Maternal Child Nursing Care in Canada

2nd Edition Perry Test Bank

Go to download the full and correct content document:
https://testbankdeal.com/product/maternal-child-nursing-care-in-canada-2nd-edition-p
erry-test-bank/
More products digital (pdf, epub, mobi) instant
download maybe you interests ...

Maternal Child Nursing Care in Canada 1st Edition Perry

Test Bank

https://testbankdeal.com/product/maternal-child-nursing-care-in-
canada-1st-edition-perry-test-bank/

Maternal Child Nursing Care 4th Edition Perry Test Bank

https://testbankdeal.com/product/maternal-child-nursing-care-4th-
edition-perry-test-bank/

Maternal Child Nursing Care 5th Edition Perry Test Bank

https://testbankdeal.com/product/maternal-child-nursing-care-5th-
edition-perry-test-bank/

Maternal Child Nursing Care 6th Edition Perry Test Bank

https://testbankdeal.com/product/maternal-child-nursing-care-6th-
edition-perry-test-bank/
Maternal and Child Nursing Care 6th Edition Perry Test
Bank

https://testbankdeal.com/product/maternal-and-child-nursing-
care-6th-edition-perry-test-bank/

Maternal Child Nursing Care 2nd Edition Ward Test Bank

https://testbankdeal.com/product/maternal-child-nursing-care-2nd-
edition-ward-test-bank/

Maternal Child Nursing Care 2nd Edition London Test

Bank

https://testbankdeal.com/product/maternal-child-nursing-care-2nd-
edition-london-test-bank/

Maternal and Child Nursing Care 5th Edition London Test

Bank

https://testbankdeal.com/product/maternal-and-child-nursing-
care-5th-edition-london-test-bank/

Maternal and Child Nursing Care 3rd Edition London Test

Bank

https://testbankdeal.com/product/maternal-and-child-nursing-
care-3rd-edition-london-test-bank/
Chapter 07: Reproductive Health
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition

MULTIPLE CHOICE

1. When assessing the patient for amenorrhea, the nurse should be aware that which may cause
amenorrhea?
a. Alcohol use
b. Type 1 diabetes mellitus
c. Lack of exercise
d. Cessation of oral contraception use
ANS: B
Type 1 diabetes may cause amenorrhea. Lack of exercise does not cause amenorrhea. It is the
use of oral contraception that may cause amenorrhea. Alcohol use does not cause amenorrhea.

DIF: Cognitive Level: Knowledge REF: p. 107

OBJ: Nursing Process: Assessment

2. When a nurse is counselling a woman for primary dysmenorrhea, which nonpharmacological

intervention might be recommended?
a. Increase the intake of red meat and simple carbohydrates.
b. Reduce the intake of diuretic foods, such as peaches and asparagus.
c. Temporarily substitute physical activity for a sedentary lifestyle.
d. Use a heating pad on the abdomen to relieve cramping.
ANS: D
Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing
uterine ischemia. Dietary changes such as eating less red meat may be recommended for
women experiencing dysmenorrhea. Increasing the intake of diuretics, including natural
diuretics such as asparagus, cranberry juice, peaches, parsley, and watermelon, may help ease
the symptoms associated with dysmenorrhea. Exercise has been found to help relieve
menstrual discomfort through increased vasodilation and subsequent decreased ischemia.

DIF: Cognitive Level: Analysis REF: p. 110 OBJ: Nursing Process: Planning

3. What symptom described by a woman is characteristic of premenstrual syndrome (PMS)?

a. Irritable and moody prior to menses.
b. Lower abdominal pain that begins halfway through menstruation.
c. Nausea and headache after menses begins lasting 2 to 3 days.
d. Abdominal bloating and breast pain halfway through menstruation.
ANS: A
PMS is a cluster of physical, psychological, and behavioural symptoms that begin in the luteal
phase of the menstrual cycle and coincide with menses. Complaints of lower abdominal pain,
nausea and headaches, and abdominal bloating are all associated with PMS; however, the
timing reflected is inaccurate.

DIF: Cognitive Level: Application REF: p. 111

OBJ: Nursing Process: Assessment
4. A woman complains of severe abdominal and pelvic pain around the time of menstruation that
has gotten worse over the last 5 years. She also complains of pain during intercourse and has
tried unsuccessfully to get pregnant for the past 18 months. What are these symptoms most
likely related to?
a. Endometriosis
b. PMS
c. Primary dysmenorrhea
d. Secondary dysmenorrhea
ANS: A
Symptoms of endometriosis can change over time and may not reflect the extent of the
disease. Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful
intercourse). Impaired fertility may result from adhesions caused by endometriosis. Although
endometriosis may be associated with secondary dysmenorrhea, it is not a cause of primary
dysmenorrhea or PMS. In addition, this woman is complaining of dyspareunia and infertility,
which are associated with endometriosis, not with PMS or primary or secondary
dysmenorrhea.

DIF: Cognitive Level: Comprehension REF: p. 113

OBJ: Nursing Process: Assessment

5. Nafarelin (Synarel) 200 mg BID per nasal spray currently is used as a treatment for
mild-to-severe endometriosis. What patient teaching should the nurse tell the woman who is
taking this medication?
a. It stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby
stimulating ovarian activity.
b. It should be sprayed into one nostril every other day.
c. It should be injected into subcutaneous tissue BID.
d. It can cause her to experience some hot flashes and vaginal dryness.
ANS: D
Nafarelin is a GnRH agonist, and its adverse effects are similar to those of menopause. The
hypoestrogenism effect results in hot flashes and vaginal dryness. Nafarelin is a GnRH
agonist that suppresses the secretion of GnRH and is administered twice daily by nasal spray.

DIF: Cognitive Level: Application REF: p. 113

OBJ: Nursing Process: Implementation

6. While interviewing a 31-year-old woman before her routine gynecological examination, the
nurse collects data about the patient’s recent menstrual cycles. The nurse should collect
additional information when the woman makes which statement?
a. The woman says her menstrual flow lasts 5 to 6 days.
b. She describes her flow as very heavy.
c. She reports that she has had a small amount of spotting midway between her
periods for the past 2 months.
d. She says the length of her menstrual cycle varies from 26 to 29 days.
ANS: B
 Menorrhagia is defined as excessive menstrual bleeding, in either duration or amount. Heavy
bleeding can have many causes. The amount of bleeding and its effect on daily activities
should be evaluated. A menstrual flow lasting 5 to 6 days is a normal finding. Mittelschmerz,
a small amount of bleeding or spotting that occurs at the time of ovulation (14 days before
onset of the next menses), is considered normal. During her reproductive years, a woman may
have physiological variations in her menstrual cycle. Variations in the length of a menstrual
cycle are considered normal.

