Deck 4: Assessment and Health Promotion

Question 1

The two primary functions of the ovary are:

A)Normal female development and sex hormone release
B)Ovulation and internal pelvic support
C)Sexual response and ovulation
D)Ovulation and hormone production

Answer 1

Ovulation and hormone production

Question 2

A woman arrives at the clinic for her annual examination.She tells the nurse that she thinks she has a vaginal infection,and she has been using an over-the-counter cream for the past 2 days to treat it.The nurse's initial response should be to:

A)Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap)test for which she is scheduled
B)Reassure the woman that using vaginal cream is not a problem for the examination
C)Ask the woman to describe the symptoms that indicate to her she has a vaginal infection
D)Ask the woman to reschedule the appointment for the examination

Answer 2

Ask the woman to describe the symptoms that indicate to her she has a vaginal infection

Question 3

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman states,"I have special undergarments that I do not remove for religious reasons." The most appropriate response from the nurse would be:

A)"You can't have an examination without removing all your clothes."
B)"I'll ask the doctor to modify the examination."
C)"Tell me about your undergarments.I'll explain the examination procedure,and then we can discuss how you can have your examination comfortably."
D)"What? I've never heard of such a thing! That sounds different and strange."

Answer 3

"Tell me about your undergarments.I'll explain the examination procedure,and then we can discuss how you can have your examination comfortably."

Question 4

Certain fatty acids classified as hormones that are found in many body tissues and have roles in many reproductive functions are known as:

A)Gonadotropin-releasing hormone (GnRH)
B)Prostaglandins (PGs)
C)Follicle-stimulating hormone (FSH)
D)Luteinizing hormone (LH)

Question 5

Prostaglandins are produced in most organs of the body,including the uterus.Other source(s)of prostaglandins is/are:

A)Ovaries
B)Breast milk
C)Menstrual blood
D)The vagina

Question 6

Physiologically,sexual response can be characterized by:

A)Coitus,masturbation,and fantasy
B)Myotonia and vasocongestion
C)Erection and orgasm
D)Excitement,plateau,and orgasm

Question 7

A 20-year-old client calls the clinic to report that she has found a lump in her breast.The nurse's best response is:

A)"Don't worry about it.I'm sure it's nothing."
B)"Wear a tight bra,and it should shrink."
C)"Many women have benign lumps and bumps in their breasts.However,to make sure it's benign you should come in for an examination by your physician."
D)"Check it again in 1 month and call me back if it's still there."

Question 8

One purpose of preconception care is to:

A)Ensure that pregnancy complications do not occur
B)Identify women who should not become pregnant
C)Encourage healthy lifestyles for families desiring pregnancy
D)Ensure that women know about prenatal care

Question 9

The transition phase during which ovarian function and hormone production decline is called:

A)The climacteric
B)Menarche
C)Menopause
D)Puberty

Question 10

The stimulated release of gonadotropin-releasing hormone (GnRH)and follicle-stimulating hormone (FSH)is part of the:

A)Menstrual cycle
B)Endometrial cycle
C)Ovarian cycle
D)Hypothalamic-pituitary cycle

Question 11

A blind woman has arrived for an examination.Her guide dog assists her to the examination room.She appears nervous and says,"I've never had a pelvic examination." The nurse's most appropriate response would be:

A)"Don't worry.It will be over before you know it."
B)"Try to relax.I'll be very gentle,and I won't hurt you."
C)"Your anxiety is common.I was anxious when I first had a pelvic examination."
D)"I'll let you touch each item that I'll use during the examination as I tell you how it will be used."

Question 12

Individual irregularities in the ovarian (menstrual)cycle are most often caused by:

A)Variations in the follicular (preovulatory)phase
B)An intact hypothalamic-pituitary feedback mechanism
C)A functioning corpus luteum
D)A prolonged ischemic phase

Question 13

Before beginning the health history interview,the nurse should perform all actions except:

A)Smile and ask the client whether she has any special concerns
B)Speak in a relaxed manner with an even,nonjudgmental tone
C)Make the client comfortable
D)Tell the client her questions are irrelevant

Question 14

Concerning the use and abuse of legal drugs or substances,nurses should be aware that:

A)Although cigarette smoking causes a number of health problems,it has little direct effect on maternity-related health
B)Women ages 21 to 34 have the highest rates of specific alcohol-related problems
C)Coffee is a stimulant that can interrupt body functions and has been related to birth defects
D)Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;otherwise,they would not have been prescribed

Question 15

A fully matured endometrium that has reached the thickness of heavy,soft velvet describes the _____ phase of the endometrial cycle.

A)Menstrual
B)Proliferative
C)Secretory
D)Ischemic

Question 16

Menstruation is periodic uterine bleeding:

A)That occurs every 28 days
B)In which the entire uterine lining is shed
C)That is regulated by ovarian hormones
D)That leads to fertilization

Question 17

Because of the effect of cyclic ovarian changes on the breast,the best time for breast self-examination (BSE)is:

A)Five to 7 days after menses ceases
B)Day 1 of the endometrial cycle
C)Midmenstrual cycle
D)Any time during a shower or bath

Question 18

Which statement indicates that a client requires additional instruction about breast self-examination?

A)"Yellow discharge from my nipple is normal if I'm having my period."
B)"I should check my breasts at the same time each month,after my period."
C)"I should also feel in my armpit area while performing my breast exam."
D)"I should check each breast in a set way,such as in a circular motion."

Question 19

The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the:

A)Perineum
B)Bony pelvis
C)Vaginal vestibule
D)Fourchette

Question 20

The female reproductive organ(s)responsible for cyclic menstruation is/are the:

A)Uterus
B)Ovaries
C)Vaginal vestibule
D)Urethra

Question 21

Violence against women remains a major health care problem in the United States,affecting millions of women annually.Fortunately,during pregnancy violence often stops entirely or diminishes.Is this true or false?

Question 22

The microscopic examination of scrapings from the cervix,endocervix,or other mucus membranes to detect premalignant or malignant cells is called:

A)Bimanual palpation
B)Rectovaginal palpation
C)A Papanicolaou (Pap)test
D)The four A's procedure

Question 23

As part of their participation in the gynecologic portion of the physical examination,nurses should:

A)Take a firm approach that encourages the client to facilitate the exam by following the physician's instructions exactly
B)Explain the procedure as it unfolds and continue to question the client to get information in a timely manner
C)Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer
D)Help the woman relax through proper placement of her hands and proper breathing during the exam

Question 24

During the past 20 years the prevalence of obesity has doubled in the United States,with 25% of women older than 20 years of age being obese.Body mass index (BMI)is defined as the measure of an adult's weight in relation to his or her height.This is the most accurate measure of weight.This is an important part of the health screening process because obesity is closely associated with:

A)The non-Hispanic Caucasian population
B)A large number of chronic conditions
C)Mostly acute illnesses
D)Improved mental well-being

Question 25

Women of all ages will receive substantial and immediate benefits from smoking cessation.This is not an easy process and most people have to attempt quitting numerous times before achieving success.Smoking cessation programs and self-help materials are available from a number of organizations including:

A)Association of Women's Health,Obstetric and Neonatal Nurses
B)March of Dimes
C)American Cancer Society
D)American Lung Association
E)American College of Obstetricians and Gynecologists (ACOG)

Question 26

Kegel exercises,or pelvic muscle exercises:

A)Were developed to control or reduce incontinent urine loss
B)Are the best exercises for a pregnant woman because they are so pleasurable
C)Help to manage stress
D)Are ineffective without sufficient calcium in the diet

Question 27

As a girl progresses through development,she may be at risk for a number of age-related conditions.While preparing a 21-year-old client for her first adult physical examination and Pap test,the nurse is aware of excessive shyness.The young woman states that she will not remove her bra because,"There is something wrong with my breasts;one is way bigger." What is the best response by the nurse in this situation?

A)"Please reschedule your appointment until you are more prepared."
B)"It is okay;the provider will not do a breast examination."
C)"I will explain normal growth and breast development to you."
D)"That is unfortunate;this must be very stressful for you."

Question 28

In order to effectively screen a client at risk for an eating disorder,the nurse should use the ________________ questionnaire.