Deck 33: Gynecologic Cancers

Question 1

Which of the following are socioeconomic and geographical factors that increase the risk of women having decreased access to health care services related to gynecological cancers? (Select all that apply.)

A) Being a single parent
B) Living in a large city
C) Working two jobs
D) Having a low income
E) Being a caregiver to an aging father

Answer 1

A, C, D, E

Question 2

Why do lesbian, bisexual, and gender nonconforming women statistically present later for gynecological concerns and are at greater risk for gynecological cancers? (Select all that apply.)

A) Belief that routine gynecological care is not necessary if one is not seeking contraception
B) Falsely assumed low risk for sexually transmitted infections
C) Fear of discrimination by health care providers and staff
D) Having decreased body mass indices and lower rates of smoking and alcohol intake
E) Lack of engagement with genitals and menstrual cycle

Answer 2

A, B, C, E

Question 3

Which gynecological cancer has the highest incidence rate, in terms of number of cases per year?

A) Cervical cancer
B) Vaginal cancer
C) Uterine cancer
D) Ovarian cancer

Answer 3

C

Question 4

Which of the following are symptoms associated with vulvar cancer? (Select all that apply.)

A) Vaginal discharge
B) Prolonged itching or pain in the area
C) Palpation of a lump or bump
D) Whitish gray skin in the area
E) Pain and bleeding during sexual intercourse

Question 5

Maggie is a client who is wondering whether she is at increased risk for developing vaginal cancer. Which of the following factors would increase Maggie's risk? (Select all that apply.)

A) Being 42 years old
B) Having an HPV infection
C) Being a smoker
D) Having a body mass index (BMI) of 26
E) Exposure to diethylstilbestrol (DES) in utero

Question 6

Which one of the following infections is a significant risk factor for developing cervical cancer?

A) Human papillomavirus
B) Hepatitis D virus
C) Herpes simplex virus
D) Human immunodeficiency virus

Question 7

Nellie has just been diagnosed with advanced ovarian cancer. Which of the following symptoms should the nurse expect Nellie to have? (Select all that apply.)

A) An abnormally heavy and prolonged period
B) A sense of pressure and fullness in the abdomen
C) Bowel or bladder dysfunction
D) Foul-smelling vaginal discharge
E) Abdominal distention

Question 8

Cecilia is worried about developing ovarian cancer and wonders whether anything in her health history would increase her risk for getting it. Which of the following factors would increase Cecilia's risk? (Select all that apply.)

A) A history of breast cancer
B) A history of endometriosis
C) Having given birth to three children
D) Having had multiple sexual partners in the past year
E) A history of heart disease

Question 9

A nurse practitioner is trying to promote prevention of gynecological cancers in the community. In a presentation at a women's health fair, which of the following should the nurse mention? (Select all that apply.)

A) Available vaccines for HPV
B) The importance of body acceptance
C) Common risk factors associated with gynecological cancers
D) Literature on smoking cessation programs
E) A list of gluten-free foods

Question 10

On genetic testing, Lydia has been found to have the BRCA 1 gene mutation. Which type of cancer Lydia has with a greater risk of developing?

A) Endometrial
B) Cervical
C) Ovarian
D) Uterine

Question 11

On genetic testing, Patrice has been found to have Lynch syndrome. Which types of cancer Patrice has at a greater risk of developing? (Select all that apply.)

A) Endometrial
B) Cervical
C) Ovarian
D) Uterine
E) Primary peritoneal

Question 12

Laurie is experiencing mucositis after receiving radiation therapy to treat her ovarian cancer. Which of the following should the nurse recommend to Laurie?

A) Take ginger supplements
B) Eat soft, bland foods
C) Consider estrogen therapy
D) Wear loose-fitting, light cotton clothing

Question 13

Maia is experiencing nausea after receiving chemotherapy. The nurse should recommend which of the following as a natural remedy for nausea?

A) Ginger
B) Curry
C) Cinnamon
D) Oregano

Question 14

Hospice care is generally available only to those who are expected to live how long?

A) Less than 1 month
B) Less than 3 months
C) Less than 6 months
D) Less than 12 months

Question 15

Which of the following is true of palliative care but not of hospice care?

A) It manages the symptoms of pain.
B) It addresses fatigue.
C) It is intended to help eliminate the cancer.
D) It may be provided while the patient is undergoing chemotherapy.