Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Su, Exams of Nursing

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Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Contents Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................ 4 Chapter 2- Family-Centered Community-Based Care .................................................................................................... 9 Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................................... 14 Chapter 4- Common Reproductive Issues .................................................................................................................... 19 Chapter 5- Sexually Transmitted Infections ................................................................................................................. 24 Chapter 6- Disorders of the Breasts ............................................................................................................................. 29 Chapter 7- Benign Disorders of the Female Reproductive Tract .................................................................................. 34 Chapter 8- Cancers of the Female Reproductive Tract ................................................................................................. 39 Chapter 9- Violence and Abuse ................................................................................................................................... 44 Chapter 10- Fetal Development and Genetics .............................................................................................................. 49 Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................... 54 Chapter 12- Nursing Management During Pregnancy .................................................................................................. 60 Chapter 13- Labor and Birth Process ........................................................................................................................... 66 Chapter 14- Nursing Management During Labor and Birth ......................................................................................... 72 Chapter 15- Postpartum Adaptations ........................................................................................................................... 78 Chapter 16- Nursing Management During the Postpartum Period ............................................................................... 84 Chapter 17- Newborn Transitioning ............................................................................................................................ 90 Chapter 18- Nursing Management of the Newborn ...................................................................................................... 96 Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ......................................................................... 102 Chapter 20- Nursing Management of the Pregnancy at Risk ...................................................................................... 108 Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................... 114 Chapter 22- Nursing Management of the Postpartum Woman at Risk ....................................................................... 120 Chapter 23- Nursing Care of the Newborn With Special Needs ................................................................................. 126 Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................ 132 Chapter 25- Growth and Development of the Newborn and Infant ............................................................................ 138 Chapter 26- Growth and Development of the Toddler ............................................................................................... 144 Chapter 27- Growth and Development of the Preschooler ......................................................................................... 150 Chapter 28- Growth and Development of the School-Age Child ............................................................................... 157 Chapter 29- Growth and Development of the Adolescent .......................................................................................... 164 Chapter 30- Atraumatic Care of Children and Families ............................................................................................. 171 Chapter 31- Health Supervision ................................................................................................................................. 176 Chapter 32- Health Assessment of Children .............................................................................................................. 183 Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 6. When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A) Language Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 B) Health care workers’ attitudes C) Transportation D) Finances 7. After teaching a group of nursing students 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 consent 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 nurse 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 child’s aunt or uncle to obtain their consent D) Advocating for termination of parental rights for this situation 9. After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A) “Childbirth affects the entire family, and relationships will change.” B) “Families are not capable of making health care 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 health care and health care delivery over the past several centuries. When 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 nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this client’s 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 