Olds’ Maternal Newborn Nursing & Women’s Health Across the Lifespan 8th Edition by Michele C. Davidson – Test Bank

Complete Test Bank With Answers

 

 

 

Sample Questions Posted Below

 

 

 

 

 

Chapter 5        Women’s Health: Family Planning     

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

 

1)

 

The nurse is discussing the use of contraception with a client. Which factors should the nurse include when educating the client on contraceptive methods? (Select all that apply.)

 

1. A)

 

Partner’s belief in the effectiveness of the choice

 

1. B)

 

Contraindications in the client’s health history

 

1. C)

 

Future pregnancy plans

 

1. D)

 

Religious or moral beliefs

 

1. E)

 

Personal motivation to use method

 

Answer:

 

B, C, D, E

 

 

 

 

 

2)

 

The client asks the nurse how the cervical mucus method of contraception differs from the calendar (rhythm) method. The nurse’s best response is, “The cervical mucus method:

 

1. A)

 

Provides an increased awareness of the body.”

 

1. B)

 

Requires no artificial substances or devices.”

 

1. C)

 

Is more effective for women with irregular cycles.”

 

1. D)

 

Is free, safe, and acceptable to women of many religions.”

 

Answer:

 

C

 

 

 

 

 

3)

 

The nurse is planning an educational session about contraception. What is the most significant factor in choosing a specific method of contraception in order to avoid pregnancy?

 

1. A)

 

Ease of use

 

1. B)

 

Absolute reliability

 

1. C)

 

Consistency of use

 

1. D)

 

Cost

 

Answer:

 

C

 

 

 

 

 

4)

 

A client asks, “Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?” What would be the best reply by the nurse?

 

1. A)

 

“Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred.”

 

1. B)

 

“Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur.”

 

1. C)

 

“This is an unscientific and unproven method of determining ovulation and is not recognized as a means of birth control.”

 

1. D)

 

“Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation.”

 

Answer:

 

B

 

 

 

 

 

5)

 

A client wants to use the vaginal sponge as a method of contraception. Which of the following statements indicate that she will need further instruction? “I need to: (Select all that apply.)

 

1. A)

 

Add spermicidal cream prior to intercourse.”

 

1. B)

 

Moisten it with water prior to use.”

 

1. C)

 

Use the sponge on my most fertile days.”

 

1. D)

 

Leave it in no longer than six hours.”

 

1. E)

 

Use a lubricant prior to insertion.”

 

Answer:

 

A, C, D, E

 

 

 

 

 

6)

 

When teaching a woman about use of the diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size:

 

1. A)

 

After each pregnancy.

 

1. B)

 

Only after significant weight loss.

 

1. C)

 

When weight gain or loss beyond five pounds has occurred.

 

1. D)

 

Every five years routinely.

 

Answer:

 

A

 

 

 

 

 

7)

 

Instructions concerning the use of a diaphragm should include that it is an excellent method of contraception, provided that the woman:

 

1. A)

 

Does not use any spermicidal creams or jellies with it.

 

1. B)

 

Inserts it at least two hours prior to intercourse.

 

1. C)

 

Removes it promptly following intercourse and then douches.

 

1. D)

 

Leaves it in place for six hours following intercourse.

 

Answer:

 

D

 

 

 

 

 

8)

 

The nurse at the family planning clinic has done some teaching on oral contraceptives in the waiting room. The nurse knows that the teaching has been effective when one of the clients responds:

 

1. A)

 

“I can take ‘the pill’, even though I smoke heavily.”

 

1. B)

 

“I can’t take ‘the pill’ if I’m over 30.”

 

1. C)

 

“I can’t take ‘the pill’ if I have gallbladder disease.”

 

1. D)

 

“My periods will become slightly heavier when I take ‘the pill’.”

 

Answer:

 

C

 

 

 

 

 

9)

 

The nurse has taught a client about combined oral contraceptive use. Additional teaching is required if the client makes which statement? “Taking combined oral contraceptives will give me a:

 

1. A)

 

Higher risk for uterine cancer.”

