Deck 19: Alterations in Womens Health

Question 1

Factors that can contribute to chronic pelvic pain (CPP) include (select all that apply):

A) Crohn's disease
B) Celiac disease
C) Sleep disorders
D) Intrauterine contraceptive device

Answer 1

Chronic pelvic pain (CPP) and factors that causes it:
Chronic pelvic pain (CPP) develops in the pelvic region. It might last more than 6 months and creates functional and psychological disorders. This situation requires treatment or physician's intervention. The CPP is now become common medicinal problem of today's women. The reason of pain being caused remains unknown in certain cases and known in certain other. Known pain can be directly treated for cause. But unknown pain is treated with the help of symptom management.
The factors that would cause pain are categorized in reference to the human internal systems such as reproduction, urological, musculoskeletal, psychological, gastrointestinal, and neuromuscular systems.
• Option A - Crohn's disease and Option B - Celiac's disease falls under gastrointestinal causes of CPP
• Option C -Sleep disorders is the psychological factor that causes CPP.
• Option D -Intrauterine contraceptive device falls under reproductive system problem that causes CPP.
Hence, option , , , and is correct.

Question 2

During a teaching session, the nurse explains that women with polycystic ovary syndrome (POS) have:

A) Decreased levels of luteinizing hormone (LH)
B) Increased levels of testosterone
C) Increased secretion of follicle-stimulating hormone (FSH)
D) Decreased levels of estrogen

Answer 2

"Polycystic ovary syndrome and related medical condition:"
"Polycystic ovary syndrome (PCOS)" otherwise called the Stein-Leventhal syndrome prevails in today's women. It is a disorder in endocrine gland that affects 5% to 10% women in child bearing age. The etiology is still to be understood; but it is believed that genetic component causes PCOS.
"The PCO syndrome increases the level of testosterone. Hence, Option is correct."
Likewise,
The medical condition increases estrogen in human body; but in option D provides information that estrogen level decrease in such condition. Hence Option D is incorrect.
The medical condition increases luteinizing hormone (LH) in the body; but in option A it is provides information that luteinizing hormone level decreases in such condition. Hence Option A is also incorrect.
The medical condition decreases secretion of follicle stimulating hormone level in the body; but in option C it is given that the "follicle stimulating hormone (FSH)" level increases in such condition. Hence Option C is also incorrect.

Question 3

Risk factors for bacterial vaginosis (BV) include (select all that apply):

A) Poor hygiene
B) Poor nutrition
C) Antibiotic therapy
D) Smoking

Answer 3

Bacterial vaginosis (BV) and its risk factors:
Bacterial vaginosis (BV) is a common vaginal infection that occurs with disruption in normal vaginal flora. This condition is actually the decrease in the lactobacilli with increase in organism like genital mycoplasm, gardnerella, and peptostreptococci. The BV is more common in lesbian and bisexual women than in heterosexual women.
One amongst the risk factors of BV is an antibiotic therapy , because it alters normal vaginal flora in such condition. Hence, option is correct.
Option A poor hygiene does not fall amongst the risk factors of bacterial vaginosis (BV). Hence, option A is considered to be incorrect.
Option B poor nutrition does not fall amongst the risk factors of bacterial vaginosis (BV). Hence, option B is considered to be incorrect.
Option D smoking does not fall amongst the risk factors of bacterial vaginosis (BV). Hence, option D is considered to be incorrect.

Question 4

Chemotherapy is commonly used in the treatment plan of:

A) All who have breast cancer
B) Women who have stage 0 breast cancer
C) Women who have stage II breast cancer with low risk of recurrence
D) Women who have stage IV breast cancer

Question 5

Instruction to a patient experiencing diarrhea related to radiation therapy includes (select all that apply):

A) Drink 8-12 cups of clear liquid per day
B) Eat three large meals per day
C) Eat foods high in fiber
D) Use baby wipes instead of toilet paper

Question 6

A medical work-up for a 28-year-old woman presenting with chronic pelvic pain with normal menstrual cycles would include (select all that apply):

A) Laparoscopy
B) Colposcopy
C) Urinalysis
D) Endometrial biopsy

Question 7

A definition of menorrhagia is:

A) Bleeding that is excessive in number of days and amount of bleeding
B) Bleeding between periods or after menopause
C) Painful menstruation
D) Bleeding related to cervical dysplasia

Question 8

A 45-year-old woman present at the women's health clinic complains of a foul vaginal odor and leakage of fecal material from her vagina. This is most likely related to:

A) Rectocele
B) Bacterial vaginitis
C) Genital fistulas
D) Endometrial cancer

Question 9

During a routine assessment of a 60-year-old woman in the women's health clinic, the nurse notes numerous bruises at various stages of healing on the woman's chest and abdomen. The first nursing action is:

A) Complete a fall risk assessment
B) Question the woman about her relationship with her partner
C) Question her about medications that can cause bruising
D) Assess for vertigo

Question 10

Which woman is at highest risk for ovarian cancer?

A) A 60-year-old Jewish woman who recently emigrated from Israel and has never been pregnant
B) A 40-year-old African-American woman who has four children and history of PID
C) A 55-year-old woman who recently emigrated from China and whose sister received treatment for stage I ovarian cancer
D) A 30-year-old obese woman with history of endometriosis