Deck 6: Reproductive System Concerns

Question 1

Which suggestions are appropriate for a client who reports experiencing hot flashes? (Select all that apply. )

A) Avoiding caffeine.
B) Drinking a glass of wine to relax.
C) Wearing layered clothing.
D) Drinking ice water.
E) Consuming spicy foods

Answer 1

Avoiding caffeine.
Wearing layered clothing.
Drinking ice water.

Question 2

Nurses are in an ideal position to educate clients who experience Premenstrual dysphoric disorder (PMDD).What self-help activities have been documented as helpful in alleviating the symptoms of PMDD? (Select all that apply. )

A) Regular exercise
B) Improved nutrition
C) Daily glass of wine
D) Smoking cessation
E) Oil of evening primrose

Answer 2

Regular exercise
Improved nutrition
Smoking cessation
Oil of evening primrose

Question 3

A client reports experiencing severe abdominal and pelvic pain around the time of menstruation.This pain has become progressively worse over the last 5 years.She also experiences pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months.To which condition are these symptoms most likely related?

A) Endometriosis
B) Premenstrual Syndrome (PMS)
C) Primary dysmenorrhea
D) Secondary dysmenorrhea

Answer 3

Endometriosis

Question 4

A perimenopausal client has arrived for her annual gynecologic examination.Which preexisting condition would be extremely important for the nurse to identify during a discussion regarding the risks and benefits of hormone therapy?

A) Breast cancer
B) Vaginal and urinary tract atrophy
C) Osteoporosis
D) Arteriosclerosis

Question 5

Nafarelin is used to treat mild-to-severe endometriosis.What instruction or information should the nurse provide to a client regarding nafarelin administration?

A) Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH),thereby stimulating ovarian activity.
B) It should be administered by intramuscular (IM)injection.
C) Nafarelin should be administered by a subcutaneous implant.
D) It can cause the client to experience some hot flashes and vaginal dryness.

Question 6

When a nurse is counseling a woman experiencing primary dysmenorrhea,which nonpharmacologic intervention might be recommended?

A) Increasing the intake of red meat to replace blood loss
B) Reducing the intake of diuretic foods,such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping

Question 7

Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? (Select all that apply. )

A) Calcium
B) NSAIDs
C) Alendronate
D) Risedronate sodium
E) Calcitonin

Question 8

Which statement regarding abnormal uterine bleeding (AUB)is most accurate?

A) AUB is most commonly caused by anovulation.
B) AUB most often occurs in middle age.
C) The diagnosis of AUB should be the first consideration for abnormal menstrual bleeding.
D) Steroids are the most effective medical treatment for AUB.

Question 9

A 21-year-old client reports experiencing severe pain immediately after the commencement of her menses.Which gynecologic condition is the most likely cause of this client's presenting symptoms?

A) Primary dysmenorrhea
B) Secondary dysmenorrhea
C) Dyspareunia
D) Endometriosis

Question 10

Which system responses would the nurse recognize as being related to prostaglandin (PGF₂)release? (Select all that apply)

A) Systemic responses
B) Gastrointestinal system
C) Central nervous system
D) CHOICE BLANK
E) Genitourinary system
Respiratory system

Question 11

To assist a client in managing the symptoms of Premenstrual Syndrome (PMS),what intervention should the nurse recommend based on current evidence?

A) Adhering to a diet with more body-building and energy foods,such as carbohydrates
B) Engaging in herbal therapies,yoga,and massage therapy
C) Seeking antidepressant therapy for symptom control
D) Avoiding the use of natural diuretics

Question 12

Herbal preparations have long been used for the management of menstrual problems,including dysmenorrhea,cramping and discomfort,and breast pain.For the nurse to counsel adequately the client who elects to use this alternative modality,understanding the action of these herbal preparations is important.Match the herbal medicine with the appropriate action.

Fennel,dong quai

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 13

Which condition is the least likely cause of amenorrhea in a 17-year-old client?

A) Anatomic abnormalities
B) Type 1 diabetes mellitus
C) Obesity
D) Pregnancy

Question 14

Which symptom described by a client is characteristic of premenstrual syndrome (PMS)?

A) "I feel irritable and moody a week before my period is supposed to start."
B) "I have lower abdominal pain beginning on the third day of my menstrual period."
C) "I have nausea and headaches after my period starts,and they last 2 to 3 days."
D) "I have abdominal bloating and breast pain after a couple days of my period."

Question 15

The female athlete triad includes which common menstrual disorder?

A) Amenorrhea
B) Dysmenorrhea
C) Menorrhagia
D) Metrorrhagia

Question 16

A client has requested information regarding alternatives to hormonal therapy for menopausal symptoms.Which current information should the nurse provide to the client? (Select all that apply. )

A) Soy
B) Vitamin C
C) Vitamin K
D) Vitamin E
E) Vitamin A

Question 17

Which pharmacologic therapy provides optimal pain relief for primary dysmenorrhea?

A) Acetaminophen
B) Oral contraceptive pills (OCPs)
C) Nonsteroidal antiinflammatory drugs (NSAIDs)
D) Aspirin

Question 18

While interviewing a 31-year-old woman before her routine gynecologic examination,the nurse collects data about the client's recent menstrual cycles.Which statement by the client should prompt the nurse to collect further information?

A) "My menstrual flow lasts 5 to 6 days."
B) "My flow is very heavy."
C) "I have had a small amount of spotting midway between my periods for the past 2 months."
D) "The length of my menstrual cycles varies from 26 to 29 days."

Question 19

Which alteration in cyclic bleeding best describes bleeding that occurs at any time other than menses?

A) Oligomenorrhea
B) Menorrhagia
C) Leiomyoma
D) Metrorrhagia

Question 20

Which statement related to the condition of endometriosis accurately describes it's pathophysiology?

A) Endometriosis is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It is found more often in African-American women than in Caucasian or Asian women.
C) Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) It is unlikely to affect sexual intercourse or fertility.

Question 21

Herbal preparations have long been used for the management of menstrual problems,including dysmenorrhea,cramping and discomfort,and breast pain.For the nurse to counsel adequately the client who elects to use this alternative modality,understanding the action of these herbal preparations is important.Match the herbal medicine with the appropriate action.

Ginger

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 22

Herbal preparations have long been used for the management of menstrual problems,including dysmenorrhea,cramping and discomfort,and breast pain.For the nurse to counsel adequately the client who elects to use this alternative modality,understanding the action of these herbal preparations is important.Match the herbal medicine with the appropriate action.

Valerian,wild yam

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 23

Herbal preparations have long been used for the management of menstrual problems,including dysmenorrhea,cramping and discomfort,and breast pain.For the nurse to counsel adequately the client who elects to use this alternative modality,understanding the action of these herbal preparations is important.Match the herbal medicine with the appropriate action.

Chaste tree fruit

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 24

Herbal preparations have long been used for the management of menstrual problems,including dysmenorrhea,cramping and discomfort,and breast pain.For the nurse to counsel adequately the client who elects to use this alternative modality,understanding the action of these herbal preparations is important.Match the herbal medicine with the appropriate action.

Black cohosh root

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels