Deck 7: Reproductive Health

Question 1

Which medication does the Public Health Agency of Canada recommend for the treatment of patients with human papillomavirus (HPV)?

A) Miconazole ointment
B) Topical podofilox 0.5% solution or gel
C) Penicillin given intramuscularly (IM)for two doses
D) Metronidazole by mouth

Answer 1

Topical podofilox 0.5% solution or gel

Question 2

What should the nurse be aware of with regard to abnormal uterine bleeding (AUB)?

A) Inherited blood disorders may be a cause of AUB.
B) It most often occurs in middle age.
C) Acute bleeding episodes require a dilation and curettage.
D) The most effective medical treatment involves steroids.

Answer 2

Inherited blood disorders may be a cause of AUB.

Question 3

Which statement is accurate?

A) Premenstrual dysphoric disorder (PMDD)is a severe form of premenstrual syndrome (PMS)and more common in younger women.
B) Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
C) Premenstrual syndrome is a complex but clearly understood condition that may include many symptoms.
D) The causes of PMS have been well established.

Answer 3

Premenstrual dysphoric disorder (PMDD)is a severe form of premenstrual syndrome (PMS)and more common in younger women.

Question 4

During her annual gynecological checkup,a woman states that recently she has been experiencing cramping and pain during her menstrual periods.The nurse would use which term to document this complaint?

A) Amenorrhea
B) Dysmenorrhea
C) Dyspareunia
D) Premenstrual syndrome (PMS)

Question 5

Which refers to an alteration in cyclic bleeding that occurs between periods of menstruation?

A) Oligomenorrhea
B) Menorrhagia
C) Leiomyoma
D) Metrorrhagia

Question 6

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years.She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months.What are these symptoms most likely related to?

A) Endometriosis
B) PMS
C) Primary dysmenorrhea
D) Secondary dysmenorrhea

Question 7

When evaluating a patient whose primary complaint is secondary amenorrhea,the nurse must be aware that lack of menstruation is most often the result of which event?

A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders

Question 8

What is the viral sexually transmitted infection (STI)that affects most people in Canada today?

A) Herpes simplex virus type 2 (HSV-2)
B) Human papillomavirus (HPV)
C) Human immunodeficiency virus (HIV)
D) Cytomegalovirus (CMV)

Question 9

Nafarelin (Synarel)200 mg BID per nasal spray currently is used as a treatment for mild-to-severe endometriosis.What patient teaching should the nurse tell the woman who is taking this medication?

A) It stimulates the secretion of gonadotropin-releasing hormone (GnRH),thereby stimulating ovarian activity.
B) It should be sprayed into one nostril every other day.
C) It should be injected into subcutaneous tissue BID.
D) It can cause her to experience some hot flashes and vaginal dryness.

Question 10

While interviewing a 31-year-old woman before her routine gynecological examination,the nurse collects data about the patient's recent menstrual cycles.The nurse should collect additional information when the woman makes which statement?

A) The woman says her menstrual flow lasts 5 to 6 days.
B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past 2 months.
D) She says the length of her menstrual cycle varies from 26 to 29 days.

Question 11

What symptom described by a woman is characteristic of premenstrual syndrome (PMS)?

A) Irritable and moody prior to menses.
B) Lower abdominal pain that begins halfway through menstruation.
C) Nausea and headache after menses begins lasting 2 to 3 days.
D) Abdominal bloating and breast pain halfway through menstruation.

Question 12

Management of primary dysmenorrhea often requires a multifaceted approach.What is the optimal pharmacological therapy for pain relief for dysmenorrhea?

A) Acetaminophen
B) Oral contraceptives (OCPs)
C) Nonsteroidal anti-inflammatory drugs (NSAIDs)
D) Aspirin

Question 13

Nurses should be aware of which in relation to endometriosis?

A) It is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It is found more often in Black women than in White or Asian women.
C) It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) It is unlikely to affect sexual intercourse or fertility.

Question 14

Nurses should be aware that which is true with regard to dysmenorrhea?

