(Test Bank) Maternity Newborn and Womens Health Nursing

Mandeville,O'Meara, 2

Nursing

Test Bank

2nd Edition

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Test Bank for Maternity Newborn and Womens Health Nursing, The downloadable file consists of 186 pages, and the total size of the file is 1.02 MB. Purchase now only for highly discounted price.

Author(s): Mandeville, O'Meara

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Study Note Preview

Maternity Final Exam Test – Bank 1 Chapter 01: Perspectives on Maternal, Newborn, and Women’s Health Care 1. A woman in labor is to receive continuous internal electronic fetal monitoring. The doctor reviews the woman's medical record to ensure which of the following as being required? A)Intact membranes B) Cervical dilation of 2 cm or more C) Floating presenting fetal part D)A neonatologist to insert the electrode Feedback: For continuous internal electronic fetal monitoring, four criteria must be met: ruptured membranes, cervical dilation of at least 2 cm, fetal presenting part low enough to allow placement of the electrode, and a skilled practitioner available to insert the electrode. 2. UNTILL assessing fetal heart rate, the doctor finds a heart rate of 175 bpm, accompani ed by a decrease in variability and late decelerations. Which of the following would the doctor do next? A)Have the woman change her position. B) Administer oxygen. C) Notify the hospital provider. D)Continue to monitor the pattern every 15 minutes. Feedback: Fetal tachycardia as evidenced by a fetal heart rate greater than 160 bpm accompanied by a decrease in variability and late decelerations is an ominous sign indicating the need for prompt intervention. The hospital provider should be notified immediately a nd then measures should be instituted such as having the woman lie on her side and administering oxygen. In this instance, monitoring should be continuous to detect any further changes and evaluate the effectiveness of interventions. 10.A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the doctor to suspect that the woman needs additional tinstructing? A) The warmth and buoyancy of the water has a nice relaxing effect. B) I can stay in the bath for as long as I feel comfortable. C) My cervix should be dilated more than 5 cm before I try using this method. D) The temperature of the water should be at least 105 F. Feedback: Hydrotherapy is an effective pain relief method. The water temperature should not exceed body temperature. Therefore, a temperature of 105° F would be too warm. The warmth and buoyancy have a relaxing effect and women are encouraged to stay in the bath as long as they feel comfortable. The woman should be in active labor with cervical dilation greater than 5 cm. 11.A woman in labor received an opioid close to the time of birth. The doctor would assess the newborn for which of the following? A) Respiratory depression B) Urinary retention C) Abdominal distention D) Hyperreflexi a Feedback: Opioids given close to the time of birth can cause central nervous system depression, including respiratory depression, in the newborn, necessitating the administration of naloxone. Urinary retention may occur in the woman who received neuraxial opioids. Abdominal distention is not associated with opioid administration. Hyporeflexia would be more commonly associated with central nervous system depression due to opioids. 12. UNTILL applying the ultrasound transducers for continuous external electronic fetal monitoring, at which location would the doctor place the transducer to record the FHR? A) Over the uterine fundus where contractions are most intense B) Above the umbilicus toward the right side of the diaphragm C) Between the umbilicus and the symphysis pubis D) Between the xiphoid process and umbilicus Feedback: The ultrasound transducer is positioned on the maternal abdomen in the midline between the umbilicus and the symphysis pubis. The tocotransducer is placed over the uterine fundus in the area of greatest c ontractility. 13. After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional tinstructing? A) This type of monitoring is the most accurate method for our baby. B) Unfortunately, I'm going to have to stay quite still in bed while it is in place. C) This type of monitoring can only be used after my membranes rupture. D) Youll be inserting a special electrode into my babys scalp. Feedback: With continuous internal electronic monitoring, maternal position changes and movement do not interfere with the quality of the tracing. Continuous internal monitoring is considered the most accurate method, but it can be used only if certain criteria are met, such as rupture of membranes. A spiral electrode is inserted into the fetal presenting part, usually the head. 14. UNTILL planning the care of a woman in the active phase of labor, the doctor would anticipate assessing the fetal heart rate at which interval? A) Every 2 to 4 hours B) Every 45 to 60 minutes C) Every 15 to 30 minutes D) Every 10 to 15 minutes Feedback: During the active phase of labor, FHR is monitored every 15 to 30 minutes. FHR is assessed every 30 to 60 minutes during t he latent phase of labor. The woman's temperature is typically assessed every 4 hours during the first stage of labor and every 2 hours after ruptured membranes. Blood pressure, pulse, and respirations are assessed every hour during the latent phase and ev ery 30 minutes during the active and transition phases. Contractions are assessed every 30 to 60 minutes 1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. UNTILL developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequat e prenatal care C) Providing more extensive women's shelters D)Encouraging all women to eat a balanced diet 2. UNTILL integrating the principles of family -centered care, the doctor would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions 3. UNTILL preparing a tinstructing plan for a group of first -time pregnant women, the doctor expects to review how maternity care has changed over the years. Which of the following would the doctor include UNTILL discussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free -standing birth centers 4. After tinstructing a group of people about pregnancy -related mortality, the instructor determines that additional tinstructing is needed UNTILL the people identify which condition as a leading cause? A)Hemorrhage B) Embolism C) Obstructed labor D)Infection 5. The doctor is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabete s D)Cancer 6. UNTILL assessing a family for possible barriers to hospital, the doctor would consider which factor to be most important? A) Language B) Hospital workers attitudes C) Transportation D) Finances 7. After tinstructing a group of nursing people about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A) Performing a procedure on a 15-year -old without cons ent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D) Getting verbal consent over the phone for emergency procedures 8. The doctor is trying to get consent to care for an 11-year -old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A) Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the childs aunt or uncle to obtain their consent D)Advocating for termination of parental rights for this situation 9. After tinstructing nursing people about the basic concepts of family -centered care, the instructor determines that the tinstruc ting was successful UNTILL the people state which of the following? A)Childbirth affects the entire family, and relationships will change. B) Families are not capable of making hospital decisions for themselves. C) Mothers are the family members affected by childbirth. D)Childbirth is a medical procedure. 10.A nursing instructor is preparing a class discussion on the trends in hospital and hospital delivery over the past several centuries. UNTILL discussing the changes during the past century, which of the following would the instructor be least likely to include? A) Disease prevention B) Health promotion C) Wellness D) Analysis of morbidity and mortality 11.A doctor is assigned to care for an Asian American client. The doctor develops a plan of care with the understan ding that based on this patients cultural background, the client most likely views illness as which of the following? A) Caused by supernatural forces. B) A punishment for sins. C) Due to spirits or demons. D) From an imbalance of yin and yang 12.A doctor is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the doctor to incorporate into that plan? A) Adhering to strict, specific routines B) Involving a pediatric physician C) Educating the client about the importance of a support person D) Assigning several doctors as a support team 13.A nursing instructor is preparing a class discussion on case management in maternal and newborn hospital. Which of the following would the instructor include as a key component? Select all that apply. A) Advocacy B) Coordination C) Communication D) Resource management E) Event managed care 14.After tinstructing a group of people about the concept of maternal mortality, the instructor determines that additional tinstructing is needed UNTILL the people state which of the following? A) The rate includes accidental causes for deaths. B) It addresses pregnancy -related causes. C) The duration of the pregnancy is not a concern. D) The time frame is typically for a specified year. 15.A group of people are reviewing the historical aspects about childbirth. The people demonstrate understanding of the information UNTILL they identify the use of twilight sleep as a key event during which time frame? A) 1700s B) 1800s C) 1900s D) 2000s 16.A doctor is providing care to a woman who has just delivered a healthy newborn. Which action wou ld least likely demonstrate application of the concept of family -centered care? A) Focusing on the birth as a normal healthy event for the family B) Creating opportunities for the family to make informed decisions C) Encouraging the woman to keep her other children at home D) Fostering a sense of respect for the mother and the family 17.UNTILL discussing fetal mortality with a group of people, a doctor addresses maternal factors. Which of the following would the doctor most likely include? Select all that apply. A) Chromosomal abnormalities B) Malnutrition C) Preterm cervical dilation D) Underlying disease condition E) Poor placental attachment 18.A doctor is preparing a presentation for a local community group about health status and children health. Which of the foll owing would the doctor include as one of the most significant measures? A) Fetal mortality rate B) Neonatal mortality rate C) Infant mortality rate D) Maternal mortality rate 19.A group of people are reviewing an article describing information related to indicators for women's health and the results of a national study. Which of the following would the people identify as being satisfactory for women? Select all that apply. A) Smoking cessation B) Colorectal cancer screening C) Violence against women D) Health insurance coverage E) Mammograms 20.A doctor is preparing a presentation for a local women's group about heart disease and women. Which of the following would the doctor expect to address UNTILL discussing measures to promote health. A) Women have similar symptoms as men for a heart attack. B) Heart disease is no longer viewed as a man's disease. C) Women experiencing a heart attack are at greater risk for dying. D) Heart attacks in women are more easily diagnosed. 