nurse is developing a plan of care for a woman to ensure continuity of care during Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A) Adhering to strict, specific routines Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 B) Neonatal mortality rate C) Infant mortality rate D) Maternal mortality rate 19. A group of students 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 students 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 nurse is preparing a presentation for a local women’s group about heart disease and women. Which of the following would the nurse expect to address when 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 nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when 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 students are reviewing information about factors affecting maternal, newborn, and women’s health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills Answer Key 1. B 2. C Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 3. D 4. B Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 5. B 6. D 7. A 8. A 9. A 10. D 11. D 12. C 13. A, B, C, D 14. A 15. C 16. C 17. B, C, D 18. C 19. B, E 20. C 21. A, B 22. A, B, C, D, E Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 B) Determine similarities between both cultures C) Assess personal feelings about that culture D) Learn as much as possible about that culture 7. After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching 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 nurse 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 nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A) Provide treatment for clients who test positive for HIV B) Monitor viral load counts periodically C) Educate clients in how to practice safe sex D) Offer testing for clients who practice unsafe sex 10. When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A) Confer with the client’s 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. When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure 12. After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care? Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 A) Teaching women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with clients at an HIV clinic to provide nutritional and CAM therapies Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Teaching hypertensive clients to monitor blood pressure 13. A nursing instructor is describing trends in maternal and newborn health care. 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) 24–48 hours or less B) 72–96 hours or less C) 48–72 hours or less D) 96–120 hours or less 14. Which of the following statements is accurate regarding women’s health care in today’s system? A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of all health care decisions. C) Women are still the minority in the United States. D) Men use more health services than women. 15. A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the client’s 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 nurse is developing cultural competence. Which of the following indicates that the nurse 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 nurse is engaged in providing family-centered care for a woman and her family. The nurse 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 nurse is considering a change in employment from the acute care setting to community- based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 24. A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client’s learning? Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 (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 nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A) Cultural knowledge B) Cultural skills C) Cultural encounter D) Cultural awareness Answer Key 1. A 2. A 3. C 4. B 5. D 6. C 7. A 8. B 9. C 10. C 11. C 12. A 13. A 14. B 15. C 16. C, D 17. D 18. A, D, E 19. D 20. C 21. A 22. A, C, D 23. B 24. A, B, E 25. C Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 3- Anatomy and Physiology of the Reproductive System 1. When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A) Menstrual B) Proliferative C) Secretory D) Ischemic 2. After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when 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 nurse would expect the client’s 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 nurse 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 teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when 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 nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A) Evidence of pubic hair Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 13. A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 reproductive organ? Select all that apply. A) Mons pubis B) Labia C) Vagina D) Clitoris E) Uterus 14. When describing the hormones involved in the menstrual cycle, a nurse 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 students. The instructor determines the teaching was successful when the students identify follicle-stimulating 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 nurse that her menstrual cycles have become irregular. “I’ve also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? A) Menopause B) Perimenopause C) Climacteric D) Menarche 17. After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students 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 nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse 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. Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 C) Weekly douching D) Frequent use of feminine hygiene sprays. Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 15. B 16. B 17. C 18. B 19. B, C, D 20. A 21. B 22. B Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 4- Common Reproductive Issues 1. After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when 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. When discussing contraceptive options, which method would the nurse 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 nurse suspects endometriosis. The nurse 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 nurse describes this contraceptive as containing: A) Synthetic progestin B) Combined estrogen and progestin C) Concentrated spermicide D) Concentrated estrogen 5. The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only with a prescription? A) Condom B) Spermicide C) Diaphragm D) Basal body temperature 6. When developing a teaching plan for a couple considering contraception options, which of the following statements would the nurse 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 doesn’t require a physician’s prescription.” Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) “The best contraceptive is one that you will use correctly and consistently.” 7. Which of the following measures would the nurse include in the teaching plan for a woman to Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 14. A woman has opted to use the basal body temperature method for contraception. The nurse 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 nurse interprets this as which of the following? A) Spinnbarkeit mucus B) Purulent mucus C) Postovulatory mucus D) Normal preovulation mucus 16. The nurse 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 nurse is preparing a class for a group of women at a family planning clinic about contraceptives. When describing the health benefits of oral contraceptives, which of the following would the nurse 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 teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students 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 nurse suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the nurse’s suspicions? A) “I’ve been having bleeding off and on that’s irregular and sometimes heavy.” B) “I get sharp pain in my lower abdomen usually starting soon after my period comes.” Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 C) “I get really irritable and moody about a week before my period.” D) “My periods have been unusually long and heavy lately.” Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 20. After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A) Bloating B) Tension C) Dysphoria D) Weight loss 21. A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A) Appetite changes B) Sleep difficulties C) Persistent anger D) Chronic fatigue 22. When reviewing the medical record of a client diagnosed with endometriosis, which of the following would the nurse identify as a risk factor for this woman? A) Low fat in the diet B) Age of 14 years for menarche C) Menstrual cycles of 24 days D) Short menstrual flow 23. A client who has come to the clinic is diagnosed with endometriosis. Which of the following would the nurse expect the physician to prescribe as a first-line treatment? A) Progestins B) Antiestrogens C) Gonadotropin-releasing hormone analogues D) NSAIDs 24. A woman comes to the clinic because she has been unable to conceive. When reviewing the woman’s history, which of the following would the nurse least likely identify as a possible risk factor? A) Age of 25 years B) History of smoking C) Diabetes since age 15 years D) Weight below standard for height and age 25. A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis. After teaching the partner about this test, which client statement indicates that the client has understood the instructions? A) “I need to bring the specimen to the lab the day after collecting it.” B) “I will place the specimen in a special plastic bag to transport it.” Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 5- Sexually Transmitted Infections 1. The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. The goal of this therapy is to: A) Promote the progression of disease B) Intervene in late-stage AIDS C) Improve survival rates D) Conduct additional drug research 2. A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which of the following areas would be most important to assess initially? A) The woman’s beliefs and education B) The woman’s financial situation and insurance C) The woman’s activity level and nutrition D) The woman’s family and living arrangements 3. When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection? A) Native Americans B) Heterosexual women C) New health care workers D) Asian immigrants 4. After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which of the following? A) Sexual intercourse B) Sharing needles for IV drug use C) Perinatal transmission D) Blood transfusion 5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS? A) 1,000 cells/mm3 B) 700 cells/mm3 C) 450 cells/mm3 D) 200 cells/mm3 6. When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)? A) Hive-like rash for the past 2 days B) Five different sexual partners C) Weight gain of 5 lbs in 1 year Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Clear vaginal discharge 7. Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: A) Trichomoniasis B) Bacterial vaginosis C) Candidiasis D) Genital herpes simplex 8. A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug? A) Alcohol B) Nicotine C) Chocolate D) Caffeine 9. A woman gives birth to a healthy newborn. As part of the newborn’s care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? A) Genital herpes B) Hepatitis B C) Syphilis D) Gonorrhea 10. Which findings would the nurse expect to find in a client with bacterial vaginosis? A) Vaginal pH of 3 B) Fish-like odor of discharge C) Yellowish-green discharge D) Cervical bleeding on contact 11. A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: A) Amniotic fluid B) Placenta C) Birth canal D) Breast milk 12. The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for: A) Infertility B) Dyspareunia C) Cervical cancer D) Dysmenorrhea 13. A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client’s medical record, which of the following would the nurse expect to find? (Select all that apply.) A) Oral temperature of 100.4 degrees F Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 19. A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of the following would the nurse identify? A) Asian American ethnicity Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 B) Age under 25 years C) Married D) Consistent use of barrier contraception 20. A nurse at a local community clinic is developing a program to address STI prevention. Which of the following would the nurse least likely include in the program? A) Outlining safer sexual behavior B) Recommending screening for symptomatic individuals C) Promoting the use of barrier contraceptives D) Offering education about STI transmission 21. After teaching a class on preventing pelvic inflammatory disease, the instructor determines that the teaching was successful when the class identifies which of the following as an effective method? A) Advising sexually active females to use hormonal contraception B) Encouraging vaginal douching on a weekly basis. C) Emphasizing the need for infected sexual partners to receive treatment D) Promoting routine treatment for asymptomatic females as risk 22. A group of nursing students are reviewing information about vaccines used to prevent STIs. The students would expect to find information about which of the following? A) HIV B) HSV C) HPV D) HAV E) HBV 23. A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time? A) In 2 month B) In 2 months C) In 3 months D) In 4 months 24. A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.) A) Urinary frequency B) Yellow/green discharge C) Joint pain D) Blister-like lesions E) Muscle aches Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 25. A nurse is teaching a women with genital ulcers how to care for them. Which statement by the client indicates a need for additional teaching? Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 A) Risk for deficient fluid volume B) Activity intolerance C) Disturbed body image Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Impaired urinary elimination 7. A 42-year-old woman is scheduled for a mammogram. Which of the following would the nurse include when teaching the woman about the procedure? A) “The room will be darkened throughout the procedure.” B) “Each breast will be firmly compressed between two plates.” C) “Make sure to refrain from eating or drinking after midnight.” D) “A small needle will be inserted to get a sample for evaluation.” 8. During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman’s left breast. The nurse notifies the physician. Which of the following would the nurse anticipate the physician to order next? A) Mammogram B) Hormone receptor status C) Fine-needle aspiration D) Genetic testing for BRCA 9. A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy. Which agent would the nurse expect the client to receive? A) Progestins B) Tamoxifen C) Cortisone D) Estrogen 10. As part of discharge planning, the nurse refers a woman to Reach to Recovery. This group’s primary purpose is to: A) Help support women who have undergone mastectomies B) Raise funds to support early breast cancer detection programs C) Provide all supplies needed after breast surgery for no cost D) Collect statistics for research for the American Cancer Society 11. A woman with breast cancer is undergoing chemotherapy. Which of the following side effects would the nurse interpret as being most serious? A) Vomiting B) Hair loss C) Fatigue D) Myelosuppression 12. A woman comes to the clinic reporting a nipple discharge. On examination, the area below the areola is red and slightly swollen, with tortuous tubular swelling. The nurse interprets these findings as suggestive of which of the following? A) Fibrocystic breast disorder B) Intraductal papilloma C) Duct ectasia Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Fibroadenoma Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 nurse suggest? A) 30 years B) 35 years C) 40 years D) 45 years 20. After teaching a group of nursing students about the different types of chemotherapeutic agents used to treat breast cancer, the instructor determines that the teaching was successful when the students identify which of the following as an example of a selective estrogen receptor modulator (SERM)? (Select all that apply.) A) Tamoxifen B) Letozole C) Raloxifene D) Exemestane E) Anastrozole 21. A woman diagnosed with breast cancer is to receive trastuzumab. Which of the following would the nurse incorporate into the explanation about how this drug works? A) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells. B) The drug blocks the conversion of androgens to estrogens C) It interferes with hormone receptors that allow estrogen to enter a cell D) The drug ultimately attacks areas where micrometastasis has occurred. 