Deck 32: Women’s Health Care

Question 1

A 49-year-old patient confides to the nurse that she has started experiencing pain with intercourse and asks,"Is there anything I can do about this?" The nurse's best response is

A) "You need to be evaluated for a sexually transmitted disease."
B) "Water-soluble vaginal lubricants may provide relief."
C) "No, it is part of the aging process."
D) "You may have vaginal scar tissue that is producing the discomfort."

Answer 1

"Water-soluble vaginal lubricants may provide relief."

Question 2

Which patient is most at risk for fibroadenoma of the breast?

A) A 38-year-old woman
B) A 50-year-old woman
C) A 16-year-old woman
D) A 27-year-old woman

Answer 2

A 16-year-old woman

Question 3

A woman with a history of a cystocele should contact the physician if she experiences

A) Involuntary loss of urine when she coughs
B) Constipation
C) Backache
D) Urinary frequency and burning

Answer 3

Urinary frequency and burning

Question 4

The nurse providing care in a women's health care setting must be aware that which sexually transmitted disease (STD)can be cured?

A) Herpes
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia

Question 5

Which woman is most likely to have osteoporosis?

A) A 50-year-old woman receiving estrogen therapy
B) A 60-year-old woman who takes supplemental calcium
C) A 55-year-old woman with a sedentary lifestyle
D) A 65-year-old woman who walks 2 miles each day

Question 6

Which statement by the patient indicates that she understands breast self-examination?

A) "I will examine both breasts in two different positions."
B) "I will perform breast self-examination 1 week after my menstrual period starts."
C) "I will examine the outer upper area of the breast only."
D) "I will use the palm of the hand to perform the examination."

Question 7

A benign breast condition that includes dilation and inflammation of the collecting ducts is called

A) Ductal ectasia
B) Intraductal papilloma
C) Chronic cystic disease
D) Fibroadenoma

Question 8

Which statement is true about primary dysmenorrhea?

A) It occurs in young multiparous women.
B) It is experienced by all women.
C) It may be due to excessive endometrial prostaglandin.
D) It is unaffected by oral contraceptives.

Question 9

The physician diagnoses a 3 cm ovarian cyst in a 28-year-old woman.The nurse expects the initial treatment to include

A) Beginning hormone therapy
B) Examining the woman after her next menstrual period
C) Scheduling a laparoscopy as soon as possible, to remove the cyst
D) Aspirating the cyst as soon as possible and sending the fluid to pathology

Question 10

Adjuvant treatment with tamoxifen may be recommended for patients with breast cancer if the tumor is

A) Smaller than 5 cm
B) Located in the upper outer quadrant only
C) Contained only in the breast
D) Estrogen receptive

Question 11

With regard to endometriosis,nurses should be aware that

A) It is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It affects 25% of all 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.

Question 12

Which statement by a woman diagnosed with premenstrual syndrome indicates that further health teaching is needed?

A) "I will not eat chips or pickles."
B) "Coffee and chocolate can make me more irritable and nervous."
C) "Drinking alcohol makes me more depressed."
D) "I'll eat only three meals per day."

Question 13

The microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells is called

A) Bimanual palpation
B) Rectovaginal palpation
C) A Papanicolaou test
D) DNA testing

Question 14

Nafarelin (Synarel)is currently used as a treatment for mild to severe endometriosis.The nurse should tell the woman taking this medication that the drug

A) Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian activity
B) Should be sprayed into one nostril every other day
C) Should be injected into subcutaneous tissue BID
D) Can cause her to experience some hot flashes and vaginal dryness

Question 15

A 70-year-old woman should be taught to report what condition to her health care provider?

A) Vaginal bleeding
B) Pain with intercourse
C) Breasts become smaller
D) Skin becomes thinner

Question 16

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?

A) Gloves and eye protectors
B) Speculum
C) Fixative agent
D) Lubricant

Question 17

In helping a patient manage PMS,the nurse should

A) Recommend a diet with more body-building and energy food, such as red meat and sugar.
B) Suggest herbal therapies, and massage.
C) Tell the patient to push for medications from the physician as soon as symptoms occur so as to lessen their severity.
D) Discourage the use of diuretics.