A) It is more common in older women.
B) It is more common in leaner women who exercise strenuously.
C) Symptoms can begin at any point in the ovulatory cycle.
D) Pain usually occurs in the suprapubic area or lower abdomen.

Question 15

What are the two primary areas of risk for sexually transmitted infections (STIs)?

A) Sexual orientation and socioeconomic status
B) Age and educational level
C) Large number of sexual partners and race
D) Risky sexual behaviours and inadequate preventive health behaviours

Question 16

A woman has a thick,white,lumpy,cottage cheese-like discharge,with patches on her labia and in her vagina.She complains of intense pruritus.The nurse would anticipate which preparation for treatment?

A) Fluconazole
B) Tetracycline
C) Clindamycin
D) Acyclovir

Question 17

When a nurse is counselling a woman for primary dysmenorrhea,which nonpharmacological intervention might be recommended?

A) Increase the intake of red meat and simple carbohydrates.
B) Reduce the intake of diuretic foods,such as peaches and asparagus.
C) Temporarily substitute physical activity for a sedentary lifestyle.
D) Use a heating pad on the abdomen to relieve cramping.

Question 18

When planning care for a woman who has been diagnosed as having uterine fibroids,what is important for the nurse to know?

A) Fibroids are malignant tumours of the uterus that require radiation or chemotherapy.
B) Fibroids will increase in size during the perimenopausal period.
C) Menorrhagia is a common finding in women with uterine fibroids.
D) The woman is unlikely to become pregnant as long as the fibroids are in her uterus.

Question 19

When assessing the patient for amenorrhea,the nurse should be aware that which may cause amenorrhea?

A) Alcohol use
B) Type 1 diabetes mellitus
C) Lack of exercise
D) Cessation of oral contraception use

Question 20

When evaluating a patient for sexually transmitted infections (STIs),the nurse should be aware that which STI is on the rise in Canada?

A) Chancroid
B) Candidiasis
C) Chlamydia
D) Herpes simplex virus (HSV)type 2

Question 21

What does a woman most likely have when she experiences a breast mass that is not well delineated and is nonpalpable,immobile,and nontender?

A) Fibroadenoma
B) Lipoma
C) Intraductal papilloma
D) Mammary duct ectasia

Question 22

What would most likely be included for the care management of a woman diagnosed with acute pelvic inflammatory disease (PID)?

A) Oral antiviral therapy
B) Bedrest in a semi-Fowler position
C) Antibiotic regimen continued until symptoms subside
D) Frequent pelvic examination to monitor the progress of healing

Question 23

Which should the nurse explain when providing education regarding breast care and fibrocystic changes in breasts?

A) Fibrocystic changes are a disease of the milk ducts and glands in the breasts.
B) Fibrocystic changes are a premalignant disorder characterized by lumps found in the breast tissue.
C) Fibrocystic changes describe lumpiness with pain and tenderness in the breast tissue of healthy women during menstrual cycles.
D) Fibrocystic changes include lumpiness accompanied by the appearance of tenderness after menses.

Question 24

The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for which sexually transmitted infection?

A) Syphilis
B) Gonorrhea
C) Herpes simplex virus type 2
D) Human immunodeficiency virus

Question 25

What common adverse effects would the nurse teach a patient who has been prescribed adjuvant tamoxifen therapy?

A) Nausea,hot flashes,and vaginal bleeding
B) Vomiting,weight loss,and hair loss
C) Nausea,vomiting,and diarrhea
D) Hot flashes,weight gain,and headaches

Question 26

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

A) Herpes simplex virus (HSV)-2
B) Human papillomavirus (HPV)
C) Human immunodeficiency virus (HIV)
D) Cytomegalovirus (CMV)

Question 27

Which communicable diseases must be reported in all provinces and territories? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

A) Gonorrhea
B) Human papillomavirus
C) Human immunodeficiency virus (HIV)
D) Herpes simplex virus 2 (HSV-2)
E) Chlamydia
F) HSV-1
G) Infectious syphilis

Question 28

Which is the most important aspect of a discussion related to health promotion and condom use that the nurse should be aware of?