22. A nurse is conducting a class on breast cancer prevention. Which statement would the nurse most likely include in the discussion? A) “Most often a lump is felt before it is seen.” B) “Early breast cancer usually has some symptoms.” C) “If the mass is not painful, it is usually benign.” D) “If lump is palpable, it has been there for some time.” 23. When describing programs for breast cancer screening, the nurse include breast self- examination (BSE). Which of the following most accurately reflects the current thinking about breast self-examination? A) BSE is essential for early breast cancer detection. B) A woman performing BSE has breast awareness. C) BSE plays a minimal role in detecting breast cancer D) A clinical breast exam has replaced BSE. 24. During a wellness visit to the clinic, a woman asks the nurse if there is anything she can do to reduce her risk for developing breast cancer. Which of the following would the nurse most likely include? (Select all that apply.) A) Eating three servings of fruit daily B) Keeping weight gain under 11 pounds after age 18 Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 C) Eating at least seven portions of complex carbohydrates daily D) Limiting the intake of refined sugar products E) Using salt liberally when cooking Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 25. A woman comes to the clinic and tells the nurse that she has read an article about certain foods that have anticancer properties and help boost the immune system. The nurse identifies A) Garlic B) Soybeans C) Milk D) Leeks E) Flax seeds Answer Key 1. C 2. B 3. A 4. D 5. C 6. C 7. B 8. A 9. B 10. A 11. D 12. C 13. D 14. C 15. B 16. D 17. C, D 18. B 19. C 20. A, C 21. A 22. D 23. B 24. B, C, D 25. A, B, D, E Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) “These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position.” 7. The nurse would be least likely to find which of the following in a client with uterine fibroids? A) Regularly shaped, shrunken uterus B) Acute pelvic pain C) Menorrhagia D) Complaints of bloating 8. A client with polycystic ovarian syndrome (PCOS. is receiving oral contraceptives as part of her treatment plan. The nurse understands that the rationale for this therapy is to: A) Restore menstrual regularity B) Induce ovulation C) Improve insulin uptake D) Alleviate hirsutism 9. When teaching a woman how to perform Kegel exercises, the nurse explains that these exercises are designed to strengthen which muscles? A) Gluteus B) Lower abdominal C) Pelvic floor D) Diaphragmatic 10. A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect? A) Increased vaginal discharge B) Urinary tract infection C) Vaginitis D) Vaginal ulceration 11. When preparing the discharge teaching plan for the woman who had surgery to correct pelvic organ prolapse, which of the following would the nurse include? A) Care of the indwelling catheter at home B) Emphasis on coughing to prevent complications C) Return to usual activity level in a few days D) Daily douching with dilute vinegar solution 12. A woman with polycystic ovary syndrome tells the nurse, “I hate this disease. Just look at me! I have no hair on the front of my head but I’ve got hair on my chin and upper lip. I don’t feel like a woman anymore.” Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A) Situational low self-esteem related to masculinization effects of the disease B) Social isolation related to feelings about appearance C) Risk for suicide related to effects of condition and fluctuating hormone levels Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Ineffective peripheral tissue perfusion related to effects of disease on vasculature 13. After teaching a local woman’s group about incontinence, the nurse determines that the Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 teaching was successful when the group identifies which of the following as characteristic of stress incontinence? A) Feeling a strong need to void B) Passing a large amount of urine C) Most common in women after childbirth D) Sneezing may be an initiating stimulus 14. A woman is being evaluated for pelvic organ prolapse. A postvoid residual urine specimen is obtained via a catheter. Which residual volume finding would lead the nurse to suspect the need for further testing? A) 50 mL B) 75 mL C) 100 mL D) 120 mL 15. After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which of the following statements would indicate the need for additional teaching? A) “If I wear a girdle, it will help support the muscles in the area.” B) “I should take up jogging to make sure I exercise enough.” C) “I will try to drink at least 64 oz of fluid each day.” D) “I need to increase the amount of fiber I eat every day.” 16. After teaching a group of students about genital fistulas, the instructor determines that the teaching was successful when the students identify which of the following as a major cause? A) Radiation therapy B) Congenital anomaly C) Female genital cutting D) Bartholin’s gland abscess 17. A nurse is providing care to a female client receiving treatment for a Bartholin’s cyst. The client has had a small loop of plastic tubing secured in place to allow for drainage. The nurse instructs the client that she will have a follow-up appointment for removal of the plastic tubing at which time? A) 1 week B) 2 weeks C) 3 weeks D) 4 weeks 18. After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require: A) Biopsy B) No treatment C) Oral contraceptives D) Glucophage Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 F) High-density lipoprotein level of 40 mg/dL Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 25. A group of students are preparing a class presentation about polyps. Which of the following would the students most likely include in the presentation? A) Polyps are rarely the result of an infection. B) Endocervical polyps commonly appear after menarche. C) Cervical polyps are more common than endocervical polyps. D) Endocervical polyps are most common in women in their 50s. Answer Key 1. D 