Deck 41: Genitourinary and Reproductive System Function and Assessment

Question 1

While reviewing a female patient's medical history the nurse notes the term abortus documented.What should the nurse realize that the use of this term means?

A) An ectopic pregnancy
B) A medically induced abortion
C) Delivery of a live but impaired infant
D) Loss of a fetus before it was mature enough to live outside of the mother

Answer 1

Loss of a fetus before it was mature enough to live outside of the mother

Question 2

The nurse is helping a patient who is scheduled for a cystourethroscopy.Which question should the nurse ask the patient before the examination?

A) "Are you sexually active?"
B) "Do you have any allergies?"
C) "Do you tend to be claustrophobic?"
D) "When was your last bowel movement?"

Answer 2

"Do you have any allergies?"

Question 3

A female patient is advised by her physician to have a mammogram.What instructions should the nurse provide to assist the patient to prepare for the examination?

A) Fast for 12 hours before the test.
B) There is no preparation required.
C) Avoid applying deodorant or powder before the test.
D) Avoid caffeinated foods and beverages for 24 hours before the test.

Answer 3

Avoid applying deodorant or powder before the test.

Question 4

The nurse assists with teaching a male about testicular self-examination (TSE).Which patient statement indicates that teaching was effective?

A) "I should perform TSE after intercourse."
B) "It is best to do TSE at the end of the day."
C) "TSE should be done after vigorous exercise."
D) "The TSE examination is easiest after a warm bath or shower."

Question 5

The nurse is assisting in the preparation of an educational seminar for premenopausal female patients.When discussing the decreased secretion of estrogen as women age,what should the nurse include as a major effect of this decrease?

A) Osteoporosis
B) Vaginal discharge
C) Breast enlargement
D) Lowered serum cholesterol

Question 6

The nurse is assisting with teaching a female patient about early detection of cancer.According to the American Cancer Society,what should the nurse instruct a 52-year-old female patient to do to monitor for breast cancer?

A) Monthly BSE and a mammogram every 3 years
B) Yearly BSE, mammogram, and clinical examination
C) Monthly BSE and a mammogram and clinical examination yearly
D) Monthly breast self-examination (BSE) and a mammogram every 5 years

Question 7

The nurse is providing information on breast self-examination to a female patient.Which palpation pattern should the nurse instruct the patient to use when conducting this examination?

A) Spiral pattern
B) Parallel lines
C) Wheel-spoke pattern
D) Any pattern that is consistent and covers all breast tissue

Question 8

A female patient has had two pregnancies.The first pregnancy produced a healthy baby girl.The second pregnancy produced a set of twins,a boy and a girl.How should the nurse document this history?

A) GII, PII
B) GII, PIII
C) GIII, PIII
D) GII, PI, PII

Question 9

The nurse is reviewing the process of breast milk production with a new mother.Which hormone should the nurse explain stimulates the release of milk from the breast of a nursing mother?

A) Prolactin
B) Oxytocin
C) Luteinizing hormone (LH)
D) Follicle-stimulating hormone (FSH)

Question 10

The nurse is reviewing the results of data collected during a physical assessment of an older male client's reproductive system.What information should the nurse identify as a normal part of aging?

A) Muscle hypertrophy
B) Prostatic hypertrophy
C) Cancer of the prostate
D) Cessation of sperm production

Question 11

The nurse is caring for a patient who is in the beginning stages of labor.When planning care for this patient,on which layer of the uterus should the nurse focus?

A) Epimetrium
B) Perimetrium
C) Myometrium
D) Endometrium

Question 12

The nurse notes that insufflation was used on a patient who has had an endoscopic examination.What care should the nurse provide for the patient during the recovery period after the procedure?

A) Encourage 1 to 2 L of fluids.
B) Keep the patient NPO (nothing by mouth) for 6 hours.
C) Have the patient lie flat for several hours.
D) Have the patient ambulate as soon as she is able.

Question 13

The nurse is preparing a female patient for a pelvic examination.Which action should the nurse take prior to the examination?

A) Have the patient void.
B) Administer a suppository.
C) Assist the patient into a knee-chest position.
D) Cleanse the perineum with an iodine preparation.

Question 14

A nurse is teaching a 30-year-old male patient about testicular self-examinations (TSE).What should the nurse include in the teaching?

A) "You should do this on a weekly basis."
B) "Monthly TSE is an important part of cancer screening."
C) "If you do this every other month, you will locate tumors before they metastasize."
D) "This should be done each year just prior to your routine physical examination by a physician."

Question 15

The nurse provides care for an older man with noted breast enlargement.He denies discomfort.How should the nurse document this finding?

A) "Mastitis noted in both breasts, patient denies itching."
B) "Patient with symptoms of mastalgia, no drainage seen."
C) "Gynecomastia noted bilaterally, no complaints of tenderness."
D) "Abnormal swelling in both breasts; patient denies recent trauma."

Question 16

A male patient is experiencing problems associated with the prostate gland.On which function of the prostate gland should the nurse focus when determining the care that this patient will need?

A) Erection
B) Ejaculation
C) Secretion of prostaglandins and clotting proteins
D) Production of alkaline secretions that neutralize urine

Question 17

The nurse is helping a young female patient prepare for her first pelvic examination.Which action by the nurse is best?

A) Teach the patient a relaxation exercise.
B) Have the patient close her eyes and bear down.
C) Administer a mild sedative before the examination.
D) Distract the patient by explaining the reproductive disorders she is being tested for.

