Deck 39: Care of Women With Reproductive Disorders

Question 1

The nurse is aware that the premenstrual syndrome (PMS)with its behavioral symptoms occurs during the:

A)follicular ovarian cycle phase.
B)luteal ovarian cycle phase.
C)dismantling stage of the menstrual cycle.
D)proliferative stage of the stage of the menstrual cycle.

Answer 1

luteal ovarian cycle phase.

Question 2

The nurse is aware that the normal acidic pH of the vaginal vault provides:

A)support to vaginal muscle tone.
B)vaginal lubrication.
C)a hostile environment to sperm.
D)protection against infection.

Answer 2

protection against infection.

Question 3

An infertile couple is considering zygote intrafallopian transfer (ZIFT)and ask how it differs from in vitro fertilization (IVF).The nurse clarifies that in ZIFT the:

A)fallopian tubes are artificially lined with material that nourishes the gamete.
B)fertilized egg is placed in the fallopian tube.
C)fallopian tubes are cleared with injected air.
D)fallopian tube is implanted with unfertilized ova and sperm.

Answer 3

fertilized egg is placed in the fallopian tube.

Question 4

The patient who is on long-term estrogen replacement for the prevention of osteoporosis is counseled to have an annual:

A)pelvic examination.
B)bone density study.
C)liver scan.
D)lower GI study.

Question 5

The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome.When reviewing the patient's health history,which finding will provide support for the diagnosis?

A)Female pattern baldness
B)Significant weight loss
C)Menstrual periods every 33 days
D)Elevations in serum glucose

Question 6

The nurse explains that BRCA1 and BRCA2 are:

A)genes involved with the inherited form of breast cancer.
B)enzymes that are markers for breast cancer.
C)particular proteins attached to the RBCs indicating presence of breast cancer.
D)laboratory tests performed on a breast biopsy to detect breast cancer.

Question 7

In discussing the advantages of oral contraceptives,the nurse mentions such benefits as:

A)decreased breast tenderness.
B)weight loss.
C)heightened sexual pleasure.
D)decrease of opportunistic vaginitis.

Question 8

The nurse introduces the consideration of a new oral contraceptive,Seasonale,the protocol of which allows only _____ menstrual period(s)a year.

A)1
B)2
C)3
D)4

Question 9

The nurse reminds a patient that monthly breast self-examination (BSE)should be conducted one:

A)day after menses has begun.
B)day after menses has stopped.
C)week after menses has begun.
D)week after menses has stopped.

Question 10

The nurse suggests to the menopausal patient who is experiencing troubling hot flashes to include in her diet such foods as cherries and black beans because these foods are:

A)high in protein.
B)phytoestrogens.
C)antioxidants.
D)natural tranquilizers.

Question 11

The patient complains to the nurse about a sharp pain in the lower quadrants every month at midcycle that lasts for several hours.The nurse clarifies that this phenomenon is related to:

A)the stretching of the round ligaments supporting the uterus.
B)Mittelschmerz, a pain associated with ovulation.
C)the premenstrual uterine enlargement.
D)endometrial changes.

Question 12

The nurse is aware that a copper intrauterine device (IUD)can be used as an emergency contraceptive measure if it is inserted within a maximum of ____ days after unprotected sex.

A)7
B)8
C)9
D)10

Question 13

The nurse suggests to a couple trying to conceive that conception might be enhanced by:

A)relaxing together in a sauna or hot tub.
B)stimulation of the scrotum with a vibrator.
C)increased time spent in foreplay.
D)using water-soluble lubricant.

Question 14

The nurse suggests to a patient suffering with premenstrual dysphoric disorder (PMDD)that the patient might be able to reduce the symptoms by:

A)using stress management exercises.
B)drinking 4 ounces of red wine with the evening meal.
C)including red meat in the diet at least 3 times a week.
D)switching to sugar rather than artificial sweeteners.

Question 15

The nurse is aware that primary dysmenorrhea may cause the young female to develop:

A)exaggerated perceptions of the severity of the symptoms.
B)nonreliance on medications for relief.
C)negative attitude toward her own sexuality.
D)inappropriate coping skills.

Question 16

After having a right total mastectomy,the patient confides that her husband has voiced his concern about her "disfigurement." The nurse's most therapeutic response would be:

A)"What a jerk he must be!"
B)"Many husbands feel that way."
C)"I wouldn't worry. He will adjust."
D)"What was your reaction to his statement?"

Question 17

The nurse evaluates the need for additional instruction about the "morning-after" pill,levonorgestrel,when the patient says:

A)"I must take levonorgestrel within 72 hours of having had unprotected sex."
B)"I will take an antiemetic before I take levonorgestrel."
C)"I only need to take one dose of levonorgestrel."
D)"Depending on the state, I may or may not need to get a prescription for levonorgestrel."