2. A 3. B 4. A 5. C 6. A 7. B 8. A 9. C 10. D 11. A 12. A 13. D 14. D 15. B 16. C 17. C 18. B 19. A, C 20. D 21. D 22. A 23. A, C, E 24. B, C, E 25. D Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 8- Cancers of the Female Reproductive Tract 1. The nurse would refer a client, age 54, for follow-up for suspected endometrial carcinoma if she reports which of the following? A) Use of oral contraceptives between ages 18 and 25 B) Onset of painless, red postmenopausal bleeding C) Menopause occurring at age 46 D) Use of intrauterine device for 3 years 2. Which of the following instructions would the nurse include when preparing a woman for a Pap smear? A) “Refrain from sexual intercourse for 1 week before the test.” B) “Wear cotton panties on the day of the test.” C) “Avoid taking any medications for 24 hours.” D) “Do not douche for 48 hours before the test.” 3. A woman comes to the clinic for a routine checkup. A history of exposure to which of the following would alert the nurse that she is at increased risk for cervical cancer? A) Hepatitis B) Human papillomavirus C) Cytomegalovirus D) Epstein-Barr virus 4. A client is scheduled to have a Pap smear. After the nurse teaches the client about the Pap smear, which of the following client statements indicates successful teaching? A) “I need to douche the night before with a mild vinegar solution.” B) “I will take a bath first thing that morning to make sure I’m clean.” C) “I will not engage in sexual intercourse for 48 hours before the test.” D) “I will get a clean urine specimen when I first wake up the morning of the test.” 5. Which finding obtained during a client history would the nurse identify as increasing a client’s risk for ovarian cancer? A) Multiple sexual partners B) Consumption of a high-fat diet C) Underweight D) Grand multiparity (more than five children) 6. A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method? A) Freezing B) Cutting C) Burning Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Breast-feeding 13. A woman is diagnosed with adenocarcinoma of the endometrium in situ. The nurse interprets Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 this as indicating which of the following about the cancer? A) Spread to the uterine muscle wall B) Found on the endometrial surface C) Spread to the cervix D) Invaded the bladder 14. When preparing a woman with suspected vulvar cancer for a biopsy, the nurse expects that the lesion would most likely be located at which area? A) Labia majora B) Labia minora C) Clitoris D) Prepuce 15. When describing the various types of reproductive tract cancers to a local women’s group, which of the following would the nurse identify as the least common type? A) Vulvar B) Vaginal C) Endometrial D) Ovarian 16. When assessing a female client for the possibility of vulvar cancer, which of the following would the nurse most likely expect the client to report? (Select all that apply.) A) Abnormal vaginal bleeding B) Persistent vulvar itching C) History of herpes simplex D) Lesion on the cervix E) Abnormal Pap smear 17. A nurse is reviewing the medical record of a woman diagnosed with vulvar cancer. Which of the following would the nurse identify as a risk factor for this cancer? (Select all that apply.) A) Age under 40 years B) HPV 16 exposure C) Monogamous sexual partner D) Hypertension E) Diabetes 18. A nurse is assisting with the collection of a Pap smear. When collecting the specimen, which of the following is done first? A) Insertion of the speculum B) Swabbing of the endocervix C) Spreading of the labia D) Insertion of the cytobrush Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 19. The plan of care for a woman diagnosed with a suspected reproductive cancer includes a nursing diagnosis of disturbed body image related to suspected reproductive tract cancer and impact on sexuality as evidenced by the client’s statement that she is worried that she won’t be Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 25. A client has an abnormal Pap smear that is classified as ASC-US. Based on the nurse’s understanding of this classification, the nurse would expect which of the following? A) Immediate colposcopy B) Testing for HPV C) Repeat Pap smear in 4 to 6 months D) Cone biopsy Answer Key 1. B 2. D 3. B 4. C 5. B 6. A 7. D 8. D 9. B 10. C 11. A 12. C 13. B 14. A 15. B 16. B, C 17. B, D, E 18. C 19. A 20. B, C, D 21. D 22. B 23. B 24. C 25. C Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 9- Violence and Abuse 1. The nurse is presenting a class at a local community health center on violence during pregnancy. Which of the following would the nurse include as a possible complication? A) Hypertension of pregnancy B) Chorioamnionitis C) Placenta previa D) Postterm labor 2. Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? A) Offer her a pamphlet about the local battered women’s shelter. B) Call her at home to ask her some questions about her marriage. C) Wait until she comes in a few more times to make a better assessment. D) Ask, “Have you ever been physically hurt by your partner?” 3. When describing an episode, the victim reports that she attempted to calm her partner down to keep things from escalating. This behavior reflects which phase of the cycle of violence? A) Battering B) Honeymoon C) Tension-building D) Reconciliation 4. A battered pregnant woman reports to the nurse that her husband has stopped hitting her and promises never to hurt her again. Which of the following is an appropriate response? A) “That’s great. I wish you both the best.” B) “The cycle of violence often repeats itself.” C) “He probably didn’t mean to hurt you.” D) “You need to consider leaving him.” 5. Which of the following nursing actions would be least helpful for a client who is a victim of violence? A) Assist the client to project her anger. B) Provide information about a safe home and crisis line. C) Teach her about the cycle of violence. D) Discuss her legal and personal rights. 