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STUDY GUIDE

 

Women’s Health Issues

 

  1. Which of the following is NOT a major risk factor for breast cancer?
    1. Age older than 50 year
    2. African-Americans
    3. Previous radiation of the chest area as a child or young woman as a treatment for another cancer such as Hodgkin’s disease.
    4. Early menarche (<12 yr), late menopause (>50 yr)
    5. Both b & d

 

2.       Which Adjuvant Therapy is known to improve the chance of long-term survival in a woman with breast cancer?

    1. Radiation therapy
    2. Chemotherapy
    3. Hormonal therapy
    4. Immunotherapy
    5. Both a & b

 

  1. Which of the following is NOT true regarding cardiovascular disease in women?
    1. Cardiovascular disease is the leading cause of death in women after age 50
    2. Women have heart attacks or MIs when they are older than men
    3. 42% of women die from heart attacks compared to 24% of men
    4. Black women are affected more frequently than white women by all types of cardiovascular disease.
    5. All of the above are true.

 

4.       What is a symptom of myocardial infarction that is found more commonly in men than in women?

    1. Angina (chest pain with exertion) or pain at rest
    2. Dizziness, faintness
    3. Pain in upper body, but other than the chest
    4. Crushing or stabbing chest pain or pressure in the chest

 

5.       Which of the following does NOT cause cyclic pelvic pain?

    1. Mittelscherz
    2. Ectopic pregnancy
    3. Primary dysmenorrhea
    4. Endometriosis

 

6.       Which of the following is NOT true regarding endometriosis?

a.       Presence of uterine tissue that resembles the endometrium is found outside of the uterus.

    1. Menstruation from endometriosis lesions occurs in a closed cavity which causes pressure and pain on adjacent tissues.
    2. Cyclic bleeding into the pelvic cavity causes chronic inflammatory changes that may lead to infertility.
    3. Endometriosis pain is spasmodic or colicky.
    4. All of the above are true

 

7.       Which of the following is a common cause for Abnormal Uterine Bleeding?

    1. Spontaneous abortion
    2. “Break-through” bleeding
    3. Hypothyroidism
    4. Failure to ovulate
    5. All of the above

 

8.       A woman is telling the nurse that she regularly experiences severe headaches, difficulty concentrating, and feelings of hot flashes, bloating, insomnia, and feeling out of control.  What is a therapeutic response the nurse should make?

    1. I will refer you to a psychiatrist
    2. Oh, they are just signs & symptoms of PMS; they will disappear eventually. You got nothing to worry about.
    3. It must be disturbing to feel so irritable. These could be the S & S of PMS but you need to talk to your doctor to rule out other causes or problems that may coexist with PMS.
    4. You must be having PMS. I will teach you how to relieve those symptoms.

 

9.       A woman diagnosed with PMS is complaining of mastalgia (breast pain). What is the appropriate action for the nurse to do?

    1. Encourage vitamin B6 supplements
    2. Encourage carbohydrate-rich food and beverages
    3. Encourage pt to avoid caffeine and take supplements of vitamin E during the luteal phase of the cycle.
    4. Adhere to regular schedule of sleep

 

10.   Prostaglandin E² & hypertonic saline solution were injected into the amniotic sac to induce labor in a second trimester pregnant woman.  Which of the following should the nurse NOT expect to see as the result of the procedure?

    1. Nausea, vomiting, fever, and diarrhea
    2. Maternal emotional distress caused by the long procedure
    3. Maternal electrolyte imbalance
    4. Live, healthy baby
    5. Both a & d

 

Answers: 1.b    2.e   3.e   4.d   5.b   6.d   7.e   8.c   9.c   10.d

 

STD's.

 

1.What is the only treatment for Syphillis that will

    cure the disease without harming the disease?

     a) Penicillin          c) Erythromycin

     b) Cephalosporin       d) Acyclovir

answer: A

 

2.What is the most transmissable disease in U.S. and

    isfection is usually asymptomatic?

     a) Gonorrhea        c) Chlamydia

     b) Syphillis           d) Trichomoniasis

answer: C

 

3. What are the severe effects of Cytomegalovirus in

    infants and neonates?

     a) Deafness          c) Mental Retatrdation

     b) Blindness          d) All of the above

answer: D

 

4. Women are advised not to become pregnant for 3 mos.

    after vaccination because of the possible risk to the

    fetus from the live virus. What is this Vaccine?

     a) Varicella-zoster immune globulin   c) Hep. B

     b) Rubella                                       d) Cytomegalovirus

answer: B

 

5. Women and Infants with this viral infection are

    highly contagious and should be placed in strict

    isolation. What is this viral infection?

     a) Rubella                        c) Hepatitis B

     b) Varicella (chickenpox)   d) Cytomegalovirus

answer: B

 

6. This infection is also called the fifth disease. It

    is characterized by a rash that starts on tha face

    with a "slapped cheek" appearance followed by a

    general maculopapular rash. What is this disease?

     a) Chickenpox            c) Herpes

     b) Hep. B                   d) Erythema Infectiosum

answer: D

 

7. This medication is recommended for pregnant women

    who are HIV positive because it reduces vertical

    transmission to about 8% and inhibits HIV transmission

    to the fetus.