DIF: Cognitive Level: Comprehension REF: p. 107 | p. 114

OBJ: Nursing Process: Assessment

7. When evaluating a patient whose primary complaint is secondary amenorrhea, the nurse must
be aware that lack of menstruation is most often the result of which event?
a. Stress
b. Excessive exercise
c. Pregnancy
d. Eating disorders
ANS: C
Secondary amenorrhea, or the absence of menstrual flow, is most often a result of pregnancy.
Although stress, excessive exercise, and eating disorders all may be contributing factors, none
is the most common factor associated with amenorrhea.

DIF: Cognitive Level: Knowledge REF: p. 107

OBJ: Nursing Process: Assessment | Nursing Process: Diagnosis

8. When planning care for a woman who has been diagnosed as having uterine fibroids, what is
important for the nurse to know?
a. Fibroids are malignant tumours of the uterus that require radiation or
chemotherapy.
b. Fibroids will increase in size during the perimenopausal period.
c. Menorrhagia is a common finding in women with uterine fibroids.
d. The woman is unlikely to become pregnant as long as the fibroids are in her uterus.
ANS: C
Uterine fibroids are a common cause of menorrhagia. Fibroids are benign tumours of the
smooth muscle of the uterus, and their etiology is unknown. Fibroids are estrogen sensitive
and shrink as levels of estrogen decline. Fibroids occur in 25% of women of reproductive age
and are seen in 2% of pregnant women.

DIF: Cognitive Level: Comprehension REF: p. 115 OBJ: Nursing Process: Planning

9. During her annual gynecological checkup, a woman states that recently she has been
experiencing cramping and pain during her menstrual periods. The nurse would use which
term to document this complaint?
a. Amenorrhea
b. Dysmenorrhea
c. Dyspareunia
d. Premenstrual syndrome (PMS)
ANS: B
 Dysmenorrhea is pain during or shortly before menstruation. Amenorrhea is the absence of
menstrual flow. Dyspareunia is pain during intercourse. PMS is a cluster of physical,
psychological, and behavioural symptoms that begin in the luteal phase of the menstrual cycle
and resolve within a couple of days of the onset of menses.

DIF: Cognitive Level: Knowledge REF: p. 108 OBJ: Nursing Process: Diagnosis

10. Nurses should be aware that which is true with regard to dysmenorrhea?
a. It is more common in older women.
b. It is more common in leaner women who exercise strenuously.
c. Symptoms can begin at any point in the ovulatory cycle.
d. Pain usually occurs in the suprapubic area or lower abdomen.
ANS: D
Pain is described as sharp and cramping or sometimes as a dull ache. It may radiate to the
lower back or upper thighs. Dysmenorrhea is more common in younger women ages 17 to 24
and in women who smoke and who are obese. Symptoms begin with menstruation or
sometimes a few hours before the onset of flow.

DIF: Cognitive Level: Knowledge REF: p. 108 OBJ: Nursing Process: Diagnosis

11. Which statement is accurate?

a. Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual
syndrome (PMS) and more common in younger women.
b. Secondary dysmenorrhea is more intense and medically significant than primary
dysmenorrhea.
c. Premenstrual syndrome is a complex but clearly understood condition that may
include many symptoms.
d. The causes of PMS have been well established.
ANS: A
PMDD is a more severe variant of PMS. PMS may manifest itself with one or more of many
physical, mood, and behavioural symptoms and is poorly understood. Secondary
dysmenorrhea is characterized by more muted pain than that seen in primary dysmenorrhea;
the medical treatment is much the same. The cause of PMS is unknown. It may be a collection
of different problems.

DIF: Cognitive Level: Comprehension REF: p. 111 OBJ: Nursing Process: Diagnosis

12. Nurses should be aware of which in relation to endometriosis?

a. It is characterized by the presence and growth of endometrial tissue inside the
uterus.
b. It is found more often in Black women than in White or Asian women.
c. It may worsen with repeated cycles or remain asymptomatic and disappear after
menopause.
d. It is unlikely to affect sexual intercourse or fertility.
ANS: C
Symptoms vary among women, ranging from nonexistent to incapacitating. With
endometriosis the endometrial tissue is outside the uterus. Endometriosis is found equally in
women from all cultures. Women can experience painful intercourse and impaired fertility.
 DIF: Cognitive Level: Knowledge REF: p. 113
OBJ: Nursing Process: Assessment

13. Which refers to an alteration in cyclic bleeding that occurs between periods of menstruation?
a. Oligomenorrhea
b. Menorrhagia
c. Leiomyoma
d. Metrorrhagia
ANS: D
Metrorrhagia is bleeding between periods. It can be caused by progestin injections and
implants. Oligomenorrhea is infrequent or scanty menstruation. Menorrhagia is excessive
menstruation. Leiomyoma is a common cause of excessive bleeding.

DIF: Cognitive Level: Knowledge REF: p. 114 OBJ: Nursing Process: Diagnosis

14. What should the nurse be aware of with regard to abnormal uterine bleeding (AUB)?
a. Inherited blood disorders may be a cause of AUB.
b. It most often occurs in middle age.
c. Acute bleeding episodes require a dilation and curettage.
d. The most effective medical treatment involves steroids.
ANS: A
Inherited bleeding disorders may be an underlying cause of abnormal uterine bleeding, with
von Willebrand’s disease present in the majority of cases, and should be considered when
other causes cannot be determined. AUB can occur at any age. Acute bleeding episodes do not
automatically require a dilation and curettage. The most effective medical treatment is oral or
intravenous estrogen, not steroids.

DIF: Cognitive Level: Knowledge REF: p. 114 OBJ: Nursing Process: Diagnosis

15. Management of primary dysmenorrhea often requires a multifaceted approach. What is the
optimal pharmacological therapy for pain relief for dysmenorrhea?
a. Acetaminophen
b. Oral contraceptives (OCPs)
c. Nonsteroidal anti-inflammatory drugs (NSAIDs)
d. Aspirin
ANS: C
This pharmacological agent has the strongest research results for pain relief. Often if one
NSAID is not effective, another one will provide relief. Approximately 80% of women find
relief from these prostaglandin inhibitors. Preparations containing acetaminophen are less
effective for dysmenorrhea because they lack the antiprostaglandin properties of NSAIDs.
OCPs are a reasonable choice for women who also want birth control. The benefit of OCPs is
the reduction of menstrual flow and irregularities. OCPs may be contraindicated for some
women and have a number of potential adverse effects. NSAIDs are the drug of choice. If a
woman is taking an NSAID, she should avoid taking aspirin.

DIF: Cognitive Level: Application REF: pp. 109-110 OBJ: Nursing Process: Planning

16. What are the two primary areas of risk for sexually transmitted infections (STIs)?
 a. Sexual orientation and socioeconomic status
b. Age and educational level
c. Large number of sexual partners and race
d. Risky sexual behaviours and inadequate preventive health behaviours
ANS: D
Risky sexual behaviours and inadequate preventive health behaviours put a person at risk for
acquiring or transmitting an STI. Low socioeconomic status may be a factor in being less able
to purchase barrier protection, and sexual orientation does not put one at higher risk. Younger
individuals with less education may not be aware of proper prevention techniques: however,
these are not the primary areas of risk for STIs. Having a large number of sexual partners is
certainly a risk-taking behaviour. Being of a certain race does not increase the risk for STIs.

