Test Bank For Womens Gynecologic Health, 3rd Edition

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11Women’s Gynecologic Health,Third EditionTest Bank

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22CHAPTER1QUESTIONSMULTIPLE-CHOICEQUESTIONSSelect the one correct answer to each of the following questions.1.Which of the following best defines the term “gender” asused in this text?a.A person’s sexb.A person’s sex as defined by societyc.A societal response to a person’s self-representation as a man or womand.A person’s biological presentation as defined by himself or herself2.Whichfactor bears moston women’s health care today?a.Thecomplexity of women’s healthb.Women’s status and position in societyc.Population growthd. The economy3.Why is acknowledging the oppression of women more difficult within Westernsocieties?a.The multiplicity of minority groupscomplicates the issue.b.The availability of health caremakes acknowledgmentmore difficult.c.The diversity of the news media clouds the issue.d.Affluence and increased opportunitiesmask oppression.4.Which of the following most accurately defines “oppression” as used in the text?a.Not having a choiceb.Not having a voicec.An act of tyrannyd.Afeeling of being burdened5.In what way does a model of care based on a feminist perspective contrastsharply witha biomedical model?a.It provides a forum for the exploration of gender issues.b.It seeks equal distribution of power within the healthcare interaction.c. It emphasizes women’s rights.d.It opens new avenues for women’s healthcare.6.Gender is rooted in _____________ and shaped by ________________ .a.society, biologyb.self-representation, societal expectationsc.biology, environment and experience

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33d.biology, hormones7.Women’s health risks, treatments, and approachesarenot always based in science andbiologybecause _________________________________________a.they are often based on outdated treatments and approaches.b.they are determined by social expectations and gender assumptions.c.they oftenrely on alternative treatments and approaches.d. scientific research often fails to take women into consideration.8.Reproductive rightswereadded to the World Health Organization’s human rightsframeworkin the last _____________?a.5 yearsb.10 yearsc.20 yearsd.40 years9.“Safe Motherhood”was added to the human rights frameworkin order to__________a.address maternal morbidity and mortality on a global levelb.meet a legal obligationc.correct an injusticed.correctan oversight10.What is a chief failing of the biomedical model in regards to women’s health care?a.Itsreliance on studies comprised exclusively of malesb.Itsconsideration of women as central the modelc.Its emphasis on science and medicined.Its limited definition of “health” as “the absence of disease”11.The social model of health places the focus of health on _________a.the community.b.the individual.c.environmental conditions.d.scientific research.12.Whichquestionbelowsupports the strategy: “Identify women’s agency in the midstof social constraint and the biomedical paradigm.”?a. “Are ‘all women’ the same?”b. “Why do you care about the issue?”c. “Are women really victims or are they acting with agency?”d. “Who has a choice within the context of health?”13. What hadbeen a significantproblem inmedical research well into the 1990s?a.The focus on randomized clinical trials over epidemiological investigationsb. The lack of representation of women in research trialsc.The lack of research related to gynecologyd. The focus on randomized clinical trials over observational research

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4414. Gender differences in heart disease can be found in __________a. diagnosis.b. treatment.c.identification ofsymptoms.d. all of the above.15. What opportunitiesare created byapplying feminist strategiesto gynecologic health?a.Better insight into research methods related to gynecologyb.Better access to the populations affected by gynecologic healthc. Better understandingsfrom a wellness-oriented, women-centered frameworkd. Better understandings of the social construction of gender

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55ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.b3.d4.a5.b6.c7.b8.c9.a10.d11.a12.c13.b14.d15.c

