Chapter 06 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 06 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

The nurse is teaching a class to women who were recently diagnosed with benign breast disease (BBD), commonly known as fibrocystic breast disease. One of the participants reports increased swelling, pain, and pressure in her breasts just before menstruation. What is the best response by the nurse?

1. “Consider asking your nurse practitioner about adding a mild diuretic to your regimen.”
2. “The pain may be caused by thinning of the normal breast tissue.”
3. “Breast swelling and pressure are expected symptoms, but pain is abnormal and should be evaluated by your physician.”
4. “It’s best to make an appointment with an oncologist.”

Correct Answer: 1

Rationale 1: Treatment of BBD may include taking a mild diuretic during the week prior to the onset of menses to counteract fluid retention, relieve pressure in the breast, and help decrease pain.

Rationale 2: The pathology of BBD involves fibrosis, which is a thickening of the normal breast tissue.

Rationale 3: Common symptoms associated with BBD include cyclical breast pain, tenderness, and swelling.

Rationale 4: Cyclical breast pain, swelling, and tenderness are common symptoms associated with BBD. Generally fibrocystic changes are not a risk factor for breast cancer.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO01 – Contrast the contributing factors, signs and symptoms, treatment options, and nursing care management of women with common benign breast disorders.

 

Question 2

Type: MCSA

The nurse is caring for a patient 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.

Rationale 2: Dyspareunia is a common symptom of endometriosis and therefore is not a complication.

Rationale 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.

Rationale 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 patient is not experiencing a complication.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Explain the signs and symptoms, medical therapy, and implications for fertility of endometriosis.

 

Question 3

Type: MCSA

The nurse is creating a care plan for a patient who is unable to conceive as a consequence of endometriosis. Which statement accurately reflects a nursing diagnosis that may apply to the care of this patient?

1. Acute pain related to dysuria and renal pain secondary to endometriosis
2. Hyperandrogenism related to elevated serum androgen levels secondary to endometriosis
3. Compromised family coping related to depression secondary to infertility
4. Infertility related to endometrial inflammation and adhesions secondary to endometriosis

Correct Answer: 3

Rationale 1: Pelvic pain is a frequent symptom of endometriosis, while dysuria and renal pain are more commonly associated with conditions such as upper urinary tract infections (UTI).

Rationale 2: Hyperandrogenism is a medical diagnosis that pertains to elevated serum androgen levels. Hyperandrogenism is associated with polycystic ovarian syndrome (PCOS).

Rationale 3: Infertility may lead to depression and subsequent compromised family coping, which is a nursing diagnosis.

Rationale 4: Although associated with the medical condition of endometriosis, infertility is a medical diagnosis.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO02 – Explain the signs and symptoms, medical therapy, and implications for fertility of endometriosis

 

Question 4

Type: MCSA

The patient has been diagnosed with endometriosis. She asks the nurse if there are any long-term health risks associated with this condition. The nurse should include which statement in the patient teaching about endometriosis?

1. “There are no other health risks associated with endometriosis.”
2. “Pain with intercourse rarely occurs as a long-term problem.”
3. “You are at increased risk for ovarian and breast cancer.”
4. “Most women with this condition develop fibromyalgia.”

Correct Answer: 3

Rationale 1: There are long-term health risks associated with endometriosis, including increased risk for cancer of the ovary and breast, melanoma, non-Hodgkins lymphoma, and an increased incidence of fibromyalgia.

Rationale 2: Dyspareunia is a common symptom of endometriosis.

Rationale 3: An increased risk for cancer of the ovary and breast is associated with endometriosis.

Rationale 4: There is a risk of increased incidence of fibromyalgia.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO02 – Explain the signs and symptoms, medical therapy, and implications for fertility of endometriosis.