DIF: Cognitive Level: Knowledge REF: p. 117

OBJ: Nursing Process: Assessment

17. When evaluating a patient for sexually transmitted infections (STIs), the nurse should be
aware that which STI is on the rise in Canada?
a. Chancroid
b. Candidiasis
c. Chlamydia
d. Herpes simplex virus (HSV) type 2
ANS: C
Chlamydia is the one of the three STIs on the rise in Canada; the other two are gonorrhea and
syphilis. Candidiasis is caused by a fungus, not by bacteria. Chancroid is not on the rise in
Canada. HSV type 2 is common in women; however, it is not cited as one of the three STIs
that are on the increase in Canada.

DIF: Cognitive Level: Knowledge REF: p. 118

OBJ: Nursing Process: Assessment

18. What is the viral sexually transmitted infection (STI) that affects most people in Canada
today?
a. Herpes simplex virus type 2 (HSV-2)
b. Human papillomavirus (HPV)
c. Human immunodeficiency virus (HIV)
d. Cytomegalovirus (CMV)
ANS: B
HPV infection, an STI, is the most prevalent viral STI seen in ambulatory health care settings.
HSV-2, HIV, and CMV are all viral STIs, but are not the most prevalent viral STI.

DIF: Cognitive Level: Knowledge REF: p. 124

OBJ: Nursing Process: Assessment

19. Which medication does the Public Health Agency of Canada recommend for the treatment of
patients with human papillomavirus (HPV)?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Penicillin given intramuscularly (IM) for two doses
d. Metronidazole by mouth
 ANS: B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is used
to treat athlete’s foot. Penicillin IM is used to treat syphilis. Metronidazole is used to treat
bacterial vaginosis.

DIF: Cognitive Level: Knowledge REF: p. 125

OBJ: Nursing Process: Implementation

20. A woman has a thick, white, lumpy, cottage cheese-like discharge, with patches on her labia
and in her vagina. She complains of intense pruritus. The nurse would anticipate which
preparation for treatment?
a. Fluconazole
b. Tetracycline
c. Clindamycin
d. Acyclovir
ANS: A
Fluconazole, metronidazole, and clotrimazole are the drugs of choice to treat candidiasis.
Tetracycline is used to treat syphilis. Clindamycin is used to treat bacterial vaginosis.
Acyclovir is used to treat genital herpes.

DIF: Cognitive Level: Synthesis REF: p. 131

OBJ: Nursing Process: Implementation

21. What do most laboratory tests focus on to detect the human immunodeficiency virus (HIV)?
a. HIV virus
b. HIV antibodies
c. CD4 counts
d. CD8 counts
ANS: B
The screening tool used to detect HIV is the enzyme immunoassay, which tests for the
presence of antibodies to the HIV virus. CD4 counts are associated with the incidence of
acquired immunodeficiency syndrome (AIDS) in HIV-infected individuals.

DIF: Cognitive Level: Knowledge REF: p. 129 OBJ: Nursing Process: Planning

22. What would most likely be included for the care management of a woman diagnosed with
acute pelvic inflammatory disease (PID)?
a. Oral antiviral therapy
b. Bedrest in a semi-Fowler position
c. Antibiotic regimen continued until symptoms subside
d. Frequent pelvic examination to monitor the progress of healing
ANS: B
The woman with acute PID should be on bedrest in a semi-Fowler position. Broad-spectrum
antibiotics are used. Antibiotics must be taken as prescribed, even if symptoms subside. Few
pelvic examinations should be conducted during the acute phase of the disease.

DIF: Cognitive Level: Application REF: p. 124

OBJ: Nursing Process: Implementation
23. On vaginal examination of a 30-year-old woman, the nurse documents the following findings:
profuse, thin, greyish white vaginal discharge with a “fishy” odour; complaint of pruritus.
These findings lead the nurse to which diagnosis?
a. Bacterial vaginosis (BV)
b. Candidiasis
c. Trichomoniasis
d. Gonorrhea
ANS: A
Most women with BV complain of a characteristic “fishy” odour. The discharge usually is
profuse and thin and has a white, grey, or milky colour. Some women also may have mild
irritation or pruritus. The discharge associated with candidiasis is thick, white, and lumpy and
resembles cottage cheese. Trichomoniasis may be asymptomatic, but women commonly have
a characteristic yellowish to greenish, frothy, mucopurulent, copious, and malodorous
discharge. Women with gonorrhea are often asymptomatic. They may have a purulent
endocervical discharge, but discharge usually is minimal or absent.

DIF: Cognitive Level: Comprehension REF: p. 130

OBJ: Nursing Process: Assessment

24. What is a recommended treatment for human papillomavirus (HPV)?

a. Acyclovir
b. Ofloxacin
c. Podophyllin
d. Penicillin
ANS: C
Podophyllin is a solution used in the treatment of HPV. Acyclovir is an antiviral treatment for
herpes simplex virus. Ofloxacin is an antibacterial treatment for gonorrhea. Penicillin is used
in the treatment of syphilis.

DIF: Cognitive Level: Knowledge REF: p. 120 | Table 7-3

OBJ: Nursing Process: Planning | Nursing Process: Implementation

25. Which viral sexually transmitted infection is characterized by a primary infection followed by
recurrent episodes?
a. Herpes simplex virus (HSV)-2
b. Human papillomavirus (HPV)
c. Human immunodeficiency virus (HIV)
d. Cytomegalovirus (CMV)
ANS: A
 The initial HSV genital infection is characterized by multiple painful lesions, fever, chills,
malaise, and severe dysuria; it may last 2 to 3 weeks. Recurrent episodes of HSV infection
commonly have only local symptoms that usually are less severe than those of the initial
infection. With HPV infection, lesions are a chronic problem. HIV is a retrovirus.
Seroconversion to HIV positivity usually occurs within 6 to 12 weeks after the virus has
entered the body. Severe depression of the cellular immune system associated with HIV
infection characterizes acquired immunodeficiency syndrome (AIDS). AIDS has no cure. In
most adults the onset of CMV infection is uncertain and asymptomatic. However, the disease
may become a chronic, persistent infection.

DIF: Cognitive Level: Comprehension REF: pp. 125-126

OBJ: Nursing Process: Assessment

26. The nurse should know that once human immunodeficiency virus (HIV) enters the body,
seroconversion to HIV positivity occurs in 70% of individuals by what week?
a. 1 week
b. 4 weeks
c. 8 weeks
d. 12 weeks
ANS: D
Seroconversion to HIV positivity usually occurs within 3 to 6 weeks after the virus has
entered the body; 70% of individuals will have seroconverted by 12 weeks.

