Question 1

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test which the following information from the patient's history will be needed?

Accepted Answer

The date of the patient's last menstrual period is important information as the test is typically performed between days 7-10 of the menstrual cycle. This will help ensure that the test is performed at the appropriate time in the patient's cycle. The other information may be useful for the patient's overall care, but is not necessary for scheduling this particular test.

Question 2

When assisting with a vaginal examination of a 33-year-old patient a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates this mass will be diagnosed as which of the following?

Accepted Answer

A nontender mass at the posterolateral portion of the labia majora is most likely a Bartholin cyst, which is a common benign cyst caused by the obstruction of Bartholin gland ducts. A rectocele is a prolapse of the rectum into the vaginal space, a fistula is an abnormal communication between two internal organs or between an organ and the exterior, and a cyst of the Skene's gland is located near the urethra, not at the posterolateral portion of the labia majora.

Question 3

During the bimanual examination the patient's uterus the nurse notes that the uterus is tilted toward the back. Concerned, the patient questions the nurse. What information may be provided to the patient?

Accepted Answer

A tilted back uterus, also known as retroverted uterus, is common and not considered an abnormality. It occurs in approximately 20% of women and does not usually cause any significant problems or require treatment. It can be a result of genetics, normal variation, or previous pregnancies. The nurse can reassure the patient that this finding is normal and not a cause for concern.

Question 4

A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which of the following statements by the patient warrants further investigation?  Select all that apply.

Accepted Answer

Medications used to help with sleep may have side effects that can contribute to impotence. Diabetes is a known risk factor for impotence and warrants further investigation. The other options may provide important information for the patient's overall health, but are not directly related to the complaint of impotence.

Question 5

A patient who had a laparoscopic surgical procedure has called the clinical facility with complaints of vaginal discharge. What action by the nurse is indicated first?

Accepted Answer

The answer of A patient who had a laparoscopic surgical...

Question 6

The patient is scheduled to have an endometrial biopsy. After providing education concerning the test, which of the following statements by the patient indicates an understanding of the procedure?

Accepted Answer

Sexual intercourse should be avoided for a few days after the procedure to reduce the risk of infection.

Option A is incorrect because an endometrial biopsy usually causes only mild cramping, and stronger pain medication is usually not needed.

Option B is incorrect because an endometrial biopsy does not typically affect the regularity of menstrual cycles for that long a period.

Option C is incorrect because the patient should avoid inserting anything into the vagina after the procedure, including tampons, to reduce the risk of infection.

Question 7

The nurse is preparing the equipment needed for a teen patient's first vaginal examination. The nurse will correctly obtain which of the following for the examination?

Accepted Answer

The Pederson speculum is more appropriate for a teen patient or a patient who has not had sexual intercourse, as it is narrower and more comfortable for patients with a smaller vaginal canal. The Graves speculum, which is wider and more commonly used for patients who have had sexual intercourse or are older, might not be the best choice for a first vaginal examination in a teen. The Killian and Vienna speculums are not typically used for vaginal examinations; they are used in other types of medical procedures.

Question 8

The nurse is discussing concerns with an 18-year-old female patient who reports having noticed two nonpainful ulcerations on her labia. The patient asks the nurse if they are likely to be herpes simplex. What response by the nurse is indicated?

Accepted Answer

Herpes lesions are typically painful, whereas the patient's description of nonpainful ulcerations is not consistent with herpes simplex.

Question 9

The nurse is performing a breast examination on a 22-year-old female patient. During the nipple assessment the nurse notes the nipples are pointing in different directions. What action is indicated?

Accepted Answer

Nipples pointing in different directions can be a sign of an underlying issue, such as a malignancy, and should be reported for further evaluation.

Question 10

The nurse is preparing to obtain a sexual history from a male patient. Which of the following questions is of the highest importance in this assessment?

Accepted Answer

Asking about same sex activity is of the highest importance as it can affect the patient's risk for certain sexually transmitted infections and help the nurse provide appropriate education and screening. The other questions may be important, but are not as crucial for the overall assessment of sexual health.

Question 11

The patient has had a colposcopy. The nurse had provided aftercare instructions to the patient. Which of the following statements indicates an understanding of the information provided?  Select all that apply.

