Deck 41: Caring for the Patient With Female Reproductive Disorders

Question 1

The nurse is assisting a patient with ways to reduce the severity of the monthly menstrual discomforts associated with premenstrual syndrome. Which information should the nurse review with this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Avoid exercise during the days immediately before menstruation.
B) Investigate the use of alternative therapies such as black cohosh root.
C) Follow a low-carbohydrate diet
D) Increase sodium intake.
E) Restrict caffeine intake.

Answer 1

Investigate the use of alternative therapies such as black cohosh root.
Restrict caffeine intake.

Question 2

A patient shares with a nurse that she has pain during intercourse. The nurse asks questions to determine if the patient has which problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Perforated hymen
B) Vaginal scarring
C) Fear of sexual abuse
D) Vaginismus
E) Perimenopause

Answer 2

Vaginal scarring
Fear of sexual abuse
Vaginismus
Perimenopause

Question 3

A patient tells the nurse she thinks she is in menopause. The nurse would assess the patient for which common manifestations of menopause? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Increased body hair
B) Vaginal dryness
C) Hot flashes
D) Sleep disturbance
E) Vaginitis

Answer 3

Vaginal dryness
Hot flashes
Sleep disturbance
Vaginitis

Question 4

A patient is preparing to be discharged to home after a total hysterectomy. Which statements by the patient indicate to the nurse that the teaching session has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "I will need to report a temperature greater than 101 degrees."
B) "I will experience vaginal bleeding after the surgery."
C) "I will need to report any hot flashes and night sweats."
D) "I will still need to see my physician for gynecological examinations."
E) "I can resume sexual intercourse as soon as I desire."

Question 5

A patient who has been experiencing the clinical manifestations associated with menopause voices an interest in using alternative and complementary therapies to manage them. What is the best initial response by the nurse?

A) "Alternative and complementary therapies seldom work."
B) "Many women report success with those measures."
C) "What types of therapies are of interest to you?"
D) "Have you discussed this with the health care provider?"

Question 6

A patient is diagnosed with uterine prolapse into the vagina. Which factor most likely contributed to this patient's disorder?

A) Multiple pregnancies
B) Endometriosis
C) Pelvic inflammatory disease
D) Cervical tumor

Question 7

The mother of a 16-year-old female reports that the teen began menstruating at age 14 but has stopped for about 5 months. Which response would be the highest priority for the nurse to make to this mother?

A) "That's normal for a 16-year-old. That happened to me when I was 16."
B) "Does she have a boyfriend?"
C) "It's probably psychological."
D) "Have you noticed any other changes in diet, activity, or weight loss?"

Question 8

The nurse is planning care for a woman with premenstrual syndrome PMS). Which nursing diagnoses would be most applicable to the care of this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Activity Intolerance
B) Acute Pain
C) Ineffective Coping
D) Ineffective Thermoregulation
E) Sexual Dysfunction

Question 9

A 41-year-old patient reports that her menstrual periods have become irregular, with the last period occurring approximately 4 months ago. What information should be provided to the patient concerning the use of contraceptives during the perimenopausal period?

A) Contraceptive use should continue.
B) Contraceptives are no longer needed.
C) Contraceptives will be needed only if menstruation occurs.
D) Contraceptive use will be needed for only another 2 months.

Question 10

A female patient who is experiencing menopause is "tired of the night sweats." Which activity can the nurse suggest to help this patient?

A) Ensure that the bedroom temperature is cool and limit sleeping attire.
B) Reduce intake of milk and milk products.
C) Suggest talking with the physician about a hysterectomy.
D) Exercise 1 hour before going to sleep.

Question 11

A patient is scheduled to undergo a laparoscopic gynecologic procedure. Which statement by the patient indicates to the nurse a need for further education about the procedure?

A) "I can expect to go home a few hours after the procedure."
B) "I might experience some abdominal pain after the procedure."
C) "Walking may help reduce my postprocedure pain."
D) "I should report shoulder pain, as it might signal a complication."

Question 12

The nurse is providing care for a patient with dysfunctional uterine bleeding DUB). The nurse would reinforce teaching about which procedures as options for managing DUB? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Hysterectomy
B) Watchful waiting
C) Colposcopy
D) Hormonal agents
E) Dilatation and curettage

Question 13

A patient who recently had a hysterectomy states that she is nervous about taking the estrogen replacement therapy prescribed by her health care provider. She states that she is worried about developing breast cancer later in life. Which statement by the nurse is most appropriate?