DIF: Cognitive Level: Knowledge REF: p. 126

OBJ: Nursing Process: Assessment

27. A 25-year-old single female comes to the gynecologist’s office for a follow-up visit related to
her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human
papillomavirus (HPV). The patient asks, “What is that? Can you get rid of it?” What is the
basis for the nurses’ response?
a. Provide reassurance that it can be frozen and it will fall off.
b. Explain that HPV stands for “human papillomavirus” and is a sexually transmitted
infection (STI).
c. Explain that HPV is a type of early human immunodeficiency virus (HIV) and is
usually fatal.
d. Explain transmission from the current partner, who needs to be tested as well.
ANS: B
It is important to inform the patient about STIs and the risks involved with HPV. The health
care team has a duty to provide proper information to the patient, including information
related to STIs. HPV and HIV are both viruses that can be transmitted sexually, but they are
not the same virus. The onset of HPV can be insidious and it is not fatal. Often STIs go
unnoticed. Abnormal bleeding frequently is the initial symptom. The patient may have had
HPV before her current boyfriend. The nurse cannot make any deductions from this limited
information.

DIF: Cognitive Level: Analysis REF: p. 124 OBJ: Nursing Process: Planning

28. Which statement about the various forms of hepatitis is accurate?

a. A vaccine exists for hepatitis C, but not for hepatitis B.
 b. Hepatitis A is acquired by eating contaminated food or drinking polluted water.
c. Hepatitis B is less contagious than human immunodeficiency virus (HIV).
d. The incidence of hepatitis C is decreasing.
ANS: B
Contaminated milk and shellfish are common sources of infection with hepatitis A. A vaccine
exists for hepatitis B but not for hepatitis C. Hepatitis B is more contagious than HIV. The
incidence of hepatitis C is increasing.

DIF: Cognitive Level: Knowledge REF: p. 127

OBJ: Nursing Process: Assessment

29. Which is the most important aspect of a discussion related to health promotion and condom
use that the nurse should be aware of?
a. Strategies to enhance condom use
b. Choice of colours and special features
c. Leaving the decision up to the male partner
d. Places to safely carry condoms
ANS: A
When the nurse opens discussion on safer sex practices, it gives the woman permission to
clear up any concerns or misapprehensions that she may have regarding condom use. The
nurse can also suggest ways that the woman can enhance her condom negotiation and
communications skills. These include role-playing, rehearsal, cultural barriers, and situations
that put the patient at risk. Although women can be taught the differences among condoms,
such as size ranges, where to purchase them, and price, this is not as important as negotiating
the use of safer sex practices. Women must address the issue of condom use with every sexual
contact. Some men need time to think about this. If they appear reluctant, the woman may
want to reconsider the relationship. Although not ideal, women may safely choose to carry
condoms in shoes, wallets, or inside their bra. They should be taught to keep the condom
away from heat. This information is important; however, it is not germane if the woman
cannot even discuss strategies on how to enhance condom use.

DIF: Cognitive Level: Analysis REF: p. 119 OBJ: Nursing Process: Planning

30. Which should the nurse explain when providing education regarding breast care and
fibrocystic changes in breasts?
a. Fibrocystic changes are a disease of the milk ducts and glands in the breasts.
b. Fibrocystic changes are a premalignant disorder characterized by lumps found in
the breast tissue.
c. Fibrocystic changes describe lumpiness with pain and tenderness in the breast
tissue of healthy women during menstrual cycles.
d. Fibrocystic changes include lumpiness accompanied by the appearance of
tenderness after menses.
ANS: C
Fibrocystic changes are palpable thickenings in the breast that are usually associated with pain
and tenderness. The pain and tenderness fluctuate with the menstrual cycle. Symptoms usually
subside within 1 week of menses, not appear then.

DIF: Cognitive Level: Knowledge REF: pp. 132-133

 OBJ: Nursing Process: Assessment

31. When teaching a group of women about breast cancer, which fact would the nurse point out to
them?
a. Risk factors identify more than 50% of women who will develop breast cancer.
b. Nearly 90% of lumps found by women are malignant.
c. One in 10 women in Canada will develop breast cancer in her lifetime.
d. The exact cause of breast cancer is unknown.
ANS: D
The exact cause of breast cancer in unknown. Risk factors help to identify fewer than 30% of
women in whom breast cancer eventually will develop. Women detect about 90% of all breast
lumps. Of this 90%, only 20% to 25% are malignant. One in nine women in Canada will
develop breast cancer in her lifetime.

DIF: Cognitive Level: Application REF: p. 135

OBJ: Nursing Process: Implementation

32. Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
a. Mammogram
b. Ultrasound
c. Fine-needle aspiration (FNA)
d. CA 15-3
ANS: C
When a suspicious mammogram is noted or a lump is detected, diagnosis is confirmed by
FNA, core needle biopsy, or needle localization biopsy. Mammography is a clinical screening
tool that may aid early detection of breast cancers. Transillumination, thermography, and
ultrasound breast imaging are being explored as methods of detecting early breast carcinoma.
CA-15 is a serum tumour marker that is used to test for residual disease.

DIF: Cognitive Level: Knowledge REF: p. 136 OBJ: Nursing Process: Diagnosis

33. What common adverse effects would the nurse teach a patient who has been prescribed
adjuvant tamoxifen therapy?
a. Nausea, hot flashes, and vaginal bleeding
b. Vomiting, weight loss, and hair loss
c. Nausea, vomiting, and diarrhea
d. Hot flashes, weight gain, and headaches
ANS: A
Common adverse effects of tamoxifen therapy include hot flashes, night sweats, nausea,
vaginal bleeding or discharge, and mood swings. Weight loss and hair loss, diarrhea, and
weight gain and headaches are not common adverse effects of tamoxifen.

DIF: Cognitive Level: Knowledge REF: p. 139 |Medication Guide

OBJ: Nursing Process: Diagnosis

34. Which should a woman be taught to do after a mastectomy?

a. Empty surgical drains twice a day and as needed.
b. Avoid lifting more than 5 kg or reaching above her head until given permission by
her surgeon.
 c. Wear clothing with snug sleeves to support the tissue of the arm on the operative
side.
d. Expect mild signs of inflammation at the incision site or in the affected arm.
ANS: B
The woman should not be advised to wear snug clothing. Rather, she should be advised to
avoid tight clothing, tight jewelry, and other causes of decreased circulation in the affected
arm. As part of the teaching plan the woman should be instructed to empty surgical drains,
avoid lifting more than 5 kg or reaching above her head, and report the development of
incision site inflammation.

