Question 1

A 48-year-old woman tells the nurse,"I missed my period last month.Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when:

Accepted Answer

When a woman's menstrual periods have stopped for 1 year,she is considered menopausal.

Question 2

The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods.The nurse determines the woman understands the information presented when she says the changes in cervical mucus at ovulation:

Accepted Answer

Around the time of ovulation,the slippery,clear cervical mucus enhances the motility of the sperm.

Question 3

The nurse planning to teach a woman about perimenopause would include that lowered estrogen levels:

Accepted Answer

Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion.With lowered levels of estrogen,low-density lipoproteins increase,causing an increase in the incidence of heart attacks and strokes.

Question 4

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes.A few days before ovulation,the cervical mucus is:

Accepted Answer

Within a few days of ovulation,cervical mucus will become clear and slippery to aid the passage of sperm into the cervix.

Question 5

On day 13 of a 28-day cycle,a woman's basal body temperature is 36.5° C (97.7° F).If she ovulates on day 14,her temperature measurement on day 14 would most likely be:

Accepted Answer

At the time of ovulation,body temperature will increase slightly,about 0.2° C (0.4° F).

Question 6

A 25-year-old woman has a family history of breast cancer.The nurse reviews the procedure for breast self-examination (BSE)and tells her that the best time for a woman to perform a breast self-examination is:

Accepted Answer

The best time for BSE is 1 week after the beginning of the menstrual period.

Question 7

Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?

Accepted Answer

Tampons should be changed every 4 hours because a blood-soaked tampon is an excellent environment for bacteria.

Question 8

At her regular gynecological examination,a woman tells the nurse that she is concerned about osteoporosis.The nurse could suggest to the patient to:

Accepted Answer

Foods rich in calcium include milk,dairy products,and green,leafy vegetables.

Question 9

When a woman asks what she can do to reduce the discomfort of hot flashes,the nurse advises:

Accepted Answer

Cotton allows easier passage of air than synthetic fabrics.Layering allows the woman to take off or put on clothes when symptoms occur.

Question 10

When a woman starts hormone replacement therapy (HRT),the nurse would instruct her to look for the side effect of:

Accepted Answer

Patients initiating HRT are reminded to have regular follow-up care and report headaches,vision changes,and symptoms of thrombophlebitis or cardiac symptoms.

Question 11

The nurse explains that the drug clomiphene (Clomid)is used in infertility treatment because it:

Accepted Answer

Clomiphene (Clomid)induces ovulation.It may also increase sperm production,although this is an unlabeled use.

Question 12

The nurse realizes that a man considering a vasectomy needs further information if he says:

Accepted Answer

A vasectomy takes about 20 minutes and is performed on an outpatient basis under local anesthesia.

Question 13

In the week before her menstrual period,a woman experiences irritability,anxiety,and difficulty concentrating.The nurse suggests that a remedy to relieve these symptoms is to:

Accepted Answer

A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic disorder.

Question 14

A woman asks the nurse,"How do oral contraceptives prevent pregnancy?" The nurse explains that the combination of estrogen and progesterone in oral contraceptives:

Accepted Answer

Oral contraceptives contain a combination of estrogen and progesterone that suppress ovulation.

Question 15

A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant.When an ovarian cyst is suspected,the nurse explains that the diagnosis is confirmed by:

Accepted Answer

Diagnosis of an ovarian cyst is made by transvaginal ultrasound.

Question 16

The nurse is preparing a community education program on preventive health care for women.The nurse plans to tell the women attending the program that a screening test common in women's health care is:

Accepted Answer

Mammography is a screening test used to detect breast cancer.

Question 17

The nurse would tell the patient to expect what after she had an intrauterine device (IUD)inserted?

Accepted Answer

A woman should feel for the string periodically,especially after her period,to confirm the presence of the IUD.

Question 18

At her 6-week postpartum checkup,a woman states,"I am wondering about birth control.I used oral contraceptives before,and I'm breastfeeding now.Can I use the pill again?" The nurse's best response is:

Accepted Answer

Oral contraceptives decrease breast milk production and are contraindicated until lactation is well established.Women who breastfeed their infants usually will not ovulate for 10 weeks and do not need contraception until that time.

Question 19

The nurse reminds a group of high school students that the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases is to:

Accepted Answer

Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.

Question 20

The woman using a diaphragm correctly would tell the nurse that the diaphragm:

Accepted Answer

To act as a barrier,the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to 24 hours.

Quiz 11: The Nurse’s Role in Women’s Health Care