Chapter 05 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 05 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 05_LO 01_Q01

The clinic nurse is returning phone calls. Which call should the nurse return first?

1. 22-year-old reporting that she has menstrual cramps and vomiting every month
2. 17-year-old asking if there is a problem with using one tampon for a whole day
3. 46-year-old mother of a teen wondering if her daughter should be on birth control
4. 34-year-old requesting information on douching after intercourse

Correct Answer: 2

Rationale:

1. Because vomiting can lead to dehydration, this client is not completely normal or stable, but is not the top priority.
2. Using a single tampon for an entire day can lead to toxic shock syndrome, a potentially life-threatening condition. This client needs education on the danger of using one tampon more than 3–6 hours.
3. A sexually active teen could be at risk for unintended pregnancy, as well as sexually transmitted infections. However, it is unclear whether the daughter is sexually active. This call is a low priority.
4. Douching is not recommended, because the practice causes a change in the pH of the vagina and impacts the normal flora, predisposing clients to candidiasis and bacterial vaginosis. This client requires education, but is not a top priority.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome: 5.1 Identify appropriate nursing care based on the results of the client’s sexual history.

Chapter 05_LO 01_Q02

When taking a sexual history from a client, the nurse should:

1. Ask questions that the client can answer with a “yes” or “no.”
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire, and review it after the client leaves.
4. Try not to make much direct eye contact.

Correct Answer:  2

Rationale:

1. “Yes-or-no” answers indicate closed-ended questions that will not encourage the client to share the necessary information.
2. Open-ended questions are often useful in eliciting information because they encourage more than a one-word answer.
3. Filling out a questionnaire and reviewing it after the client leaves is not appropriate. It should be reviewed in the presence of the client, encouraging conversation regarding the results.
4. It is helpful to use direct eye contact as much as possible, unless culturally unacceptable. Eye contact encourages a connection between the involved parties, and shows care and concern.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 5.1 Identify appropriate nursing care based on the results of the client’s sexual history.

Chapter 05_LO2 _Q03

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for four years, but has had no menses in four months
3. 19-year-old, regular menses for five years that have suddenly become painful
4. 14-year-old, irregular menses for one year, experiences cramping every cycle

Correct Answer:  4

Rationale:

1. This is primary amenorrhea, or the lack of menses.
2. Secondary amenorrhea is the term used when a client has had regular cycles that cease.
3. Secondary dysmenorrheal is the sudden onset of pain and discomfort with menses.
4. Primary dysmenorrhea is when menstruation has been painful from the first menstrual cycle, and consistently continues to be painful each month.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Diagnosis

Learning Outcome: 5.2 Describe accurate information to be provided to girls and women so that they can implement effective self-care measures for dealing with menstruation