DIF: Cognitive Level: Application REF: p. 140 | Home Care

OBJ: Nursing Process: Planning

35. Which is true of fibroadenoma?

a. Fibroadenoma is an inflammation of the milk ducts and glands behind the nipples.
b. Fibroadenoma is a thick, sticky discharge from the nipple of the affected breast.
c. Fibroadenoma is lumpiness in both breasts that develops 1 week before
menstruation.
d. Fibroadenoma is a single lump in one breast that can be expected to shrink as the
woman ages.
ANS: D
Fibroadenomas are characterized by discrete, usually solitary lumps averaging 2.5 cm in
diameter. Fibroadenomas increase in size during pregnancy and shrink as the woman ages.
Inflammation of the milk ducts is associated with mammary duct ectasia, not fibroadenoma. A
thick, sticky discharge is associated with galactorrhea, not fibroadenoma. Lumpiness before
menstruation is associated with fibrocystic changes of the breast.

DIF: Cognitive Level: Knowledge REF: p. 133

OBJ: Nursing Process: Assessment

36. What important, immediate postoperative care practice should the nurse remember when
caring for a woman who has had a mastectomy?
a. The blood pressure (BP) cuff should not be applied to the affected arm.
b. Venipuncture for blood work should be performed on the affected arm.
c. The affected arm should be used for intravenous (IV) therapy.
d. The affected arm should be held down close to the woman’s side.
ANS: A
The affected arm should not be used for BP readings, IV therapy, or venipuncture. The
affected arm should be elevated with pillows above the level of the right atrium.

DIF: Cognitive Level: Application REF: p. 140

OBJ: Nursing Process: Implementation

37. What does a woman most likely have when she experiences a breast mass that is not well
delineated and is nonpalpable, immobile, and nontender?
a. Fibroadenoma
b. Lipoma
c. Intraductal papilloma
d. Mammary duct ectasia
 ANS: C
Intraductal papilloma is the only benign breast mass that is nonpalpable. Fibroadenoma is
well-delineated, palpable, and movable. Lipoma is palpable and movable. Mammary duct
ectasia is not well delineated and is immobile, but it is palpable and painful.

DIF: Cognitive Level: Application REF: p. 134 | Table 7-6

OBJ: Nursing Process: Diagnosis

38. Which is a modality that may provide relief for women with fibrocystic breast changes?
a. Diuretic administration
b. Including caffeine daily in the diet
c. Increased vitamin C supplementation
d. Application of cold packs to the breast as necessary
ANS: A
Diuretic administration plus a decrease in sodium and fluid intake is recommended. Although
not supported by research, some advocate eliminating dimethylxanthines (caffeine) from the
diet. Smoking should also be avoided and alcohol consumption reduced. Vitamin E
supplements are recommended; however, the patient should avoid megadoses because this is a
fat-soluble vitamin. Pain relief measures include applying heat to the breast, wearing a
supportive bra, and taking nonsteroidal anti-inflammatory drugs.

DIF: Cognitive Level: Application REF: p. 133 OBJ: Nursing Process: Planning

39. The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for
which sexually transmitted infection?
a. Syphilis
b. Gonorrhea
c. Herpes simplex virus type 2
d. Human immunodeficiency virus
ANS: A
The Jarisch-Herxheimer reaction is an acute febrile reaction associated with syphilis
treatment. Other symptoms may include headache, myalgias, and arthralgias that develop
within the first 24 hours of treatment.

DIF: Cognitive Level: Knowledge REF: p. 123 |Nursing Alert

OBJ: Nursing Process: Implementation

MULTIPLE RESPONSE

1. Which communicable diseases must be reported in all provinces and territories? Select all that
apply. Express answer with small letters, followed by a comma and a space—e.g., a, b, c.
a. Gonorrhea
b. Human papillomavirus
c. Human immunodeficiency virus (HIV)
d. Herpes simplex virus 2 (HSV-2)
e. Chlamydia
f. HSV-1
g. Infectious syphilis
 ANS: A, C, E, G
Gonorrhea, chlamydia, infectious syphilis, and HIV are reportable communicable diseases in
all provinces and territories.

DIF: Cognitive Level: Comprehension REF: p. 122 OBJ: Nursing Process: Planning

2. Which are viral sexually transmitted infections (STIs)? Select all that apply. Express answer
with small letters, followed by a comma and a space—e.g., a, b, c.
a. Herpes simplex virus (HSV)
b. Chancroid
c. Mycoplasmas
d. Human papillomavirus (HPV)
e. Trichmoniasis
f. Syphilis
g. Cytomegalovirus
ANS: A, D, G
Viral STIs include HIV, HSV, cytomegalovirus, viral hepatitis A and B, and HPV. Chancroid,
mycoplasms, and syphilis are bacterial STIs. Trichmoniasis is a protozoa STI.

DIF: Cognitive Level: Comprehension REF: p. 116 | Box 7-2

OBJ: Nursing Process: Planning

3. Which are symptoms of endometriosis? Select all that apply. Express answer with small
letters, followed by a comma and a space—e.g., a, b, c.
a. Dysmenorrhea
b. Dysuria
c. Apnea
d. Dyschezia
e. Dyscrasias
f. Hypertension
ANS: A, B, D
Symptoms of endometriosis include dysmenorrhea, dyspareunia, dysuria, dyschezia, lower
back or abdominal discomfort, and chronic pelvic pain.

DIF: Cognitive Level: Comprehension REF: p. 113

OBJ: Nursing Process: Assessment
Another random document with
no related content on Scribd:
 “This is a pretty tale of a young girl’s friendship for an older
woman whom she, together with a lad who strays into the story,
rescues from a trying position and restores to affluence and
contentment. Its heroine, a young enthusiast who gives up the
opportunity for travel in order to complete her preparation for
college, makes the acquaintance of a gracious but retiring woman
who lives in a simple home on the property adjoining ruins of a more
elaborate mansion. That some shadow hangs over her happiness
Elizabeth Houghton quickly discovers, and before long, having taken
David Warren into her confidence, she applies herself to solving the
mystery. All ends well, however, and the story closes with David and
Betsy rejoicing in the good fortune of their elders and preparing to
enter upon the college career so eagerly anticipated by both.”—N Y
Evening Post

“The love of mystery will be satisfied by this book without the

‘blood-and-thunder’ accompaniments of the average mystery story.
There are pleasant character studies. Strongest appeal to girls of
teens.”

+ Booklist 16:176 F ’20

“Is a very well-written story, sustaining until the end a mystery,

and good comradeship between a boy and girl of high school age.” A.
C. Moore

+ Bookm 50:381 N ’19 40w

“A chapter to which boys would listen with delight since it gives

color and life to that period of our history following the war with the
Barbary pirates, ‘The tree of jade’ is so well told as to completely
reconcile the reader to the interruption of the main narrative.” A. C.
Moore
 + Bookm 51:91 Mr ’20 150w

“The style is vague and indefinite.”

− Boston Transcript p8 Mr 10 ’20 160w

+ Cleveland p80 Ag ’20 50w
+ N Y Evening Post p3 D 20 ’19 220w

“A story of mystery with melodrama refreshingly absent.”