6. When describing the cycle of violence to a community group, the nurse explains that the first phase usually is: A) Somehow triggered by the victim’s behavior B) Characterized by tension-building and minor battery C) Associated with loss of physical and emotional control D) Like a honeymoon that lulls the victim Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 7. Which of the following statements would be most appropriate to empower victims of violence to take action? A) “Give your partner more time to come around.” Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 A) Enhance their personal appearance and hairstyle B) Develop their creativity and work ethic C) Improve their communication skills and assertiveness D) Plan more nutritious meals to improve their own health 15. During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, “I pretty much stay to myself at work and at home.” The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A) Disorganization B) Denial C) Reorganization D) Integration 16. A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, “Do you feel as though you are reliving the trauma?” The nurse is assessing for which of the following? A) Physical symptoms B) Intrusive thoughts C) Avoidance D) Hyperarousal 17. A group of students are preparing a class discussion about rape and sexual assault. Which of the following would the students include as being most accurate? (Select all that apply.) A) Most victims of rape tell someone about it. B) Few women falsely cry “rape.” C) Women have rape fantasies desiring to be raped. D) A rape victim feels vulnerable and betrayed afterwards. E) Medication and counseling can help a rape victim cope. 18. After teaching a class on date rape, the instructor determines that the teaching was successful when the class identifies which of the following as the most common date rape drug? A) Gamma hydroxybutyrate B) Liquid ecstasy C) Ketamine D) Rohypnol 19. A nurse is caring for a woman who was recently raped. The nurse would expect this woman to experience which of the following first? A) Denial B) Disorganization C) Reorganization D) Integration Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 20. A group of nurses are researching information about risk factors for intimate partner violence in men. Which of the following would the nurses expect to find related to the individual person? (Select all that apply.) Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 A) Dysfunctional family system B) Low academic achievement C) Victim of childhood violence D) Heavy alcohol consumption E) Economic stress 21. A nurse is working with a victim of intimate partner violence and helping her develop a safety plan. Which of the following would the nurse suggest that the woman take with her? (Select all that apply.) A) Driver’s license B) Social security number C) Cash D) Phone cards E) Health insurance cards 22. A nurse is presenting a discussion on sexual violence at a local community college. When describing the incidence of sexual violence, the nurse would identify that a woman has which chance of experiencing a sexual assault in her lifetime? A) One in three B) One in six C) Two in 15 D) Three in 20 23. After teaching a class on sexual violence, the instructor determines that the teaching was successful when the class identifies which of the following as a type of sexual violence. (Select all that apply.) A) Female genital cutting B) Bondage C) Infanticide D) Human trafficking E) Rape 24. A nurse is reading a journal article about sexual abuse. Which age range would the nurse expect to find as the peak age for such abuse? A) 7–10 years B) 8–12 years C) 14–18 years D) 18–22 years 25. After teaching a group of students about sexual abuse and violence, the instructor determines that the teaching was successful when the students describe incest as involving which of the following? A) Sexual exploitation by blood or surrogate relatives B) Sexual abuse of individuals over age 18 Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 Chapter 10- Fetal Development and Genetics 1. While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of: A) Multifactorial inheritance B) X-linked recessive inheritance C) Trisomy numeric abnormality D) Chromosomal deletion 2. A nurse is describing advances in genetics to a group of students. Which of the following would the nurse least likely include? A) Genetic diagnosis is now available as early as the second trimester. B) Genetic testing can identify presymptomatic conditions in children. C) Gene therapy can be used to repair missing genes with normal ones. D) Genetic agents may be used in the future to replace drugs. 3. After teaching a group of students about fetal development, the instructor determines that the teaching was successful when the students identify which of the following as providing the barrier to other sperm after fertilization? A) Zona pellucida B) Zygote C) Cleavage D) Morula 4. A nurse is teaching a class on X-linked recessive disorders. Which of the following statements would the nurse most likely include? A) Males are typically carriers of the disorders. B) No male-to-male transmission occurs. C) Daughters are more commonly affected with the disorder. D) Both sons and daughters have a 50% risk of the disorder. 