 

1. B)

 

Higher risk for cervical cancer.”

 

1. C)

 

Lower risk for breast cancer.”

 

1. D)

 

Lower risk for ovarian cancer.”

 

Answer:

 

D

 

 

 

 

 

10)

 

The client is 36 years old, weighs 250 pounds, is monogamous, does not smoke, and desires birth control. In preparing an educational session for this client, the nurse understands that which of the following methods is inappropriate for this client?

 

1. A)

 

Combined oral contraceptives

 

1. B)

 

Vaginal sponge

 

1. C)

 

Intrauterine device

 

1. D)

 

Transdermal hormonal contraception

 

Answer:

 

D

 

 

 

 

 

11)

 

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports:

 

1. A)

 

Unprotected intercourse during her menses.

 

1. B)

 

Increased dysmenorrhea since IUD insertion.

 

1. C)

 

That a condom broke yesterday in the middle of her cycle.

 

1. D)

 

Forgetting to start her pill pack yesterday.

 

Answer:

 

C

 

 

 

 

 

12)

 

The nurse is planning a group education session on the IUD. The nurse understands that the IUD is contraindicated for a woman:

 

1. A)

 

With three children and who is monogamous.

 

1. B)

 

Desiring another child in four years.

 

1. C)

 

Who has smoked heavily for several years.

 

1. D)

 

Without children and has two sex partners.

 

Answer:

 

D

 

 

 

 

 

13)

 

A couple asks the nurse what would be the safest method of sterilization. The nurse should reply, “Generally, the safest surgical method of permanent sterilization would be a:

 

1. A)

 

Laparotomy tubal ligation.”

 

1. B)

 

Vasectomy.”

 

1. C)

 

Laparoscopy tubal ligation.”

 

1. D)

 

Minilaparotomy.”

 

Answer:

 

B

 

 

 

 

 

14)

 

The client is using oral contraceptives. She tells the nurse that her family is complete, and that she now desires permanent contraception. Which statement should the nurse include in teaching this client about sterilization options?

 

1. A)

 

“Essure becomes effective three months after insertion.”

 

1. B)

 

“Oral contraception should be taken until menopause.”

 

1. C)

 

“Vasectomy is effective immediately after the procedure.”

 

1. D)

 

“Tubal ligation is not advised until the client is age 35.”

 

Answer:

 

A

 

 

 

 

 

15)

 

The client reports that she was raped three weeks ago, and now her menses is a week late. The client is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?

 

1. A)

 

“Abortion is morally wrong and should not be undertaken.”

 

1. B)

 

“Both medical and surgical abortions are 100% effective.”

 

1. C)

 

“Surgical abortion can result in uterine perforation.”

 

1. D)

 

“You are too late to have a medical abortion.”

 

Answer:

 

C

 

 

 

 

 

1)

 

B, C, D, E

 

 

 

2)

 

C

 

 

 

3)

 

C

 

 

 

4)

 

B

 

 

 

5)

 

A, C, D, E

 

 

 

6)

 

A

 

 

 

7)

 

D

 

 

 

8)

 

C

 

 

 

9)

 

D

 

 

 

10)

 

D

 

 

 

11)

 

C

 

 

 

12)

 

D

 

 

 

13)

 

B

 

 

 

14)

 

A

 

 

 

15)

 

C

 

 

 

Chapter 25        Pain Management During Labor     

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

 

1)

 

A client has just been admitted to the labor and delivery unit. She is having mild contractions every 15 minutes that last 30 seconds. The client wants to have a medication-free birth. When discussing alternatives to medication use, the nurse should be sure the client understands that:

 

1. A)

 

Maternal pain and stress can have a more adverse effect on the fetus than a small amount of analgesia.

 

1. B)

 

In order to respect her wishes, the nurse will make certain that no medication will be given.

 

1. C)

 

The use of pain relief will allow the client to have a more enjoyable birth experience.