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66CHAPTER 2 QUESTIONSMULTIPLE-CHOICE QUESTIONSSelect the one correct answer to each of the following questions.1. How does Erick Erikson’s grand theory of human development differ for females?a. It recognizes achieving autonomy as a primary focus.b. It assumes only men desire autonomy.c. It assumes female dependence on another in order to achieve a sense ofself.d. It assumes females desire dependence on others.2. What is true about human development theories published before the 1970s?a. They are based on interviews conducted only with men.b. They assume androcentric models can be applied correctly to women.c. They frame women’s development as flawed in comparison to the standard.d. All of the above.3. What is the intention of the newer feminist models of development?a. To offer a new model within the traditional biomedical focus.b. To offer alternatives to the constrained and previously misapplied models.c. To replace male generalist models with female generalist models.d. To present a contrast to privileged, white male-based models.4. What is a key limitation of prevailing developmental models for women?a. Gender differences assumed to be biologically determined are more oftensocially constructed.b. They present conflicting and misapplied models.c.Gender differences are assumed to be socially prescribed.d. Similarities between male and female are emphasized over differences.5. What event in female development marks the beginning of a tension between biologicchanges and the social context?a. Turning 18 years oldb. The onset of mensesc. The accumulation of adipose tissue with the onset of pubertyd. Pregnancy6. How many stages does the Tanner scale use to stage sexual maturity?a. 3 stagesb. 5 stagesc. 6 stagesd. 8 stages7. What is the median age for the onset of menstruation for adolescent girls in the UnitedStates?

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77a. 9.8b. 10.8c. 12.8d. 13.88. What factor limits an individual’s ability to function productively as an adult?a. Failure to take intoaccount social and cultural normsb. The inability to move through the world with credibility and respectc. Povertyd. Failure to negotiate the developmental tasks of adolescence successfully9. The type of thinking that influences the risk-taking behaviors of adolescence_____________________a. involves the use of symbols, advanced reasoning and expanded possibilities.b. works proactively to achieve autonomy.c. encourages experimentation and foresight.d. is rooted in the immediate and concrete.10. What narrow term is often used to refer to the period of Early Adulthood?a. Productive yearsb. Reproductive yearsc. Young Adulthoodd. Adolescence11. Why have women’s changing roles come at a cost to their health?a. Increases in caregiving expectations compromise healthb. Balancing competing demands increases stressc. Less attention is being placed on health cared. Men’s roles have not changed in relation to the change in women’s roles12. How do Franz and White (1985) expandErikson’s theory of development?a. By proposing a two-pathway process that includes both individuation andcapacity for attachmentb. By refining Erikson’s single pathway to include capacity for attachmentc. By expanding issues around career and lifestyled. By expanding issues around identity13. What factors affect the mood changes many women in midlife suffer?a. Deficiencies of estrogenb. Psychological transitionsc. Cultural beliefs and expectationsd. All of the above14. What is theprimary reason many older women live in poverty and have healthproblems?a. They outnumber older men.

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88b. They have outlived their support systems.c. Their cognitive abilities decline.d. They must contend with ageism and sexism.

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99ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.d3.b4.a5.c6.b7.c8.d9.a10.b11.b12.a13.d14.b

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1010CHAPTER 3 QUESTIONSMULTIPLE-CHOICEQUESTIONSSelect the one correct answer to each of the followingquestions.1. According to Wuest (1994), the major goal of feminist research is _______________a. to change the design and evaluation of research.b. to liberate women from societal expectations.c. to emancipate the world from systemic bias based on gender and class.d. to expand notions of gender beyond stereotypes.2. What concern prompted the initiation of the modern EBP movement in health care?a. That clinicians often failed to evaluate the effectiveness of their own careb. That expert opinion was valued over scientific evidencec. That scientific evidence was valued over expert opiniond. That patients were demanding more evidence to support care decisions3. Quine’s (1952) concept of a web of interconnecting beliefs and knowledge supports_____________________a. the inferiority of quantitative research.b. a multiple-method approach to examining phenomena.c. the superiority of qualitative research.d. the difficulties of establishing best practices.4. Why are multiple approaches needed to identify best clinical practices?a. To reflect the multiple variables within clinical settingsb. To offer alternatives to poorly functioning practicesc. To address the complexity of the human conditiond. To ensure that no single approach dominates5. What is the third part of theclinical decision-making triad that includes clinicalexperience and patient preference?a. An investigation of treatment pathwaysb. A consultation with clinical managementc. An evaluation of current clinical researchd. Establishing research methodology6. How many classifications are used by the U.S. Preventative Service Task Force togauge the strength of recommendations for using research evidence in clinical practice?a. 3b. 5c. 6d. 8