     a) Zidovudine            c) Amoxicillin

     b) Acyclovir               d) Podophyllin

answer: A

 

 

 

1. Choose the primary distinction between threatened and inevitable

    abortion.

 a.   presence of cramping

 b.   rupture of membranes

 c.   vaginal bleeding

 d.   pelvic pressure

 

2. A woman is admitted to the emergency room with a possible ectopic

    pregnancy.  Choose the s/sx that should be immediately reported to her

    physician.

 a.   low level of beta-hCG

 b.   hemoglobin of 11.5; hematocrit of 34%

 c.   light vaginal bleeding

 d.   pulse rises from 78 to 100BPM

 

3. Nursing teaching for the woman who has hyperemesis gravidarum

should include which of the following?

 a.   adding favorite seasonings to foods while cooking.

 b.   eating simple foods such as breads and fruits

 c.   lying down on the right side after eating.

 d.   eating creamed soup with every meal.

 

4. The nurse makes the following assessments of a woman who is

receiving   intravenous magnesium sulfate: FHR 148-158; P 88; R 9: BP

158/96. The   woman is drowsy. The priority nursing action is to

 a.   increase the rate of the magnesium infusion.

 b.   maintain the magnesium infusion as the current rate.

 c.   slow the rate of the magnesium infusion.

 d.   stop the magnesium infusion.

 

5. When one is providing intrapartal care for the woman with severe

preeclampsia, priority nursing care is to

 a.   maintain the ordered rate of anticonvulsant medications

 b.   promote placental blood flow and prevent maternal injury.

 c.   give intravenous fluids and observe urine output.

 d.   reduce maternal blood pressure to the prepregnancy level.

 

6. The feature that distinguishes pre-eclampsia from eclampsia is the

 a.   amount of blood pressure elevation.

 b.   edema of the face and fingers

 c.   presence of proteinuria

 d.   onset of convulsions

 

7. Which woman should receive Rho (D) immune globulin after birth?

 a.   Rh-negative mother; Rh -positive infant; positive direct Coombs’ test

 b.   Rh-positive mother; Rh-negative infant; negative direct Coombs’ test

 c.   Rh-negative mother; Rh-positive infant; negative direct Coombs’ test

 d.   Rh-positive mother; Rh-positive infant; positive direct Coombs’ test

 

8. Definition of Anemia

 

9. Definition of shoulder dystocia

 

10. Definition of Cerclage

 

Answers

 

1, b; 2, d; 3, b; 4, d; 5, b; 6, d; 7, c;

 

8. Hemoglobin concentration lower than 10.5 to 11.0 g/dl.

 

9. Delayed or difficult birth of the fetal shoulders.

 

10. Encircling the cervix with sutures.

 

 

Chap. 26 Disorders During Pregnancy

 

1. Which patient is not at risk for gestational diabetes mellitus?

a) pt. with chronic hypertension

b) pt. how has had previous unexplained fetal deaths

c) pt. who feels fatigued by the end of the day

d) pt. who’s maternal age is older than 25yrs.

 

2. T or F  Delivering the baby is the only cure for pre-eclampsia and eclampsia?

 

3. Which would not be a nursing intervention for PIH?

a) bed rest laying in a left lateral position

b) monitor the fetus’s heart rate

c) encourage Na intake and decrease protein

d) monitor the blood pressure of the mother

 

4. A newly pregnant women comes into the clinic and asks the nurse if it’s

    okay to a have a glass of wine with dinner.  What would be the best

    response of the nurse?

a) 1/2 a glass of wine in the evening should not effect the baby.

b) There is no safe amount of alcohol to drink while pregnant and alcohol

     can be very toxic to nerve cells.

c) There’s no evidence that alcohol effects the growing.

d) Drinking a little wine before bed will be helpful in relaxing you before

    you go to bed.

 

5. The best evaluation for the client’s goal of accurate insulin use is that  she will

a) repeat the taught steps of the techniques

b) accurately withdraw, mix, and inject the insulin

c) have normal fasting and postprandial glucose levels

d) state that she understands the teaching given

 

6. Rheumatic heart disease is usually preceded by which infection?

a) streptococcal pharyngitis

b) syphilis

c) pneumococcal pneumonia

d) chlamydial vaginitis

 

7. Intrapartum nursing care for a woman who has sickle cell disease focuses on

a) maintaining oxygenation and preventing dehydration

b) controlling pain and avoiding unnecessary movement

c) preventing excess exertion and limiting visitors

d) increasing calorie intake and avoiding internal monitoring

 

8. Which is not a risk for a fetus whose mother has anemia?

a) low birth weight

b) prematurity

c) still birth

d) fetal tachycardia

 

9. Which is a risk for a mother with gestation diabetes?

a) PIH

b) Increase risk for infection

c) Difficult delivery

d) All of the above

 

10. The primary fetal risk when the mother has any type of anemia is for

a) neonatal anemia

b) elevated bilirubin

c) limited infection defenses

d) reduced oxygen delivery

 

Answers:  1. c  2.  T  3.  c  4.  b  5.  b  6.  a  7.  a  8.  d  9.  d  10.  d