5. A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks’ gestation. Which of the following would the nurse suspect if the woman’s level is decreased? A) Down syndrome B) Sickle-cell anemia C) Cardiac defects D) Open neural tube defect 6. The nurse is developing a presentation for a community group of young adults discussing fetal development and pregnancy. The nurse would identify that the sex of offspring is determined at the time of: Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 A) Meiosis B) Fertilization C) Formation of morula Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Oogenesis 7. When describing amniotic fluid to a pregnant woman, the nurse would include which of the following? A) “This fluid acts as transport mechanism for oxygen and nutrients.” B) “The fluid is mostly protein to provide nourishment to your baby.” C) “This fluid acts as a cushion to help to protect your baby from injury.” D) “The amount of fluid remains fairly constant throughout the pregnancy.” 8. Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which of the following? A) Maternal diabetes B) Placental insufficiency C) Neural tube defects D) Fetal gastrointestinal malformations 9. A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse teaches the couple about fertilization and initial development, stating that the zygote formed by the union of the ovum and sperm consists of how many chromosomes? A) 22 B) 23 C) 44 D) 46 10. A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify which of the following as normal? (Select all that apply.) A) One vein B) Two veins C) One artery D) Two arteries E) One ligament F) Two ligaments 11. After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? A) Human placental lactogen (hPL) B) Estrogen (estriol) C) Progesterone (progestin) D) Human chorionic gonadotropin (hCG) 12. After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. In planning a response, the nurse integrates understanding of which of the following? A) Fetal blood is thicker than that of adults and needs different pathways. B) Fetal circulation carries highly oxygenated blood to vital areas first. Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 lung development? A) Umbilical cord B) Amniotic fluid Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 C) Placenta D) Trophoblasts 19. During a prenatal class for a group of new mothers, the nurse is describing the hormones produced by the placenta. Which of the following would the nurse include? (Select all that apply.) A) Prolactin B) Estriol C) Relaxin D) Progestin E) Human chorionic somatomammotropin 20. When describing the structures involved in fetal circulation, the nursing instructor describes which structure as the opening between the right and left atrium? A) Ductus venosus B) Foramen ovale C) Ductus arteriosus D) Umbilical artery 21. A group of students are reviewing information about genetic inheritance. The students demonstrate understanding of the information when they identify which of the following as an example of an autosomal recessive disorder? (Select all that apply.) A) Cystic fibrosis B) Phenylketonuria C) Tay-Sachs disease D) Polycystic kidney disease E) Achondroplasia 22. A nurse is assessing a child with Klinefelter’s syndrome. Which of the following would the nurse expect to assess? (Select all that apply.) A) Gross mental retardation B) Long arms C) Profuse body hair D) Gynecomastia E) Enlarged testicles 23. A woman is scheduled to undergo fetal nuchal translucency testing. Which of the following would the nurse include when describing this test? A) “A needle will be inserted directly into the fetus’s umbilical vessel.” B) “You’ll have an intravaginal ultrasound to measure fluid in the fetus.” C) “The doctor will take a sample of fluid from your bag of waters.” D) “A small piece of tissue from the fetal part of the placenta is taken.” Answer Key Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 1. C 2. A Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 D) Hemorrhoids 6. A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 interprets this as indicating which of the following? A) Iron-deficiency anemia B) A multiple gestation pregnancy C) Greater-than-expected weight gain D) Hemodilution of pregnancy 7. The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse’s understanding that the placenta produces: A) hCG, which increases maternal glucose levels B) hPL, which deceases the effectiveness of insulin C) Estriol, which interferes with insulin crossing the placenta D) Relaxin, which decreases the amount of insulin produced 8. When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect? A) Pancreatic function is affected by pregnancy. B) Glucose is utilized more rapidly during a pregnancy. C) The pregnant woman increases her dietary intake. D) Glucose moves through the placenta to assist the fetus. 9. When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find? A) Ambivalence B) Introversion C) Acceptance D) Emotional lability 10. The nurse is assessing a pregnant woman in the second trimester. Which of the following tasks would indicate to the nurse that the client is incorporating the maternal role into her personality? A) The woman demonstrates concern for herself and her fetus as a unit. B) The client identifies what she must give up to assume her new role. C) The woman acknowledges the fetus as a separate entity within her. D) The client demonstrates unconditional acceptance without rejection. 11. A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which of the following would be included as part of this assessment? (Select all that apply.) A) Positive pregnancy test B) Ultrasound visualization of the fetus C) Auscultation of a fetal heart beat D) Ballottement Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Latest Updated Examination Study Guide 2023 E) Absence of menstruation F) Softening of the cervix