Chapter 03 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 03 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which student’s response suggests she correctly understood the nurse’s teaching?

1. “During ovulation, an egg is released from the ovary and enters the fallopian tube.”
2. “Around the middle of the menstrual cycle, one of the fallopian tubes releases an egg.”
3. “Ovulation is when the uterus releases an unfertilized egg or ovum.”
4. “The endometrium is where the eggs are formed and released into the fallopian tube.”

Correct Answer: 1

Rationale 1: The egg is formed in the ovary and once released, it enters the fallopian tube.

Rationale 2: The egg is formed in the ovary and then released near the fimbria of the fallopian tube.

Rationale 3: The egg is formed in the ovary and travels by way of the fallopian tube to the uterus.

Rationale 4: The uterine endometrium is the site of implantation of a fertilized egg.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO01 – Identify the structures and functions of the female reproductive system.

Question 2

Type: MCSA

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 patient 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.

Rationale 2: Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The patient 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.

Rationale 3: The patient 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.

Rationale 4: The patient 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.

Global Rationale:

Cognitive Level: Evaluating

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Identify the structures and functions of the male reproductive system.

Question 3

Type: MCSA

A prenatal patient states, “The doctor said he might have to cut my cervix so the baby can get out during delivery.” Based upon this statement, the nurse should provide teaching related to episiotomy, which includes defining:

1. The perineal body.
2. The labia majora.
3. The mons pubis.
4. The vaginal vestibule.

Correct Answer: 1

Rationale 1: The perineal body, which is located between the lower part of the vagina and the anus, is often the site of an episiotomy or lacerations during childbirth.

Rationale 2: The labia majora are longitudinal, raised folds of pigmented skin located on either side of the vulvar cleft.

Rationale 3: The mons pubis is a softly rounded mound of subcutaneous fatty tissue that covers the front portion of the symphysis pubis.

Rationale 4: The vaginal vestibule contains the vaginal opening, which is the border between the external and internal genitals.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO03 – Explain the significance of specific female reproductive structures during childbirth.

Question 4

Type: MCSA

A pregnant patient asks, “What’s the difference between the true pelvis and the false pelvis?” The nurse’s best response is:

1. “The true pelvis doesn’t affect fetal passage during labor and childbirth.”
2. “The false pelvis consists of the inlet, the pelvic cavity, and the outlet.”
3. “The true pelvis helps direct the presenting fetal part into the false pelvis.”
4. “The false pelvis helps support the weight of the pregnant uterus.”

Correct Answer: 4

Rationale 1: The size and shape of the true pelvis must be adequate for normal fetal passage during labor and childbirth.

Rationale 2: The true pelvis consists of the inlet, the pelvic cavity, and the outlet.

Rationale 3: The false pelvis helps direct the presenting fetal part into the true pelvis.

Rationale 4: The false pelvis helps support the weight of the pregnant uterus.

Global Rationale:

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO03 – Explain the significance of specific female reproductive structures during childbirth.