Question 1

A woman is diagnosed with uterine prolapse into the vagina. What factor most likely contributed to this disorder?

Accepted Answer

Multiple pregnancies can weaken the pelvic muscles, which can lead to uterine prolapse.

Question 2

A 16-year-old person started menstruating at age 14 but has stopped for the last 5 months. How should the nurse respond to this person?

Accepted Answer

It is important for the nurse to ask about any changes in diet, activity or weight loss, as these may be factors contributing to the cessation of menstruation. Asking about pregnancy or suggesting it may be psychological could be insensitive or inaccurate, and stating that it's normal may not fully address the potential underlying causes.

Question 3

A woman is experiencing a reoccurrence of endometrial cancer. What is the treatment of choice for this situation?

Accepted Answer

D

Question 4

A woman complains about increasing premenstrual symptoms over the past few years and thinks, 'something must be wrong.' What is this woman experiencing?

Accepted Answer

The woman is experiencing premenstrual symptoms which have been increasing over the past few years. This is normal pattern of premenstrual syndrome and not necessarily indicative of any underlying medical condition.

Question 5

A 55-year-old woman thinks she's 'losing her mind' because of constant anxiety, inability to sleep and headaches. Which condition is this woman describing?

Accepted Answer

The symptoms of constant anxiety, inability to sleep and headaches are commonly experienced by women going through menopause. It is also common for women to feel like they are 'losing their mind' during this time due to the hormonal changes and mood swings associated with menopause.

Question 6

A woman is scheduled for an endometrial ablation for extreme uterine bleeding. Which statement indicates that this woman understands the long-term effects of this treatment?

Accepted Answer

Endometrial ablation removes or destroys the lining of the uterus to control severe bleeding, which often results in reduced menstrual flow or cessation of menstruation altogether. It also significantly decreases the likelihood of pregnancy, and if pregnancy occurs, it is often high-risk.

Question 7

A woman is recovering from breast cancer surgery that included axillary node dissection. What is this woman at risk of developing?

Accepted Answer

Axillary node dissection involves removal of lymph nodes in the armpit area, which can result in damage to the lymphatic system and increase the risk of lymphoedema, a chronic swelling of the affected arm. Chronic anaemia, metastasis, and extensive postoperative scarring are not typically associated with this type of surgery.

Question 8

A woman who was just diagnosed with cervical cancer does not want to have surgery. What is an alternative treatment for this woman?

Accepted Answer

D  Chemotherapy and external radiotherapy are common alternative treatments for cervical cancer when surgery is not an option.

Question 9

The nurse is assisting a woman with ways to reduce the severity of the monthly menstrual discomforts associated with premenstrual syndrome. What information should be reviewed with this woman? Select all that apply.

Accepted Answer

The answer of The nurse is assisting a woman with...

Question 10

A woman tells the nurse that lately she 'isn't interested in sex' but is concerned that her husband will divorce her. How should the nurse respond to this female?

Accepted Answer

The best response is to provide support and further explore the patient's feelings and concerns. Responding with options A, B, or C may come across as dismissive of the patient's concerns and not addressing the underlying issue. The focus should be on the patient's feelings and addressing any potential relationship concerns between her and her husband.

Question 11

A 25-year-old woman is diagnosed with endometriosis. What should the nurse include when teaching the woman about this disorder?(Select all that apply.

Accepted Answer

It is important for the nurse to include that if the woman desires children, pregnancy should occur before the disease progresses and that laser ablation and birth control pills are treatment options for endometriosis. Choice C is incorrect because endometriosis can have long-term effects such as infertility and chronic pain. Choice D is also incorrect because endometriosis is a chronic condition that often requires ongoing management.

Question 12

A woman recovering from a complete hysterectomy for endometrial cancer is concerned about having a sexual relationship because of activity intolerance. What should the nurse suggest to this woman?

