Chapter 6 Maternity and Pediatric Nursing 2nd Edition

Chapter 6  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is developing the discharge plan for a woman who has had a left-sided modified radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which suggestion would most likely increase the woman’s symptoms?
A)
“Wear gloves when you are doing any gardening.”
B)
“Have your blood pressure taken in your right arm.”
C)
“Wear clothing with elasticized sleeves.”
D)
“Avoid driving to and from work every day.”

2.
A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the client’s right arm. Which action by the nurse would be most appropriate?
A)
Assist in holding the client’s arm still.
B)
Suggest a finger stick be done on one of the client’s left fingers.
C)
Tell the technician to obtain the blood sample from the client’s left arm.
D)
Call the surgeon to perform a femoral puncture.

3.
The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated what from her diet?
A)
Caffeine
B)
Cigarettes
C)
Dairy products
D)
Sweets

4.
When assessing a client with suspected breast cancer, which of the following would the nurse expect to find?
A)
Painful lump
B)
Absence of dimpling
C)
Regularly shaped mass
D)
Nipple retraction

5.
A woman who has undergone a right modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate at this time?
A)
Ask the client how she feels about having her breast removed.
B)
Attach a sign above her bed to have BP, IV lines, and lab work in her right arm.
C)
Encourage her to turn, cough, and deep breathe at frequent intervals.
D)
Position her right arm below heart level.

6.
A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client’s preoperative plan of care as the priority?
A)
Risk for deficient fluid volume
B)
Activity intolerance
C)
Disturbed body image
D)
Impaired urinary elimination

Answer Key

1.
C
2.
B
3.
A
4.
D
5.
C
6.
C