Chapter 46 Assessment and Management of Female Physiologic Processes

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Chapter 46  Assessment and Management of Female Physiologic Processes

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?
A) Estrogen
B) Progesterone
C) Androgens
D) Follicle-stimulating hormone

Ans: A
Chapter: 46
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 1
Page and Header: 1399, Anatomic and Physiologic Overview

Feedback: Progesterone is the most important hormone for conditioning the endometrium in preparation for implantation of the fertilized ovum. Estrogens are responsible for developing and

maintaining the female reproductive organs. Androgens, secreted by the ovaries in small amounts, are involved in the early development of the follicle and affect the female libido. Follicle-stimulating hormone is responsible for stimulating the ovaries to secrete estrogen.

2. You are taking sexual history on an adolescent who has come into the free clinic. What question best demonstrates an appropriate nursing approach to effective assessment of the patient’s need for further information?
A) “Are you involved in an intimate relationship at this time?”

B) “How many sexual partners have you had?”
C) “What questions or concerns do you have about your sexual health?” D) “Have you ever been diagnosed with a sexually transmitted disease?”

Ans: C
Chapter: 46
Client Needs: D-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation Objective: 2
Page and Header: 1402, Assessment

Feedback: An open-ended question related to the patient’s need for further information should be included while obtaining a sexual history. Options A, B, and D are not open-ended questions.

3. The nurse is being trained to perform assessment screenings for abuse on patients who come into the walk-in clinic where the nurse works. What should this nurse be taught is the most effective question for the nurse to ask the patient when doing the assessment?
A) Does your husband threaten to hit you?

B) Have you ever been forced into sexual activity?
C) Do you make your husband angry?
D) Is this the first time anyone has threatened to hit, slap, kick, or otherwise physically harm you?

Ans: B
Chapter: 46
Client Needs: A-2
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3

Page and Header: 1403, Assessment

Feedback: Asking about abuse directly is effective in identifying the presence of abuse and should be included in the health history of all women. Options A and D are asking about threats, they are not asking directly if violence has taken place. Option C is irrelevant; in most marriages spouses make each other angry.

4. A female patient is complaining of vaginal spotting and sharp colicky pain. She informs the nurse that her period is 2 weeks late. The patient should be investigated for which of the following?
A) Trichomonas vaginalis

B) Ectopic pregnancy C) Cervical cancer D) Yeast infection

Ans: B
Chapter: 46
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation Objective: 11
Page and Header: 1432, Ectopic Pregnancy

Feedback: Clinical symptoms of an ectopic pregnancy include delay in menstruation of 1 to 2 weeks, vaginal spotting, and sharp colicky pain. Trichomonas vaginalis causes a vaginal infection. The symptoms described in the scenario are not symptoms of cervical cancer or a yeast infection.

5. A female patient has come into the OB/GYN clinic for a routine check-up. The patient is disabled and is unable to be positioned in the supine lithotomy position for her Pap smear. What is an alternative position that the patient may be placed in to obtain the smear effectively?
A) Prone lithotomy position
B) Sims’ on the left side
C) Dorsal with both legs bent at a 90-degree angle
D) Sims’ position on her left side with the right leg bent at a 90-degree angle

Ans: D
Chapter: 46 Client Needs: D-1

Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 4

Page and Header: 1406, Assessment

Feedback: If the patient is too ill, disabled, or neurologically impaired to lie on a table with stirrups, Sims’ position may be used. In Sims’ position, the patient lies on her left side with her right leg bent at a 90-degree angle. Options A, B, and C would be inappropriate positions to place this patient in.

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