Question 18

The nurse is assisting with a Papanicolaou (Pap)smear.What action should the nurse take to prepare the patient for this test?

A) Discuss the potential findings
B) Explain the procedure and provide support
C) Review the anatomy of the reproductive tract.
D) Assist into position and leave the examination room.

Question 19

The nurse is reinforcing teaching provided to a 50-year-old male client on reproductive health.What should the nurse remind the patient about monitoring for prostate problems?

A) Have a semiannual x-ray examination.
B) Have a monthly ultrasound examination.
C) Have a yearly digital rectal examination (DRE).
D) Perform regular testicular self-examination (TSE).

Question 20

While performing a physical examination on a male patient,the nurse notes that the urethral opening is located on the underside of the penis.Which term should the nurse use to describe this finding?

A) Phimosis
B) Epispadias
C) Hypospadias
D) Paraphimosis

Question 21

The nurse reviews laboratory values for a male patient with an elevated prostate specific antigen level and notes that the alkaline phosphatase and serum calcium levels are also elevated.What does this finding suggest to the nurse?

A) The patient has a fulminating bladder infection.
B) The patient has a sexually transmitted infection.
C) The patient has an obstruction of the spermatic cord.
D) The patient has cancer that has metastasized to the bone.

Question 22

The nurse is reviewing the anatomy of the reproductive tract with a female patient.Which structures should the nurse identify as being part of the vulva? (Select all that apply.)

A) Mons pubis
B) Bartholin's glands
C) Cervix
D) Clitoris
E) Vagina
F) Urethra

Question 23

The nurse is reviewing the recommendations for breast self-examination prior to preparing a female patient for a pelvic examination.According to the American Cancer Society,how often should the nurse remind the patient to perform breast self-examination (BSE)?

A) Yearly
B) Weekly
C) Monthly
D) Semiannually

Question 24

A female patient has not been able to conceive and the HCP is suggesting an evaluation of hormone levels.Which hormone should the nurse review with the patient as being responsible for ovulation?

A) Estrogen
B) Oxytocin
C) Luteinizing
D) Progesterone

Question 25

The nurse reviews the contents of a patient's health history and thinks that a referral for a bone density might be indicated.What information in the patient's medical record did the nurse use to make this decision? (Select all that apply.)

A) Age 68
B) History of type 2 diabetes mellitus
C) Uses vitamin supplements every day
D) Not taking hormone replacement therapy
E) Taking medications for high blood pressure

Question 26

An LPN is caring for a woman whose obstetrical history is noted as GIV,PIII,AI.What does this information suggest to the nurse? (Select all that apply.)

A) The woman has a set of triplets.
B) The woman gave birth three times.
C) The woman has been pregnant six times.
D) The woman had a spontaneous miscarriage.
E) One pregnancy failed to result in a live birth.
F) All of the live infants were carried to full term.

Question 27

The LPN is providing instructions on testicular self-examination.Which statement should the nurse include in this teaching? (Select all that apply.)

A) "The testicles should be round, smooth, and egg-shaped."
B) "The spermatic cord generally cannot be felt without deep palpation."
C) "The left side of the scrotum usually hangs a little lower than the right."
D) "If you notice any lumps or unusual changes, you should call your doctor."
E) "Hold the scrotum in one hand and massage gently to note any tenderness."

Question 28

The nurse identifies that a female patient is at risk for developing a coagulation disorder.What did the nurse assess during the health history to make this decision? (Select all that apply.)

A) Age 42
B) Smokes 1 ppd of cigarettes
C) Drinks 3 glasses of milk each day
D) Takes estrogen containing contraceptives
E) Exercises for 30 minutes 5 days each week

Question 29

After finding a mass in the scrotum of a male patient the nurse provides the HCP with a flashlight and turns off the lights.Why did the nurse perform these actions?

A) Assist with identifying a varicocele
B) Prepare for a digital rectal examination
C) Prepare for transillumination of the testes
D) Prepare for a prostate specific antigen to be drawn

Question 30

A young male patient wants to know where ejaculate fluid is made.Which glands should the nurse identify as producing secretions that become part of semen? (Select all that apply.)

A) Testes
B) Prostate gland
C) Ductus deferens
D) Seminal vesicles
E) Bulbourethral glands
F) Anterior pituitary gland

Question 31

The nurse is reviewing findings from a female patient's breast examination.What assessment findings should the nurse report to the physician for follow-up? (Select all that apply.)

A) Stretch marks
B) Puckering or dimpling of skin
C) Areas of different consistency
D) Different pointing position of nipples
E) Asymmetrical movement of the breasts
F) Slight difference in size between breasts

Question 32

The nurse is caring for a patient recovering from a cystourethroscopy.What instruction should the nurse provide before the patient is discharged?

A) "You will not urinate for about 8 hours."
B) "You can expect your urine to be red for about 3 days."
C) "You should report any changes in your usual urination pattern."
D) "You might experience some white drainage for the next couple of days."

Question 33

A patient learns he has an elevated prostate-specific antigen (PSA)and asks the nurse what this means.What is the best response?

A) "The higher the PSA, the better. It is protective against prostate cancer."
B) "Prostate cancer causes the PSA to increase. You should talk to your physician about treatment."
C) "An elevated PSA is usually harmless. Your physician will watch it carefully over the next couple of months."
D) "An elevated PSA can indicate prostatic hypertrophy or cancer. You should follow up as your physician advises."