Chapter 32 Women’s HealthCare

Chapter 32  Women’s HealthCare

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap

test?
a. Gloves and eye protectors
b. Speculum
c. Fixative agent
d. Lubricant

ANS: D
Lubricants interfere with the accuracy of the cytology report. Gloves and eye protectors,
speculum, and a fixative agent are all used during the exam.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 692 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity

2. 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 test.
d. DNA testing.

ANS: C
The Pap test is a microscopic examination for cancer that should be performed regularly,
depending on the patient’s age. Bimanual palpation is a physical examination of the vagina,.
rectovaginal palpation is a physical examination performed through the rectum, and DNA
testing for the various types of HPV that cause cervical cancer is now available. Samples are
collected in the same way as a Pap test.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 692 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity

3. The nurse providing care in a women’s health care setting must be aware that which

sexually transmitted disease (STD) can be cured?
a. Herpes
b. Acquired immunodeficiency syndrome (AIDS)
c. Venereal warts
d. Chlamydia

ANS: D

The usual treatment for chlamydia bacterial infection is doxycycline or azithromycin.
Concurrent treatment of all sexual partners is needed to prevent recurrence. Because no cure
is known for herpes, treatment focuses on pain relief and preventing secondary infections.
Because no cure is known for AIDS, prevention and early detection are the main focus.
Condylomata acuminata (venereal warts) is caused by the human papillomavirus. No
treatment eradicates the virus.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 712 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

4. Which statement by a woman diagnosed with premenstrual syndrome indicates that further

health teaching is needed?
a. “I may have to try some antidepressants.”
b. “I need to limit my intake of caffeine.”
c. “I might try taking some vitamin E.”
d. “Salty foods will not affect this condition.”

ANS: D
Eating salty foods contributes to edema and fluid retention and should be avoided as much
as possible. This statement indicates a lack of understanding. The other statements are all
accurate.

PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 703 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Physiologic Integrity

5. Which statement by the patient indicates that she understands breast self-examination?

a. “I will examine both breasts in two different positions.”
b. “I will perform breast self-examination 1 week after my menstrual period starts.”
c. “I will examine the outer upper area of the breast only.”
d. “I will use the palm of the hand to perform the examination.”

ANS: B
The woman should examine her breasts when hormonal influences are at a low level,
typically the week after her menses. Women who don’t menstruate should pick a date and
perform SBE on that date every month. She should use four positions: standing with arms at
her sides, standing with arms raised above her head, standing with hands pressed against
hips, and lying down. The entire breast needs to be examined, including the outer upper
area. She should use the sensitive pads of the middle three fingers.

PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 691 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance