Deck 5: Health Assessment

Question 1

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 that 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."

Answer 1

"Many women have benign lumps and bumps in their breasts. However,to make sure that it's benign,you should come in for an examination by your physician."

Question 2

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

Answer 2

Secretory

Question 3

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.

Answer 3

Menstrual blood.

Question 4

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 5

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 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

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.

Question 8

During a health history interview,a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. The correct response would be to:

A)Reassure the woman that the examination will not reveal any problems.
B)Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.
C)Reassure the woman that "bumps" can be treated.
D)Reassure her that most women have "bumps" on their labia.

Question 9

Which statement would indicate that the 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,like after my period."
C)"I should also feel in my armpit area while performing my breast examination."
D)"I should check each breast in a set way,such as in a circular motion."

Question 10

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."

Question 11

Unique muscle fibers make the uterine myometrium ideally suited for:

A)Menstruation.
B)The birth process.
C)Ovulation.
D)Fertilization.

Question 12

The hormone responsible for maturation of mammary gland tissue is:

A)Estrogen.
B)Testosterone.
C)Prolactin.
D)Progesterone.

Question 13

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 14

A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired,and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience,the nurse should:

A)Remind the woman that she is long overdue for her examination and that she should come in annually.
B)Listen carefully and allow extra time for this woman's health history interview.
C)Reassure the woman that a nurse practitioner is just as good as her old doctor.
D)Encourage the woman to talk about the death of her husband and her fears about her own death.

Question 15

The uterus is a muscular,pear-shaped organ that is responsible for:

A)Cyclic menstruation.
B)Sex hormone production.
C)Fertilization.
D)Sexual arousal.

Question 16

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

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

Question 17

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 that she has a vaginal infection.
D)Ask the woman to reschedule the appointment for the examination.

Question 18

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

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

Question 19

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 20

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 21

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

A)Bimanual palpation.
B)Rectovaginal palpation.
C)A Papanicolaou (Pap) test.
D)A four As procedure.

Question 22

Certain fatty acids classified as hormones that are found in many body tissues and that 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 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 examination 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 examination.

Question 24

Diethylstilbestrol (DES) was a drug commonly used to prevent miscarriage and premature birth between 1938 and 1971. Most nurses who provide gynecologic care are aware of the increased risk of adenocarcinoma to the vagina and cervix for the daughters of women who used DES. Fortunately there were no known side effects to their sons.

Question 25

Which statement about female sexual response is NOT accurate?

A)Women and men are more alike than different in their physiologic response to sexual arousal and orgasm.
B)Vasocongestion is the congestion of blood vessels.
C)The orgasmic phase is the final state of the sexual response cycle.
D)Facial grimaces and spasms of hands and feet are often part of arousal.

Question 26

The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the:

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

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 Papanicolaou (Pap) test,the nurse is aware of excessiveness 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."