Question 1

A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse.What is the best response from the nurse?&#10;A) &#34;Douching has been used as an effective means of birth control for years.&#34;&#10;B) &#34;Commercially prepared douches will neutralize the female vaginal tract.&#34;&#10;C) &#34;Douching should only be done when ordered by a physician or nurse practitioner.&#34;&#10;D) &#34;Douching protects the vaginal tract from microorganisms.&#34;

Accepted Answer

Douching is not recommended for daily use as it can disrupt the natural balance of the vaginal flora and increase the risk of infections. Commercially prepared douches can also contain harsh chemicals that can irritate the sensitive vaginal tissues. The nurse should educate the student about the risks of over-douching and recommend that she only douche when medically necessary and under the guidance of a healthcare provider.

Question 2

Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility?&#10;A) Estrogen only (diethylstilbestrol)&#10;B) Danazol (Danocrine)&#10;C) Clomiphene citrate (Clomid)&#10;D) Raloxifene (Evista)

Accepted Answer

Clomiphene citrate is a selective estrogen receptor modulator that stimulates the release of gonadotropins, leading to ovulation in women who have ovulatory dysfunction. It does not have androgenic or antiandrogenic effects, making it a safe choice for both male and female patients with infertility. Estrogen only (A) is not used in the treatment of infertility, as it suppresses ovulation. Danazol (B) is a synthetic steroid that has both androgenic and antiestrogenic effects, and is not used as frequently for infertility due to potential side effects. Raloxifene (D) is also a selective estrogen receptor modulator, but is used primarily for the prevention and treatment of osteoporosis and breast cancer, not infertility.

Question 3

What instruction should a nurse provide to a patient after a culdoscopy?&#10;A) Clean the incision site daily with hydrogen peroxide.&#10;B) Avoid vaginal intercourse.&#10;C) Return to the clinic for suture removal in 7 days.&#10;D) Use tampons.

Accepted Answer

After a culdoscopy, the patient should avoid vaginal intercourse for a few days to allow the incision site to heal. The other options are not necessary or may actually be detrimental to the healing process. The incision site will most likely not require hydrogen peroxide, suture removal is typically not necessary for culdoscopy, and tampons may irritate the healing incision.

Question 4

A nurse is instructing a patient on breast self-examination.When is the best time of the month to instruct this patient to perform a breast self-examination?&#10;A) Before the menstrual period&#10;B) During the menstrual period&#10;C) After the menstrual period&#10;D) On the first day of the month

Accepted Answer

The best time for a woman to perform a breast self-examination is after the menstrual period when the breasts are least likely to be tender, swollen, or sore. This allows for a more accurate and comfortable exam.

Question 5

Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for?&#10;A) Heavy menses&#10;B) Masculinizing&#10;C) Acnelike skin eruptions&#10;D) Anemia

Accepted Answer

Danazol is an androgenic steroid and has the potential to cause masculinizing effects, such as deepening of the voice and growth of facial hair. Other possible side effects may include weight gain, acne, and menstrual irregularities. However, since the patient is taking danazol for the treatment of menorrhagia, heavy menses and anemia would not be the expected side effects.

Question 6

Conjugated estrogen (Premarin)is indicated for treatment of menopause.Which side effects should a nurse explain before administering the medication to a woman who has just had a hysterectomy?&#10;A) Breast tenderness&#10;B) Hypotension&#10;C) Arthralgia&#10;D) Skin rash

Accepted Answer

Breast tenderness is a common side effect of conjugated estrogen and should be explained to the patient before administering the medication. Hypotension, arthralgia, and skin rash are not typically associated with this medication.

Question 7

A patient asks a nurse, &#34;Will the laparoscopy be painful?&#34; What is the best reply by the nurse?&#10;A) &#34;You will probably have some pain below the rib cage and around the shoulder.&#34;&#10;B) &#34;Most patients state that the procedure is painless during and afterward.&#34;&#10;C) &#34;You may have some mild to moderate pain around the umbilicus and in the back.&#34;&#10;D) &#34;Every person is different.It's difficult to say whether you'll have pain.&#34;

Accepted Answer

Laparoscopy can cause referred pain below the rib cage and around the shoulder due to the gas used during the procedure.

Question 8

The nurse recommends that an annual mammogram be performed for women older than _____ years of age.(Use numeric characters only.)

Accepted Answer

The answer of The nurse recommends that an annual mammogram...

Deck 51: Female Reproductive System Introduction