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11117. What are the corresponding clinical termsfor Type I and Type II errors in quantitativeresearch?a. “false positive” and “false negative”b. “negativity” and “positivity”c. “bias I” and “bias II”d. “evidence flaw” and “process flaw”8. What key factor shapes the methodology of qualitative research?a. A person’s view of the worldb. The ability to establish control over variablesc. The ability to establish cause and effectd. A well-conducted meta-analysis9. What is a difference between quantitative andqualitative research?a. One follows strict protocols while the other does not.b. Onededucesthe reason why something happens and the otherinduceswhy ithappens.c. One places greater emphasizes on the expansion of knowledge.d. All of the above.10. What field of study informs qualitative research?a. Anthropologyb. Ecological psychologyc. Sociolinguisticsd. All of the above11. Which research question most closely exemplifies a qualitative approach?a. Why do some women experience postpartum depression?b. How does physical exercise affect menopause?c. How does Kegel exercise affect a woman’s perinatal outcomes?d. Does a specific method of contraception cause weight gain?12. What is a recognized limitation of EBP?a. Emphasis on the routinization of practiceb. Over-reliance on RCT-derived resultsc. The challenge of staying abreast of current researchd. All of the above13. What is the purpose of the Stetler (2001) model of research utilization?a. Toweigh the risks and benefits of EBPb. To supply methods for critiquing evidencec. To encourage a synthesis of all research methodsd. To help move best evidence into the clinical practice setting14. One common barrier to using EBP in clinical settingsis the lack of confidence incritiquing research studies. The second is _____________________

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1212a. the lack of time to find studies.b. the lack of willing colleagues.c. the lack of support from management.d. the lack of protocol in using EBP.15. What is the single most important action a clinician can take to advance EBP in theclinical setting?a. Employ quantitative research methodsb. Employ qualitative research methodsc. Question everythingd. Consult with management

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1313ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.a3.b4.c5.c6.b7.a8.a9.b10.d11.a12.d13.d14.a15.c

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1414CHAPTER 4 QUESTIONSMULTIPLE-CHOICEQUESTIONSSelect the one correct answer to each of thefollowing questions.1. What is the annual medical expenditure nationwide, approximately, due to smokingand being overweight?a. $60 billionb. $100 billionc. $160 billiond.$260 billion2. What approach does Health People 2020 use to achieve itsgoals and objectives?a. Social determinants of healthb. Evidence-based determinants of healthc. Quality-of-life determinants of healthd. Longevity promotion determinants of health3. What percentage of the nation’s gross domestic product was spent on health care in2005?a. 0.6 percentb. 6 percentc. 16 percentd. 26 percent4. Which of the following is a new focus area added for Healthy People 2020?a. Lesbian, gay, bisexual and transgender healthb. Maternal, infant and child healthc. Nutrition and weight statusd. Family planning5. Why must definitions of health and prevention be clarified?a. To provide clinicians with a standard point ofviewb. To shift from an illness-centered focus toward wellnessc. To establish clarity and protocold. To streamline health counseling and education6. According to the World Health Organization (WHO), the presence of a disease state________________a. necessitates prompt medical attention.b. excludes a person from being considered healthy.c. does not exclude a person from being considered healthy.d. classifies a person as in poor health.

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15157. Which approach to health promotion comes closest to that advocated by the text?a. Is determined primarily by the clinicianb. Pays close attention to cost effectivenessc. Focuses on the absence of diseased. Considers the patient and his or her cultural perceptions8. Which of the following is considered primary prevention?a. Targeted immunizationb. Serves that limit an existing disabilityc. Routine laboratory screeningd. Rehabilitation9. What ratio of ambulatory visits most closely represents those due to chronic or acuteproblems versus preventative care?a. 2/1b. 1/1c. 3/1d. 5/110. What area of injury prevention is a focus of the USPSTF’s guidelines for counselingallhealthy, asymptomatic women?a. motor vehicle accidentsb. fallsc. domestic violenced. All of the above11. What is the USPSTF recommendation regarding firearms?a. Removed from homes with children under the age of tenb. Stored in locked compartmentsc. Removed from home or stored, unloaded, in locked compartmentsd. Removed from private homes12. Which type of counseling results in a statistically significant reduction in STIs?a. Abstinence-only educationb. Counseling delivered in multiple individual or group sessions totaling morethan 3 hoursc. Remote counseling via Internet or phoned. Brief, individual sessions in the primary care setting13. What is the leading preventable cause of death across all populations in the U.S.?a. Motor vehicle accidentsb. Tobaccoc. Obesityd. Alcoholism