 

1. D)

 

The use of medications can allow the client and her partner to rest and be less fatigued for the birth.

 

Answer:

 

A

 

 

 

 

 

2)

 

The laboring client rates her pain with contractions at 10 out of 10. The nurse administers an analgesic medication intravenously to the client. The nurse would evaluate the medication as effective if the:

 

1. A)

 

Contractions decrease in frequency.

 

1. B)

 

Client dozes between contractions.

 

1. C)

 

The client rates the pain during contractions at a 9.

 

1. D)

 

Contractions decrease in intensity.

 

Answer:

 

B

 

 

 

 

 

3)

 

After receiving nalbuphine hydrochloride (Nubain), a client’s labor progresses rapidly and the baby is born less than one hour later. Which medication should the nurse have prepared to give to the newborn in case the baby exhibits signs of respiratory depression?

 

1. A)

 

Pentobarbital (Nembutal)

 

1. B)

 

Naloxone (Narcan)

 

1. C)

 

Butorphanol tartrate (Stadol)

 

1. D)

 

Fentanyl (Sublimaze)

 

Answer:

 

B

 

 

 

 

 

4)

 

A primigravida who is dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within ten minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52. A bolus of IV fluids she has been given. Which medication should the nurse be prepared to administer to increase her blood pressure?

 

1. A)

 

Diphenhydramine (Benoject)

 

1. B)

 

Epinephrine Injection, USP 1:10,000 (0.1 mg/mL) 

 

1. C)

 

Terbutaline (Bricanyl)

 

1. D)

 

Ephedrine (Ephedra)

 

Answer:

 

B

 

 

 

 

 

5)

 

A client received an epidural anesthesia during the first stage of her labor. The epidural is discontinued immediately after delivery. The nurse should be prepared to assess the client for which of the following during the fourth stage of labor?

 

1. A)

 

Uterine atony

 

1. B)

 

Bladder distention

 

1. C)

 

Nausea

 

1. D)

 

Hypertension

 

Answer:

 

B

 

 

 

 

 

6)

 

The nurse is working with a client in active labor. The client has requested an epidural for analgesia. Which of the following nursing actions should the nurse be prepared to implement to prevent or detect common side effects of epidural anesthesia?

 

1. A)

 

Preload the client with a rapid infusion of IV fluids.

 

1. B)

 

Warm the room temperature slightly.

 

1. C)

 

Use intermittent fetal heart rate monitoring so the client can use the birthing ball.

 

1. D)

 

Place an intrauterine pressure catheter.

 

Answer:

 

A

 

 

 

 

 

7)

 

The client in active labor is requesting pain relief. The physician orders an epidural anesthetic for the client. Which of the following actions should the nurse be prepared to make immediately after administration of the epidural? The nurse should assess:

 

1. A)

 

The maternal pulse rate.

 

1. B)

 

For headache.

 

1. C)

 

For urinary retention.

 

1. D)

 

The blood pressure.

 

Answer:

 

D

 

 

 

 

 

8)

 

A laboring client has received an order for epidural anesthesia. In order to prevent the most common complication associated with this procedure, the nurse would expect to do which of the following?

 

1. A)

 

Observe fetal heart rate variability.

 

1. B)

 

Place the client in the semi-Fowler’s position.

 

1. C)

 

Rapidly infuse 500-1000 ml of intravenous fluids.

 

1. D)

 

Teach the client appropriate breathing techniques.

 

Answer:

 

C

 

 

 

 

 

9)

 

The laboring client requests pain medication. Her contractions last 20-30 seconds and occur every 8-20 minutes. The nurse should explain that analgesics given at this time would likely cause:

 

1. A)

 

Prolonged labor.

 

1. B)

 

Decreased analgesic effectiveness at the end of labor.

 

1. C)

 

Maternal hypotension.

 

1. D)

 

Fetal respiratory depression.

