Question 1

A patient has decided to use the NuvaRing vaginal contraceptive ring as her method of contraception. Which statement suggests the patient needs further instruction?&#10;A)&#34;I do not need to be examined in order to determine the contraceptive ring size that is correct for me.&#34;&#10;B)&#34;Every three months, I will need to remove the contraceptive ring and replace it with a new one.&#34;&#10;C)&#34;When I store my replacement rings, I should keep them in my refrigerator.&#34;&#10;D)&#34;The contraceptive ring provides a sustained release of low-dose contraceptive.&#34;

Accepted Answer

The NuvaRing is designed to be used on a monthly cycle, not every three months. It is inserted for three weeks, removed for one week to allow for menstruation, and then a new ring is inserted. The statement about replacing the ring every three months suggests misunderstanding about the correct usage schedule.

Question 2

Which issues should the nurse consider when counseling a patient on contraceptive methods?&#10;A)Cultural perspectives on menstruation and pregnancy&#10;B)Efficacy of the method&#10;C)Future childbearing plans&#10;D)Whether the patient is a vegetarian&#10;E)Age at menarche

Accepted Answer

Cultural perspectives, efficacy of the method, and future childbearing plans are all important considerations when counseling a patient on contraceptive methods. These factors can significantly influence a patient's choice and adherence to a contraceptive method.

Question 3

What should the gynecology clinic nurse recommend for the patient experiencing premenstrual syndrome?&#10;A)&#34;Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin.&#34;&#10;B)&#34;Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.&#34;&#10;C)&#34;Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding.&#34;&#10;D)&#34;Increase your consumption of red meat when you feel symptoms, and eat three large meals per day.&#34;

Accepted Answer

Engaging in regular exercise, particularly aerobic activity, has been shown to help reduce symptoms of premenstrual syndrome (PMS). It can help reduce stress, improve mood, and increase endorphins, which can help alleviate symptoms such as cramps, bloating, and irritability. On the other hand, consuming more caffeine, chocolate, dairy, or red meat may not necessarily improve PMS symptoms and can even exacerbate them for some women.

Question 4

What is the best indicator that the patient is experiencing menopause?&#10;A)No menses for 8 consecutive months&#10;B)Hot flashes and night sweats&#10;C)High serum FSH with low serum estrogen&#10;D)Diagnosed with osteoporosis 4 months ago

Accepted Answer

High serum FSH with low serum estrogen is the best indicator of menopause. This hormonal change is a direct indicator of the decreased ovarian function that characterizes menopause.

Question 5

A nurse is providing a patient with instructions regarding breast self-examination (BSE). Which of the following statements by the patient would indicate the likelihood that she understands how to detect changes such as lumps in her breast?

A)"I should perform BSE one week prior to the start of my period."
B)"When I reach menopause, I will perform BSE every two months."
C)"Knowing the texture and feel of my breasts is important."
D)"I should inspect my breasts in a circular manner."
E)"I should inspect my breasts while in a supine position, with my arms at my sides."

Accepted Answer

Statement C indicates that the patient understands the importance of knowing the texture and feel of her breasts, while statement D indicates that the patient understands the correct technique for inspecting her breasts in a circular manner. Statement A is incorrect because BSE should be performed after the period ends. Statement B is incorrect because BSE should be performed monthly regardless of menopausal status. Statement E is incorrect because BSE should be performed while lying down with one arm behind the head.

Question 6

A patient comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for two years. The most likely cause for the patient's complaint is:

A)Primary dysmenorrhea.
B)Secondary dysmenorrhea.
C)Menorrhagia.
D)Hypermenorrhea.

Accepted Answer

The patient's history of ovarian cysts and use of an IUD increase the likelihood of secondary dysmenorrhea, which is caused by an underlying condition such as endometriosis, uterine fibroids, or adenomyosis. Primary dysmenorrhea occurs in the absence of any underlying pathology. Menorrhagia refers to heavy menstrual bleeding, while hypermenorrhea refers to abnormally long and heavy menstrual periods, neither of which are indicated by the patient's complaint.

Question 7

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?&#10;A)17-year-old, has never had a menstrual cycle&#10;B)16-year-old, had regular menses for 4 years, but has had no menses in four months&#10;C)19-year-old, regular menses for 5 years that have suddenly become painful&#10;D)14-year-old, irregular menses for one year, experiences cramping every cycle

Accepted Answer

Primary dysmenorrhea is characterized by painful menstruation in the absence of pelvic disease, typically starting during adolescence. The 14-year-old with irregular menses experiencing cramping every cycle fits this description.

Question 8

A patient asks her nurse, &#34;Is it okay for me to use a vaginal douche each day when I'm on my period?&#34; The nurse's correct response is:&#10;A)&#34;Douching should be avoided when you're on your period.&#34;&#10;B)&#34;Using a douche each day will help prevent vaginal infections from occurring.&#34;&#10;C)&#34;During your period, douching will help promote the flow of menstrual secretions.&#34;&#10;D)&#34;Regular douching is necessary in order to promote good hygiene.&#34;

Accepted Answer

Douching is not recommended as it disrupts the natural balance of bacteria and can actually increase the risk of infections, including bacterial vaginosis and yeast infections. Using a douche during menstruation can also increase the risk of developing toxic shock syndrome (TSS).

Question 9

A 63-year-old female patient requests information about complementary and alternative therapies that promote wellness during menopause. Which therapies should the nurse recommend?&#10;A)Non-weight-bearing exercise, such as swimming.&#10;B)Increased consumption of phytoestrogens (i.e., plant products with estrogen properties) for women with a history of endometeriosis or fibroids.&#10;C)Calcium intake of 600 mg per day to help prevent osteoporosis.&#10;D)Soy for reducing insomnia symptoms.

Accepted Answer

Soy contains phytoestrogens, which may help reduce symptoms of menopause, including insomnia.

Question 10

The Public Health Nurse receives a phone call from a 16-year-old girl who asks, &#34;Do I need to have a Pap smear just because I'm sexually active?&#34; What is the nurse's correct response?&#10;A)&#34;Yes, all sexually active females should be screened for both cervical cancer and HPV.&#34;&#10;B)&#34;No, you do not need to be screened for cervical cancer until you are 21 years old.&#34;&#10;C)&#34;Yes, all women under the age of 29 should be screened for both cervical cancer and HPV.&#34;&#10;D)&#34;No, but you will need to begin your screenings for both cervical cancer and HPV when you are 18 years old.&#34;

Accepted Answer

According to current guidelines from the American College of Obstetricians and Gynecologists (ACOG), cervical cancer screening with a Pap smear should begin at age 21 for most women, regardless of sexual activity. The only exception is for women who have HIV, a weakened immune system, or a history of abnormal Pap test results, who may need to start screening earlier. Therefore, the nurse should advise the 16-year-old girl that she does not need a Pap smear at this time, but should begin screening when she turns 21 years old. The nurse may also provide education about other types of preventative care that are important for sexually active individuals, such as practicing safe sex and getting tested for sexually transmitted infections (STIs).

Question 11

The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education?&#10;A)&#34;My daughter is not to blame for the violence in her marriage.&#34;&#10;B)&#34;Everyone experiences anger and hitting in a relationship.&#34;&#10;C)&#34;Abusers can be either husbands or boyfriends or girlfriends.&#34;&#10;D)&#34;The 'honeymoon period' follows an episode of violence.&#34;

Accepted Answer

The answer of The nurse is presenting a session on...

Deck 5: Health Promotion for Women