21.A doctor is working to develop a health education program for a loc al community to address breast cancer awareness. Which of the following would the doctor expect to include UNTILL describing this problem to the group? Select all that apply. A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. C) Survival at any stage is worse among white women. D) Women living in South America have the highest rates of breast cancer. E) Breast cancer is the leading cause of cancer mortality in women. 22.A group of nursing people are reviewing information about factors affecting maternal, newborn, and women's health. The people demonstrate understanding of the information UNTILL they identify which of the following deficiencies as being associat ed with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills Chapter 02: Family -Centered Community -Based Care 1. The doctor is caring for a 2-week -old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family -centered care? A)Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D)Showing respect for the familys beliefs and wishes 2. The doctor is providing home care for a 6-year -old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A)Arranging for a physical therapy session B) Tinstructing parents to administer albuterol C) Reminding parent to give a full course of antibiotics D)Giving a DTaP vaccination at the proper interval 3. A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study UNTILL the doctor identifies which of the following as a reason? A) Serves as a communication tool for the interdisciplinary team. B) Demonstrates education the family has received if legal matters arise. C) Permits others access to allow refusal of medical insurance coverage. D) Verifies meeting client education standards set by the Joint Commission. 4. A pregnant client tells her doctor that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A) I like having the privacy, but it might be too expensive for me to set up in my home. B) I want to have more control, but I am concerned if an emergency would arise. C) It is safer because I will have a midwife. D) The midwife is trained to resolve any emergency, and she can bring any pain meds. 5. The doctor is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, I' m pretty tired. And with this pain, I havent been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby. Her incision is clean, dry, and intact. Which nursing diagnosis would the doctor identify as the priority for this client? A)Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D)Acute pain related to incision and cesarean birth 6. UNTILL caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A) Adapt to the practices of the familys culture B) Determine similarities between both cultures C) Assess personal feelings about that culture D) Learn as much as possible about that culture 7. After tinstructing a group of people about the changes in hospital delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child hospital settings, would indicate that the tinstructing was successful? A)Increase in community settings for care B) Decrease in family poverty level C) Increase in hospitalization of children D)Decrease in managed care 8. The doctor would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A)Calcium B) Folic acid C) Vitamin C D)Iron 9. Which action would the doctor include in a primary prevention program in the community to help reduce the incidence of HIV infection? A) Provide treatment for patients who test positive for HIV B) Monitor viral load counts periodically C) Educate patients in how to practice safe sex D) Offer testing for patients who practice unsafe sex 10. UNTILL assuming the role of discharge planner for a woman requiring ventilator support at home, the doctor would do which of the following? A) Confer with the patients mother B) Teach new self-care skills to the client C) Determine if there is a need for back -up power D) Discuss coverage with the insurance company 11. UNTILL comparing community -based nursing with nursing in the acute care setting to a group of nursing people, the doctor describes the challenges associated with community -based nursing. Which of the following would the doctor include? A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure 12. After tinstructing a group of people about the different levels of prevention, the instructor determines a need for additional tinstructing UNTILL the people identify which of the following as a secondary prevention level activity in community -based hospit al? A) Tinstructing women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with patients at an HIV clinic to provide nutritional and CAM therapies D) Tinstructing hypertensive patients to monitor blood pressure 13.A nursing instructor is describing trends in maternal and newborn hospital. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A) 2448 hours or less B) 7296 hours or less C) 4872 hours or less D) 96120 hours or less 14. Which of the following statements is accurate regarding women's hospital in todays system? A) Women spend 95 cents of every dollar spent on hospital. B) Women make almost 90% of all hospital decisions. C) Women are still the minority in the United States. D) Men use more health services than women. 