Chapter 5 Maternal and Child Health Nursing 7th Edition

Chapter 5  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
After an examination, a pregnant patient is diagnosed with a cystocele. How should the nurse explain this finding to the patient?
A)
A fold of peritoneum behind the uterus
B)
Pouching of the bladder into the vaginal wall
C)
A part of the rectum is pushing into the vaginal wall.
D)
Folds of peritoneum that cover the uterus front and back
Ans:
B

Feedback:

Pouching of the bladder into the vaginal wall is a cystocele. A fold of peritoneum behind the uterus is posterior ligament. A part of the rectum pushing into the vaginal wall is a rectocele. Folds of peritoneum that cover the uterus front and back are the broad ligaments.

2.
A pregnant patient is concerned about a sharp pain that is felt in the lower abdomen when making a quick move. What action should the nurse take to help this patient?
A)
Assess when the patient’s last bowel movement occurred.
B)
Explain that the sharp pain is tension on a uterine ligament.
C)
Notify the physician because of manifestations of appendicitis.
D)
Instruct that the pain is a pulled muscle and a heating pad will help.
Ans:
B

Feedback:

If a pregnant woman moves quickly, she may pull one of the round or broad ligaments causing a quick, sharp pain of frightening intensity in one of the lower abdominal quadrants. This pain is not associated with bowel function. Pain of this type calls for conscientious assessment or it can be mistaken for labor or appendicitis pain. This pain is not because of a pulled muscle and application of heat is not indicated.

3.
After an assessment, a pregnant patient asks the nurse questions about her changing uterus and body. Which nursing diagnosis would be appropriate for the patient at this time?
A)
Anxiety related to being pregnant
B)
Ineffective coping related to being pregnant
C)
Health-seeking behaviors related to reproductive functioning
D)
Disturbance in body image related to body changes with pregnancy
Ans:
C

Feedback:

The patient is asking questions related to reproductive functioning which indicates health-seeking behaviors. The patient’s questions do not indicate that the patient is experiencing anxiety, ineffective coping, or a disturbance in body image.

4.
The nurse is planning expected outcomes for a female patient who will be celebrating her 40th birthday in a few months. Which outcome would be appropriate for this patient?
A)
Patient will follow safer sex practices.
B)
Patient will explain the process of reproduction.
C)
Patient will perform breast self-examination every 2 months.
D)
Patient will schedule a mammogram shortly after 40th birthday.
Ans:
D

Feedback:

To help patients better understand reproductive functioning and sexual health throughout their life, an expected outcome might include encouraging women over 40 to have mammograms. The process of reproduction would be appropriate for younger patients. Teaching on safer sex practices would be appropriate for an adolescent. Breast self-examinations should be conducted every month.

5.
A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications of this finding, what should the nurse include?
A)
This finding indicates the need for surgery.
B)
This finding will render the patient infertile.
C)
This finding should not cause fertility issues.
D)
This finding could interfere with conception.
Ans:
C

Feedback:

A retroverted uterus means the uterus tips back. Minor variations of these positions do not tend to cause reproductive problems. A retroverted uterus does not mean that the patient needs surgery. A retroverted uterus does not interfere with fertility. The only way that a retroverted uterus will interfere with conception is if the abnormal position is extreme because the sharp bend can block the deposition or migration of sperm.