Chapter 11: The Nurse’s Role in Women’s Health Care

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

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Chapter 11: The Nurse’s Role in Women’s Health Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?
a. Breast examination by a health professional
b. Breast self-examination
c. Breast biopsy
d. Mammography

 

 

ANS:  D

Mammography is a screening test used to detect breast cancer.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 251        OBJ:   2

TOP:   Mammography                                KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination?
a. A few days before her period
b. During her menstrual period
c. On the last day of menstrual flow
d. One week after the beginning of her period

 

 

ANS:  D

The best time for BSE is 1 week after the beginning of the menstrual period.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 251        OBJ:   2

TOP:   Breast Self-Exam                            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. A woman asks the nurse, “How do oral contraceptives prevent pregnancy?” What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
a. Makes cervical mucus hostile to sperm
b. Prevents ovulation
c. Prohibits implantation of the egg
d. Acts as a barrier by destroying sperm

 

 

ANS:  B

Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 262        OBJ:   5

TOP:   Oral Contraceptives                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

  1. What should a woman expect after insertion of an intrauterine device (IUD)?
a. Menstrual flow will be lighter.
b. Menstrual cramps will be eliminated.
c. A string should be felt in the vagina.
d. The device should be changed every 2 years.

 

 

ANS:  C

A woman should feel for the string periodically, especially after her period, to confirm the presence of the IUD.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 264        OBJ:   5

TOP:   IUDs              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. What information will the nurse provide when educating a woman about the correct use of a diaphragm?
a. Use of a spermicidal cream or jelly is not recommended.
b. Leave in place for at least 6 hours after intercourse.
c. Remove immediately after intercourse for douching.
d. It is effective for up to 48 hours if positioned properly.

 

 

ANS:  B

To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to 24 hours.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 264-265

OBJ:   5                    TOP:   Diaphragm     KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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