure. C) A Papanicolaou (Pap) test.