Accepted Answer

C) Taking ibuprofen for pain management is appropriate after a colposcopy if the patient experiences discomfort. D) It is normal to have some light vaginal discharge after a colposcopy, so acknowledging this indicates understanding of the expected aftercare. E) Reporting a temperature elevation to the physician's office is important as it could indicate an infection, showing the patient understands the signs of potential complications.

Question 12

The nurse is conducting a follow-up call to a patient who had an exploratory laparoscopic surgical procedure 36 hours ago. The patient reports experiencing shoulder pain. What response by the nurse is indicated?

Accepted Answer

Shoulder pain after an exploratory laparoscopic surgical procedure is a common occurrence caused by the gas that is used to inflate the abdomen during surgery in order to create working space for the surgeon. This gas, specifically carbon dioxide, can remain in the patient's body and cause discomfort.

Question 13

The nurse is performing an assessment of a female patient's breasts. Which of the following findings indicate the need for further assessment?  Select all that apply.

Accepted Answer

The presence of redness and dimpled skin are concerning findings and may indicate breast cancer. The other findings are normal variations in breast anatomy.

Question 14

The nurse is caring for a confused, elderly man admitted with signs consistent with prostate cancer. His daughter has the legal authority to manage his medical care. The daughter

Accepted Answer

The answer of The nurse is caring for a confused,...

Question 15

A teenaged patient questions the nurse about douching. The patient states she has heard that douching is not recommended and asks how douching could increase her risk for infections. Which of the following should be included in the nurse's teaching to the patient?

Accepted Answer

Douching disrupts the natural balance of bacteria in the vagina, which can increase the risk of infections such as bacterial vaginosis or yeast infections. Douching can also push harmful bacteria or chemicals further up into the reproductive system, increasing the risk of pelvic inflammatory disease (PID) or other infections. Alteration of vaginal acidity or estrogen levels is not the primary mechanism by which douching increases the risk of infection.

Question 16

The nurse is collecting data from a couple reporting to the clinic with infertility-related concerns. During the data collection the male partner, aged 52, asks the nurse why his information concerning his mother's pregnancy is of concern. What response by the nurse is indicated?

Accepted Answer

The nurse should explain to the male partner that medication exposure during a woman's pregnancy may impact the long range fertility of male children. This information is important to understand whether there could be any potential fertility issues for him.

Question 17

A patient is scheduled to have a vaginal examination and a pap smear. Which of the following statements by the patient indicates understanding of the teaching provided concerning the test and preparation?

Accepted Answer

Douche should be avoided before the exam as it can alter the normal vaginal flora and can cause an inaccurate result during the Pap smear. A and C are incorrect as a patient can take a regular bath or have an exam during periods. D is incorrect as lubricants like Vaseline (petroleum jelly) can interfere with the test result and should not be used. Instead, water-soluble lubricants can be used for comfort.

Question 18

The nurse is conducting a class for adolescent boys concerning reproduction. During the presentation the nurse discusses the production of sperm. The nurse uses a diagram to indicate the anatomic location where sperm are produced. Mark an "X" on the location where the male body produces sperm.

Accepted Answer

The answer of The nurse is conducting a class for...

Question 19

A pregnant patient is seen at the family planning clinic. The patient overhears the examiner referring to a positive Hegar's sign. The patient questions what this means. Which of the following best explains the manifestation to the patient?

Accepted Answer

Hegar's sign refers to the softening of the lower uterine segment during pregnancy, which occurs due to increased blood flow and hormonal changes. This can be one of the signs used to confirm pregnancy.

Question 20

The nurse is conducting a presentation to a group of women concerning menopause. Which of the following statements by a participant indicates good understanding about the process?  Select all that apply.

Accepted Answer

C) The uterus can shrink in size after menopause due to the decrease in estrogen levels, which affects the reproductive organs and their size. E) Practicing Kegel exercises is beneficial for strengthening the pelvic floor muscles, which can be weakened during menopause, leading to urinary incontinence. These exercises are recommended for women going through menopause.

Quiz 47: Assessing Male and Female Reproductive Systems