Deck 3: Assessment and Health Promotion

Question 1

The two primary functions of the ovaries are:

A) normal female development and sex hormone release.
B) ovulation and internal pelvic support.
C) sexual response and ovulation.
D) ovulation and hormone production.

Answer 1

ovulation and hormone production.

Question 2

The female reproductive organ(s)responsible for cyclic menstruation is/are the:

A) uterus.
B) ovaries.
C) vaginal vestibule.
D) urethra.

Answer 2

uterus.

Question 3

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman states,"I have special undergarments that I do not remove for religious reasons." The most appropriate response from the nurse would be:

A) "You can't have an examination without removing all your clothes."
B) "I'll ask the doctor to modify the examination."
C) "Tell me about your undergarments. I'll explain the examination procedure, and then we can discuss how you can have your examination comfortably."
D) "What? I've never heard of such a thing! That sounds different and strange."

Answer 3

"Tell me about your undergarments. I'll explain the examination procedure, and then we can discuss how you can have your examination comfortably."

Question 4

The uterus is a muscular,pear-shaped organ that is responsible for:

A) cyclic menstruation.
B) sex hormone production.
C) fertilization.
D) sexual arousal.

Question 5

Physiologically,sexual response can be characterized by:

A) coitus, masturbation, and fantasy.
B) myotonia and vasocongestion.
C) erection and orgasm.
D) excitement, plateau, and orgasm.

Question 6

The hormone responsible for maturation of mammary gland tissue is:

A) estrogen.
B) testosterone.
C) prolactin.
D) progesterone.

Question 7

Individual irregularities in the ovarian (menstrual)cycle are most often caused by:

A) variations in the follicular (preovulatory) phase.
B) an intact hypothalamic-pituitary feedback mechanism.
C) a functioning corpus luteum.
D) a prolonged ischemic phase.

Question 8

Which statement would indicate that the patient requires additional instruction about breast self-examination?

A) "Yellow discharge from my nipple is normal if I am having my period."
B) "I should check my breasts at the same time each month, like after my period."
C) "I should also feel in my armpit area while performing my breast examination."
D) "I should check each breast in a set way, such as in a circular motion."

Question 9

A 62-year-old woman has not been to the clinic for an annual examination for 5 years.The recent death of her husband reminded her that she should come for a visit.Her family doctor has retired,and she is going to see the women's health nurse practitioner for her visit.To facilitate a positive health care experience,the nurse should:

A) remind the woman that she is long overdue for her examination and that she should come in annually.
B) listen carefully and allow extra time for this woman's health history interview.
C) reassure the woman that a nurse practitioner is just as good as her old doctor.
D) encourage the woman to talk about the death of her husband and her fears about her own death.

Question 10

The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the:

A) perineum.
B) bony pelvis.
C) vaginal vestibule.
D) fourchette.

Question 11

The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the:

A) menstrual cycle.
B) endometrial cycle.
C) ovarian cycle.
D) hypothalamic-pituitary cycle.

Question 12

Unique muscle fibers make the uterine myometrium ideally suited for:

A) menstruation.
B) the birth process.
C) ovulation.
D) fertilization.

Question 13

The transition phase during which ovarian function and hormone production decline is called:

A) the climacteric.
B) menarche.
C) menopause.
D) puberty.

Question 14

Prostaglandins are produced in most organs of the body,including the uterus.Other source(s)of prostaglandins is/are:

A) ovaries.
B) breast milk.
C) menstrual blood.
D) the vagina.

Question 15

During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.The correct response would be to:

A) reassure the woman that the examination will not reveal any problems.
B) explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.
C) reassure the woman that "bumps" can be treated.
D) reassure her that most women have "bumps" on their labia.

Question 16

A fully matured endometrium that has reached the thickness of heavy,soft velvet describes the _____ phase of the endometrial cycle.

A) menstrual
B) proliferative
C) secretory
D) ischemic

Question 17

The long-term treatment plan for an adolescent with an eating disorder focuses on:

A) managing the effects of malnutrition.
B) establishing sufficient caloric intake.
C) improving family dynamics.
D) restructuring perception of body image.

