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Chapter 32 Women’s Health Care
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Chapter 32 Women’s Health Care
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Chapter 32: Women’s Health CareTest Bank
MULTIPLE CHOICE
1. Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
a. Gloves and eye protectors
b. Speculum
c. Fixative agent
d. Lubricant
ANS: D
Feedback
A The examiner should always use Standard Precautions.
B A speculum is needed to see the cervix.
C A fixative agent is applied to the slide to prevent drying or disruption of the
specimen.
D Lubricants interfere with the accuracy of the cytology report.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 775
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
2. The microscopic examination of scrapings from the cervix, endocervix, or other mucous
membranes to detect premalignant or malignant cells is called
a. Bimanual palpation
b. Rectovaginal palpation
c. A Papanicolaou test
d. DNA testing
ANS: C
Feedback
A Bimanual palpation is a physical examination of the vagina; the Pap test is a
microscopic examination for cancer.
B Rectovaginal palpation is a physical examination performed through the rectum;
the Pap test is a microscopic examination for cancer.
C The Pap test is a microscopic examination for cancer that should be performed
regularly, depending on the patient’s age.
D DNA testing for the various types of HPV that cause cervical cancer is now
available. Samples are collected in the same way as a Pap test.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 775
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. The nurse providing care in a women’s health care setting must be aware that which sexually
transmitted disease (STD) can be cured?
, a. Herpes
b. Acquired immunodeficiency syndrome (AIDS)
c. Venereal warts
d. Chlamydia
ANS: D
Feedback
A Because no cure is known for herpes, treatment focuses on pain relief and
preventing secondary infections.
B Because no cure is known for AIDS, prevention and early detection are the main
focus.
C Condylomata acuminata is caused by the human papillomavirus. No treatment
eradicates the virus.
D The usual treatment for chlamydia bacterial infection is doxycycline or
azithromycin. Concurrent treatment of all sexual partners is needed to prevent
recurrence.
PTS: 1 DIF: Cognitive Level: Knowledge REF: pp. 797-799
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. Which statement by a woman diagnosed with premenstrual syndrome indicates that
further health teaching is needed?
a. "I will not eat chips or pickles."
b. "Coffee and chocolate can make me more irritable and nervous."
c. "Drinking alcohol makes me more depressed."
d. "I'll eat only three meals per day."
ANS: D
Feedback
A Less intake of salty foods helps decrease fluid retention.
B Caffeine consumption increases irritability, insomnia, anxiety, and nervousness.
C Alcohol consumption aggravates depression.
D The woman should be encouraged to eat six small meals a day to decrease risk
of hypoglycemia.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 787
OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity
5. Which statement by the patient indicates that she understands breast self-examination?
a. "I will examine both breasts in two different positions."
b. "I will perform breast self-examination 1 week after my menstrual period starts."
c. "I will examine the outer upper area of the breast only."
d. "I will use the palm of the hand to perform the examination."
ANS: B
Feedback
, A She should use four positions: standing with arms at her sides, standing with
arms raised above her head, standing with hands pressed against hips, and lying
down.
B The woman should examine her breasts when hormonal influences are at a low
level.
C The entire breast needs to be examined, including the outer upper area.
D She should use the sensitive pads of the middle three fingers.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 772
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
6. A benign breast condition that includes dilation and inflammation of the collecting ducts is
called
a. Ductal ectasia
b. Intraductal papilloma
c. Chronic cystic disease
d. Fibroadenoma
ANS: A
Feedback
A Generally occurring in women approaching menopause, ductal ectasia results in
a firm irregular mass in the breast, enlarged axillary nodes, and nipple discharge.
B Intraductal papillomas develop in the epithelium of the ducts of the breasts; as
the mass grows, it causes trauma or erosion within the ducts.
C Chronic cystic disease causes pain and tenderness. The cysts that form are
multiple, smooth, and well delineated.
D Fibroadenoma is fibrous and glandular tissues. They are felt as firm, rubbery,
and freely mobile nodules.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 777
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
7. Which patient is most at risk for fibroadenoma of the breast?
a. A 38-year-old woman
b. A 50-year-old woman
c. A 16-year-old woman
d. A 27-year-old woman
ANS: C
Feedback
A Ductal ectasia becomes more common as a woman approaches menopause.
B Intraductal papilloma develops most often just before or during menopause.
C Although it may occur at any age, fibroadenoma is most common in the teenage
years.
D Fibrocystic breast changes are more common during the reproductive years.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 777
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