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161614. What percentage of older women does NOT receive the recommended immunizationsfor their age group,according to a recent study?a. 10 percentb. 25 percentc. 50 percentd. 75 percent

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1717ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.a3.c4.a5.b6.c7.d8.a9.c10.a11.c12.b13.b14.c

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1818CHAPTER 5 QUESTIONSMULTIPLE-CHOICE QUESTIONSSelect the one correct answer to each of the following questions.1. A major contributor to pelvic stability is ____________________a. the coccyx.b. the pubis.c. the ilium and its ligaments.d. the sacrum.2. The sheet made up of dense fibrous tissue that spans the opening of the anterior pelvicoutlet is/are the _____________________________a. sphinter muscles.b. deep perineal space.c. perineal membrane.d. distal vagina.3. How many different fiber sections subdivide the levator ani muscular sheet?a. 2b. 3c. 4d. 64. What is the function of the Bartholin’s gland?a. To help prevent infection of the introitusb. To secrete lubricating mucus into the introitus during sexual excitementc. To assist in keeping the vaginal introitus closedd. To secrete estrogen and regulate its levels5. Which arteries supply blood to the clitoris?a. Arcuate arteriesb. Dorsal and clitoral cavernosal arteriesc. Two ovarian arteriesd. Coiled arteries6. What is the approximate number of ovarian follicles at the initiation of puberty?a. 100,000b. 200,000c. 400,000d. 600,0007. The four segments of a fallopian tube are the pars interstitialis, the isthus, the ampulla,and the _________________________a. infundibulum.

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1919b. medulla.c. hilum.d. myometrium.8. What causes the epithelium to thicken, differentiate, and accumulate glycogen?a. Progesteroneb. Pudendal nervec. Estrogend. Vagus nerves9. About how many openings are in the nipple?a. 1 to 5b. 5 to 10c. 10-15d. 15-2010. What is one of the most frequent reasons women visit their clinician?a. Changes in menstruationb. Family planningc. Pregnancyd. Prevention and wellness11. What is the objective of the endometrial cycle?a. To emulate the activities of the ovariesb. To produce an ovumc. To reach the menstruation phased. To prepare a site to nourish and maintain the ovum12. Ovulation is dependent on an increased level of ___________________a. enzyme activity.b. progesterone.c. prostaglandins.d. estrogen and the LH surge.13. What initiates contractions of the uterine muscle leading to menstruation?a. Lysosomal enzymesb. Vascular thrombosisc. Rupture of the basal arteriolesd. Prostaglandins14. Why does the cervicalmucus become thick, viscous and opaque after ovulation?a. To make an hospitable environment for the spermb. To promote stromal vascularizationc. To relax the myometrial fibers that supply the cervixd. To reduce the risk of ascending infection at the time of implantation

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2020ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.a3.c4.a5.b6.c7.a8.c9.d10.a11.d12.d13.d14.d

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2121CHAPTER 6 QUESTIONSMULTIPLE-CHOICE QUESTIONSSelect the one correct answer to each of thefollowing questions.1. What does the Greek term “gyne” mean from which “gynecology” is derived?a. Speculumb. Genderc. Woman—more as queend. To reproduce2. What is the primary purpose of taking a health history?a. To learn about a woman’s health concernsb. To establish a relationship with a woman while learning about her healthc. To identify any unresolved/latent health issuesd. To ensure that a woman’s health care records are up to date3. Which skills are valued in a clinician taking a health history?a. Respectful attentionb. Empathyc. Trust-buildingd. All of the above4. What should be the clinician’s first objective after learning the chief reason the womandesires care?a. To give the reason or problem a structural and chronological frameworkb. To probe for any additional concerns missedc. To take a family history related to the presenting concernd. To gain insight into the woman’s cultural and social influences5. Which of the following should NOT be a part of taking a health history?a. Taking a family health historyb. Seeking information on stressors or personal problemsc. Asking about exercise and sleep patternsd. Counseling for tobacco-use cessation6. In the GTPAL system for recording pregnancy history, the “T” stands for: _________a. Term births.b. Terminal pregnancies.c. Total number of pregnancies.d. Type of birth (spontaneous, assisted, or cesarean).7. In a complete physical examination in the ambulatory gynecology setting, it iscustomary to ______________________________________a. evaluate major organ systems briefly and carefully, but not exhaustively.

