Women's health/Disorders & Childbearing Questions And Answers

Women's health/Disorders & Childbearing Questions And Answers

A client with a history of endometriosis has abdominal surgery to remove adhesions.
What should this client's postoperative plan of care include?
1. Encouraging the client to ambulate in the hallway
2. Elevating the client's legs by gatching the bed
3. Helping the client dangle her legs over the side of the bed
4. Maintaining the client on bedrest until the dressings have been removed - ANS-1.
Encouraging the client to ambulate in the hallway
After a mastectomy or a hysterectomy a client may feel incomplete as a woman. What
statement should alert the nurse to this feeling in a client who has undergone total
hysterectomy?
1. "I can't wait to see all my friends again."
2. "I feel washed out; there isn't much left."
3. "I'm planning to recuperate at my daughter's home."
4. "I can't wait to get home; I so want to see my grandchild." - ANS-2. "I feel washed out;
there isn't much left."
A nurse is evaluating a client's understanding regarding postoperative concerns after
mastectomy. Which development near and around the incision noted by the client
should be reported to her practitioner?
1. Persistent itching
2. Decreased sensation
3. Swelling with erythema
4. Irregular-appearing ski - ANS-3. Swelling with erythema
**Swelling and erythema are signs of infection and should be reported to the health care
provider. Itching is a sign of healing that is expected.
The nurse instructs a pregnant client in the sources of protein that can be used to meet
the increased daily requirement during pregnancy. How many grams of protein should
the client eat each day?
1. 65 g
2. 60 g
3. 55 g
4. 50 g - ANS-2. 60 g
**The Food and Nutrition Board of the National Academy of Sciences recommends that
a pregnant woman consume 60 g of protein daily to meet the needs of pregnancy. The
recommended daily intake of protein for a breastfeeding (lactating) woman is 65 g.
On the first postpartum day, a client whose infant is rooming in asks the nurse to return
her baby to the nursery and bring the baby to her only at feeding times. How should the
nurse respond?
1. "It seems that you've changed your mind about rooming in."
2. "I think you're having difficulty caring for the baby."
3. "All right. I'll inform the other nurses of your decision."
4. "You must be tired. I'll bring the baby back at feeding time." - ANS-1. "It seems that
you've changed your mind about rooming in."
A nurse on the postpartum unit discusses breast care with a client who is formula
feeding her newborn. Which statement indicates to the nurse that more teaching is
needed?
1. "The discomfort will be better after a couple of days."
2. "I need to ask my husband to bring me my new bra."
3. "Applying heat to my breasts will help ease the discomfort."
4. "Pain medication will help with the pain from engorgement." - ANS-3. "Applying heat
to my breasts will help ease the discomfort."
A nurse is discussing immunizations needed to confer active immunity with a pregnant
client during her first visit to the prenatal clinic. What information should the nurse
consider including that the client will understand with regard to active immunity?
1. Protein antigens are formed in the blood to fight invading antibodies.
2. Protein substances are formed by the body to destroy or neutralize antigens.
3. Blood antigens are aided by phagocytes in defending the body against pathogens.
4. Sensitized lymphocytes from an immune donor act as antibodies against invading
pathogens. - ANS-2. Protein substances are formed by the body to destroy or neutralize
antigens.
The school nurse is teaching a group of 16-year-old girls about the female reproductive
system. One student asks how long after ovulation it is possible for conception to occur.
The most accurate response by the nurse is based on the knowledge that an ovum is
no longer viable after:
1. 12 hours
2. 24 hours
3. 48 hours
4. 72 hours - ANS-2. 24 hours
**The ovum is viable for about 24 hours after ovulation; if not fertilized before this time, it
degenerates.
A nurse is obtaining a health history from a primigravida on her first visit to the prenatal
clinic. Before discussing the client's health habits with her, what does the nurse consider
the most important factor in the survival of the client's newborn?
1. Reproductive history
2. Adequacy of prenatal care
3. Health habits and social class
4. Gestational age and birthweight - ANS-4. Gestational age and birthweight
At a client's first prenatal visit, the healthcare provider performs a pelvic examination,
stating that the client's cervix is bluish purple, which is known as the Chadwick sign. The
client becomes concerned and asks whether something is wrong. The best response is
"This is expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy" - ANS-4. Is caused
by increased blood flow to the uterus during pregnancy"
**Stating that the Chadwick sign is caused by increased blood flow to the uterus during
pregnancy underscores the normalcy of Chadwick's sign and provides a simple
explanation of the cause; women often need reassurance that the physical changes
associated with pregnancy are expected. 

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