 

Answer:

 

A

 

 

 

 

 

10)

 

The nurse is providing preoperative teaching for a client who has a cesarean birth under general anesthesia scheduled for the next day. Which statement indicates that the client requires additional information? “General anesthesia:

 

1. A)

 

Usually involves giving medication into my IV.”

 

1. B)

 

Can be accomplished with inhaled gases.”

 

1. C)

 

Takes effect faster than an epidural.”

 

1. D)

 

Will provide good pain relief after the birth.”

 

Answer:

 

D

 

 

 

 

 

11)

 

A cesarean section is ordered for the laboring client the nurse has worked with all shift. The client will receive general anesthesia. The nurse knows education has been successful if the client lists which of the following as potential complications of general anesthesia? (Select all that apply.)

 

1. A)

 

Increased gastric motility that causes increased appetite

 

1. B)

 

Fetal depression that is directly proportional to the depth and duration of the anesthesia

 

1. C)

 

Uterine relaxation that causes increased blood loss

 

1. D)

 

Poor fetal metabolism of anesthesia which inhibits use with preterm infants

 

1. E)

 

Itching of the face and neck

 

Answer:

 

B, C, D

 

 

 

 

 

12)

 

The client with a normal pregnancy had an emergency cesarean birth under general anesthesia two hours ago. The client now has a respiratory rate of 30, has pale blue nail beds, a pulse rate of 110, a temperature of 102.6° F, and is complaining of chest pain. The nurse understands that the client is most likely experiencing:

 

1. A)

 

Pulmonary embolus.

 

1. B)

 

Pneumococcal pneumonia.

 

1. C)

 

Gastroesophageal reflux disease.

 

1. D)

 

Pneumonitis.

 

Answer:

 

D

 

 

 

 

 

13)

 

The nurse is inducing the labor of a client with severe preeclampsia. As labor progresses, fetal intolerance of labor develops. The induction medication is turned off, and the client is prepared for cesarean birth. Which statement should the nurse include in her preoperative teaching? “Because of your preeclampsia:

 

1. A)

 

You may develop hypertension after a spinal anesthesia.”

 

1. B)

 

You are at higher risk for hypotension after an epidural anesthesia.”

 

1. C)

 

Your husband will not be allowed into the operating room.”

 

1. D)

 

Your baby might have decreased blood pressure after birth.”

 

Answer:

 

B

 

 

 

 

 

14)

 

The nurse is working with a laboring client who has requested an epidural for analgesia. Prior to administration of the lumbar epidural anesthesia, the nurse should anticipate placing the client in which of the following positions? (Select all that apply.)

 

1. A)

 

Supine on the side of the bed

 

1. B)

 

Sitting on the edge of the bed with her back slightly curved and her feet on a stool

 

1. C)

 

Lying prone with a pillow under her chest

 

1. D)

 

On her left side with the bottom leg straight and the top leg slightly flexed

 

1. E)

 

On her right side in the center of the bed, curled in a fetal position

 

Answer:

 

B, E

 

 

 

 

 

15)

 

The nurse is caring for a laboring client with thrombocytopenia. During labor, it is determined that the client requires a cesarean delivery. The nurse is preparing the client for surgery, and is performing preoperative teaching. The nurse should instruct the client that which method of anesthesia is recommended?

 

1. A)

 

Regional anesthesia

 

1. B)

 

General anesthesia

 

1. C)

 

Spinal anesthesia

 

1. D)

 

Epidural anesthesia

 

Answer:

 

B

 

 

 

 

 

1)

 

A

 

 

 

2)

 

B

 

 

 

3)

 

B

 

 

 

4)

 

B

 

 

 

5)

 

B

 

 

 

6)

 

A

 

 

 

7)

 

D

 

 

 

8)

 

C

 

 

 

9)

 

A

 

 

 

10)

 

D

 

 

 

11)

 

B, C, D

 

 

 

12)

 

D

 

 

 

13)

 

B

 

 

 

14)

 

B, E

 

 

 

15)

 

B