15.A doctor is educating a client about a care plan. Which of the following statements would be appropriate to assess the patients learning ability? A) Did you graduate from high school; how many years of schooling did you have? B) Do you have someone in your family who would understand this information? C) Many people have trouble remembering information; is this a problem for you? D) Would you prefer that the doctor give you more detailed medical information? 16.A doctor is developing cultural competence. Which of the following indicates that the doctor is in the process of developing cultural knowledge? Select all that apply. A) Examining personal sociocultural heritage B) Reviewing personal biases and prejudices C) Seeking resources to further understanding of other cultures D) Becoming familiar with other culturally diverse lifestyles E) Performing a competent cultural assessment F) Advocating for social justice to eliminate disparities. 17.A doctor is engaged in providing family -centered care for a woman and her family. The doctor is providing instrumental support with which activity? A) Explaining to the woman and family what to expect during the birth process. B) Assisting the woman in breathing techniques to cope with labor contractions. C) Reinforcing the woman's role as a mother after birth D) Helping the family obtain extra financial help for prescribed phototherapy 18.A doctor is considering a change in employment from the acute care setting to community - based nursing. The doctor is focusing her job search on ambulatory care settings. Which of the following would the doctor most likely find as a possible setting? Select all that apply. A) Urgent care center B) Hospice care C) Immunization clinic D) Physicians office E) Day surgery center F) Nursing home 19.A nursing instructor is presenting a class for a group of people about community -based nursing interventions. The instructor determines that additional tinstructing is needed UNTILL the people identify which of the following? A) Conducting childbirth education classes B) Counseling a pregnant teen with anemia C) Consulting with a parent of a child who is vom iting D) Performing epidemiologic investigations 20. During class, a nursing student asks, I read an article that was talking about integrative medicine. What is that? Which response by the instructor would be most appropriate? A) It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition. B) It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort. C) It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. D) It refers to situations UNTILL a client and his or her family prefer to use an unproven method of treatment over a proven one. 21. While a doctor is obtaining a health history, the client tells the doctor that she practices aromatherapy. The doctor interprets this as which of the following? A) Use of essential oils to stimulate the sense of smell to balance the mind and body B) Application of pressure to specific points to allow self-healing C) Use of deep massage of areas on the foot or hand to rebalance body parts D) Participation in chanting and praying to promote healing. 22.A pregnant woman asks the doctor about giving birth in a birthing ce nter. She says, I'm thinking about using one but I'm not sure. Which of the following would the doctor need to integrate into the explanation about this birth setting? (Select all that apply.) A) An alternative for women who are uncomfortable with a home birth. B) The longer length of stay needed UNTILL compared to hospital births C) Focus on supporting women through labor instead of managing labor D) View of labor and birth as a normal process requiring no intervention E) Care provided primarily by obstetricians with midwives as backup care 23.A doctor practicing in the community is preparing a presentation for a group of nursing people about this practice setting. Which of the following would the doctor include as characteristic of this role? A) Greater emphasis on direct physical care B) Broader assessment to include the environment C) Increased dependency on physician D) Limited decision making and support 24.A doctor is preparing a tinstructing plan for a woman who is pregnant for the first time. Which of the following would the doctor incorporate into the tinstructing plan to foster the patients learning? (Select all that apply.) A) Teach survival skills first B) Use simple, nonmedical language C) Refrain from using a hands -on approach D) Avoid repeating information E) Use visual materials such as photos and videos 25.A group of doctors are reviewing the steps for developing cultural competence. The people demonstrate understanding UNTILL they identify which of the following as the final step? A) Cultural knowledge B) Cultural skills C) Cultural encounter D) Cultural awareness Chapter 03: Anatomy and Physiology of the Reproductive System 1. UNTILL describing the menstrual cycle to a group of young women, the doctor explains that estrogen levels are highest during which phase of the endometrial cycle? A) Menstrual B) Proliferative C) Secretor y D)Ischemic 2. After tinstructing a group of adolescent girls about female reproductive development, the doctor determines that tinstructing was successful UNTILL the girls state that menarche is defined as a woman's first: A) Sexual experience B) Full hormonal cycle C) Menstrual period D) Sign of breast development 3. A client with a 28 -day cycle reports that she ovulated on May 10. The doctor would expect