Deck 2: Assessment and Health Promotion

Question 1

Prostaglandins are produced in most organs of the body, most notably the endometrium. Another/Other source(s) of prostaglandins is/are:

A) Ovaries.
B) Breast milk.
C) Menstrual blood.
D) The vagina.

Answer 1

Menstrual blood.

Question 2

Kegel exercises, or pelvic muscle exercises:

A) Were developed to control or reduce incontinent urine loss.
B) Are the best exercises for a pregnant woman because they are so pleasurable.
C) Help to manage stress.
D) Are ineffective without sufficient calcium in the diet.

Answer 2

Were developed to control or reduce incontinent urine loss.

Question 3

Concerning the use and abuse of legal drugs or substances, nurses should be aware that:

A) Although cigarette smoking causes a number of health problems, it has little direct effect on maternity-related health.
B) Women ages 21 to 34 have the highest rates of specific alcohol-related problems.
C) Coffee is a stimulant that can interrupt body functions and has been related to birth defects.
D) Prescription psychotherapeutic drugs taken by the mother do not affect the fetus; otherwise they would not have been prescribed.

Answer 3

Women ages 21 to 34 have the highest rates of specific alcohol-related problems.

Question 4

During a health history interview, a woman tells the nurse that her husband physically abuses her. The nurse's first response should be to:

A) Advise the woman of mandatory state reporting laws pertaining to abuse and confidentiality.
B) Reassure the woman that the abuse is not her fault.
C) Give the woman referrals to local agencies and shelters where she can obtain help.
D) Formulate an escape plan for the woman that she can use the next time her husband abuses her.

Question 5

Individual irregularities in the ovarian (menstrual) cycle are most often caused by:

A) Variations in the follicular (preovulatory) phase.
B) An intact hypothalamic-pituitary feedback mechanism.
C) A functioning corpus luteum.
D) A prolonged ischemic phase.

Question 6

Women with severe and persistent mental illness are likely to be more vulnerable to being involved in controlling and/or violent relationships. However, many women develop mental health problems as a result of long-term abuse. The psychologic consequences of continued abuse do not include:

A) Substance abuse.
B) Posttraumatic stress disorder (PTSD).
C) Eating disorders.
D) Bipolar disorder.

Question 7

One purpose of preconception care is to:

A) Ensure that pregnancy complications do not occur.
B) Identify women who should not become pregnant.
C) Encourage healthy lifestyles for families desiring pregnancy.
D) Ensure that women know about prenatal care.

Question 8

The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the:

A) Perineum.
B) Bony pelvis.
C) Vaginal vestibule.
D) Fourchette.

Question 9

Physiologically, sexual response can be characterized by:

A) Coitus, masturbation, and fantasy.
B) Myotonia and vasocongestion.
C) Erection and orgasm.
D) Excitement, plateau, and orgasm.

Question 10

During a health history interview, a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. The correct response would be to:

A) Reassure the woman that the examination will not reveal any problems.
B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.
C) Reassure the woman that "bumps" can be treated.
D) Reassure her that most women have "bumps" on their labia.

Question 11

A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurse's initial response should be to:

A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled.
B) Reassure the woman that using vaginal cream is not a problem for the examination.
C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
D) Ask the woman to reschedule the appointment for the examination.

Question 12

The two primary functions of the ovary are:

A) Normal female development and sex hormone release.
B) Ovulation and internal pelvic support.
C) Sexual response and ovulation.
D) Ovulation and hormone production.

Question 13

Before beginning the health history interview, the nurse should perform all actions except:

A) Smile and ask the patient whether she has any special concerns.
B) Speak in a relaxed manner with an even, nonjudgmental tone.
C) Make the patient comfortable.
D) Tell the patient her questions are irrelevant.

Question 14

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

A) Five to 7 days after menses ceases.
B) Day 1 of the endometrial cycle.
C) Midmenstrual cycle.
D) Any time during a shower or bath.

Question 15

During the past 20 years, the prevalence of obesity has increased dramatically in the United States, with one-third of women older than 20 years of age being obese. Body mass index is defined as the measure of an adult's weight in relation to his or her height. This is currently the most accurate measure of weight. It is an important part of the health screening process because obesity is closely associated with:

A) The non-Hispanic Caucasian population.
B) A large number of chronic conditions.
C) Mostly acute illnesses.
D) Improved mental well-being.

Question 16

As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, premature separation of the placenta, and stillbirth?

A) Heroin
B) Alcohol
C) PCP
D) Cocaine

Question 17

What opiate causes euphoria, relaxation, drowsiness, and detachment from reality and has possible effects on the pregnancy, including preeclampsia, intrauterine growth restriction, and premature rupture of membranes?

A) Heroin
B) Alcohol
C) PCP
D) Cocaine

Question 18

A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurse's best response is:

A) "Don't worry about it. I'm sure it's nothing."
B) "Wear a tight bra, and it should shrink."
C) "Many women have benign lumps and bumps in their breasts. However, to make sure that it's benign, you should come in for an examination by your physician."
D) "Check it again in 1 month and call me back if it's still there."

Question 19

Sexual assault is:

A) Limited to rape.
B) An act of force in which an unwanted and uncomfortable sexual act occurs.
C) A legal term for sexual violence.
D) An act of violence in which the partner is unknown.

Question 20

The transition phase during which ovarian function and hormone production decline is called:

A) The climacteric.
B) Menarche.
C) Menopause.
D) Puberty.

Question 21

While obtaining a detailed history from a woman who has recently emigrated from Somalia, the nurse recognizes that the woman has undergone female genital mutilation (FGM). The nurse's best response to this woman is:

A) "This is a very abnormal practice and rarely seen in the United States."
B) "Do you know who performed this so that it can be reported to the authorities?"
C) "We will be able to fully restore your circumcision after delivery."
D) "The extent of your circumcision will affect the potential for complications."

Question 22

A fully matured endometrium that resembles the thickness of heavy, soft velvet describes the _____ phase of the endometrial cycle.

A) Menstrual
B) Proliferative
C) Secretory
D) Ischemic

Question 23

The nurse who is evaluating the woman for potential abuse should be aware that intimate partner violence includes (choose all that apply):

A) Physical abuse.
B) Sexual abuse.
C) Emotional abuse.
D) Psychologic abuse.
E) Economic abuse.
F) None of the above

Question 24

The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called:

A) Bimanual palpation.
B) Rectovaginal palpation.
C) A Papanicolaou (Pap) test.
D) The four As procedure.