Accepted Answer

Coordinating sexual activity with rest periods and pain-free periods can help alleviate activity intolerance and allow the woman to still engage in sexual activity. The other options do not provide practical solutions for the woman's concern.

Question 13

A woman is diagnosed with chocolate cysts. What should the nurse explain as being the cause of these cysts?

Accepted Answer

Chocolate cysts, also known as endometriomas, are a type of ovarian cyst filled with old, dark blood, giving them their characteristic chocolate-like appearance. They are associated with endometriosis, where tissue similar to the lining inside the uterus grows outside it.

Question 14

A woman experiencing menopause is 'tired of the night sweats.' What should the nurse suggest to help this woman?

Accepted Answer

Ensuring that the bedroom temperature is cool and wearing light night attire can help reduce the frequency and severity of night sweats during menopause. Increasing fluid intake in the evening and exercising before bedtime can worsen night sweats, and a hysterectomy is not typically recommended solely for the purpose of treating night sweats.

Question 15

A woman of child-bearing age is diagnosed with large uterine fibroids. Since the woman wants to have children, what will the treatment most likely be?

Accepted Answer

If the woman wants to have children, the most likely treatment option would be the removal of the fibroids. This can be achieved through surgery, such as a myomectomy, which would allow the woman to preserve her uterus and increase her chances of conceiving and carrying a pregnancy to term. Gonadotropin-releasing hormone (GnRH) antagonists may be prescribed to shrink the size of the fibroids before surgery or as a temporary measure, but they would not be a long-term solution. Oestrogen replacement and anti-inflammatory medications would not be appropriate treatments for uterine fibroids.

Question 16

A woman is concerned about developing ovarian cancer because an extended family member had the disease. Which factor will help reduce the risk of this woman developing the disease?

Accepted Answer

Having a first child at a younger age has been shown to reduce the risk of ovarian cancer. Factors such as not breastfeeding, an early age of menstruation, and never using oral contraceptives have been shown to increase the risk of ovarian cancer. However, out of the given options, having a first child at a younger age is the only factor that can help reduce the risk.

Question 17

A woman who was just diagnosed with breast cancer is scheduled for a lumpectomy. What signs should indicate to the nurse that this woman is demonstrating anticipatory grieving?

Accepted Answer

Sitting quietly and crying occasionally could indicate that the woman is experiencing anticipatory grief. This type of grief often includes feelings of sadness, anxiety, fear, and uncertainty about the future, and may be triggered by a significant life change, such as a cancer diagnosis. The other options (making calls to girlfriends, doing a crossword puzzle, laughing loudly) do not necessarily suggest anticipatory grieving.

Question 18

A woman is prescribed radiation treatments to the pelvic region after having surgery for cervical cancer. What should the nurse teach this woman?

Accepted Answer

It is important for the patient to preserve the skin markings made for radiation treatments so that the radiation is delivered accurately to the intended area, reducing the risk of damage to surrounding healthy tissue. Pain and skin burning may occur, but the degree of these effects can vary from person to person, so it is not appropriate to state that they are expected or significant without further assessment. The use of oil-based lotions should be avoided as they can interfere with the radiation and should be substituted with non-irritating creams or lotions recommended by the healthcare provider.

Question 19

A 42-year-old woman is diagnosed with a breast cyst. What treatment should be anticipated for this woman?

Accepted Answer

A surgical biopsy is needed to rule out cancer.

Question 20

A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. What procedure will both diagnose and treat the dysplasia?

Accepted Answer

LEEP is the preferred method of both diagnosing and treating cervical dysplasia caused by the human papillomavirus. During the procedure, an electrically charged wire loop cuts out the abnormal tissue for analysis and potentially eliminates the dysplasia. Colposcopy, cryosurgery, and cervical biopsy may provide information regarding the extent of the dysplasia or may be used in conjunction with LEEP, but they are not as effective at both diagnosing and treating the condition.

Quiz 48: Nursing Care of Women With Reproductive System and Breast Disorders