Professional Documents
Culture Documents
Maternal Child Nursing Care in Canada 2nd Edition Perry Test Bank
Maternal Child Nursing Care in Canada 2nd Edition Perry Test Bank
MULTIPLE CHOICE
1. When assessing the patient for amenorrhea, the nurse should be aware that which may cause
amenorrhea?
a. Alcohol use
b. Type 1 diabetes mellitus
c. Lack of exercise
d. Cessation of oral contraception use
ANS: B
Type 1 diabetes may cause amenorrhea. Lack of exercise does not cause amenorrhea. It is the
use of oral contraception that may cause amenorrhea. Alcohol use does not cause amenorrhea.
DIF: Cognitive Level: Analysis REF: p. 110 OBJ: Nursing Process: Planning
5. Nafarelin (Synarel) 200 mg BID per nasal spray currently is used as a treatment for
mild-to-severe endometriosis. What patient teaching should the nurse tell the woman who is
taking this medication?
a. It stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby
stimulating ovarian activity.
b. It should be sprayed into one nostril every other day.
c. It should be injected into subcutaneous tissue BID.
d. It can cause her to experience some hot flashes and vaginal dryness.
ANS: D
Nafarelin is a GnRH agonist, and its adverse effects are similar to those of menopause. The
hypoestrogenism effect results in hot flashes and vaginal dryness. Nafarelin is a GnRH
agonist that suppresses the secretion of GnRH and is administered twice daily by nasal spray.
6. While interviewing a 31-year-old woman before her routine gynecological examination, the
nurse collects data about the patient’s recent menstrual cycles. The nurse should collect
additional information when the woman makes which statement?
a. The woman says her menstrual flow lasts 5 to 6 days.
b. She describes her flow as very heavy.
c. She reports that she has had a small amount of spotting midway between her
periods for the past 2 months.
d. She says the length of her menstrual cycle varies from 26 to 29 days.
ANS: B
Menorrhagia is defined as excessive menstrual bleeding, in either duration or amount. Heavy
bleeding can have many causes. The amount of bleeding and its effect on daily activities
should be evaluated. A menstrual flow lasting 5 to 6 days is a normal finding. Mittelschmerz,
a small amount of bleeding or spotting that occurs at the time of ovulation (14 days before
onset of the next menses), is considered normal. During her reproductive years, a woman may
have physiological variations in her menstrual cycle. Variations in the length of a menstrual
cycle are considered normal.
7. When evaluating a patient whose primary complaint is secondary amenorrhea, the nurse must
be aware that lack of menstruation is most often the result of which event?
a. Stress
b. Excessive exercise
c. Pregnancy
d. Eating disorders
ANS: C
Secondary amenorrhea, or the absence of menstrual flow, is most often a result of pregnancy.
Although stress, excessive exercise, and eating disorders all may be contributing factors, none
is the most common factor associated with amenorrhea.
8. When planning care for a woman who has been diagnosed as having uterine fibroids, what is
important for the nurse to know?
a. Fibroids are malignant tumours of the uterus that require radiation or
chemotherapy.
b. Fibroids will increase in size during the perimenopausal period.
c. Menorrhagia is a common finding in women with uterine fibroids.
d. The woman is unlikely to become pregnant as long as the fibroids are in her uterus.
ANS: C
Uterine fibroids are a common cause of menorrhagia. Fibroids are benign tumours of the
smooth muscle of the uterus, and their etiology is unknown. Fibroids are estrogen sensitive
and shrink as levels of estrogen decline. Fibroids occur in 25% of women of reproductive age
and are seen in 2% of pregnant women.
DIF: Cognitive Level: Comprehension REF: p. 115 OBJ: Nursing Process: Planning
9. During her annual gynecological checkup, a woman states that recently she has been
experiencing cramping and pain during her menstrual periods. The nurse would use which
term to document this complaint?
a. Amenorrhea
b. Dysmenorrhea
c. Dyspareunia
d. Premenstrual syndrome (PMS)
ANS: B
Dysmenorrhea is pain during or shortly before menstruation. Amenorrhea is the absence of
menstrual flow. Dyspareunia is pain during intercourse. PMS is a cluster of physical,
psychological, and behavioural symptoms that begin in the luteal phase of the menstrual cycle
and resolve within a couple of days of the onset of menses.
DIF: Cognitive Level: Knowledge REF: p. 108 OBJ: Nursing Process: Diagnosis
10. Nurses should be aware that which is true with regard to dysmenorrhea?
a. It is more common in older women.
b. It is more common in leaner women who exercise strenuously.
c. Symptoms can begin at any point in the ovulatory cycle.
d. Pain usually occurs in the suprapubic area or lower abdomen.
ANS: D
Pain is described as sharp and cramping or sometimes as a dull ache. It may radiate to the
lower back or upper thighs. Dysmenorrhea is more common in younger women ages 17 to 24
and in women who smoke and who are obese. Symptoms begin with menstruation or
sometimes a few hours before the onset of flow.
