Deck 25: Alterations of the Female Reproductive System

Question 1

A healthcare professional reads in a woman's chart that she has a grade 2 uterine prolapse. What assessment finding does the professional correlate with this condition?

A)Uterus halfway to the hymen
B)Uterus reaches the hymen
C)Uterus protruding from the vagina
D)Uterus and rectum protruding

Answer 1

Uterus reaches the hymen

Question 2

In order to help prevent a preadolescent girl from developing later cervical cancer, which virus does the healthcare professional recommend vaccination against to the parent?

A)Human papillomavirus (HPV)
B)Epstein-Barr virus (EBV)
C)Herpes simplex II virus (HSV)
D)Cytomegalovirus (CMV)

Answer 2

Human papillomavirus (HPV)

Question 3

A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as "normal" and did not show cysts. What response by the health care professional is most appropriate?

A)"We will schedule another US in 3 months to check again."
B)"The cysts may be too small to see right now."
C)"Maybe that diagnosis was incorrect; let's schedule more testing."
D)"You do not need to have cysts on your ovaries to have this condition."

Answer 3

"You do not need to have cysts on your ovaries to have this condition."

Question 4

A woman reports bloating, anxiety, irritability, and feeling depressed before each of her monthly menstrual cycles. What medication classification does the healthcare professional educate this woman on?

A)NSAIDs
B)Estrogen
C)SSRIs
D)Progesterone

Question 5

What type of cyst develops when an ovarian follicle is stimulated but no dominant follicle develops and completes the maturity process?

A)Follicular
B)Corpus luteum
C)Corpus albicans
D)Benign ovarian

Question 6

Which factor increases the risk for ovarian cancer after the age of 40 years?

A)Never having children
B)Oral contraceptive use
C)Multiple pregnancies
D)Prolonged lactation

Question 7

Which condition is considered a clinical cause of amenorrhea?

A)Disorder in the endometrium
B)Obstruction of the fallopian tubes
C)Lack of physical exercise
D)Failure to ovulate

Question 8

A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct?

A)An episode of mild PID can decrease the possibility of a successful pregnancy by 80%.
B)Such an inflammation results in permanent changes to the ciliated epithelium of the fallopian tubes.
C)PID has not been associated with an increased risk of an ectopic pregnancy.
D)Contracting this infection increases the risk of cervical cancer.

Question 9

In the majority of children experiencing delayed puberty, what is the problem caused by?

A)Disruption in the hypothalamus
B)Disruption of the pituitary
C)Deficit in estrogen or testosterone
D)Physiologic delays in maturation

Question 10

What is the first sign of puberty in girls?

A)Breast enlargement
B)Growth of pubic hair
C)Menstruation
D)Vaginal discharge

Question 11

Which term is used to identify benign uterine tumors that develop from smooth muscle cells in the myometrium and are commonly called uterine fibroids?

A)Endometrial polyps
B)Myometrial polyps
C)Leiomyomas
D)Myometriomas

Question 12

What theory is used to describe the cause of endometriosis?

A)Obstruction within the fallopian tubes prevents the endometrial tissue from adhering to the lining of the uterus.
B)Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains responsive to hormones.
C)Inflammation of the endometrial tissue develops after recurrent sexually transmitted diseases.
D)Endometrial tissue lies dormant in the uterus until the ovaries produce sufficient hormone to stimulate its growth.

Question 13

Which term is used to identify the descent of the posterior bladder and trigone into the vaginal canal?

A)Rectocele
B)Vaginocele
C)Cystocele
D)Enterocele

Question 14

A woman has been diagnosed with cervical carcinoma in situ and asks the healthcare professional to explain it to her. What description by the professional is best?

A)It involves the full epithelial thickness of the cervix.
B)It involves abnormal cells growing on the cervix.
C)It is when cancer has spread to the peritoneum.
D)It is when only the top layer of the cervix is affected.

Question 15

Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

A)Premenstrual syndrome
B)Abnormal uterine bleeding
C)Polycystic ovary syndrome
D)Primary dysmenorrhea

Question 16

A person has been diagnosed with primary dysmenorrhea and wants to know why ibuprofen is a good choice for pain control. What response by the health care professional is best?

A)"It inhibits the release of leukotrienes in your system."
B)"It reduces the production of prostaglandins in your body."
C)"It enhances the effects of bradykinin release."
D)"It contributes to a higher C reactive protein in your blood."

Question 17

A woman has been diagnosed with galactorrhea. Which condition would the healthcare provider be least likely to assess the woman for?

A)Proliferation of the lactiferous ducts of the breast
B)Hypothyroidism, resulting from a decrease in thyroid-releasing hormone
C)Excess prolactin secretion from the pituitary
D)Drugs such as phenothiazines

Question 18

A woman has been diagnosed with compartment II primary amenorrhea. The healthcare professional helps prepare the woman for what type of diagnostic testing?

A)Genetic testing
B)CT scan of the anterior pituitary
C)Blood work for hypothalamic function
D)Vaginal speculum exam

Question 19

Infertility is defined as the inability to conceive after how many months of unprotected intercourse with the same partner?

A)6
B)12
C)18
D)24

Question 20

Which type of precocious puberty causes the child to develop some secondary sex characteristics of the opposite sex?

A)Mixed
B)Partial
C)Isosexual
D)Central

Question 21

What are the majority of the small percentage of ovarian cancers that are associated with a known pattern of inheritance associated with?

A)Mutation of the BRCA1 gene
B)Mutations of the BRCA2 gene
C)Hereditary nonpolyposis colorectal cancer (HNPCC) syndrome
D)Low progesterone levels

Question 22

A woman has been diagnosed with a simple fibroadenoma. What treatment does the healthcare provider educate the woman about?

A)A repeat biopsy in 6 months
B)More frequent mammograms
C)Nothing; no treatment is needed.
D)Rapid surgical excision and chemotherapy

Question 23

A woman has been diagnosed with compartment IV primary amenorrhea. What assessments would the healthcare professional perform as priorities? (Select all that apply.)

A)Weight and body mass index
B)Signs of systemic infection
C)Stress self-assessment questionnaire
D)Genetic family history
E)Presence of secondary sex characteristics

Question 24

The size of benign uterine tumors, such as leiomyomas, is thought to be caused by the influence of which hormones? (Select all that apply.)

A)Progesterone
B)Estrogen
C)Luteinizing hormone
D)Gonadotropin-stimulating hormone
E)Growth factors

Question 25

What are the common clinical manifestations of endometriosis? (Select all that apply.)

A)Back and flank pain
B)Infertility
C)Dysuria
D)Amenorrhea
E)Dysmenorrhea

Question 26

A woman has a pelvic organ prolapse. What treatments does the healthcare professional teach the woman about? (Select all that apply.)

A)Pessary
B)Kegel exercises
C)Estrogen therapy
D)Surgical repair
E)Bearing down exercises

Question 27

A woman's chart reveals she has superficial breast cysts. What assessment finding does the healthcare professional correlate with this condition?

A)Hard, painful lump
B)Reddened skin surrounding the lump
C)Squishy feeling and easily palpated
D)Dimpling on the surface of the breast