Deck 38: Care of Women with Reproductive Disorders

Question 1

The nurse is caring for an adolescent girl with primary dysmenorrhea.The girl's mother reports that her daughter has been absent from school at least 1 day during her last four periods.She anticipates that the health care provider will likely prescribe which treatment?

A) Aromatherapy
B) Dietary modification
C) Effleurage
D) Oral contraceptive Sesonale

Answer 1

Oral contraceptive Sesonale

Question 2

The nurse is educating a patient with premenstrual dysphoric disorder (PMDD)about potential triggers.Which nutritional change should the nurse suggest to help reduce symptoms?

A) Eat whole-grain bread instead of white bread.
B) Drink 4 ounces of red wine once a week.
C) Increase red meat intake to boost iron stores.
D) Use sugar instead of artificial sweeteners.

Answer 2

Eat whole-grain bread instead of white bread.

Question 3

How does the body benefit from the normal acidic pH of the vaginal vault?

A) Supported vaginal muscle tone
B) Vaginal lubrication
C) A hostile environment to sperm
D) Protection against infection

Answer 3

Protection against infection

Question 4

A copper intrauterine device (IUD)can be used as an emergency contraceptive measure if it is inserted within what time frame after unprotected sex?

A) 12 hours
B) 3 days
C) 7 days
D) 10 days

Question 5

The nurse educates a patient about differences between primary infertility and secondary infertility.Which statement accurately describes primary infertility?

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

Question 6

Which change is a possible benefit of oral contraceptives?

A) Decreased breast tenderness
B) Weight loss
C) Heightened sexual pleasure
D) Decrease incidence of vaginitis

Question 7

When should a patient conduct breast self-examinations (BSE)?

A) The day after the onset of menses
B) The day after menses stops
C) 1 week after the onset of menses
D) 1 week after menses stops

Question 8

An infertile couple considering zygote intrafallopian transfer (ZIFT)asks how it differs from in vitro fertilization (IVF).Which information about ZIFT is most important for the nurse to include?

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

Question 9

The nurse is caring for a patient taking long-term estrogen replacement for osteoporosis prevention.The nurse recommends that the patient undergo which type of examination annually?

A) Pelvic examination
B) Bone density study
C) Liver scan
D) Lower GI study

Question 10

The patient complains to the nurse about a sharp pain in the lower quadrants every month at midcycle that lasts for several hours.This description is consistent with which underlying pathophysiological process?

A) Round ligament stretching to support the uterus
B) Mittelschmerz, a pain associated with ovulation
C) Premenstrual uterine enlargement
D) Endometrial changes

Question 11

Which statement accurately describes BRCA1 and BRCA2?

A) BRCA1 and BRCA2 are genes involved with the inherited form of breast cancer.
B) BRCA1 and BRCA2 are enzymes that are markers for breast cancer.
C) BRCA1 and BRCA2 are particular proteins attached to the red blood cells indicating presence of breast cancer.
D) BRCA1 and BRCA2 are laboratory tests performed on a breast biopsy to detect breast cancer.

Question 12

Which statement indicates that the patient requires additional teaching related to emergency contraception?

A) "I should take Uliprisal (Ella) within 5 days of unprotected sex."
B) "I should take an antiemetic before I take levonorgestrel."
C) "Plan B one-step is available over the counter."
D) "I should follow up with my doctor after taking any emergency contraception."

Question 13

The nurse is caring for a menopausal patient who is experiencing hot flashes.The nurse suggests that the patient increase intake of which foods?

A) Red meat and leafy greens
B) Cherries and black beans
C) Carrots and asparagus
D) Yogurt and cheese

Question 14

The nurse is caring for a female patient who reports using an estrogen cream as a lubricant for sexual intercourse.The nurse should caution the patient about which potential negative effect?

A) Estrogen cream may damage latex condoms.
B) Estrogen cream may exacerbate hot flashes.
C) Estrogen cream may decrease elasticity of vaginal tissue.
D) Estrogen cream may cause contact dermatitis for sexual partners.

Question 15

The nurse is educating a speaking to a group of junior high girls about reproductive health.Which information is most important to include?

A) Breasts may be tender in the middle of the cycle.
B) Girls ages 12 or older who have not had a period should see a doctor.
C) Irregular or missed periods are nothing to worry about.
D) A normal period may last up to 2 weeks.

Question 16

Unresolved primary dysmenorrhea may cause the young female to develop which negative perception?

A) An exaggerated sense of symptom severity
B) A distrust of medications
C) A negative attitude toward her own sexuality
D) An unhealthy tendency toward peer comparison

Question 17

When does premenstrual syndrome (PMS)occur?

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

Question 18

After having a right total mastectomy,the patient confides that her husband has voiced concern about her "disfigurement." Which response is most appropriate for the nurse to make? The nurse's most therapeutic response would be:

A) "What a terrible thing to say!"
B) "Many husbands feel that way at first."
C) "His feelings will change over time."
D) "How did you respond to his statement?"

Question 19

The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome (PCOS).When reviewing the patient's health history,which finding supports this diagnosis?

A) Cold intolerance
B) Significant weight loss
C) Menstrual periods every 33 days
D) Elevated serum glucose levels

Question 20

During a family planning session,a young couple confides that they are hoping to conceive.Which action should the nurse suggest to potentially enhance conception?

A) Relax together in a sauna or hot tub.
B) Stimulate the scrotum with a vibrator.
C) Increased time spent in foreplay.
D) Use water-soluble lubricant.

Question 21

Which manifestation(s)is/are signs and symptoms of menopause?

A) Hot flashes and flushes
B) Cessation of estrogen production
C) Vaginal dryness
D) Night sweats
E) Irregularity of menses

Question 22

The nurse is caring for a patient who is suffering from dysmenorrhea.Which action(s)is/are ways in which pelvic rock exercise decreases pain?

A) Releasing endorphins
B) Generating abdominal heat
C) Suppressing prostaglandins
D) Making the uterus drop forward
E) Relieving pelvic congestion

Question 23

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 24

Which manifestation(s)is/are signals of premenstrual syndrome (PMS)?

A) Bloating
B) Irritability
C) Depression
D) Excessive energy
E) Fear of losing control

Question 25

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 26

The nurse is caring for a patient diagnosed with toxic shock syndrome (TSS).Which statement best indicates the patient understands the causative factor of this disorder?

A) "This problem likely resulted from an untreated sexually transmitted infection."
B) "This problem is linked to my ovarian cyst rupture."
C) "This problem could have resulted from using a diaphragm for birth control."
D) "Taking steroids is associated with this problem."

Question 27

The nurse is caring for a patient who has been diagnosed with a cystocele.The patient is not a surgical candidate.The nurse should include information about which nonsurgical management technique(s)in the teaching plan?

A) Kegel exercises
B) Pessary insertion of a pessary
C) Hormone therapy
D) Vitamin B₁₂ therapy
E) Increased fluid intake

Question 28

The nurse describes the "morning-after" pill,levonorgestrel,as a multipurpose pill.Which statement(s)describe(s)a purpose of levonorgestrel?

A) Ovulation prevention
B) Immediate menses induction
C) Fertilization interference
D) Alteration of ova DNA
E) Prevention of uterine implantation

Question 29

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 30

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 31

The nurse is caring for a middle-aged woman who is not sexually active.The patient questions the nurse about the recommended frequency of Pap smears.Which response is best?

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 3 years.

Question 32

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

Which age-related change(s)occur(s)in the woman after menopause?

A) Atrophy of uterus
B) Vaginal dryness
C) Decrease in bone mass
D) Increase in vaginal elasticity
E) Uterine prolapse

Question 34

The nurse is caring for a patient with primary dysmenorrhea.Which food(s)should the nurse suggest that the patient include in her diet?

A) Watermelon
B) Buttermilk
C) Broccoli
D) Asparagus
E) Cranberries

Question 35

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

Question 36

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