A) "The risk of breast cancer is somewhat increased for women who opt to take estrogen replacement therapy."
B) "The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications."
C) "Has your gynecologist discussed estrogen-progestin combination therapy with you?"
D) "Has your gynecologist shared that it is not necessary to take estrogen drugs after a hysterectomy?"

Question 14

A 56-year-old female patient thinks she's "losing her mind" because of constant anxiety, flushing, inability to sleep, and headaches. The nurse would ask assessment questions based on which condition being the most likely cause of these symptoms?

A) Premenstrual syndrome
B) Menopause
C) Postmenopause
D) Dysmenorrhea

Question 15

A female patient is diagnosed with "chocolate" cysts. The nurse would teach the patient that these cysts occur in association with which condition?

A) Pelvic inflammatory disease
B) Use of oral contraceptives
C) Endometrial overgrowth
D) Hormone imbalance

Question 16

Hormone replacement therapy HRT) is being discussed with a patient who is scheduled for a total hysterectomy. The patient should be informed she will be at an increased risk for which disorders as a result of HRT? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Breast cancer
B) Strokes
C) Venous thrombosis
D) Colon cancer
E) Heart attack

Question 17

A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. Which measures might assist in the management of her irritability? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Increase dietary sugar intake to promote energy.
B) Increase intake of simple carbohydrates.
C) Reduce caffeine.
D) Utilize guided imagery.
E) Drink one glass of red wine each evening.

Question 18

The nurse is collecting data during a routine patient admission history and physical. The patient reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?

A) Determine the timing of the bleeding episodes.
B) Determine the amount of bleeding.
C) Assess for the presence of sexually transmitted infections.
D) Review the length of the patient's normal menstrual cycles.

Question 19

A 25-year-old female is diagnosed with endometriosis. The nurse works with the patient to achieve which desired outcomes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) The patient reports no further nausea or vomiting.
B) The patient's menstrual cycle extends to 28 days.
C) Menstrual discomfort does not interfere with activities of daily living.
D) The patient agrees to early hysterectomy for definitive treatment.
E) The patient reports fewer incidents of bladder incontinence.

Question 20

A patient who has been experiencing premenstrual syndrome PMS) reports to the clinic with a diet diary she has kept over the past several weeks. The nurse should suggest the patient make a dietary modification based on which entry in this diary?

A) Daily intake of caffeine-free soda
B) Daily intake of low-fat yogurt
C) Daily intake of foods rich in magnesium
D) Daily intake of white bread

Question 21

The health care provider has fit an older adult with a pessary to manage her cystocele. What information should the nurse provide for this patient?

A) There is no risk of allergy to this device.
B) The pessary provides only minimal contraceptive protection.
C) The pessary must be removed before sexual intercourse.
D) The pessary may increase the risk for pelvic infections.

Question 22

A couple has been experiencing infertility for 4 years. After becoming pregnant using the zygote intrafallopian transfer ZIFT) procedure, the woman is diagnosed with an ectopic pregnancy. The health care provider opts to manage the condition with methotrexate. Which nursing diagnosis will the nurse include in this patient's plan of care?

A) Parenting, Readiness for Enhanced
B) Grieving, Risk for Complicated
C) Maternal/Fetal Dyad, Risk for Disturbed
D) Fluid Volume Excess

Question 23

The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Kegel exercises
B) Increased caffeine intake
C) Use of progesterone supplements
D) Proper perineal care
E) Use of perineal pads

Question 24

A woman is being treated in the emergency department after being sexually assaulted. During the gathering of evidence, the nurse collects samples for toxicology. The patient questions why this is being done, as she has been the victim of an attack. What information can the nurse provide?

A) The toxicology report will provide the police with information about the victim's potential exposure to sexually transmitted infections.
B) The toxicology report can provide information as to whether the woman was drunk at the time of the assault.
C) The toxicology report will enable the authorities to determine if the woman's recall of the events is credible.
D) The use of toxicology can assess if the woman was under the influence of drugs at the time of the assault.

Question 25

A woman is diagnosed with a cystocele. She states she is relieved the condition is only the result of weakening of the structures that support her uterus. What response by the nurse is indicated?

A) "I am glad you have been able to receive some background information about your condition."
B) "A cystocele is actually the result of the rectum pushing forward into the vagina."
C) "The cystocele has occurred because the bladder is pressing downward on the vagina."
D) "This condition is actually caused by a weakening of the uterus itself."

