Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 03: Common Concerns
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Anatomic abnormalities. |
| b. | Type 1 diabetes mellitus. |
| c. | Lack of exercise. |
| d. | Hysterectomy. |
ANS: C
| Feedback | |
| A | Anatomic abnormalities are a possible cause of amenorrhea. |
| B | Type 1 diabetes is a possible cause of amenorrhea. |
| C | Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea. |
| D | Hysterectomy is a possible cause of amenorrhea. |
DIF: Cognitive Level: Comprehension REF: 61
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment
| a. | Risk factors identify more than 50% of women who will develop breast cancer. |
| b. | Nearly 90% of lumps found by women are malignant. |
| c. | One in ten women in the United States will develop breast cancer in her lifetime. |
| d. | The exact cause of breast cancer is unknown. |
ANS: D
| Feedback | |
| A | Risk factors help to identify fewer than 30% of women in whom breast cancer eventually will develop. |
| B | Women detect about 90% of all breast lumps. Of this 90%, only 20% to 25% are malignant. |
| C | One in eight women in the United States will develop breast cancer in her lifetime. |
| D | The exact cause of breast cancer in unknown. |
DIF: Cognitive Level: Comprehension REF: 87
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment
| a. | Increasing the intake of red meat and simple carbohydrates |
| b. | Reducing the intake of diuretic foods such as peaches and asparagus |
| c. | Temporarily substituting physical activity for a sedentary lifestyle |
| d. | Using a heating pad on the abdomen to relieve cramping |
ANS: D
| Feedback | |
| A | Dietary changes such as eating less red meat may be recommended for women experiencing dysmenorrhea. |
| B | 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. |
| C | Exercise has been found to help relieve menstrual discomfort through increased vasodilation and subsequent decreased ischemia. |
| D | Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing uterine ischemia. |
DIF: Cognitive Level: Analysis REF: 63
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning
| a. | Strategies to enhance condom use. |
| b. | Choice of colors and special features. |
| c. | Leaving the decision up to the male partner. |
| d. | Places to safely carry condoms. |
ANS: A
| Feedback | |
| A | When the nurse opens discussion on safe sex practices, it gives the woman permission to clear up any concerns or misapprehensions that she may have regarding condom use. The nurse can also suggest ways that the woman can enhance her condom negotiation and communications skills. These include role-playing, rehearsal, cultural barriers, and situations that put the woman at risk. |
| B | Although women can be taught the differences among condoms such as size ranges, where to purchase, and price, this is not as important as negotiating the use of safe sex practices. |
| C | Women must address the issue of condom use with every sexual contact. Some men need time to think about this. If they appear reluctant, the woman may want to reconsider the relationship. |
| D | Although not ideal, women may safely choose to carry condoms in shoes, wallets, or inside their bra. They should be taught to keep the condom away from heat. This information is important; however, it is not germane if the woman cannot even discuss strategies on how to enhance condom use. |
DIF: Cognitive Level: Analysis REF: 72
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning
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