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2222b. ask the woman which physical examination maneuvers should be performed.c. evaluate major organ systems thoroughly.d. palpate the precordium.8. How should the order of examination proceed?a. Head to toeb. Toe to headc. By major organ systemd. By concern presented9. Where may supernumerary occur?a.Anywhere from the neck to the ankle unilaterallyb. Anywhere on the torsoc. Anywhere along a vertical line from the axilla to the inner thighd. Anywhere on the breast tissue, including the tall of Spence10. Where in the breast do most malignanciesdevelop?a. Upper inner quadrantb. Upper outer quadrantc. Lower outer quadrantd. Lower inner quadrant11. Which type of speculum is best used to examine nulliparous women?a. Small Gravesb. Pedersonc. Large Gravesd. Pediatric12. What is the preferred maneuver order of the pelvic examination?a. Bimanual, external inspection and palpation, speculumb. External inspection and palpation, bimanual, speculumc. External inspection and palpation, speculum, bimanuald.Speculum, bimanual, external inspection and palpation13. Under what conditions is a rectovaginal examination most useful?a. Under all conditionsb. If screening for colorectal cancer is indicatedc. If the uterus is anteverted or anteflexedd. If theuterus is retroflexed or retroverted14. A clinician should present a therapeutic plan to the patient based on___________________a. the individual woman’s desire for information and the degree of severity of thefinding.b. consultation with another health professional.c. the examining clinician’s findings and assessments.

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2323d. the individual woman’s cultural sensitivities and level of education.

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2424ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.b3.d4.a5.d6.a7.a8.a9.c10.b11.b12.c13.d14.a

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2525CHAPTER 7QUESTIONSMULTIPLE-CHOICE QUESTIONSSelect the one correct answer to each of the following questions.1. What does a service grade of D represent in the U.S. Preventive Services TaskForce(USPSTF) recommendations?a. Service carries insufficient evidence to recommend itb. Service is found to be beneficialc. Service is found to be either of no benefit or potentially harmfuld. Service should not be routinely provided2. Which statement best defines “risk factor”?a. Any factor which increases the need for medical attentionb. Any behavior which places an individual at risk for illnessc. The probability that an individual will develop a medical conditiond. An attribute or exposure associated causally with an increased probability of adisease or injury3. The USPSTF assigns a certainty level to assess the net benefit of a preventive servicebased on __________________________________a. the nature of the overall evidenceavailable.b. the cost-effectiveness of a service.c. known health outcomes.d. select studies in a limited primary care population.4. What screening recommendation is similar across all groups for colorectal cancer?a. Screening women age 76 to 85 based on risk factorsb. Screening only for those women at increased riskc. Screening for all women starting at age 50d. Againstroutine screening in adults age 76 and over5. What is the screening recommendation by the American College of Obstetricians andGynecologists for intimate partner violence (IPV)?a. Routinely ask all women direct, specific questions about abuse. Refertocommunity-based services when identified.b. Insufficient evidence to recommend for or against routine screening.c. No screening recommendation.d. Remain alert for signs of family violence at every patient encounter.6. Alcohol consumption is considered hazardous for a woman who has ______________a. either 5 or more drinks in one week or 3 per occasion.b. either 7 or more drinks in one week or 3 per occasion.c. either 9 or more drinks in one week or 4 per occasion.d. either 10 or moredrinks in one week or 5 per occasion.

