Chapter 03 Contemporary Maternal Newborn Nursing 7th Edition

Chapter 03 Contemporary Maternal Newborn Nursing 7th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 03_LO 01_Q01

A client tells the clinic nurse that sometimes, between menstrual periods, she experiences a sharp pain low in her abdomen on either the right or the left side. The client states that this pain is different from the menstrual cramps that she experiences, and wants to know why this is happening. What is the nurse’s best response?

1. “You are experiencing ovarian cysts that are occurring each month with ovulation. Talk to your nurse practitioner about this.”
2. “Your ovaries are releasing an egg at that time. Many women experience some pain in one side of the lower abdomen during ovulation.”
3. “Your fallopian tubes sometimes get a spasm, similar to a muscle cramp in your leg. That’s what you are feeling.”
4. “The uterus moves up and down during your menstrual cycle. When it is up high during your least fertile times, you can feel that pain.”

Correct Answer: 2

Rationale:

1. Ovarian cysts do not occur with each menstrual cycle in normal women. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.
2. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation. This is a very common experience.
3. Fallopian tubes do not go into spasms. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.
4. Although the uterus does move up and down through the menstrual cycle, at mid-cycle, the client is most fertile, and will be at the lowest position of the pelvis, to facilitate conception. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Diagnosis

Learning Outcome: 3.1 Identify the structures and functions of the female reproductive system.

Chapter 03_LO2 _Q02

The clinic nurse is caring for a young woman seeking contraception because she has recently married and become sexually active. The teen states, “The opening of my husband’s penis isn’t at the tip; it’s around the corner below the tip. He tells me that he was born that way. Will that cause problems if we want to have children?” What is the best response for the nurse to give? “This variation is called:

1. “Epispadias. It is not likely to impact his fertility.”
2. “Epispadias. It will likely cause him to be infertile.”
3. “Hypospadias. It is not likely to impact his fertility.”
4. “Hypospadias. It will likely cause him to be infertile.”

Correct Answer:  3

Rationale:

1. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The client is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
2. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The client is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
3. The client is describing hypospadias, which is the urethral opening on the lower aspect of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
4. The client is describing hypospadias, where the urethral opening is on the lower side of the penis. Mild hypospadias, where the urethral opening is on the glans of the penis, does not impact fertility.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Diagnosis

Learning Outcome: 3.2 Identify the structures and functions of the male reproductive system.

Chapter 03_LO03 _Q03

A prenatal client asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. What should the nurse include when answering this patient’s question? The vagina:

1. Usually tears as it stretches during childbirth.
2. Is designed to allow a baby come through.
3. Changes from pregnancy hormones and stretches more.
4. Dilates and effaces in labor so the baby can get out.

Correct Answer: 3

Rationale:

1. Vaginal tears are not routine in childbirth, because the vagina stretches during childbirth because of hormonal changes, creating deeper rugae.
2. Although this is a true statement, giving more detailed information better educates the client.
3. The hormones of pregnancy create deeper rugae of the vagina to facilitate stretching during birth.
4. The cervix dilates and effaces, not the vagina.

Cognitive level:  Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 3.3 Explain the significance of specific female reproductive structures during childbirth.

Chapter 03_LO03 _Q04

The client shows an understanding of the pelvic cavity divisions by stating:

1. “The true pelvis is made up of the sacrum, coccyx, and the innominate bones.”
2. “The false pelvis consists of the inlet, the pelvic cavity, and the outlet.”
3. “The true pelvis is the portion above the pelvic brim.”
4. “The relationship between the false pelvis and the fetal head is of paramount importance.”

Answer: 1

Rationale:

1. The true pelvis is made up of the sacrum, coccyx, and innominate bones, and represents the bony limits of the birth canal.
2. The true pelvis consists of the inlet, the pelvic cavity, and the outlet.
3. The false pelvis is the portion above the pelvic brim.
4. It is the relationship between the true pelvis (not the false) and the fetal head that is of paramount importance.

Cognitive Level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome 3.3 Explain the significance of specific female reproductive structures during childbirth.