Question 18

The nurse speaking to a group of junior high girls cautions them that their breasts may feel tender:

A)at midcycle at ovulation.
B)at intracycle on the first day of flow.
C)at intracycle as the flow begins to slow.
D)after menstrual flow has stopped.

Question 19

The nurse cautions a patient who is using estrogen cream to restore vaginal moisture not to use the cream as a lubricant for sexual intercourse because:

A)her partner will absorb estrogen.
B)cream numbs the clitoris.
C)cream will alter condom integrity.
D)friction of intercourse will irritate vaginal wall.

Question 20

The nurse explains that the difference between primary infertility and secondary infertility is that primary infertility describes the inability to:

A)maintain a pregnancy past the first trimester.
B)conceive after 1 year of active unprotected sex.
C)deliver a viable infant after two pregnancies.
D)conceive after using a follicle stimulator for 1 year.

Question 21

Because of the diuretic effect,the nurse suggests to a patient with primary dysmenorrhea to include in her diet: (Select all that apply.)

A)watermelon.
B)buttermilk.
C)broccoli.
D)asparagus.
E)cranberries.

Question 22

The nurse is caring for a patient who has been diagnosed with a cystocele.The patient is not a surgical candidate.The plan of care includes noninvasive therapies.What may be included in the plan of care? (Select all that apply.)

A)Kegel exercises
B)Insertion of a pessary
C)Hormone therapy
D)Vitamin B₁₂
E)Increase in fluid intake

Question 23

The nurse lists the age-related changes that occur in the woman after menopause,which include: (Select all that apply.)

A)atrophy of uterus.
B)vaginal dryness.
C)decrease in bone mass.
D)increase in vaginal elasticity.
E)uterine prolapse.

Question 24

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Pain lasts throughout menstrual flow

A)Primary dysmenorrhea
B)Secondary dysmenorrhea

Question 25

The nurse lists the signs and symptoms of menopause as: (Select all that apply.)

A)hot flashes and flushes.
B)cessation of estrogen production.
C)vaginal dryness.
D)night sweats.
E)irregularity of menses.
F)None of the above.

Question 26

The nurse explains that the portion of the menstrual cycle in which the ova are stimulated and matured is the ________ phase.

Question 27

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Caused by release of high levels of prostaglandins

A)Primary dysmenorrhea
B)Secondary dysmenorrhea

Question 28

The nurse describes the signals of premenstrual syndrome (PMS),which include: (Select all that apply.)

A)bloating.
B)irritability.
C)depression.
D)excessive energy.
E)fear of losing control.

Question 29

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Caused by uterine polyps

A)Primary dysmenorrhea
B)Secondary dysmenorrhea

Question 30

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Occurs within first menstruation past menarche

A)Primary dysmenorrhea
B)Secondary dysmenorrhea

Question 31

The nurse is caring for a patient diagnosed with toxic shock syndrome.The patient is discussing what caused her condition.Which statement best indicates the patient has an adequate understanding?

A)"I may have contracted this infection as a result of an untreated sexually transmitted infection."
B)"An infection linked to my ovarian cyst may be the culprit."
C)"Using a diaphragm for birth control may have played a role."
D)"Taking steroids is associated with the condition."

Question 32

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Lower abdomen pain progressing to back and thighs

A)Primary dysmenorrhea
B)Secondary dysmenorrhea

Question 33

The nurse describes the "morning-after" pill,levonorgestrel,as a multipurpose pill that can: (Select all that apply.)

A)prevent ovulation.
B)cause immediate menses.
C)interfere with fertilization.
D)alter DNA of ova.
E)prevent uterine implantation.

Question 34

The nurse explains to the patient suffering from dysmenorrhea that the pelvic rock exercise will decrease pain by: (Select all that apply.)

A)releasing endorphins.
B)generating abdominal heat.
C)suppressing prostaglandins.
D)making uterus drop forward.
E)relieving pelvic congestion.

Question 35

A 25-year-old woman who is not sexually active questions the nurse about the recommended frequency of Pap smears.What information should be provided?

A)Annual screening is recommended.
B)Screening is not needed for women who are not sexually active.
C)Screening in the woman who is not sexually active may be spaced every 5 to 7 years.
D)In the woman with negative screenings, the Pap test may be repeated every 2 years.

Question 36

Matching
The nurse outlines the characteristics of primary or secondary dysmenorrhea to help the patient understand her condition.Match the options with the symptoms.(Options can be used once, more than once, or not at all.)

Uterine contraction causing cramps

A)Primary dysmenorrhea
B)Secondary dysmenorrhea