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26267. What is the Task Force recommendation grade assigned to screening all adults fordepression?a. Bb. Ac. Cd. D8. How is being overweight defined on the BMI table?a. 18 to 29.9b. 20 to 29.9c.25 to 29.9d. 30 or greater9. How is screening for the rubella immunity accomplished?a. By asking the patientb. By obtaining a history of vaccination or by ordering serologic studiesc. By ordering serologic studiesd. By obtaining vaccination records10. What recommendation grade does the Task Force assign to screening all adults fortobacco use?a. Ab. Bc. Cd. D11. What is the Task Force recommendation regarding the efficacy of digitalmammography or MRI versus the standard film mammography?a. Evidence exists that all screens are equally beneficialb. Film mammography is recommended as the best screenc. Digital mammography or MRI is recommended as the best screend. Not enough evidence exists to assess benefits and risks as to which provides thebest screen12. What recommendation grade does the Task Force assign to cholesterol screeningwomen between 20 and 44 years with preexisting risk factors for coronary artery disease?a. Ab. Bc. Cd. D13. Which of the following factor associated with increased risk for developingosteoporosis appears to be the best predictor of risk?a. Smokingb. Low body weightc. Sedentary lifestyle

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2727d. Family history14. Which of the following are screening tests for type 2diabetes mellitus?a. Fasting plasma glucoseb. Two-hour post load plasma glucosec. Hemoglobin A1Cd. All of the above15. What population of women should be screened for signs and symptoms of thyroiddysfunction?a. All womenb. Older womenc. Older women, smokers, women with diabetesd. Older women, postpartum women, and women with Down syndrome

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2828ANSWER KEYMULTIPLE-CHOICE QUESTIONS1.c2.d3.a4.c5.a6.b7.a8.c9.b10.a11.d12.a13.b14.d15.d

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2929CHAPTER 8QUESTIONSMULTIPLE-CHOICE QUESTIONSSelect the one correct answer to each of the following questions.1. Approximately how many weight-loss surgeries occur each year?a. 100,000b. 150,000c. 250,000d. 375,0002. How is body mass index(BMI) calculated?a. Weight in pounds divided by height in feet squaredb. Weight in kilograms divided by height in meters squaredc. Height in meters divided by weight in kilograms squaredd. Weight in kilograms squared divided by height in meters3.Bariatric surgery considered a valid treatment when _________________a. a person’s BMI is between 35 and 40 and is accompanied by a high-riskcomorbid disease.b. a person’s BMI is more than 25 and is accompanied by hypertension.c. a person’s BMI is more than 40 and is accompanied by cardiovascular disease.d. a person’s BMI is between 25 and 29.9 and is accompanied by a high-riskcomorbid disease.4. Which statement about women who have had bariatric surgery is false?a. Her record of weightlost should not be included in her health history.b. Obesity has been shown to evoke negative responses from clinicians.c. Subtle, unintentional bias often manifests against these women.d. Clinicians need to strive to be nonjudgmental regardless ofthe patient’s bodyhabitus.5. Which is NOT a complication following bariatric surgery?a. Hernia formationb. Anemiac. Hearing lossd. Cholelithiasis6. Where does iron and calcium absorption primarily occur?a. Stomachb. Duodenumc. Upper intestined. Lower intestine7. What is the recommended waiting period between bariatric surgery and pregnancy?a. 6 to 12 months

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3030b. 12 to 24 monthsc. 24 months to three yearsd. Three to four years8. Estrogen-containing contraceptive pills are known to increase the incidence of_____________________a. kidney disease.b. kidney stones.c. gallstones.d. Addison’s disease.9. Best practice clinical guidelines for directing the care of women who become pregnantafterbariatric surgery _____________________________a. have yet to be developed.b. include nutritional counseling.c. have been developed using research-based evidence.d. are incomplete.10. What is the recommended prenatal weight gain if a woman’sBMI is 25 to 29.9(overweight)?a. 8 to 11 poundsb. 11 to 15 poundsc. 15 to 25 poundsd. 25 to 30 pounds11. Which statement regarding a relationship between obesity and psychologicaldisorders is true?a. Psychopathology is both a cause and a consequence of obesity.b. Psychopathology is a consequence of obesity.c. Psychopathology is a cause of obesity.d. It is uncertain whether psychopathology is a cause or a consequence of obesity.12. Mental health assessments after bariatric surgery may take the form of________________________________a. directing the woman to answer a questionnaire focused on mental health status.b. asking the woman questions during the history and physical examination.c. observing the woman’s affect, mood and appearance during the visit.d. All of the above

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Test Bank For Womens Gynecologic Health, 3rd Edition