Question 18

The drug of choice to treat gonorrhea is

A) Penicillin G
B) Tetracycline
C) Ceftriaxone
D) Acyclovir

Question 19

When a nurse is counseling a woman for primary dysmenorrhea,which non-pharmacologic intervention might be recommended?

A) Increasing the intake of red meat and simple carbohydrates
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 20

To assist the woman in regaining control of the urinary sphincter,the nurse should teach her to

A) Practice Kegel exercises.
B) Void every hour while awake.
C) Allow the bladder to become distended before voiding.
D) Drink 8 to 10 glasses of water each day.

Question 21

During her annual gynecologic checkup,a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods.The nurse should document this complaint as

A) Amenorrhea
B) Dysmenorrhea
C) Dyspareunia
D) PMS

Question 22

The exact cause of breast cancer remains undetermined.Researchers have found that there are a number of common risk factors that increase a woman's chance of developing a malignancy.It is essential for the nurse who provides care to women of any age to be aware of which risk factors? Select all that apply.

A) Family history
B) Late menarche
C) Early menopause
D) Race
E) Nulliparity or first pregnancy after age 30

Question 23

When assessing a woman for menopausal discomforts,the nurse expects the woman to describe the most frequently reported discomfort,which is

A) Headaches
B) Hot flashes
C) Mood swings
D) Vaginal dryness with dyspareunia

Question 24

While evaluating a patient for osteoporosis,the nurse should be aware of what risk factor?

A) African-American race
B) Low protein intake
C) Obesity
D) Cigarette smoking

Question 25

While interviewing a 48-year-old patient during her annual physical examination,the nurse learns that she has never had a mammogram.The American Cancer Society recommends annual mammography screening starting at age 40.Before the nurse encourages this patient to begin annual screening,it is important for her to understand the reasons why women avoid testing.These reasons include (select all that apply)

A) Reluctance to hear bad news
B) Fear of x-ray exposure
C) Belief that lack of family history makes this test unnecessary
D) Expense of the procedure
E) Having heard that the test is painful

Question 26

The nurse providing education regarding breast care should explain to the woman that fibrocystic changes in breasts are

A) A disease of the milk ducts and glands in the breasts
B) A pre-malignant disorder characterized by lumps found in the breast tissue
C) Lumpiness with pain and tenderness found in varying degrees in the breast tissue of healthy women during menstrual cycles
D) Lumpiness accompanied by tenderness after menses

Question 27

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

A) Calcium
B) Evista
C) Fosamax
D) Actonel
E) Vitamin C

Question 28

Women in the U.S.are now more likely to die of cardiac disease than all cancers combined.Is this statement true or false?

Question 29

The nurse who is teaching a group of women about breast cancer should tell the women that

A) Risk factors identify almost all women who will develop breast cancer.
B) African-American women have a higher rate of breast cancer.
C) One in 10 women in the United States will develop breast cancer in her lifetime.
D) The exact cause of breast cancer is unknown.

Question 30

A 36-year-old woman has been diagnosed as having uterine fibroids.When planning care for this patient,the nurse should know that

A) Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B) Fibroids will increase in size during the perimenopausal period.
C) Abnormal uterine bleeding is a common finding.
D) Hysterectomy should be performed.

Question 31

When discussing estrogen replacement therapy (ERT)with a perimenopausal woman,the nurse should include the risks of

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

Question 32

The nurse understands that further health teaching is necessary when her young patient who has just had an abortion states,"I guess I'll have to wear a tampon for the next week." Is this statement true or false?

Question 33

Management of primary dysmenorrhea often requires a multifaceted approach.The nurse who provides care for a patient with this condition should be aware that the optimal pharmacologic therapy for pain relief is

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

Question 34

The nurse should be aware that a pessary is most effective in the treatment of what disorder?

A) Cystocele
B) Uterine prolapse
C) Rectocele
D) Stress urinary incontinence

Question 35

A woman is 6 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the first trimester is

A) Administration of prostaglandins
B) Dilation and evacuation
C) Intravenous administration of Pitocin
D) Vacuum aspiration

Question 36

A postmenopausal woman who is 54 years old has been diagnosed with two leiomyomas.What assessment finding is most commonly associated with the presence of leiomyomas?

A) Abnormal uterine bleeding
B) Diarrhea
C) Weight loss
D) Acute abdominal pain

Question 37

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

A) Mammogram
B) Ultrasound
C) Core needle biopsy
D) CA 15-3