A) Strategies to enhance condom use
B) Choice of colours and special features
C) Leaving the decision up to the male partner
D) Places to safely carry condoms

Question 29

Which is a modality that may provide relief for women with fibrocystic breast changes?

A) Diuretic administration
B) Including caffeine daily in the diet
C) Increased vitamin C supplementation
D) Application of cold packs to the breast as necessary

Question 30

What is a recommended treatment for human papillomavirus (HPV)?

A) Acyclovir
B) Ofloxacin
C) Podophyllin
D) Penicillin

Question 31

A 25-year-old single female comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap)smear.The test revealed that the patient has human papillomavirus (HPV).The patient asks,"What is that? Can you get rid of it?" What is the basis for the nurses' response?

A) Provide reassurance that it can be frozen and it will fall off.
B) Explain that HPV stands for "human papillomavirus" and is a sexually transmitted infection (STI).
C) Explain that HPV is a type of early human immunodeficiency virus (HIV)and is usually fatal.
D) Explain transmission from the current partner,who needs to be tested as well.

Question 32

What important,immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?

A) The blood pressure (BP)cuff should not be applied to the affected arm.
B) Venipuncture for blood work should be performed on the affected arm.
C) The affected arm should be used for intravenous (IV)therapy.
D) The affected arm should be held down close to the woman's side.

Question 33

The nurse should know that once human immunodeficiency virus (HIV)enters the body,seroconversion to HIV positivity occurs in 70% of individuals by what week?

A) 1 week
B) 4 weeks
C) 8 weeks
D) 12 weeks

Question 34

What do most laboratory tests focus on to detect the human immunodeficiency virus (HIV)?

A) HIV virus
B) HIV antibodies
C) CD₄ counts
D) CD₈ counts

Question 35

Which should a woman be taught to do after a mastectomy?

A) Empty surgical drains twice a day and as needed.
B) Avoid lifting more than 5 kg or reaching above her head until given permission by her surgeon.
C) Wear clothing with snug sleeves to support the tissue of the arm on the operative side.
D) Expect mild signs of inflammation at the incision site or in the affected arm.

Question 36

On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,greyish white vaginal discharge with a "fishy" odour;complaint of pruritus.These findings lead the nurse to which diagnosis?

A) Bacterial vaginosis (BV)
B) Candidiasis
C) Trichomoniasis
D) Gonorrhea

Question 37

When teaching a group of women about breast cancer,which fact would the nurse point out to them?

A) Risk factors identify more than 50% of women who will develop breast cancer.
B) Nearly 90% of lumps found by women are malignant.
C) One in 10 women in Canada will develop breast cancer in her lifetime.
D) The exact cause of breast cancer is unknown.

Question 38

Which statement about the various forms of hepatitis is accurate?

A) A vaccine exists for hepatitis C,but not for hepatitis B.
B) Hepatitis A is acquired by eating contaminated food or drinking polluted water.
C) Hepatitis B is less contagious than human immunodeficiency virus (HIV).
D) The incidence of hepatitis C is decreasing.

Question 39

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

A) Mammogram
B) Ultrasound
C) Fine-needle aspiration (FNA)
D) CA 15-3

Question 40

Which is true of fibroadenoma?

A) Fibroadenoma is an inflammation of the milk ducts and glands behind the nipples.
B) Fibroadenoma is a thick,sticky discharge from the nipple of the affected breast.
C) Fibroadenoma is lumpiness in both breasts that develops 1 week before menstruation.
D) Fibroadenoma is a single lump in one breast that can be expected to shrink as the woman ages.

Question 41

Which are viral sexually transmitted infections (STIs)? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

A) Herpes simplex virus (HSV)
B) Chancroid
C) Mycoplasmas
D) Human papillomavirus (HPV)
E) Trichmoniasis
F) Syphilis
G) Cytomegalovirus

Question 42

Which are symptoms of endometriosis? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

A) Dysmenorrhea
B) Dysuria
C) Apnea
D) Dyschezia
E) Dyscrasias
F) Hypertension