+ Springf’d Republican p13a Ap 25 ’20

100w

MEIGS, WILLIAM MONTGOMERY. Relation

of the judiciary to the constitution. $2 W: J.
Campbell, 1731 Chestnut st., Philadelphia 342.7

This study of the relation of the judiciary to the constitution is a

defence of judicial supremacy. The author’s studies have led him to
believe that its origin antedates Marbury vs. Madison and he argues
that “the judiciary was plainly pointed out by our history for the vast
function it has exercised, and that it was expected and intended, both
by the Federal convention and the opinion of the publicists of the
day, to exercise that function.” Two chapters on The British colonies
in North America and The public beliefs of our colonial days are
followed by an examination of cases. There is an index. The author
has written “The growth of the constitution,” also lives of Calhoun
and Thomas H. Benton.
 “This careful volume should take its place among the essays of
high authority in our legal literature. The discussion of individual
leading cases which Mr Meigs gives us is of deep interest.” S. L. C.

+ Boston Transcript p6 Je 30 ’20 550w

“The result will prove disappointing to the special student of the

subject, though it is not without value for the general reader.
Altogether it seems not unjust to remark that Mr Meigs will probably
be remembered for his pioneer article of a generation ago, rather
than for this more ambitious but one-sided and unoriginal study.” E:
S. Corwin

− + Review 3:449 N 10 ’20 300w

MEIKLEJOHN, ALEXANDER. Liberal college.

*$2.50 (4c) Jones, Marshall 378

20–18040

The volume is the first of a series of centenary publications to be

known as the Amherst books. It consists of a collection of papers and
addresses elucidating the author’s conception of a liberal college. The
introduction, “Making minds,” presents the three chief
misunderstandings with regard to a college education, viz: that it
makes minds; that it should not make minds but men; that men are
not made but grow and that the college’s part in this is not to be
taken too seriously. The papers are grouped under the headings: The
determining purpose; The participants in the process; Discussions in
educational theory; The curriculum.
 “Dr Meiklejohn states his own case and Amherst’s case with rare
strength and clarity.” H. T. C.

+ Boston Transcript p6 N 20 ’20 260w

“For years President Meiklejohn of Amherst has stood forth as one

of the staunch defenders of the liberal college in America, and now
we have an able discussion of his faith in a volume filled with terse,
well-packed sentences, each of which opens a new line of thought or
a new angle from which to approach the problem.” J. W. G.

+ Grinnell R 16:332 Ja ’21 440w

“Whether or not the suggestions here made are specific

improvements or not, the present volume makes one deeply grateful
that there is, in a position of authority, a man so fully convinced that
learning is a noble thing, worthy of love and devotion for her own
sake.” Preserved Smith

+ Nation 111:734 D 22 ’20 780w

“Dr Meiklejohn’s book is noteworthy for its point of view and for
the fine enthusiasm for scholarship which it reveals.” T: S. Baker

+ N Y Evening Post p8 D 31 ’20 1400w

“It is written in a clear, earnest, straightforward, and convincing

style, never abstruse and never platitudinous, but always fresh and
always interesting. In spite of the author’s professed fondness for
inviting misunderstanding, the book is throughout lucid and single
in its aim.”

+ Springf’d Republican p8 N 11 ’20 1150w

“Dr Meiklejohn’s discussion maintains a high level practically

throughout the book. He meets many of the criticisms that have been
brought against the college and liberal education.” J. K. Hart

+ Survey 45:545 Ja 8 ’21 660w

MEIKLEJOHN, NANNINE (LA VILLA)

(MRS ALEXANDER MEIKLEJOHN). Cart of
many colors. (Little school-mate ser.) il *$1.65
Dutton

19–19357

“It is the tale of a small Sicilian lad, dowered with artistic gifts and
aflame with desire to make the most of his talents who, at the
instance of his wise and indulgent mother and through the kindness
of an uncle who recognizes his possibilities, accompanies the latter to
Florence, there to study art. The greater part of the story is
concerned with his life in the cultured family with whom he makes
his home in the beautiful Tuscan town, and through whom he is
given opportunity to see Rome, Siena and other cities of note. Its
earlier chapters, however, have to do with his happy days in the
midst of his own people in Palermo.”—N Y Evening Post
 + Booklist 16:247 Ap ’20

“A well-written story of life in Italy. We have seen nowhere so

informing and so humanized an account of Italian life in America as
Miss Converse gives in her introduction.” A. C. Moore

+ Bookm 50:33 S ’19 240w

“Though throughout the tale much stress is thrown on description

both of places and customs, yet there is sufficient incident of a simple
sort to focus its interest upon the fortunes of Nello and his
associates.”

+ N Y Evening Post p3 D 20 ’19 300w

“Pictures with insight and sympathy the life of children in Italy.”

+ Springf’d Republican p8 D 20 ’19 180w

MEISSNER, MRS SOPHIE (RADFORD) DE.

Old naval days. il *$3 Holt

20–20090

The author of these sketches from the life of Rear-Admiral William

Radford, U.S.N. was the latter’s daughter and her record abounds in
reminiscences, private and public. The admiral began his naval
career in 1825 as midshipman on the “Brandywine” which conducted
Lafayette back to France after his visit to America. He served through
the Civil war and was retired in 1870. The book is illustrated and has
an appendix.

R of Rs 63:110 Ja ’21 80w

MENCKEN, HENRY LOUIS. Book of

burlesques. *$2 Knopf 817

20–26583

“The present edition includes some epigrams from ‘A little book in

C major,’ now out of print. To make room for them several of the
smaller sketches in the first edition have been omitted. Nearly the
whole contents of the book appeared originally in the Smart Set.”
(Author’s note) Contents: Death: a philosophical discussion; From
the programme of a concert; The wedding: a stage direction; The
visionary; The artist: a drama without words; Seeing the world; From
the memoirs of the devil; Litanies for the overlooked; Asepsis: a
deduction in scherzo form; Tales of the moral and pathological; The
jazz Webster; The old subject; Panoramas of people; Homeopathics;
Vers libre.

“Mr Mencken is a clever and witty satirist, with an encyclopædic

knowledge of the latest crazes and imbecilities.”

+ Ath p322 Mr 5 ’20 160w

Booklist 17:85 N ’20
 “The great difficulty about this book is that it will not irritate the
intelligent and none but the intelligent can be amused by it.”

+ − Dial 68:401 Mr ’20 100w

“Satire at times extravagantly and cheaply cynical, but also at

times keen and entertaining is to be found in ‘A book of burlesques.’”

+ − Springf’d Republican p9a F 29 ’20 200w

MENCKEN, HENRY LOUIS. Prejudices:

second series. *$2.50 (4c) Knopf 814

20–20969

In the present volume the author continues his tirade on American

letters, generalizing on his theme in the first essay, ‘The national
letters.’ In spite of the prophetic optimism of such men as Emerson
and Whitman and, to some extent, even the pessimistic Poe, we have
so far achieved nothing but a respectable mediocrity which he
attributes to the absence of a cultural background, and of a civilized
aristocracy. The other essays of the book are: Roosevelt: an autopsy;
The Sahara of the Bozart; The divine afflatus; Scientific examination
of a popular virtue; Exeunt omnes; The allied arts; The cult of hope;
The dry millennium; Appendix on a tender theme. There is an index.

