Question 1

A 48-year-old woman tells the nurse,"I missed my period last month.Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?

Accepted Answer

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

Question 2

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 3

At her regular gynecological examination,a woman tells the nurse that she is concerned about osteoporosis.What suggestion can the nurse make to this patient?

Accepted Answer

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

Question 4

The nurse reviews the procedure for breast self-examination (BSE)with a 25-year-old woman who has a family history of breast cancer.When reviewing the procedure,when will the nurse indicate as the best time for a woman to perform a breast self-examination?

Accepted Answer

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

Question 5

In the week before her menstrual period,a woman experiences irritability,anxiety,and difficulty concentrating.What remedy might the nurse suggest to relieve these symptoms?

Accepted Answer

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

Question 6

On day 13 of a 28-day cycle,a woman's basal body temperature is 36.5° C (97.7° F). What will her temperature measurement most likely be if ovulation takes place on day 14?

Accepted Answer

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

Question 7

What side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)?

Accepted Answer

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

Question 8

What information will the nurse provide when educating a woman about the correct use of a 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.

Question 9

A woman asks the nurse,"How do oral contraceptives prevent pregnancy?" What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?

Accepted Answer

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

Question 10

The nurse explains that the drug clomiphene (Clomid)is used in infertility treatment.What is the primary action of clomiphene (Clomid)?

Accepted Answer

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

Question 11

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes.What will she expect the characteristic of cervical mucus to be a few days before ovulation?

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 12

The nurse is planning to teach a woman about perimenopause.What would the nurse include regarding lowered estrogen level?

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 13

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?" What is the nurse's best response?

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 14

What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?

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 15

The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods.What information about cervical mucus at ovulation will the woman indicate to the nurse,demonstrating that learning has taken place?

Accepted Answer

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

Question 16

What statement by a man considering a vasectomy indicates a need for further information?

Accepted Answer

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

Question 17

What should a woman expect after insertion of an intrauterine device (IUD)?

Accepted Answer

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

Question 18

A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant.An ovarian cyst is suspected.The nurse knows that what confirms this diagnosis?

Accepted Answer

Diagnosis of an ovarian cyst is made by transvaginal ultrasound.

Question 19

The nurse is providing sexual education to a group of high school students.What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?

Accepted Answer

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

Question 20

The nurse is preparing a community education program on preventive health care for women.What common screening test will the nurse plan on explaining to the women attending the program?

Accepted Answer

Mammography is a screening test used to detect breast cancer.

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