Deck 5: Health Promotion for Women

Question 1

A client asks, "Is it okay for me to use a vaginal douche each day when I'm on my period?" How should the nurse respond?
1) "Douching should be avoided when you're on your period."
2) "Regular douching is necessary in order to promote good hygiene."
3) "Using a douche each day will help prevent vaginal infections from occurring."
4) "During your period, douching will help promote the flow of menstrual secretions."

Answer 1

1

Question 2

The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education?
1) "The 'honeymoon period' follows an episode of violence."
2) "Everyone experiences anger and hitting in a relationship."
3) "Abusers can be either husbands or boyfriends or wives or girlfriends."
4) "My daughter is not to blame for the violence in her marriage."

Answer 2

2

Question 3

A nurse provides a client with instructions regarding breast self-examination (BSE). Which client statements indicate an understanding of detecting lumps in the breast? Select all that apply.
1) "I should inspect my breasts in a circular manner."
2) "Knowing the texture and feel of my breasts is important."
3) "I should perform BSE 1 week prior to the start of my period."
4) "When I reach menopause, I will perform BSE every 2 months."
5) "I should inspect my breasts while in a supine position, with my arms at my sides."

Answer 3

1, 2

Question 4

During a group session of rape trauma survivors the nurse notes that one participant is in the reorganization phase of recovery. What did this participant demonstrate to cause the nurse to make this decision? Select all that apply.
1) Blames the assailant for the rape
2) Asks what she did to deserve the attack
3) Explains about constantly reliving the rape
4) Asks when the nightmares are going to stop
5) Talks about having one-night stands after bar hopping

Question 5

What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?
1) "Increase your consumption of red meat when you feel symptoms, and eat three large meals per day."
2) "Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin."
3) "Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding."
4) "Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin."

Question 6

Which client should the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?
1) 17-year-old, has never had a menstrual cycle
2) 19-year-old, regular menses for 5 years that have suddenly become painful
3) 14-year-old, irregular menses for 1 year, experiences cramping every cycle
4) 16-year-old, had regular menses for 4 years, but has had no menses in 4 months

Question 7

A client has decided to use the NuvaRing vaginal contraceptive ring as her method of contraception. Which statement suggests the client needs further instruction?
1) "When I store my replacement rings, I should keep them in my refrigerator."
2) "The contraceptive ring provides a sustained release of low-dose contraceptive."
3) "Every 3 months, I will need to remove the contraceptive ring and replace it with a new one."
4) "I do not need to be examined in order to determine the contraceptive ring size that is correct for me."

Question 8

When a woman who has been raped is admitted to the emergency department, which nursing intervention has priority?
1) Contact family members.
2) Create a safe, secure atmosphere for the woman.
3) Assure the woman that everything will be all right.
4) Explain exactly what will need to be done to preserve legal evidence.

Question 9

A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. What is the most likely reason for this client's complaint?
1) Menorrhagia
2) Hypermenorrhea
3) Primary dysmenorrhea
4) Secondary dysmenorrhea

Question 10

During a health interview the nurse determines that a client contemplating pregnancy would benefit from teaching on preconception health measures. What information did the nurse use to make this clinical determination? Select all that apply.
1) Smokes one half of a pack per day of cigarettes
2) Works in an industrial plant
3) Drinks decaffeinated coffee
4) Drinks 4 ounces red wine every evening
5) Takes over-the-counter antacids as needed

Question 11

A 63-year-old female client requests information about complementary and alternative therapies that promote wellness during menopause. Which therapy should the nurse recommend?
1) Soy for reducing insomnia symptoms
2) Non-weight-bearing exercise, such as swimming
3) Calcium intake of 600 mg per day to help prevent osteoporosis
4) Increased consumption of phytoestrogens for women with a history of endometriosis or fibroids

Question 12

The nurse is preparing a community education session on the stages of the rape trauma syndrome. In which order should the nurse explain the phases of this syndrome?
1) Buys a weapon
2) Advocates for others
3) Desires revenge and feels guilty
4) Changes email address and phone number

Question 13

Which issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply.
1) Age at menarche
2) Efficacy of the method
3) Future childbearing plans
4) Whether the client is a vegetarian
5) Cultural perspectives on menstruation and pregnancy

Question 14

During a wellness visit a young adult client asks for information regarding weight management and exercise prior to pregnancy. What should the nurse explain to this client? Select all that apply.
1) Reduce the intake of complex carbohydrates.
2) Achieve normal weight for height before conceiving.
3) Begin an exercise program a month before conceiving.
4) Select an exercise program to be followed throughout the pregnancy.
5) Reduce weight to below normal for height to compensate for pregnancy weight gain.

Question 15

Which client is not a good candidate for Depo-Provera (DMPA)?
1) One with a vaginal prolapse
2) One who weighs 200 pounds
3) One who wishes to breastfeed
4) One who wishes to get pregnant within 3 months

Question 16

A 16-year-old girl asks, "Do I need to have a Pap smear just because I'm sexually active?" What is the nurse's correct response?
1) "No, you do not need to be screened for cervical cancer until you are 21 years old."
2) "Yes, all sexually active females should be screened for both cervical cancer and human papilloma virus (HPV)."
3) "Yes, all women under the age of 29 should be screened for both cervical cancer and human papilloma virus (HPV)."
4) "No, but you will need to begin your screenings for both cervical cancer and human papilloma virus (HPV) when you are 18 years old."

Question 17

A middle school student comes to the nurse's office concerned about her menstrual flow. What should the nurse include when discussing menstruation with this student? Select all that apply.
1) A tub bath is helpful to promote blood flow and reduce cramping.
2) Show a variety of pads and tampons available for the student to use.
3) A fishy odor experienced during menstruation is expected and normal.
4) Demonstrate that the volume of blood lost during menstruation is about 1 to 2 ounces.
5) Wash the hands before and after using any feminine hygiene products for menstruation.

Question 18

The emergency room nurse is caring for a victim of sexual assault. What pharmacologic intervention should the nurse prepare to discuss with the victim? Select all that apply.
1) Prophylactic analgesics
2) Postcoital contraceptive therapy
3) Prophylactic immunizations for tetanus
4) Postexposure prophylaxis with HIV antiviral medications
5) Prophylactic treatment for sexually transmitted infections (STIs)

Question 19

The nurse suspects that a home care client is experiencing the tension-building phase within the cycle of violence. What observations caused the nurse to make this clinical determination? Select all that apply.
1) Spouse ignoring the client
2) Spouse yelling at the client
3) Client asking the nurse to leave
4) Client apologizing to the spouse
5) Spouse throwing items at the client

Question 20

What is the best indicator that the client is experiencing menopause?
1) Hot flashes and night sweats
2) No menses for 8 consecutive months
3) High serum follicle-stimulating hormone (FSH) with low serum estrogen
4) Diagnosis of osteoporosis 4 months ago