Dial 70:232 F ’21 80w

Ind 104:382 D 11 ’20 290w
 “As for his second series of prejudices, they are even as his first;
his prejudices have not changed; nor his manner of hurling them at
the fat heads of us Philistines. Some of his missiles are true
dynamite, some—in my humble opinion—are duds; but not one of
them is discharged at random.” L. W. Dodd

+ − N Y Evening Post p7 D 4 ’20 880w

“Nothing is sacred in his hands, and by the same token is he

interesting and unreliable. His style is as vigorous and bold as his
ideas. It is a little hard to keep up with Mencken, but at any rate you
will not be bored if you try.”

+ − Springf’d Republican p8 Ja 3 ’21 480w

MENDELSOHN, SIGMUND. Labor’s crisis.

*$1.50 Macmillan 331

20–17254

“Looking at the question of labor reform from the employer’s point

of view, the author argues that the labor scarcity is not entirely due to
decrease in the number of laborers, and in support of his contention
points to many effects of the unrest itself on production and on labor.
In his keen introduction Mr Mendelsohn writes, ‘A labor problem
still exists, and in more acute form than ever, but it concerns the
welfare of society more than of labor. It is no longer based upon
excess of labor, but upon insufficiency of labor; it no longer relates to
an inadequate wage, but to an inflated wage; it no longer deals with
an oppressed suffering class, but with an all powerful and militant
element which is striving for economic dominance.’”—N Y Times
 “An unusually thoughtful analysis of labor’s propositions to
remedy the existing unrest.”

+ N Y Times p11 O 31 ’20 230w

“Mr Mendelsohn’s thinking goes beneath the surface and his little
book will be found suggestive by all classes of readers.”

+ Springf’d Republican p8 N 9 ’20 200w

MERCER, JOHN EDWARD. Why do we die?

an essay in thanatology. *$2 Dutton 236

“Bishop Mercer points out that his question differs from the more
usual one, ‘What happens after death?’ He finds it natural that we
should speculate upon a future experience from which no one is
exempt; but he wonders why no one has asked, ‘Why do we die at
all?’ Neither biology nor physiology, he says, has answered this
question; nor have the theologians or the philosophers approached
any more nearly to the solution of it. The problem; What science
teaches; Monadnology; and Higher aspects, are his four heads, under
which he discusses Causes of the fear of death, The spiritual body,
and other topics, closing with that of Death as a revealer.”—Springf’d
Republican

Int J Ethics 30:113 O ’19 100w

 “Though it is doubtful whether either scientists or philosophers
would heartily endorse all the positions taken by Dr Mercer, it is
pleasant to read a book written with good temper and rationality,
without appeal to the prevalent superstitions of mediums and table-
tipping.”

+ − Nation 110:269 F 28 ’20 300w

“Bishop Mercer pursues an extremely interesting and richly

suggestive line of inquiry. It is one distinctly removed from that
involved in psychical research. It is the purely religious inquiry of an
eminent scholar and thinker who is familiar with all modern
scientific thought, and whose wide culture and liberal mind endow
him with vision.” Lilian Whiting

+ Springf’d Republican p13a F 8 ’20 700w

MERCIER, DESIRÉ FÉLICIEN FRANÇOIS

JOSEPH, cardinal. Cardinal Mercier’s own story:
prefatory letter by James Cardinal Gibbons. *$4
(3½c) Doran 940.3493

20–5912

The book consists chiefly of Cardinal Mercier’s correspondence

with the German governor general in protest to the latter’s régime as
imposed on the Belgians. The work of collecting and editing these
letters has been delegated by the Cardinal to Professor Fernand
Mayence, of Louvain university, who has supplied them with an
explanatory preface. Most of the correspondence is with Baron von
Bissing and Baron von der Lancken and some with Baron von
Falkenhausen. The correspondence on the Belgian deportations is of
special interest.

+ Booklist 16:341 Jl ’20

“It must remain among the permanent records of the war.”

+ Boston Transcript p6 Jl 21 ’20 260w

+ Cath World 111:390 Je ’20 1150w

“It is the sheer courage of the letters more than anything else
which makes them impressive, but they have also a dignity, a
sobriety and a definite knowledge of facts which makes them
peculiarly valuable at a moment when reparations and indemnities
are under discussion.”

+ Ind 104:245 N 13 ’20 140w

Reviewed by Muriel Harris

+ Nation 110:770 Je 5 ’20 340w

Reviewed by M. F. Egan

+ N Y Times 25:184 Ap 18 ’20 3100w

+ N Y Times 25:191 Ap 18 ’20 220w
 “Every one who reads this book will feel that he has come in
contact with a really great personality, and will be the better for the
feeling. The story of Belgium, in which the cardinal is the dominant
figure, is as fascinating, in one aspect, as ‘The pilgrim’s progress.’
The cardinal’s book, too, like Bunyan’s classic, is almost as good a
story for the young as it is for the old.”

+ No Am 212:139 Jl ’20 1500w

“A serious omission which ought to be supplied in any new edition

is the lack of any index.” Lyman Abbott

+ − Outlook 124:766 Ap 28 ’20 2450w

+ Spec 125:146 Jl 31 ’20 1550w

“The correspondence, always written in the lofty tone and closely

reasoned manner of state papers, is interesting throughout; but the
most engrossing pages of the book are those which deal with the
deportations.”

+ The Times [London] Lit Sup p392 Je

24 ’20 950w

MEREDITH, MRS ELISABETH GRAY

(LYMAN). Terrier’s tale. il *$1 Houghton
 20–19080

“Although of a retiring disposition, I have always known that I am

a person of importance, but recently I have become a person of note,
and I have been asked to write my memoirs.” Thus the terrier begins
his tale and it is full of interest and excitement and some wise
reflections. It contains: Early days; Domestic life; Concerning baths;
Sport; Travel; On being left behind; Fatherhood; Guests; Social life;
As to cats; My great adventure; Through the window; Conclusion.
The illustrations are by Mia E. Rosenblad.

N Y Evening Post p10 O 30 ’20 70w

MERIAM, JUNIUS LATHROP. Child life and

the curriculum. $3.60 World bk. 375

20–8866

A work by the professor of school supervision and superintendent

of university schools, University of Missouri. That the subject matter
of modern life should be used as the means of instructing boys and
girls is his thesis. “In working out the details of this curriculum the
effort has been, not, as some critics have erroneously judged, to get
away from the traditional curriculum, but, on the positive side, to get
as close as possible to the lives of children as found in the home and
in the larger community.” (Preface) The book is divided into five
parts: Point of view; The traditional curriculum; Principles in the
making of curricula; The contents of a curriculum; Methods and
results. Supplementary readings are suggested at the end of each
chapter, and special reading lists, as well as lists of songs, games,
etc., are given in appendices. In addition there is a general
bibliography of fifteen pages, followed by an index.