Question 26

A 32-year-old African American woman has just been diagnosed with uterine fibroid tumors. Which statement would the nurse evaluate as indicating further education is necessary to meet the patient goal of understanding this diagnosis?

A) "These tumors are frequently seen in African American women."
B) "The growth of my tumors is directly linked to my progesterone levels."
C) "The tumors tend to develop slowly."
D) "These tumors are benign."

Question 27

A colposcopy has been ordered for a patient. What should be included in the education provided to the patient?

A) Sexual intercourse is restricted for 2 days before the procedure.
B) The patient may expect to feel referred shoulder pain in the first few days after the procedure.
C) Heavy vaginal bleeding is likely after the procedure.
D) The procedure will likely require the patient to stay overnight at the hospital.

Question 28

A couple has come to the health care provider's office with concerns about infertility. While collecting data, the woman questions the nurse about who is at fault for the inability to conceive. Which statement by the nurse is most appropriate at this time?

A) "As long as you get pregnant, there is no need to place blame."
B) "The causes of infertility are varied. Determining the cause in each case requires further investigation."
C) "Unfortunately, infertility is usually the fault of the woman."
D) "Most causes of infertility are never explained."

Question 29

The nurse is providing care to a 20-year-old woman who has come to the emergency department with reports of having been sexually assaulted a few hours ago. The victim expresses concerns about contact with the authorities. What information should the nurse provide?

A) "You must agree to notification of law enforcement in order to receive referrals to support services."
B) "You are the victim of a crime and will need to make the report."
C) "The police will be able to protect you from further violence."
D) "Before any information can be disclosed, you will have to give consent."

Question 30

A 40-year-old patient undergoes a total abdominal hysterectomy. After the procedure, the patient expresses an interest in hormone replacement therapy. What information should the nurse provide?

A) The underlying reason for the hysterectomy will be the primary determinant of the type of hormone replacement therapy selected.
B) This patient may be managed by an estrogen/progestin compound.
C) Hormone replacement therapy is not indicated after this particular procedure.
D) The patient is close enough to menopause not to be a candidate for hormone replacement therapy.

Question 31

A patient who has been experiencing dysmenorrhea has been diagnosed with endometriosis. The patient asks how this condition is responsible for her pain. What information should the nurse include when teaching the patient about the disorder?

A) The endometrial tissue located outside of the uterus responds to the hormones responsible for menstruation.
B) Elevated levels of follicle-stimulating hormone FSH) during menstruation are causing the endometrial tissue to contract, resulting in pain.
C) The shedding of the endometrial lining during menstruation is the cause of the cramping.
D) The loss of blood during the menstrual period is causing a hormonal imbalance that is the underlying cause of the pain.

Question 32

A patient has been diagnosed with vulvovaginal candidiasis VCC). The nurse would evaluate the teaching goal for this patient as successful if the patient makes which statement?

A) "I will take the entire 28-day course of antibiotics."
B) "I will douche each evening to cleanse my vaginal area."
C) "Now that I know the symptoms, if I get another infection I can use over-the-counter medications."
D) "I will start wearing cotton underwear."

Question 33

The school nurse is providing health promotion information regarding menstruation to a group of girls in middle school. Which strategies should the nurse suggest to avoid toxic shock syndrome TSS)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Use superabsorbent tampons.
B) Change tampons at least every 4 hours.
C) Alternate the use of tampons and sanitary napkins.
D) Drink additional fluids while menstruating.
E) Take anti-inflammatory medications daily while wearing tampons.

Question 34

A 25-year-old woman reports to her health care provider's office with reports of having been sexually assaulted by an acquaintance 4 days ago. The woman is concerned about pregnancy. What action is indicated by the nurse?

A) Inform the woman she likely is already pregnant and will not benefit from emergency contraception.
B) Assess the woman's financial resources to obtain the emergency contraception preparation.
C) Determine any potential allergies to the components of the emergency contraception pills.
D) Advise the woman that emergency contraception is administered only in the first 72 hours after the attack.

Question 35

A patient is concerned about her risk of cervical cancer because her sister was just diagnosed with the disease. The nurse would discuss which common risk factors? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) History of human papillomavirus HPV) infections
B) First intercourse before the age of 20
C) Multiple sex partners
D) Long-term use of birth control pills
E) Alcohol abuse