Chapter 19: Alterations in Women’s Health

Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham

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Chapter 19: Alterations in Women’s Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Response

 

 

 

  1. Postoperative nursing care for a woman who had a total hysterectomy includes (select all that apply):
  2. Administering hormone replacement therapy as per MD orders
  3. Informing the woman that she will experience small amounts of vaginal bleeding for several days
  4. Instructing the woman to use tampons
  5. Instructing the woman to increase her ambulation to facilitate return of normal intestinal peristalsis

 

ANS: b, d

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a. Hormone therapy is ordered for women who had a hysterectomy with salpingo-oophorectomy.
b. Women will experience a few days of vaginal bleeding.
c. Women should not put anything into the vagina until the area has healed.
d. Ambulation decreases the risk for deep vein thrombosis and also facilitates intestinal peristalsis.

 

KEY: Integrated Process: Nursing Process | Cognitive Level: Application and Comprehension | Content Area: Women’s Health | Client Need: Safe and Effective Care Environment | Difficulty Level: Hard

 

 

 

  1. Menorrhagia may result from (select all that apply):
  2. Anovulatory cycle
  3. Metritis
  4. Anorexia
  5. Emotional distress

 

ANS: a, b

Metritis can be a cause of menorrhagia.

 

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Women’s Health | Client Need: Physiological Adaptation | Difficulty Level: Moderate

 

 

 

  1. Secondary amenorrhea results from (select all that apply):
  2. Polycystic ovary syndrome
  3. Diabetes
  4. Metritis
  5. Pregnancy

 

ANS: a, b, d

Nutritional disturbances such as anoxia and emotional distress can cause secondary amenorrhea.

 

KEY: Integrated Process: Knowledge | Cognitive Level: Knowledge | Content Area: Women’s Health | Client Need: Physiological Adaptation | Difficulty Level: Moderate

 

 

 

  1. During a health visit, a 23-year-old patient shares with her health-care provider that she has been experiencing a yellowish mucus vaginal discharge, pain during sexual intercourse, and burning on urination. A culture of the cervical epithelial cells is obtained. Based on the patient information, the culture is obtained to assist in the diagnosis of which of the following? (Select all that apply.)
  2. Chlamydia
  3. Gonorrhea
  4. Genital herpes
  5. Syphilis

 

ANS: a, b

These are symptoms that can be related to either chlamydia or gonorrhea. Syphilis is diagnosed via blood test. Genital herpes has symptoms similar to the flu, and the person usually has an itching or burning sensation in the genital or anal area.

 

KEY: Integrated Process: Nursing Process: Implementation | Cognitive Level: Knowledge | Content Area: Diagnostic Tests | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

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