“Not a course that can be adopted in a moment or by any school,

but a virile, well presented point of view which has something of
value for every elementary teacher.”

+ Booklist 16:330 Jl ’20

“The reader may be unable to agree with all of the conclusions of

the book, but it furnishes material for critical thought, and will be of
interest to those dealing with courses of study. The manner of
presentation is somewhat tedious at times, and one feels that
occasional condensations would serve to emphasize the content.”

+ − El School J 21:150 O ’20 680w

“One may find some of his conclusions from well-known studies in

the field of education surprising; and may be unwilling to see
measurement deferred until after the attainment of seemingly
impossible conditions. Nevertheless he will recognize in the book
and the experiment it reports a contribution to the great effort to
provide a curriculum more closely related to life.”

+ − School R 28:552 S ’20 560w

MERLANT, JOACHIM. Soldiers and sailors of

France in the American war for independence (1776–
1783); tr. by Mary Bushnell Coleman. *$2 Scribner
973.3

20–7496

“‘Soldiers and sailors of France in the American war for

independence’ is an account of the part played by our allies during
the Revolution, written by one who participated in the world war.
The author is Capt Joachim Merlant, assistant professor of the
faculty of letters in the university of Montpellier, who, after a few
months with the territorials, joined an active unit as infantry officer.
Severely wounded in 1915 he never fully recovered, and being unable
to fight resolved instead to write and talk for his cause. Thus he came
to America, and from January to May in 1916 he lectured throughout
the country. And through his gratitude toward America he decided to
investigate the Franco-American alliance of 1778–1783 and retell the
story of Rochambeau and LaFayette.”—Springf’d Republican

Booklist 16:341 Jl ’20

+ Springf’d Republican p7a N 28 ’20
420w

MERRICK, HOPE (BUTLER-WILKINS)

(MRS LEONARD MERRICK). Mary-girl; a
posthumous novel. *$2.50 Dutton

20–8792
 “Ezra Sheppard is a man with a consuming ideal. A devout Quaker,
it is his dream to build a seemly meeting-house instead of the
dilapidated barn where the Friends have hitherto met. The lavish
terms offered for the services of Mary in nourishing the Earl of
Folkington’s heir would convert his dream into real stone and lime.
So he lets Mary go. Mary, poor girl, with the best will in the world,
finds when her year is up that the life of a working gardener’s wife is
not so pleasant as it used to be. And Ezra behaves badly about it, too.
He repents, it is true, and realizes that his idol has cost him too dear,
but not before Mary has been brought to shame, and his repentance
takes the form of attempted arson.”—The Times [London] Lit Sup

+ Booklist 17:34 O ’20

“‘Mary-girl’ deserves something better than so foolish and inept a

designation. If it were merely one among a thousand sentimental
romances, its title would be unobjectionable, but it is something
more than that, and it is a pity that it should be so misrepresented.
As a whole, it is a notably truthful record of a soul conflict and an
absorbingly interesting story.” E. F. E.

+ Boston Transcript p6 Jl 17 ’20 800w

+ Cleveland p105 D ’20 40w

“A delightful human and unpretentious story, well written and

very interesting, the tale has realism without pessimism, sentiment
without sentimentality. A delightful book, vivid, human, dramatic at
times and always entertaining, is this story of ‘Mary-girl.’”

+ N Y Times 25:27 Jl 11 ’20 750w

 “The late Mrs Leonard Merrick was endowed with the rare gift of
being able to write a thoroughly sentimental story with undoubted
charm. The episode of Mary’s downfall is the least satisfactory thing
in the book. It is false to the character, and for all its disguise is mere
‘novelette’ in essence.”

+ − The Times [London] Lit Sup p157 Mr 4

’20 250w

MERWIN, SAMUEL. Hills of Han. il *$2 Bobbs

20–6286

“Betty Doane, the heroine, daughter of a missionary, returns to

China after six years in the United States. On the steamer she meets
Jonathan Branchy, author, explorer and newspaper man and a
somewhat unromantic love affair develops between them. The
development of their emotions is interwoven with the dangers
threatening all foreigners in China from a new society, a
recrudescence of the old Boxer organization, known as ‘the Lookers.’
The chief item in the creed of this society is the extinction of all
‘foreign devils.’ Betty’s position becomes increasingly difficult and
complicated through the intolerance of her father’s missionary
coworkers, and through a want of a sense of humor on the part of her
lover. The adventures of the principals attain a climax at the
headquarters of a French mining concern; this form of foreign
activity excites the particular antipathy of ‘the Lookers.’”—Springf’d
Republican

“Both the story and the setting hold the reader though one dislikes
the pictures of the mission teachers and the incidents are
melodramatic. Some people will object to this.”
 + − Booklist 17:72 N ’20

“As for the Chinese atmosphere and personnel of the story, one
may accept them as sound—if that matters in a story of this kind, and
if atmosphere and personnel can be sound when the action is
unsound or patently artificial. All this, you may say, is the breaking of
a butterfly on the clumsy wheel of criticism. ‘Hills of Han’ is not a
butterfly; it is a sort of gilded bat with the butterfly label.” H. W.
Boynton

− Bookm 51:583 Jl ’20 320w

Dial 69:320 S ’20 60w

“Samuel Merwin has written better novels than ‘Hills of Han,’ but
it offers agreeable entertainment for an uncritical hour.”

+ − Ind 103:186 Ag 14 ’20 70w

“While neither as entertaining nor as vivid as some of Mr Merwin’s

earlier romances, the story is an interesting one and has some
dramatic moments.”

+ − N Y Times 25:205 Ap 25 ’20 700w

“There is good fiction stuff here, but it is clumsily put together.”

+ − Outlook 125:125 My 19 ’20 80w

 “A thoroly absorbing romance, and a most workmanlike piece of
novel writing.” E. P. Wyckoff

+ Pub W 97:1291 Ap 17 ’20 320w

“Through the color which Mr Merwin dashes upon his background

and his descriptions of picturesque customs, and countryside, much
of the unevenness of character portraiture is compensated for.
Generally, the story holds the reader’s close attention.”

+ − Springf’d Republican p11a Je 6 ’20

700w

MERZ, JOHN THEODORE. Fragment on the

human mind. *$4.50 Scribner 192

(Eng ed 20–10637)

“After having mastered the history of modern philosophy the

author considers its main problem to be the relation of religion and
science. The problem of this relation is best approached, the author
holds, by a study of the human mind. This may be done in a number
of ways, but he prefers two, observation and introspection.
Observation is the method used in studying the development of the
race, going back to primitive times; introspection is used in the study
of the individual life, going back to the infant mind. Special attention
is given to the latter in this treatise. Many of the great metaphysical
problems [are discussed] and such subjects as the moral law, the
world of values, the relation of science to art and the respective
provinces of each, the social order and the world of freedom.”—
Boston Transcript