Deck 26: Disorders of the Female Reproductive System

Question 1

In a client with a uterine disorder,a nurse observes that the endometrial tissue grows inside the muscular layer of the uterus.Which complications will the nurse observe in the client? Select all that apply.
1)Menorrhagia
2)Infertility
3)Pelvic pain
4)Dysmenorrhea
5)Dyspareunia

Answer 1

1,3,4,5

Question 2

A 14-year-old female client with constitutional growth delay tells a nurse,"I am not getting any taller! I am the same height I was last year!" How should the nurse respond?
1)"I will refer you to an endocrinologist."
2)"You should start taking growth supplements."
3)"You will reach full height by adulthood."
4)"I am afraid you will not grow any taller."

Answer 2

3

Question 3

A nurse is caring for a 19-year-old female client who has never had a menstrual cycle and has a webbed neck,short stature,and a broad shield-like chest.What is the most probable cause of the client's condition?
1)Turner syndrome
2)Sheehan's syndrome
3)Asherman's syndrome
4)Mayer-Rokitansky-Hauser syndrome

Answer 3

1

Question 4

Which physiological changes occur in a female during the perimenopausal stage?
1)Decreased estrogen secretion
2)Increased follicle-stimulating hormone (FSH)level
3)Both A and B
4)None of the above

Question 5

A female client is diagnosed to be infertile due to the production of antibodies against the ovarian tissue.Which treatment will the nurse expect for the client?
1)Estrogen replacement therapy
2)Oral contraceptive therapy
3)Clomiphene citrate
4)Dilatation and curettage surgery

Question 6

Which medical condition needs careful use of hormone replacement?
1)Breast cancer
2)Cardiac disease
3)Venous thrombus
4)All of the above

Question 7

A nurse observes that the endometrial lining is absent is a client who underwent a dilation and curettage (D&C)abortion.Which syndrome will the nurse suspect in the client?
1)Turner syndrome
2)Sheehan's syndrome
3)Asherman's syndrome
4)Mayer-Rokitansky-Hauser syndrome

Question 8

Which medication is associated with the growth of endometrial polyps?
1)Tamoxifen
2)Ibuprofen
3)Haloperidol
4)Metoclopramide

Question 9

A night-shift nurse documents "primigravida" for a client.Which client is being referred to by the nurse?
1)The client who hasn't had a pregnancy.
2)The client who had multiple pregnancies.
3)The client who is carrying her first pregnancy.
4)The client who has delivered a baby after her first pregnancy.

Question 10

A female client reports missed menstrual periods after discontinuing hormonal contraceptives.What could be the reason behind the missed menstrual periods?
1)Obstruction in the cervix
2)Damage to the fallopian tube
3)Hypothalamic-pituitary-ovarian dysfunction
4)Extra growth of uterine tissue

Question 11

A registered nurse is teaching a client with dysmenorrhea about her treatment plan.Which statement made by the client indicates the need for further teaching?
1)"I should avoid the use of oral contraceptives."
2)"I should take ibuprofen as prescribed."
3)"I should consume a low-fat diet."
4)"I should perform regular exercise."

Question 12

While assessing a female client for anomalies of the genital tract,the primary health-care professional observes that the uterus is absent in the client and the vagina is foreshortened.However,the client's breast is normal in shape and contour.Which menstrual disorder would the nurse suspect in the client?
1)Dysmenorrhea
2)Mayer-Rokitansky-Hauser syndrome
3)Premenstrual syndrome
4)Menorrhea

Question 13

A female client tells a nurse,"I have excessive bleeding that lasts for more than 7 days every time I menstruate." Which menstrual disorder does the nurse suspect in the client?
1)Menorrhagia
2)Metrorrhagia
3)Oligomenorrhea
4)Secondary amenorrhea

Question 14

While assessing a young female client for reproductive disorders,a nurse understands that the client has amenorrhea.Which specific question should the nurse ask the client?
1)"Do you have frequent vaginal infections?"
2)"Do you have any thyroid gland disorders?"
3)"Do you have diabetes mellitus?"
4)"Do you have continuous or intermittent pelvic pain?"

Question 15

A client who is scheduled for a hysteroscopy asks a nurse about the procedure involved in this technique.Which statement made by the client indicates effective understanding?
1)"A radiopaque dye is used during a hysteroscopy."
2)"A scope is inserted into the uterus to take a small amount of tissue."
3)"A scope is inserted through a small surgical incision in the abdomen."
4)"A thin telescopic type device is inserted via the vagina into the uterus."

Question 16

While assessing a 7-year-old female client,the primary health-care provider finds that the client has enlargement of the breasts,erection of the nipples,and development of pubic hair.Which hormonal levels can be found high in the client?
1)Estrogen
2)Gonadotropin
3)Both A and B
4)None of the above

Question 17

A client diagnosed with dysmenorrhea is prescribed ibuprofen and hormonal contraceptives.Which outcome in the client indicates the effectiveness of the therapy?
1)No painful experience during the first 2 days of her menstrual period
2)No behavioral change during the luteal phase of the menstrual cycle
3)No formation of multiple regions of unreleased egg on the ovarian surface
4)All of the above

Question 18

A client with premenstrual syndrome (PMS)is prescribed selective serotonin receptor inhibitors (SSRIs)and nutritional supplements.Which symptom in the client indicates the effectiveness of the therapy?
1)The client has decreased irritability and mood swings.
2)The client no longer experiences painful menstruation.
3)The client's blood report shows no serum beta-human chorionic gonadotropin (b-HCG).
4)The client has elevated levels of progesterone.

Question 19

While reviewing a client's medical record,a nurse finds the client to be described as gravida 2,para 2,or G2 P2.What will the nurse interpret from this description?
1)The client had two deliveries and two abortions.
2)The client had two pregnancies and both of them were aborted.
3)The client had one delivery after 24 weeks and two pregnancies.
4)The client had two pregnancies and two deliveries after 24 weeks.

Question 20

A woman who has tested positive on a serum beta-human chorionic gonadotropin (b-HCG)test had her last menstrual period on April 18,2015.What would be the estimated date of childbirth,according to Naegele's rule?
1)January 15,2016
2)January 20,2016
3)January 25,2016
4)January 30,2016