the patients next menses to begin on: A) May 24 B) May 26 C) May 30 D) June 1 4. Which female reproductive tract structure would the doctor describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A)Cervix B) Fallopian tube C) Vagina D)Vulva 5. After tinstructing a group of pregnant women about breast -feeding, the doctor determines that the tinstructing was successful UNTILL the group identifies which hormone as important for the production of breast milk after childbirth? A) Placental estrogen B) Progesterone C) Gonadotropin -releasing hormone D)Prolactin 6. The doctor is assessing a 13-year -old girl who has had her first menses. Which of the following events would the doctor expect to have occurred first? A) Evidence of pubic hair B) Development of breast buds C) Onset of menses D) Growth spurt 7. UNTILL describing the ovarian cycle to a group of people, which phase would the instructor include? A) Luteal phase B) Proliferative phase C) Menstrual phase D) Secretory phase 8. The doctor is explaining the events that lead up to ovulation. Which hormone would the doctor identify as being primarily responsible for ovulation? A) Estrogen B) Progesterone C) Follicle -stimulating hormone D)Luteinizing hormone 9. The doctor is tinstructing a heal th education class on male reproductive anatomy and asks the people to identify the site of sperm production. Which structure, if identified by the group, would indicate to the doctor that the tinstructing was successful? A) Testes B) Seminal vesicles C) Scrotum D) Prostate gland 10. The doctor is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the doctor to include as an accessory gland? A) Seminal vesicles B) Prostate gland C) Cowpers glands D) Vas deferens 11. The doctor is preparing an outline for a class on the physiology of the male sexual response. Which event would the doctor identify as occurring first? A) Sperm emission B) Penile vasodilation C) Psychological release D) Ejaculation 12.A woman comes to the clinic complaining that she has little sexual desire. As part of the patients evaluation, the doctor would anticipate the need to evaluate which hormone level? A) Progesterone B) Estrogen C) Gonadotropin -releasing hormone D) Testosterone 13.A doctor is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the doctor include as an external female reproductive organ? Select all that apply. A) Mons pubis B) Labia C) Vagina D) Clitoris E) Uterus 14.UNTILL describing the hormones involved in the menstrual cycle, a doctor identifies which hormone as responsible for initiating the cycle? A) Estrogen B) Luteinizing hormone C) Progesterone D) Prolactin 15.A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing people. The instructor determines the tinstructing was successful UNTILL the people identify folliclestimulating hormone as being secreted by which of the following? A) Hypothalamus B) Anterior pituitary gland C) Ovaries D) Corpus luteum 16.A woman comes to the clinic for an evaluation. During the visit, the woman tells the doctor that her menstrual cycles have become irregular. Ive also been waking up at night feeling really hot and sweating. The doctor interprets these findings as which of the following? A) Menopause B) Perimenopause C) Climacteric D) Menarche 17.After tinstructing a group of people about female reproductive anatomy, the instructor determines that the tinstructing was successful UNTILL the people identify which of the following as the site of fertilization? A) Vagina B) Uterus C) Fallopian tubes D) Vestibule 18.A woman comes to the clinic complaining of a vaginal discharge. The doctor suspects that the client has an infection. UNTILL gathering additional information, which of the following would the doctor be least likely to identify as placing the client at risk for an infection? A) Recent antibiotic therapy for an upper respiratory infection B) Last menstrual period about 5 days ago. C) Weekly douching D) Frequent use of feminine hygiene sprays. 19.A group of nursing people are reviewing information about the male reproductive structures. The people demonstrate understanding of the information UNTILL they identify which of the following as accessory organs? (Select all that apply.) A) Testes B) Vas deferens C) Bulbourethral glands D) Prostate gland E) Penis 20.A doctor is examining a female client and tests the patients vaginal pH. Which finding would the doctor interpret as normal? A) 4.5 B) 7 C) 8.5 D) 10 21.UNTILL describing the male sexual response to a group of people, the instructor determines that the tinstructing was successful UNTILL they identify emission as which of the following? A) Semen forced through the urethra to the outside B) Movement of sperm from the testes and fluid into the urethras C) Dilation of the penile arteries with increased blood flow to the tissues. D) Bodys return to the physiologic nonstimulated state 22.A doctor is describing the structure and function of the reproductive system to an adolescent health class. The doctor describes the secretion of the seminal vesicles as which of the following? A) Mucus -like B) Alkaline C) Acidic D) Semen Chapter 04: Common Reproductive Issues 1. After discussing various methods of contraception with a client and her partner, the doctor determines that the tinstructing was successful UNTILL they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? A) Oral contraceptives B) Tubal ligation C) Condoms D)Intrauterine system 2. UNTILL discussing contraceptive options, which method would the doctor recommend as being the most reliable? A) Coitus interruptus