Chapter 5 Health Promotion for Women

Chapter 5   Health Promotion for Women

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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

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

Answer:  2

Explanation:  1. Because vomiting can lead to dehydration, this patient will require further assessment. Her symptoms are not life-threatening; this client’s assessment is not the first 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 to 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 the first priority.

Page Ref: 64, 65

Cognitive Level:  Analyzing

Client Need&Sub:  Physiological Integrity

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care

Learning Outcome:  LO 5.1-Describe accurate information to be provided to girls and women so that they can implement effective self-care measures for dealing with menstruation.

MNL LO:  Explore the role of the nurse in maternity care delivery.

2) 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.

Answer:  2

Explanation:  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.

Page Ref: 64

Cognitive Level:  Analyzing

Client Need&Sub:  Psychosocial Integrity

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Assessment/Coordination of care

Learning Outcome:  LO 5.1-Describe accurate information to be provided to girls and women so that they can implement effective self-care measures for dealing with menstruation.

MNL LO:  Relate sexual maturation and its impact on the reproductive system.

3) Which client would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

1. A 17-year-old female who has never had a menstrual cycle.
2. A 16-year-old female who had regular menses for 4 years, but has had no menses in four months.
3. A 19-year-old female who had regular menses for 5 years that have suddenly become painful.
4. A 14-year-old female who had irregular menses for one year, experiences cramping every cycle.

Answer:  4

Explanation:  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 dysmenorrhea 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.

Page Ref: 67

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Diagnosis/Coordination of care

Learning Outcome:  LO 5.2-Contrast the signs, symptoms, and nursing management of women with dysmenorrhea and those with premenstrual syndrome.

MNL LO:  Explore the role of the nurse in maternity care delivery.

4) A client asks her nurse, “Is it okay for me to use a vaginal douche each day when I’m on my period?” The nurse’s correct response is:

1. “Douching should be avoided when you’re on your period.”
2. “Using a douche each day will help prevent vaginal infections from occurring.”
3. “During your period, douching will help promote the flow of menstrual secretions.”
4. “Regular douching is necessary in order to promote good hygiene.”

Answer:  1

Explanation:  1. Women should avoid douching during menstruation because the cervix is dilated to permit the downward flow of menstrual fluids from the uterine lining.

2. Douching washes away the natural mucus and upsets the vaginal flora, which can make the vagina more susceptible to infection.
3. During menstruation, douching may interfere with downward flow of menstrual fluids from the uterine lining.
4. Douching as a hygiene practice is unnecessary because the vagina cleanses itself.

Page Ref: 65, 66

Cognitive Level:  Application

Client Need&Sub:  Physiological Integrity

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 5.2-Contrast the signs, symptoms, and nursing management of women with dysmenorrhea and those with premenstrual syndrome.

MNL LO:  Explain the female reproductive cycle.

5) What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome?

1. “Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin.”
2. “Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.”
3. “Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding.”
4. “Increase your consumption of red meat when you feel symptoms, and eat three large meals per day.”

Answer:  2

Explanation:  1. Chocolate and caffeine contain methylxanthines; therefore, intake of chocolate, coffee, and colas should be limited throughout the month.

2. Regular aerobic activity helps to decrease PMS symptoms.
3. An intake of 1200 mg of calcium per day can help decrease PMS symptoms. The calcium can either come from supplements or be obtained through dietary intake of dairy and soy products.
4. Decreased red meat consumption can be beneficial to reduce PMS symptoms, as will eating several small meals per day rather than three large meals.

Page Ref: 67, 68

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 5.2-Contrast the signs, symptoms, and nursing management of women with dysmenorrhea and those with premenstrual syndrome.

MNL LO:  Explain the female reproductive cycle.