Ch 9 & 10 Flashcards Preview

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Flashcards in Ch 9 & 10 Deck (48):
1

Ch 9
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

Chorioamnionitis

2

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, ìHave you ever been physically hurt by your partner?î

Ask, have you ever been physically hurt by your partner?

3

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

tension-building

4

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)
ìThat's great. I wish you both the best.î
B)
ìThe cycle of violence often repeats itself.î
C)
ìHe probably didn't mean to hurt you.î
D)
ìYou need to consider leaving him.î

the cycle of violence often repeats itself

5

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.

assist the client to project her anger

6

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

characterized by tension building and minor battery

7

7.
Which of the following statements would be most appropriate to empower victims of violence to take action?
A)
ìGive your partner more time to come around.î
B)
ìRememberóchildren do best in two-parent families.î
C)
ìChange your behavior so as not to trigger the violence.î
D)
ìYou are a good person and you deserve better than this.î

you are a good person and you deserve better than this

8

8.
When a nurse suspects that a client may have been abused, the first action should be to:
A)
Ask the client about the injuries and if they are related to abuse.
B)
Encourage the client to leave the batterer immediately.
C)
Set up an appointment with a domestic violence counselor.
D)
Ask the suspected abuser about the victim's injuries.

ask the client about the injuries and if they are related to abuse

9

9.
Which of the following would the nurse describe as a characteristic of the second phase of the cycle of violence?
A)
The batterer is contrite and attempts to apologize for the behavior.
B)
The physical battery is abrupt and unpredictable.
C)
Verbal assaults begin to escalate toward the victim.
D)
The victim accepts the anger as legitimately directed at her.

the physical battery is abrupt and unpredictable

10

10.
In addition to providing privacy, which of the following would be most appropriate initially in situations involving suspected abuse?
A)
Allow the client to have a good cry over the situation.
B)
Tell the client, ìInjuries like these don't usually happen by accident.î
C)
Call the police immediately so they can question the victim.
D)
Ask the abuser to describe his side of the story first.

tell the client that injuries like these don't usually happen by accident

11

11.
When the nurse is alone with a client, the client says, ìIt was all my fault. The house was so messy when he got home and I know he hates that.î Which response would be most appropriate?
A)
ìIt is not your fault. No one deserves to be hurt. î
B)
ìWhat else did you do to make him so angry with you?î
C)
ìYou need to start to clean the house early in the day.î
D)
ìRemember, he works hard and you need to meet his needs.î

it is not your fault. No one deserves to be hurt.

12

12.
When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate partner abuse and its effects on children. In what percentage of the cases in which a parent is abused are the children battered also?
A)
50% to 75%
B)
25% to 50%
C)
10% to 25%
D)
Less than 5%

50-75%

13

13.
The primary goal when working with victims of intimate partner violence is to:
A)
Convince them to leave the abuser soon
B)
Help them cope with their life as it is
C)
Empower them to regain control of their life
D)
Arrest the abuser so he or she can't abuse again

empower them to regain control of their life

14

14.
Teaching for victims who are recovering from abusive situations must focus on ways to:
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

improve their communications skills and assertiveness

15

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, ìI pretty much stay to myself at work and at home.î 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

reorganization

16

16.
A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, ìDo you feel as though you are reliving the trauma?î The nurse is assessing for which of the following?
A)
Physical symptoms
B)
Intrusive thoughts
C)
Avoidance
D)
Hyperarousal

intrusive thoughts

17

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 ìrape."
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.

few women falsely cry rape
a rape victim feels vulnerable and betrayed afterwards
medication and counseling can help a rape victim cope

18

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

rohypnol

19

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

disorganization

20

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.)
A)
Dysfunctional family system
B)
Low academic achievement
C)
Victim of childhood violence
D)
Heavy alcohol consumption
E)
Economic stress

low academic achievement
victim of childhood violence
heavy alcohol consumption

21

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

driver's license
social security card
cash
health insurance cards

22

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

one in six

23

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

female genital cutting
bondage
infanticide
human trafficking
rape

24

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)
7ñ10 years
B)
8ñ12 years
C)
14ñ18 years
D)
18ñ22 years

8-12

25

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
C)
Violent aggressive assault on a person
D)
Consent between perpetrator and victim.

sexual exploitation by blood or surrogate relatives

26

Ch 10
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

Trisomy numeric abnormality

27

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.

genetic diagnosis is now available as early as the second trimester

28

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

zona pellucida

29

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.

no male to male transmission occurs

30

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

down syndrome

31

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:
A)
Meiosis
B)
Fertilization
C)
Formation of morula
D)
Oogenesis

fertilization

32

7.
When describing amniotic fluid to a pregnant woman, the nurse would include which of the following?
A)
ìThis fluid acts as transport mechanism for oxygen and nutrients.î
B)
ìThe fluid is mostly protein to provide nourishment to your baby.î
C)
ìThis fluid acts as a cushion to help to protect your baby from injury.î
D)
ìThe amount of fluid remains fairly constant throughout the pregnancy.î

the fluid acts as a cushion to help protect your baby from injury

33

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

placental insufficiency

34

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

46

35

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

one vein
two arteries

36

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)

human chorionic gonadotropin

37

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.
C)
Fetal blood has a higher oxygen saturation and circulates more slowly.
D)
Fetal heart rates are rapid and circulation time is double that of adults.

fetal circulation carries highly oxygenated blood to vital areas first

38

13.
When describing genetic disorders to a group of childbearing couples, the nurse would identify which as an example of an autosomal dominant inheritance disorder?
A)
Huntington's disease
B)
Sickle cell disease
C)
Phenylketonuria
D)
Cystic fibrosis

Huntington's disease

39

14.
Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:
A)
Special care needed for a Down syndrome infant
B)
A more specific determination of the acidñbase status
C)
Further, more definitive evaluations to conclude anything
D)
Immediate termination of the pregnancy based on results

further more definitive evaluations to conclude anything

40

15.
A nursing instructor is preparing a teaching plan for a group of nursing students about the potential for misuse of genetic discoveries and advances. Which the following would the instructor most likely include?
A)
Gene replacement therapy for defective genes
B)
Individual risk profiling and confidentiality
C)
Greater emphasis on the causes of diseases
D)
Slower diagnosis of specific diseases

individual risk profiling and confidentiality

41

16.
After teaching a class on the stages of fetal development, the instructor determines that the teaching was successful when the students identify which of the following as a stage? (Select all that apply.)
A)
Placental
B)
Preembryonic
C)
Umbilical
D)
Embryonic
E)
Fetal

preembryonic
embryonic
fetal

42

17.
A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks pregnant and asks, ìWhat's happening with my baby?î Which of the following would the nurse integrate into the response? (Select all that apply.)
A)
Continued sexual differentiation
B)
Eyebrows forming
C)
Startle reflex present
D)
Digestive system becoming active
E)
Lanugo present on the head

continued sexual differentiation
digestive system becoming active

43

18.
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 essential for fetal lung development?
A)
Umbilical cord
B)
Amniotic fluid
C)
Placenta
D)
Trophoblasts

amniotic fluid

44

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

estriol
relaxin
progestin
human chorionic somatomammotropin

45

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

foramen ovale

46

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

cystic fibrosis
phenylketonuria
Tay-Sachs disease

47

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

long arms, gynecomastia
(decrease in sperm production and male sex hormones)

48

23.
A woman is scheduled to undergo fetal nuchal translucency testing. Which of the following would the nurse include when describing this test?
A)
ìA needle will be inserted directly into the fetus's umbilical vessel.î
B)
ìYou'll have an intravaginal ultrasound to measure fluid in the fetus.î
C)
ìThe doctor will take a sample of fluid from your bag of waters.î
D)
"A small piece of tissue from the fetal part of the placenta is taken.î

you'll have an intravaginal ultrasound to measure fluid in the fetus