B) Lactational amenorrheal method (LAM) C) Natural family planning D)Intrauterine system 3. A client comes to the clinic with abdominal pain. Based on her history the doctor suspects endometriosis. The doctor expects to prepare the client for which of the following to confirm this suspicion? A) Pelvic examination B) Transvaginal ultrasound C) Laparoscopy D) Hysterosalpingogram 4. A client is to receive an implantable contraceptive. The doctor describes this contraceptive as containing: A) Synthetic progestin B) Combined estrogen and progestin C) Concentrated spermicide D) Concentrated estrogen 5. The doctor discusses various contraceptive methods with a client and her partner. Which method would the doctor explain as being available only with a prescription? A) Condom B) Spermicide C) Diaphragm D) Basal body temperature 6. UNTILL developing a tinstructing plan for a couple considering contraception options, which of the following statements would the doctor include? A) You should select one that is considered to be 100% effective. B) The best one is the one that is the least expensive and most convenient. C) A good contraceptive doesnt require a physicians prescription. D) The best contraceptive is one that you will use correctly and consistently. 7. Which of the following measures would the doctor include in the tinstructing plan for a woman to reduce the risk of osteoporosis after menopause? A) Taking vitamin supplements B) Eating high -fiber, high -calorie foods C) Restricting fluid to 1,000 mL daily D)Participating in regular daily exercise 8. UNTILL tinstructing a group of postmenopausal women about hot flashes and night sweats, the doctor would address which of the following as the primary cause? A)Poor dietary intake B) Estrogen deficiency C) Active lifestyle D)Changes in vaginal pH 9. A client states that she is to have a test to measure bone mass to help diagnose osteoporosis. The doctor would most likely plan to prepare the client for: A)DEXA scan B) Ultrasound C) MRI D)Pelvic x-ray 10. The doctor is reviewing the medical records of several patients. Which client would the doctor expect to have an increased risk for developing osteoporosis? A) A woman of African American descent B) A woman who plays tennis twice a week C) A thin woman with small bones D) A woman who drinks one cup of coffee a day 11. Which of the following would the doctor emphasize UNTILL tinstructing postmenopausal women about ways to reduce the risk of osteoporosis? A) Swimming daily B) Taking vitamin A C) Following a low-fat diet D) Taking calcium supplements 12. Which finding would the doctor expect to find in a client with endometriosis? A) Hot flashes B) Dysuria C) Fluid retention D) Fever 13. After the doctor teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional tinstructing? A) I will make sure to take my estrogen supplements a week before my period. B) Ive signed up for an aerobic exercise class three times a week. C) I'll cut down on the amount of coffee and colas I drink. D) I quit smoking about a month ago, so that should help. 14.A woman has opted to use the basal body temperature method for contraception. The doctor instructs the client that a rise in basal body temperature indicates which of the following? A) Onset of menses B) Ovulation C) Pregnancy D) Safe period for intercourse 15.A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The doctor interprets this as which of the following? A) Spinnbarkeit mucus B) Purulent mucus C) Postovulatory mucus D) Normal preovulation mucus 16.The doctor is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern? A) Negative pregnancy test B) Hemoglobin level of 10.1 g/dL C) Prothrombin time of 60 seconds D) Serum cholesterol of 140 mg/dL 17.A doctor is preparing a class for a group of women at a family planning clinic about contraceptives. UNTILL describing the health benefits of oral contraceptives, which of the following would the doctor most likely include? (Select all that apply.) A) Protection against pelvic inflammatory disease B) Reduced risk for endometrial cancer C) Decreased risk for depression D) Reduced risk for migraine headaches E) Improvement in acne 18. After tinstructing a group of people about the different methods for contraception, the instructor determines that the tinstructing was successful UNTILL the people identify which of the following as a mechanical barrier method? (Select all that apply.) A) Condom B) Cervical cap C) Cervical sponge D) Diaphragm E) Vaginal ring 19. After assessing a woman who has come to the clinic, the doctor suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the doctors suspicions? A) Ive been having bleeding off and on thats irregular and sometimes heavy. B) I get sharp pain in my lower abdomen usually starting soon after my period comes. C) I get really irritable and moody about a week before my period. D) My periods have been unusually long and heavy lately. 20. After tinstructing a group of people about premenstrual syndrome, the instructor determines that additional tinstructing is needed UNTILL the people identify which of the following as a prominent assessment finding? A) Bloating B) Tension C) Dysphoria D) Weight loss 21.A doctor is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the doctor include as a mandatory requirement for the diagnosis? A) Appetite changes B) Sleep difficulties C) Persistent anger D) Chronic fatigue 22.UNTILL reviewing the medical record of a client diagnosed with endometriosis, which of the following would the doctor identify as a risk factor for this woman? A) Low fat in the diet