Chapter 06 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 06 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 06_LO 01_Q01

The nurse receives a phone call from a 25-year-old woman experiencing breast tenderness in the week prior to her menses, with palpable breast nodularity, without nipple discharge. What is the best response by the nurse?

1. “Please make an appointment at the Breast Cancer center as soon as possible.”
2. “How much salty food do you consume on a regular basis?”
3. “As long as you don’t have nipple discharge, it isn’t a serious condition.”
4. “Eliminate caffeine and chocolate from your diet.”

Correct Answer: 2

Rationale:

1. This is unnecessary, and might frighten the client. The client is describing fibrocystic breast changes.
2. The client is describing fibrocystic breast changes. A salt restriction with a mild diuretic taken the week before menstrual bleeding often improves the condition.
3. The client is describing fibrocystic breast changes, not a serious condition. The absence or presence of nipple discharge is not an indicator of seriousness of a breast condition.
4. The client is describing fibrocystic breast changes. Research is inconclusive as to whether eliminating methylxanthines from the diet is effective at reducing fibrocystic breast symptoms.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 6.1 Contrast the contributing factors, signs and symptoms, treatment options, and nursing care management of women with common benign breast disorders.

Chapter 06_LO02 _Q02

The nurse is caring for a client diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?

1. “I am having many hot flashes since I had the Lupron injection.”
2. “The pain I experience with intercourse is becoming more severe.”
3. “My leg has become painful and swollen since I started taking birth control pills.”
4. “I’ve noticed my voice is lower since I started taking danazol.”

Correct Answer: 3

Rationale:

1. Leuprolide acetate (Lupron) is a GnRH agonist, and causes symptoms of a hypo-estrogenic state (hot flashes, vaginal dryness, decreased libido, and bone density loss). Hot flashes are expected, and not a complication.
2. Dyspareunia is a common symptom of endometriosis, and therefore is not a complication.
3. Combination oral contraceptive pills contain estrogen. A painful swollen lower extremity can be a sign of deep vein thrombosis, which can cause thromboembolus, which is potentially life threatening. This is a complication, and must be addressed immediately.
4. Danocrine (danazol) is a testosterone derivative that suppresses GnRH and has high-androgen and low-estrogen effects. A lowered voice is one side effect of danazol. This client is not experiencing a complication.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 6.2 Explain the signs and symptoms, medical therapy, and implications for fertility in determining the nursing care management of women with endometriosis.

Chapter 06_LO02 _Q03

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis. Which of the following questions are most appropriate? Select all that apply.

1. “Are you having hot flashes?”
2. “Are you experiencing pain during intercourse?”
3. “Is a vaginal discharge present?”
4. “Are you having pain during your period?”
5. “Have you noticed any skin rashes?”

Answer: 2, 4

Rationale:

1. Hot flashes are not a symptom of endometriosis.
2. The primary symptoms of endometriosis include dysmenorrhea, dyspareunia, and infertility.
3. Vaginal discharge is not a symptom of endometriosis.
4. The primary symptoms of endometriosis include dysmenorrhea, dyspareunia, and infertility.
5. Skin rashes are not a symptom of endometriosis.

Cognitive Level: Analysis

Category of Client Need: Physiological Integrity

Nursing Process: Assessment

Learning Outcome 6.2 Explain the signs and symptoms, medical therapy, and implications for fertility in determining the nursing care management of women with endometriosis.