Deck 51: Nursing Assessment: Reproductive System

Question 1

A couple who has not been able to conceive is scheduled for a Huhner test for infertility. In preparation for the test, the nurse will instruct the couple about

A) possible shoulder pain after the procedure.
B) sedative medications used during the procedure.
C) ways to determine the estimated time of ovulation.
D) how long to refrain from intercourse before the test.

Answer 1

ways to determine the estimated time of ovulation.

Question 2

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. The nurse estimates that the amount of blood loss is

A) 10 to 20 mL.
B) 20 to 30 mL.
C) 30 to 40 mL.
D) 40 to 60 mL.

Answer 2

40 to 60 mL.

Question 3

After a patient has been treated for pelvic inflammatory disease, the nurse will plan to implement teaching about

A) irregularities in the menstrual cycle.
B) changes in secondary sex characteristics.
C) possible difficulty with becoming pregnant.
D) use of hormone replacement therapy (HRT).

Answer 3

possible difficulty with becoming pregnant.

Question 4

A 19-year-old patient who is being assessed for amenorrhea at the clinic makes all of the following statements to the nurse. Which one indicates a need for patient teaching?

A) "I run at least 8 miles every day to keep in shape."
B) "I drink at least 3 glasses of non-fat milk every day."
C) "I am not sexually active but currently I have an IUD [intrauterine device]."
D) "I was recently treated for a sexually transmitted disease."

Question 5

When preparing a patient for colposcopy with a cervical biopsy, the nurse explains to the patient that the procedure

A) involves dilation of the cervix and biopsy of the tissue lining the uterus.
B) will take place in a same-day surgery center so that local anesthesia can be used.
C) requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D) is similar to a speculum examination of the cervix and should result in little or no pain.

Question 6

A 52-year-old man is scheduled for an annual physical exam. The nurse will plan to teach the patient about

A) increased risk for testicular cancer.
B) possible changes in erectile function.
C) normal decreases in testosterone level.
D) annual prostate specific antigen ( PSA ) testing.

Question 7

A 42-year-old man who is taking the following medications tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction ( ED )?

A) atorvastatin ( Lipitor ) for hyperlipidemia
B) metformin ( Glucophage ) for type 2 diabetes
C) propranolol ( Inderal ) for high blood pressure
D) ranitidine ( Zantac ) for gastroesophageal reflux

Question 8

A patient calls the clinic and tells the nurse, "My menstrual period is very heavy. I have to change my tampon every 4 hours." Which action should the nurse take next?

A) Tell the patient that her flow is not unusually heavy.
B) Schedule the patient for an appointment later that day.
C) Ask the patient how heavy her usual menstrual flow is.
D) Have the patient call again if the heavy flow continues.

Question 9

A 22-year-old female patient who has been admitted to the emergency department after an automobile accident is scheduled for abdominal x-rays. Which information is most important to report to the health care provider before the x-rays are obtained?

A) Abdominal pain
B) Positive hCG testing
C) Temperature 102.1° F ( 38.9° C )
D) Blood pressure 172/88 mm Hg

Question 10

When scheduling a pelvic examination and Pap test for a patient, the nurse instructs the patient that she should

A) shower, but not take a tub bath, before the examination.
B) not have sexual intercourse the day before the Pap test.
C) plan to have the Pap test just after her menstrual period.
D) avoid douching for at least 24 hours before the examination.

Question 11

A patient with a possible ovarian cyst is scheduled for ultrasound. The nurse will teach the patient that she should

A) discontinue taking aspirin before the procedure.
B) receive IV contrast solution during the procedure.
C) expect mild abdominal cramps after the procedure.
D) drink several glasses of fluids before the procedure.

Question 12

While the nurse is assessing a 62-year-old man, the patient says that he does not respond to sexual stimulation the way he did when he was younger. The nurse's best response to the patient's comment is,

A) "Many men need more sexual stimulation with aging."
B) "Interest in sex frequently decreases as men get older."
C) "Erectile dysfunction is a common problem with older men."
D) "Tell me more about how your sexual response has changed."

Question 13

When the nurse is assessing the sexual-reproductive functional health pattern for a 34-year-old man, which question is most useful in determining the patient's sexual orientation and risk factors?

A) "Do you have sex with men, women, or both?"
B) "Which gender do you prefer to have sex with?"
C) "What types of sexual activities do you prefer?"
D) "Are you heterosexual, homosexual, or bisexual?"

Question 14

Which information about a 22-year-old who wants to start using oral contraceptives is most important to report to the health care provider?

A) The patient quit smoking 6 months previously.
B) The patient's blood pressure is 164/90 mm Hg.
C) The patient has not been vaccinated for rubella.
D) The patient has chronic iron-deficiency anemia.

Question 15

A patient in the sexually transmitted disease clinic has a positive Venereal Disease Research Laboratory (VDRL) test, but no chancre is noted. The nurse will plan to send specimens for

A) gram stain.
B) cytologic studies.
C) rapid plasma reagin (RPR) agglutination.
D) fluorescent treponemal antibody absorption (FTA-ABS).

Question 16

When performing a physical assessment on a male patient, the nurse obtains this information. Which finding is most important to report to the health care provider?

A) One testis hangs lower than the other.
B) Inguinal lymph nodes are nonpalpable.
C) Genital hair distribution is diamond shaped.
D) Clear penile discharge is present at the meatus.

Question 17

Which question should the nurse ask when assessing a patient who has a history of benign prostatic hyperplasia (BPH)?

A) "Have you noticed any unusual discharge from your penis?"
B) "Has there been any change in your sex life in the last year?"
C) "Has there been a decrease in the force of your urinary stream?"
D) "Have you been experiencing any difficulty in achieving an erection?"

Question 18

The following patients call the outpatient clinic. Which phone call should the nurse return first?

A) A patient who has severe breast tenderness following a breast biopsy
B) A patient who has bloody discharge after a hysteroscopy earlier today
C) A patient who is complaining of dyspnea after a pelvic computed tomography (CT) with contrast
D) A patient who is experiencing shoulder pain after a laparoscopy yesterday