Deck 6: Reproductive System Concerns

Question 1

To assist a client in managing the symptoms of PMS,what should the nurse recommend based on current evidence?

A) Diet with more body-building and energy foods, such as carbohydrates
B) Herbal therapies, yoga, and massage
C) Antidepressants for symptom control
D) Discouraging the use of diuretics

Answer 1

Herbal therapies, yoga, and massage

Question 2

A client complains of severe abdominal and pelvic pain around the time of menstruation.This pain has become progressively worse over the last 5 years.She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months.To which condition are these symptoms most likely related?

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

Answer 2

Endometriosis

Question 3

Nafarelin (Synarel)is used to treat mild-to-severe endometriosis.What instruction or information should the nurse provide to a client regarding nafarelin administration?

A) Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian activity.
B) It should be administered by intramuscular (IM) injection.
C) Nafarelin should be administered by a subcutaneous implant.
D) It can cause the client to experience some hot flashes and vaginal dryness.

Answer 3

It can cause the client to experience some hot flashes and vaginal dryness.

Question 4

Which symptom described by a client is characteristic of premenstrual syndrome (PMS)?

A) "I feel irritable and moody a week before my period is supposed to start."
B) "I have lower abdominal pain beginning on the third day of my menstrual period."
C) "I have nausea and headaches after my period starts, and they last 2 to 3 days."
D) "I have abdominal bloating and breast pain after a couple days of my period."

Question 5

Management of primary dysmenorrhea often requires a multifaceted approach.Which pharmacologic therapy provides optimal pain relief for this condition?

A) Acetaminophen
B) Oral contraceptive pills (OCPs)
C) Nonsteroidal antiinflammatory drugs (NSAIDs)
D) Aspirin

Question 6

Which condition is the least likely cause of amenorrhea in a 17-year-old client?

A) Anatomic abnormalities
B) Type 1 diabetes mellitus
C) Obesity
D) Pregnancy

Question 7

Dysfunctional uterine bleeding (DUB)is defined as excessive uterine bleeding without a demonstrable cause.Which statement regarding this condition is most accurate?

A) DUB is most commonly caused by anovulation.
B) DUB most often occurs in middle age.
C) The diagnosis of DUB should be the first consideration for abnormal menstrual bleeding.
D) Steroids are the most effective medical treatment for DUB.

Question 8

A perimenopausal client has arrived for her annual gynecologic examination.Which preexisting condition would be extremely important for the nurse to identify during a discussion regarding the risks and benefits of hormone therapy?

A) Breast cancer
B) Vaginal and urinary tract atrophy
C) Osteoporosis
D) Arteriosclerosis

Question 9

The female athlete triad includes which common menstrual disorder?

A) Amenorrhea
B) Dysmenorrhea
C) Menorrhagia
D) Metrorrhagia

Question 10

Which system responses would the nurse recognize as being unrelated to prostaglandin (PGF₂)release?

A) Systemic responses
B) Gastrointestinal system
C) Central nervous system
D) Genitourinary system

Question 11

Which alteration in cyclic bleeding best describes bleeding that occurs at any time other than menses?

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

Question 12

Which statement related to the condition of endometriosis is most accurate?

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

Question 13

When a nurse is counseling a woman for primary dysmenorrhea,which nonpharmacologic intervention might be recommended?

A) Increasing the intake of red meat to replace blood loss
B) Reducing the intake of diuretic foods, such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping

Question 14

A 21-year-old client complains of severe pain immediately after the commencement of her menses.Which gynecologic condition is the most likely cause of this client's presenting complaint?

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

Question 15

A client has requested information regarding alternatives to hormonal therapy for menopausal symptoms.Which current information should the nurse provide to the client?

A) Soy
B) Vitamin C
C) Vitamin K
D) Vitamin E
E) Vitamin A

Question 16

While interviewing a 31-year-old woman before her routine gynecologic examination,the nurse collects data about the client's recent menstrual cycles.Which statement by the client should prompt the nurse to collect further information?

A) "My menstrual flow lasts 5 to 6 days."
B) "My flow is very heavy."
C) "I have had a small amount of spotting midway between my periods for the past 2 months."
D) "The length of my menstrual cycles varies from 26 to 29 days."

Question 17

Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?

A) Headaches
B) Hot flashes
C) Mood swings
D) Vaginal dryness with dyspareunia

Question 18

Which statement concerning cyclic perimenstrual pain and discomfort (CPPD)is accurate?

A) Premenstrual dysphoric disorder (PMDD) is a milder form of PMS and more common in young women.
B) Secondary dysmenorrhea is more intense and more medically significant than primary dysmenorrhea.
C) PMS is a complex, poorly understood condition that may include any of a hundred symptoms.
D) The causes of PMS have been well established.

Question 19

Which suggestions are appropriate for a client who complains of hot flashes?

A) Avoid caffeine.
B) Drink a glass of wine to relax.
C) Wear layered clothing.
D) Drink ice water.
E) Drink warm beverages for their calming effect.

Question 20

Which risk factor would the nurse recognize as being frequently associated with osteoporosis?

A) African-American race
B) Low-protein intake
C) Obesity
D) Cigarette smoking

Question 21

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Fennel,dong quai

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 22

Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis?

A) Calcium
B) NSAIDs
C) Fosamax
D) Actonel
E) Calcitonin

Question 23

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Ginger

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 24

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Chaste tree fruit

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 25

Nurses are in an ideal position to educate clients who experience PMDD.What self-help activities have been documented as helpful in alleviating the symptoms of PMDD?

A) Regular exercise
B) Improved nutrition
C) Daily glass of wine
D) Smoking cessation
E) Oil of evening primrose

Question 26

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Black cohosh root

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels

Question 27

Which statement(s)might the nurse appropriately include when teaching a client about calcium intake for osteoporosis?

A) "You should try to increase your protein intake when you are taking calcium."
B) "It is best to take calcium in one large dose."
C) "Tums are the most soluble form of calcium."
D) "You should take calcium with vitamin D because the vitamin D helps your body better absorb calcium."
E) "It's okay to take calcium if you have had a history of kidney stones."

Question 28

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Valerian,wild yam

A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels