Deck 42: Nursing Care of Women With Reproductive System Disorders

Question 1

A patient is inquiring about the insertion of an intrauterine device (IUD) for contraception. Which information from the nurse is incorrect?

A)Perforation of the vaginal wall is common.
B)Effectiveness ranges between 5 to 10 years.
C)Insertion is best during the first 7 days of menses.
D)Procedure is performed in the HCP's office.

Answer 1

Perforation of the vaginal wall is common.

Question 2

The nurse is collecting data from a female client who is having difficulty conceiving. The nurse notes that the client has increased amounts of body and facial hair, is moderately overweight, and has acne-like lesions on the face. Which medical condition is the nurse likely to suspect?

A)Polycystic ovary syndrome (PCOS)
B)Decreased estrogen hormone
C)Severe endometriosis
D)Immature ovaries

Answer 2

Polycystic ovary syndrome (PCOS)

Question 3

The nurse is collecting data from a female patient with a possible Bartholin gland cyst. Which data does the nurse need to validate?

A)Lack of pain with intercourse
B)Difficulty when attempting to sit
C)Foul odor drainage from perineum
D)Inability to void related to pain

Answer 3

Difficulty when attempting to sit

Question 4

A female patient who is in the last trimester of pregnancy is considering sterilization as a permanent method of birth control. The patient states, "I know this is what I want, but I don't want to do this until the baby is a little older." Which information does the nurse provide?

A)Removal of the uterus can be performed later.
B)The patient's partner can opt for a vasectomy.
C)Tiny implants can be nonsurgically placed later.
D)The procedure is best performed after birth.

Question 5

A female reports being conflicted between the effectiveness of a condom versus a diaphragm for contraception. Which information does the nurse provide regarding effectiveness?

A)Diaphragms are more expensive.
B)Condoms can be part of foreplay.
C)Spermicide is a good addition to both.
D)A female condom is more effective.

Question 6

A patient at age 23 reports severe pelvic and back pain, which increases during her menses. After testing, she is diagnosed with endometriosis. Which information provided by the nurse is likely to be considered premature?

A)"The condition is called retrograde menstruation."
B)"Removal of the ovaries is the most effective treatment."
C)"Migrated endometrium cells attach to the abdominal organs."
D)"The cells in the abdomen will build up and slough like the uterus."

Question 7

The nurse is providing care for a female patent diagnosed with displacement disorders currently being treated with placement of a pessary. Which nursing care is the most important for the nurse implement?

A)Provide information about weight management.
B)Suggest methods to avoid constipation.
C)Discuss how to perform Kegel exercises.
D)Inform of symptoms to report to the HCP.

Question 8

The nurse is providing care and support to a female client who tested positive for the BRCA 1 and BRCA 2 genes. Which statement by the patient indicates that additional information from the nurse is necessary?

A)"I think this requires that I be closely monitored for breast cancer."
B)"The only choice I have at this point is to have a bilateral mastectomy."
C)"This may explain why there is such a high incidence of family breast cancer."
D)"I feel blessed to have this information, it may save my female family members."

Question 9

The nurse is providing care for a female patient diagnosed with stage II breast cancer. The patient states, "I have done some research about targeted therapies and I'm not sure it is the best option." Which information does the nurse provide?

A)They will decrease positive body responses for some patients.
B)They are still experimental and are not available for stage II cancer.
C)They require positive testing for HER2 protein on the cancer cells.
D)They target cancer cells and are less toxic to normal body cells.

Question 10

The nurse is providing care to a female patient who just received a diagnosis of agenesis of the ovaries. Which nursing care is most appropriate for the patient?

A)Monitor for physical pain related to testing.
B)Express a willingness to listen if the patient wishes.
C)Check surgical dressings for signs of bleeding.
D)Provide for privacy so the patient can consider options.

Question 11

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. For which reason is a mastectomy patient at risk for pulmonary complications?

A)Breast cancer often metastasizes to the lungs prior to diagnosis.
B)Pathogens may have been introduced during the surgical procedure.
C)The chest incision makes the patient hesitant to deep-breathe and cough.
D)Mastectomy patients are on bedrest for the first 48 to 72 hours postoperatively.

Question 12

The nurse is caring for a woman who has just had a spontaneous abortion. Which instructions do the nurse provide? (Select all that apply.)

A)"Call if you experience bleeding for more than 3 days."
B)"Call if there is more bleeding than during a heavy period."
C)"The discharge often has a foul odor due to the procedure."
D)"You can expect to pass large clots the size of golf balls."
E)"Abstain from sexual intercourse as directed by your physician."

Question 13

The nurse is assisting with teaching to a woman who is having difficulty conceiving. Which instruction does the nurse provide about keeping a basal body temperature chart?

A)"Record your temperature in the late afternoon each day for 3 months."
B)"Record your temperature every 4 hours, starting the first day of each month."
C)"Record your temperature three times each day of your period, then once a day thereafter."
D)"Starting with the first day of your period, record your temperature first thing each morning."

Question 14

A 50-year-old woman states, "It is such a relief not to need birth control any more. I haven't had a period in 3 months." Which response by the nurse is correct?

A)"Birth control is usually unnecessary after age 50, even if you are still having periods."
B)"It is still possible for you to get pregnant and you should consider having a tubal ligation."
C)"You should continue to use birth control for at least 6 months after cessation of your periods."
D)"Without confirmation, you are still considered to be perimenopausal and should continue birth control."

Question 15

A female patient who is experiencing symptoms related to menopause is denied hormone replacement therapy by the HCP because of a family history of breast cancer and heart disease. Which suggestion does the nurse make for management of symptoms that is likely to be ineffective?

A)Initiate a calcium and vitamin regimen.
B)Increase weight-bearing exercise and activity.
C)Discuss the benefit of including dietary phytoestrogens.
D)Dress in layers to promote comfort during hot flashes.

Question 16

The nurse is reviewing discharge teaching for a patient who has undergone laparoscopic surgery. Which patient statement indicates that discharge teaching is effective?

A)"I will report feelings of dizziness to my physician."
B)"I will call for a refill prescription if pain is intense."
C)"I will maintain a full liquid diet until nausea passes."
D)"I will refrain from showering until the staples are removed."

Question 17

After reviewing data, the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome. Which findings does the nurse use to make this decision? (Select all that apply.)

A)Sore throat
B)Peeling skin
C)Fluid retention
D)Red palms and soles of feet
E)Muscle pain and weakness

Question 18

The nurse works in the office of an HCP specializing in female health. Which patient does the nurse identify as being at greatest risk due to prescribed oral contraceptives?

A)A 20-year-old patient with a family history of cardiovascular disease
B)A 45-year-old patient who smokes and is treated for diabetes and hypertension
C)A 30-year-old patient with a history of thrombophlebitis and high cholesterol
D)A 38-year-old patient with a high-stress job who is being treated for anxiety

Question 19

The nurse is contributing to information for women in a fibrocystic breast disease support group. Which information does the nurse suggest including?

A)The manifestations of the condition usually subside with menopause.
B)One cause is related to the use of hormonal birth control medications.
C)The disease process frequently results in the development of cancer.
D)Women between the ages of 20 and 30 years are most susceptible.

Question 20

A female patient is diagnosed with premenstrual dysphoric disorder (PMDD). The HCP prescribes, along with hormonal contraceptives, supplements of calcium, magnesium, and vitamins E and B₆. Which information is most important for the nurse to provide to the patient?

A)Food sources high in calcium and magnesium
B)Side effects of hormonal contraceptives
C)Instructions that vitamin increases need HCP approval
D)Natural sources of vitamins E and B₆