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Chapter 05_LO01_Q01
A client asks her nurse, Is it okay for me to take a tub bath during the heavy part of my
menstruation? The correct response by the nurse is:
1. Tub baths are contraindicated during menstruation.
2. You should shower and douche daily instead.
3. Either a bath or a shower is fine at that time.
4. You should bathe and use a feminine deodorant spray during menstruation.
Correct Answer: 3
Rationale:
1. Bathing, whether it is a tub bath or shower, is as important (if not more so) during menses as at
any other time.
2. Bathing, whether it is a tub bath or shower, is as important (if not more so) during menses as at
any other time. Douching should be avoided during menstruation.
3. Bathing, whether it is a tub bath or shower, is as important (if not more so) during menses as at
any other time.
4. Bathing, whether it is a tub bath or shower, is as important (if not more so) during menses as at
any other time. Feminine deodorant sprays are unnecessary.
Cognitive Level: Implementation
Category of Client Need: Physiological Integrity
Nursing Process: Application
Learning Outcome: 5.1 Determine accurate information to be provided to girls and women so
that they can implement effective self-care measures for dealing with menstruation.
Chapter 05_LO01_Q02
When taking a sexual history from a client, the nurse should:
1. Ask questions that the client can answer with a yes or no.
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire, and review it after the client
leaves.
4. Try not to make much direct eye contact.
Correct Answer: 2
Rationale:
1. Open-ended questions are often useful in eliciting information. Yes-or-no answers will not
provide the necessary information.
2. Open-ended questions are often useful in eliciting information.
3. Filling out a questionnaire is not appropriate.
4. It is helpful to use direct eye contact as much as possible, unless culturally unacceptable.
Cognitive Level: Assessment
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Application
Learning Outcome: 5.1 Determine accurate information to be provided to girls and women so
that they can implement effective self-care measures for dealing with menstruation.
Chapter 05_LO02_Q03
A client comes to the clinic complaining of severe menstrual cramps. She has never been
pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2
years. The most likely cause for the clients complaint is:
1. Primary dysmenorrhea.
2. Secondary dysmenorrhea.
3. Menorrhagia.
4. Hypermenorrhea.
Correct Answer: 2
Rationale:
1. Primary dysmenorrhea is defined as cramps without underlying disease.
2. Secondary dysmenorrhea is associated with pathology of the reproductive tract, and usually
appears after menstruation has been established. Conditions that most frequently cause secondary
dysmenorrhea include ovarian cysts and the presence of an intrauterine device.
3. Menorrhagia is excessive, profuse flow.
The nurse at the family planning clinic has done some teaching on oral contraceptives in the
waiting room. The nurse knows that the teaching has been effective when one of the clients
responds:
1. I cant take the pill if Im over 30.
2. I can take the pill, even though I smoke heavily.
3. My periods will become slightly heavier when I take the pill.
4. I cant take the pill if I have gallbladder disease.
Correct Answer: 4
Rationale:
1. There is no age specification for using the pill.
2. Oral contraceptive is contraindicated in women who smoke heavily.
3. Menstrual flow is decreased with the use of oral contraceptives.
4. Oral contraceptive is contraindicated in women with gallbladder disease and those who smoke
heavily.
Cognitive Level: Application
Category of Client Need: Physiological Integrity
Nursing Process: Evaluation
Learning Outcome: 5.3 Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Chapter 05_LO03_Q09
A client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires
birth control. The nurse understands that which of the following is inappropriate for this client?
1. Intrauterine device
2. Vaginal sponge
3. Combined oral contraceptives
4. Transdermal hormonal contraception
Correct Answer: 4
Rationale:
1. This client may use an intrauterine device, the vaginal sponge, or combined oral
contraceptives.
2. This client may use an intrauterine device, the vaginal sponge, or combined oral
contraceptives.
3. This client may use an intrauterine device, the vaginal sponge, or combined oral
contraceptives.
4. Transdermal hormonal contraception is contraindicated because of the clients obesity.
Cognitive Level: Analysis
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Diagnosis
Learning Outcome: 5.3 Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Chapter 05_LO03_Q10
Which client would not be a good candidate for Depo-Provera (DMPA)?
1. One who wishes to get pregnant within 3 months
2. A nursing mother
3. One with a vaginal prolapse
4. One who weighs 200 pounds
Correct Answer: 1
Rationale:
1. Return of fertility after the use of Depo-Provera takes an average of 9 months.
2. A nursing mother can use Depo-Provera.
3. Obesity and vaginal prolapse do not prevent the use of Depo-Provera.
4. Obesity and vaginal prolapse do not prevent the use of Depo-Provera.
Cognitive Level: Application
Category of Client Need: Physiological Integrity
Nursing Process: Implementation
Learning Outcome: 5.3 Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Chapter 05_LO03_Q11
A couple asks the nurse what the safest method of sterilization would be. The nurse should reply,
Learning Outcome: 5.4 Delineate basic gynecologic screening procedures indicated for well
women.
Chapter 05_LO05_Q14
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness
during sexual intercourse, and asks, What should I use as a lubricant? The nurse should
recommend:
1. Petroleum jelly.
2. A water-soluble lubricant.
3. Body cream or body lotion.
4. Less-frequent intercourse.
Correct Answer: 2
Rationale:
1. A water-soluble jelly should be used. Petroleum jelly is not water-soluble
2. A water-soluble jelly should be used.
3. A water-soluble jelly should be used. Body creams and body lotions are not water-soluble.
4. A water-soluble jelly should be used. Less-frequent intercourse is an inappropriate response.
Cognitive Level: Application
Category of Client Need: Physiological Integrity
Nursing Process: Implementation
Learning Outcome: 5.5 Consider the physical and psychologic aspects and clinical treatment
options of menopause when caring for menopausal women.
Chapter 05_LO06_Q15
When a woman who has been raped is admitted to the Emergency Department, which nursing
intervention has priority?
1. Explain exactly what will need to be done to preserve legal evidence.
2. Assure the woman that everything will be all right.
3. Create a safe, secure atmosphere for her.
4. Contact family members.
Correct Answer: 3
Rationale:
1. The first priority in caring for a survivor of a sexual assault is to create a safe, secure
atmosphere. The other interventions would not take priority over safety at this time.
2. The first priority in caring for a survivor of a sexual assault is to create a safe, secure
atmosphere. The other interventions would not take priority over safety at this time.
3. The first priority in caring for a survivor of a sexual assault is to create a safe, secure
atmosphere. The other interventions would not take priority over safety at this time.
4. The first priority in caring for a survivor of a sexual assault is to create a safe, secure
atmosphere. The other interventions would not take priority over safety at this time.
Cognitive Level: Analysis
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 5.6 Delineate the nurses role in screening and caring for women who have
experienced domestic violence or rape.