Deck 52: Female Reproductive Disorders

Question 1

A nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor.What should those signs include? (Select all that apply.)

A) Dimpling
B) Nipple discharge
C) Thickening of tissue
D) Red bruise
E) Dry rash around nipple

Answer 1

Dimpling
Nipple discharge
Thickening of tissue
Dry rash around nipple

Question 2

What do the causes for menorrhagia include? (Select all that apply.)

A) Hormonal dysfunction
B) Tumors
C) Coagulation disorders
D) Endometrial hyperplasia
E) Excessive exercising

Answer 2

Hormonal dysfunction
Tumors
Coagulation disorders
Endometrial hyperplasia

Question 3

A nurse reads that a patient's breast tumor is a stage II.What should the nurse realize about this tumor?

A) It is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident.
B) It measures between 2 and 5 cm, with no or one positive lymph node involvement and no metastasis evident.
C) It is larger than 5 cm, with no positive lymph node involvement and no metastasis evident.
D) It measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.

Answer 3

It measures between 2 and 5 cm, with no or one positive lymph node involvement and no metastasis evident.

Question 4

A nurse collecting data on the reproductive system from a female patient is told that the patient has a vaginal discharge that is cottage cheese-like in appearance.What should the nurse recognize this as a common sign of?

A) Pelvic inflammatory disease (PID)
B) Trichomonas vaginalis infection
C) Atrophic vaginitis
D) Candida albicans infection

Question 5

A nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER positive)and has been placed on a protocol of tamoxifen.The patient then asks the nurse, "Do you think I should take this medication?" Which statement is the most appropriate?

A) "Tamoxifen will probably not be effective because your tumor was ER positive."
B) "If I were you, I would do what the physician recommends."
C) "I think that you should take tamoxifen, because the tumor was ER positive."
D) "Tamoxifen is an option to consider, because your tumor was ER positive."

Question 6

A patient is admitted with possible cancer of the ovary.What fact should a nurse know about malignant tumors of the ovary?

A) They are frequently advanced and inoperable by the time they are diagnosed.
B) The respond well to radiation and chemotherapy because of early detection.
C) They are easily detected because symptoms appear early in a woman's life.
D) They are directly related to PID and other infections.

Question 7

A nurse is teaching patients with endometriosis.What signs and symptoms of common complications should be included?

A) Pelvic inflammatory disease
B) Obstruction of the bowel and ureters
C) Cancer of the endometrium
D) Ovarian cancer

Question 8

What action should a nurse implement when assessing for abnormal bleeding in a patient following a hysterectomy?

A) Record the number of perineal pads used.
B) Assess vital signs every 8 hours.
C) Place the patient's bed in a high Fowler position.
D) Apply an abdominal binder.

Question 9

A nurse is aware that a tumor determined to be ER positive indicates that the tumor needs ______ for growth.

Question 10

A mastectomy care plan should address psychosocial problems of the patient.What should this be directed toward?

A) Caring for the wound and dressings
B) Finding an appropriate support group
C) Educating for methods for controlling edema
D) Helping the patient express feelings and concerns

Question 11

A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection.What should a nurse explain about treatment of the girl's sexual partner?

A) He will require a 1-day treatment with the same drug.
B) He will not develop the infection or require treatment.
C) He will be treated, although he is asymptomatic.
D) He is required by law to be examined by a physician.

Question 12

Because small nonnodal metastases may be present, ______ is recommended after a lumpectomy.

Question 13

After a mastectomy, many patients experience lymphedema.What action can the patient take to minimize this problem?

A) Keep the arm elevated as much as possible.
B) Take Lasix, 20 mg twice daily as ordered.
C) Use a sling during the day to rest the arm.
D) Avoid exercising the arm for several weeks.

Question 14

What must be true for a woman to be diagnosed with primary infertility?

A) She has never been able to conceive after 1 year of regular, unprotected sex.
B) She conceived once but did not deliver a viable infant.
C) She conceived once but was unable to conceive again.
D) She conceived three times in 1 year without a viable birth.

Question 15

A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer.What is the most appropriate response by the nurse?

A) "You need to a have a pelvic examination every 6 months because of your history."
B) "If you have regular Pap stain, cervical cancer is usually diagnosed early and cured."
C) "There's no need to worry so much.Cervical cancer does not run in families."
D) "Cervical cancer is sexually transmitted.Don't switch partners often, and you don't have to worry."

Question 16

A patient makes an appointment with her gynecologist because she is having difficulty conceiving.Which laboratory test should the nurse anticipate the physician will order?

A) Complete blood count
B) Progesterone level
C) Prothrombin time
D) Erythrocyte count

Question 17

A nurse is teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene.What should the nurse be sure to include?

A) Wear clean polyester panties daily and at night.
B) Douche weekly with a mild vinegar solution.
C) Wash the external and internal genitalia daily.
D) Wipe the perineal-anal area from front to back.