Question 18

A woman arrives at the clinic for her annual examination.She tells the nurse that she thinks she has a vaginal infection and has been using an over-the-counter cream for the past 2 days to treat it.The nurse's initial response should be to:

A) inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled.
B) reassure the woman that using vaginal cream is not a problem for the examination.
C) ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
D) ask the woman to reschedule the appointment for the examination.

Question 19

Menstruation is periodic uterine bleeding:

A) that occurs every 28 days.
B) in which the entire uterine lining is shed.
C) that is regulated by ovarian hormones.
D) that leads to fertilization.

Question 20

Because of the effect of cyclic ovarian changes on the breast,the best time for breast self-examination (BSE)is:

A) 5 to 7 days after menses ceases.
B) Day 1 of the endometrial cycle.
C) mid-menstrual cycle.
D) any time during a shower or bath.

Question 21

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 22

Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as:

A) gonadotropin-releasing hormone (GnRH).
B) prostaglandins (PGs).
C) follicle-stimulating hormone (FSH).
D) luteinizing hormone (LH).

Question 23

A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit.This behavior places her at a greater risk for:

A) depression of the central nervous system.
B) hypotension and vasodilation.
C) sexually transmitted diseases.
D) postmature birth.

Question 24

As a girl progresses through development,she may be at risk for a number of age-related conditions.While preparing a 21-year-old patient for her first adult physical examination and Papanicolaou (Pap)test,the nurse is aware of excessiveness shyness.The young woman states that she will not remove her bra because,"There is something wrong with my breasts; one is way bigger." What is the best response by the nurse in this situation?

A) "Please reschedule your appointment until you are more prepared."
B) "It is okay; the provider will not do a breast examination."
C) "I will explain normal growth and breast development to you."
D) "That is unfortunate; this must be very stressful for you."

Question 25

A woman who is older than 35 years may have difficulty achieving pregnancy primarily because:

A) personal risk behaviors influence fertility.
B) she has used contraceptives for an extended time.
C) her ovaries may be affected by the aging process.
D) prepregnancy medical attention is lacking.

Question 26

Which statement regarding female sexual response is inaccurate?

A) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm.
B) Vasocongestion is the congestion of blood vessels.
C) The orgasmic phase is the final state of the sexual response cycle.
D) Facial grimaces and spasms of hands and feet are often part of arousal.

Question 27

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 (Pap) test.
D) a four As procedure.

Question 28

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

Primary series of three injections.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 29

The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is:

A) genetic changes and anomalies.
B) extensive central nervous system damage.
C) fetal addiction to the substance inhaled.
D) intrauterine growth restriction.

Question 30

During which phase of the cycle of violence does the batterer become contrite and remorseful?

A) Battering phase
B) Honeymoon phase
C) Tension-building phase
D) Increased drug-taking phase

Question 31

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

Once if born after 1956.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 32

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

Annually.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 33

As a powerful central nervous system stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?

A) Heroin
B) Alcohol
C) PCP
D) Cocaine

Question 34

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

Three injections for girls between the ages 9 to 26.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 35

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening.The nurse will counsel her to eliminate all alcohol intake because:

A) a daily consumption of alcohol indicates a risk for alcoholism.
B) she will be at risk for abusing other substances as well.
C) the fetus is placed at risk for altered brain growth.
D) the fetus is at risk for multiple organ anomalies.

Question 36

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

Once and then a booster every 10 years.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 37

As part of their participation in the gynecologic portion of the physical examination,nurses should:

A) take a firm approach that encourages the patient to facilitate the examination by following the physician's instructions exactly.
B) explain the procedure as it unfolds and continue to question the patient to get information in a timely manner.
C) take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer.
D) Help the woman relax through proper placement of her hands and proper breathing during the examination.

Question 38

MATCHING
To promote wellness and prevent illness throughout the life span, it is important for the nurse to be cognizant of immunization recommendations for women older than 18 years. Match each immunization with the correct schedule.

One dose after age 65.

A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)

Question 39

Despite warnings,prenatal exposure to alcohol continues to exceed by far exposure to illicit drugs.A diagnosis of fetal alcohol syndrome (FAS)is made when there are visible markers in each of three categories.Which category is not associated with the diagnosis of FAS?

A) Respiratory conditions
B) Impaired growth
C) CNS abnormality
D) Craniofacial dysmorphologies