Scannell/Ruggiero
Davis Advantage for Maternal-Child Nursing Test Bank
Chapter 2: Reproduction
MULTIPLE CHOICE
1. A patient is having an infertility work-up and has been told she has scarring of her fallopian
tubes. What action by the nurse is best?
A. Ask the patient how many sexually transmitted infections she has had.
B. Assess the patient for previous vaginal infections and their treatment.
C. Gently tell the patient that nothing can be done about scarring of the tubes.
D. Question the patient about genetic defects or family history of infertility.
ANS: B
Chapter: Chapter 2: Reproduction
Objective: #1. Identify anatomy and explain physiological functions of the female and male
reproductive system.
Page: 28
Heading: Fallopian Tubes
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying] Difficulty: Moderate
Feedback
A. Not all vaginal infections are sexually transmitted infections (STIs), and to
specifically ask about STIs sounds judgmental in addition to not providing adequa
information.
B. Anatomically, there is a continuous passage from the vagina into the uterus and on
into the fallopian tubes and ovaries. A vaginal infection can lead to residual scarri
of the tubes from the inflammatory process. This puts the patient at increased risk
for ectopic pregnancies and infertility.
C. There are several treatment options for this patient.
D. Genetic defects may play a role in this patient’s problem, but the higher likelihood
is that her scarred tubes are due to a vaginal infection.
n
,2. A new nurse is attempting to catheterize a female patient. The nurse has a difficult time and after
three attempts, finally inserts the catheter into the bladder and has urine output. What suggestion
by the more experienced nurse is best?
A. <Leave the incorrectly placed catheters where they are while inserting a fresh one.=
B. <Place the patient in a high Fowler’s position and have another nurse adduct the legs.=
C. <Position the patient prone with another nurse abducting the patient’s legs.=
, D. <To save the patient some charges, use the same catheter for two attempts.=
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