Samuel Merritt University N108 & N144 Evolve: Maternity -
Women's Health/Disorders Questions With Complete
Solutions
A 16-year-old client has a steady boyfriend with whom she is
having sexual relations. She asks the nurse how she can protect
herself from contracting HIV. What should the nurse advise her
to do? Correct Answer Insist that her partner use a condom
when having sex
A 16-year-old girl who has become sexually active asks the
nurse, "What's the most effective way to prevent a pregnancy?"
Which method of preventing pregnancy should the nurse tell her
is most effective? Correct Answer Abstaining from sexual
intercourse
A 17-year-old client tells the nurse that her sister had an ectopic
pregnancy about 3 months ago and had to have her fallopian
tube removed. The nurse determines that this young woman
needs additional information when she states: Correct Answer
"My sister is lucky, because she won't have a period again."
A 2-day-old infant who weighs 6 lb (2722 g) is fed formula
every 4 hours. Newborns need about 73 mL of fluid per pound
of body weight each day. In light of this information,
approximately how much formula should the infant receive at
each feeding? Correct Answer 2 to 3 oz
-Infants require about 73 mL of fluid per pound and 60 calories
a day per pound for growth. The infant's weight of 6 lb × 73 mL
of fluid = 438 mL. If fed every 4 hours the infant will have six
,feedings: 438 ÷ 6 = 73 mL; 73 ÷ 30 (30 mL/oz) = 2.4 oz.
Therefore the infant should be offered 2 to 3 oz per feeding. One
or 2 oz is inadequate for this newborn. Three to 5 oz is excessive
for this newborn.
A 20-year-old developmentally disabled woman is a resident in
a group home. She has had four abortions in the past 2 years,
and the agency supervisor recommends that she be sterilized. It
is obvious that the client is unable to exercise informed consent
for sterilization. The nurse understands that the procedure
cannot be performed without legal consent from the: Correct
Answer Court-appointed individual or group
A 20-year-old woman is known to be heterozygous for the cystic
fibrosis (CF) gene. Her husband's genotype is unknown at
present and the couple is expecting their first child. What should
the nurse tell the couple about the probability of their baby's
having CF? Correct Answer 25% or less
-Males with cystic fibrosis are usually sterile; therefore the
father does not have cystic fibrosis, but he could be a carrier. If
both parents are heterozygous carriers, the chance of having a
child with CF is 25%. When one parent is a heterozygous carrier
and the other has two unaffected genes, the chance of having a
child who has CF is 0% but the chance of having a child who is
a carrier is 50%. If both parents are heterozygous carriers or if
one parent is a heterozygous carrier and one parent has two
unaffected genes, the chance of having a child that is a carrier,
not a child that is affected, is 50%.
,A 23-year-old woman arrives at the prenatal clinic because she
thinks that she is pregnant. Her last menstrual period began on
March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of
birth (EDB)? Correct Answer January 7
A 23-year-old woman comes to the clinic for a Pap smear. After
the examination, the client confides that her mother died of
endometrial cancer 1 year ago and says that she is afraid that she
will die of the same cancer. Which risk factor stated by the
client after an education session on risk factors indicates that
further teaching is needed? Correct Answer Late-onset
menarche
A 24-year-old client complains to the nurse in the women's
health clinic that her breasts become tender before her menstrual
period. What should the nurse recommend that the client do 1
week before an expected menses? Correct Answer Decrease
caffeine intake
-The client is exhibiting one symptom of premenstrual syndrome
(PMS); eliminating food and beverages containing caffeine can
limit breast swelling. Salt intake should be reduced
premenstrually to limit the development of edema. Increased
protein intake is unnecessary if the client is eating a nutritious
diet. Exercise should be increased before the menstrual period to
help ease the symptoms of PMS.
A 26-year-old woman whose sister recently had a mastectomy
calls the local women's health center for an appointment for a
mammogram. What should the nurse tell the client when
, preparing her for the mammogram? Correct Answer Each
breast will be firmly compressed between two plates.
A 28-year-old woman is scheduled to undergo a laparoscopic
bilateral salpingo-oophorectomy. What does a nurse expect to be
the client's priority concern? Correct Answer Loss of
childbearing potential
A 30-year-old client with a 35-day menstrual cycle is trying to
become pregnant. The nurse counsels the client and her partner
about the optimal timing of intercourse during the cycle. The
nurse determines that the counseling has been effective when the
couple state that they should have intercourse on the: Correct
Answer 21st day of the cycle
-Ovulation usually occurs 14 days before menses; in a 35-day
cycle, ovulation may occur as late as the 21st day. Day 12 day of
the cycle is the proliferative phase of the cycle; ovulation has
not yet occurred. If the woman had a 28-day cycle, ovulation is
expected 14th day of the cycle. By the 25th day of the cycle, the
ovum in this woman has passed out of the fallopian tube and can
no longer be fertilized.
A 30-year-old woman is to undergo total abdominal
hysterectomy for noninvasive endometrial cancer. The nurse
anticipates the client may have difficulty adjusting emotionally
to this type of surgery. What is the most common reason for this
difficulty? Correct Answer Loss of femininity
A 31-year-old client is seeking contraceptive information.
Before responding to the client's questions about contraceptives,
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