DIF: Cognitive Level: Knowledge REF: p. 108 OBJ: Nursing Process: Diagnosis
DIF: Cognitive Level: Comprehension REF: p. 111 OBJ: Nursing Process: Diagnosis
13. Which refers to an alteration in cyclic bleeding that occurs between periods of menstruation?
a. Oligomenorrhea
b. Menorrhagia
c. Leiomyoma
d. Metrorrhagia
ANS: D
Metrorrhagia is bleeding between periods. It can be caused by progestin injections and
implants. Oligomenorrhea is infrequent or scanty menstruation. Menorrhagia is excessive
menstruation. Leiomyoma is a common cause of excessive bleeding.
DIF: Cognitive Level: Knowledge REF: p. 114 OBJ: Nursing Process: Diagnosis
14. What should the nurse be aware of with regard to abnormal uterine bleeding (AUB)?
a. Inherited blood disorders may be a cause of AUB.
b. It most often occurs in middle age.
c. Acute bleeding episodes require a dilation and curettage.
d. The most effective medical treatment involves steroids.
ANS: A
Inherited bleeding disorders may be an underlying cause of abnormal uterine bleeding, with
von Willebrand’s disease present in the majority of cases, and should be considered when
other causes cannot be determined. AUB can occur at any age. Acute bleeding episodes do not
automatically require a dilation and curettage. The most effective medical treatment is oral or
intravenous estrogen, not steroids.
DIF: Cognitive Level: Knowledge REF: p. 114 OBJ: Nursing Process: Diagnosis
15. Management of primary dysmenorrhea often requires a multifaceted approach. What is the
optimal pharmacological therapy for pain relief for dysmenorrhea?
a. Acetaminophen
b. Oral contraceptives (OCPs)
c. Nonsteroidal anti-inflammatory drugs (NSAIDs)
d. Aspirin
ANS: C
This pharmacological agent has the strongest research results for pain relief. Often if one
NSAID is not effective, another one will provide relief. Approximately 80% of women find
relief from these prostaglandin inhibitors. Preparations containing acetaminophen are less
effective for dysmenorrhea because they lack the antiprostaglandin properties of NSAIDs.
OCPs are a reasonable choice for women who also want birth control. The benefit of OCPs is
the reduction of menstrual flow and irregularities. OCPs may be contraindicated for some
women and have a number of potential adverse effects. NSAIDs are the drug of choice. If a
woman is taking an NSAID, she should avoid taking aspirin.
DIF: Cognitive Level: Application REF: pp. 109-110 OBJ: Nursing Process: Planning
16. What are the two primary areas of risk for sexually transmitted infections (STIs)?
a. Sexual orientation and socioeconomic status
b. Age and educational level
c. Large number of sexual partners and race
d. Risky sexual behaviours and inadequate preventive health behaviours
ANS: D
Risky sexual behaviours and inadequate preventive health behaviours put a person at risk for
acquiring or transmitting an STI. Low socioeconomic status may be a factor in being less able
to purchase barrier protection, and sexual orientation does not put one at higher risk. Younger
individuals with less education may not be aware of proper prevention techniques: however,
these are not the primary areas of risk for STIs. Having a large number of sexual partners is
certainly a risk-taking behaviour. Being of a certain race does not increase the risk for STIs.
17. When evaluating a patient for sexually transmitted infections (STIs), the nurse should be
aware that which STI is on the rise in Canada?
a. Chancroid
b. Candidiasis
c. Chlamydia
d. Herpes simplex virus (HSV) type 2
ANS: C
Chlamydia is the one of the three STIs on the rise in Canada; the other two are gonorrhea and
syphilis. Candidiasis is caused by a fungus, not by bacteria. Chancroid is not on the rise in
Canada. HSV type 2 is common in women; however, it is not cited as one of the three STIs
that are on the increase in Canada.
18. What is the viral sexually transmitted infection (STI) that affects most people in Canada
today?
a. Herpes simplex virus type 2 (HSV-2)
b. Human papillomavirus (HPV)
c. Human immunodeficiency virus (HIV)
d. Cytomegalovirus (CMV)
ANS: B
HPV infection, an STI, is the most prevalent viral STI seen in ambulatory health care settings.
HSV-2, HIV, and CMV are all viral STIs, but are not the most prevalent viral STI.
19. Which medication does the Public Health Agency of Canada recommend for the treatment of
patients with human papillomavirus (HPV)?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Penicillin given intramuscularly (IM) for two doses
d. Metronidazole by mouth
Another random document with
no related content on Scribd:
The Project Gutenberg eBook of The Builder, No.
1, December 31, 1842
This ebook is for the use of anyone anywhere in the United States and
most other parts of the world at no cost and with almost no restrictions
whatsoever. You may copy it, give it away or re-use it under the terms
of the Project Gutenberg License included with this ebook or online at
www.gutenberg.org. If you are not located in the United States, you
will have to check the laws of the country where you are located
before using this eBook.
Author: Various
Language: English
Credits: Charlene Taylor, David Garcia, Jon Ingram and the Online
Distributed Proofreading Team at https://www.pgdp.net (This
file was produced from images generously made available by
The Internet Library of Early Journals. Noted on site that this
resource is no longer available.)
THE BUILDER.
PRECURSOR NUMBER.
THIRD IMPRESSION OF FIVE THOUSAND.