Deck 47: Female Reproductive Disorders

Question 1

A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:

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

Answer 1

Progesterone level

Question 2

The patient asks the nurse,"Will the laparoscopy be painful?" The nurse replies:

A) "You will probably have some pain below the rib cage and around the shoulder."
B) "Most patients state that the procedure is painless during and afterward."
C) "You may have some mild-to-moderate pain around the umbilicus and in the back."
D) "Every person is different. It's difficult to say whether you'll have pain."

Answer 2

"You will probably have some pain below the rib cage and around the shoulder."

Question 3

A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection.The nurse explains that the girl's sexual partner:

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

Answer 3

Will be treated, although he is asymptomatic.

Question 4

A nurse teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene would include instruction to:

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.

Question 5

After a hysterectomy,the nurse assessing for abnormal bleeding would:

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 6

The nurse who is demonstrating breast self-examination to a patient points out that the most common area in the breast for tumors to occur is:

A) Under the nipple
B) Upper outer quadrant
C) Six o'clock position
D) Axillary lymph nodes.

Question 7

Conjugated estrogen (Premarin)is indicated for treatment of menopause.Before administering the medication to a woman who has just had a hysterectomy,the nurse should explain the side effects,which are:

A) Breakthrough bleeding
B) Hypotension
C) Arthralgia
D) Skin rash

Question 8

The nurse recommends that a annual mammogram be performed for women older than ___________ years of age:

A) 35
B) 40
C) 45
D) 50

Question 9

The nurse cautions the patient who is taking danazol (Danocrine),an androgenic steroid for the treatment of menorrhagia,to be prepared for the side effect of:

A) Heavy menses
B) Masculinizing
C) Acnelike skin eruptions
D) Anemia

Question 10

After a culdoscopy,the nurse should instruct the patient to:

A) Clean the incision site daily with hydrogen peroxide.
B) Avoid vaginal intercourse.
C) Return to the clinic for suture removal in 7 days.
D) Use tampons.

Question 11

After months of infertility procedures,the physician informs a 32-year-old patient that she will never conceive.As the nurse enters the examination room,the patient states,"I guess I'm a failure as a woman." Based on this statement,the most appropriate nursing diagnosis would be:

A) Sexual dysfunction
B) Ineffective health maintenance
C) Disturbed body image
D) Ineffective coping

Question 12

A female student,seen in the campus clinic,states that she uses feminine hygiene douches every day and after intercourse.The best response from the nurse would be:

A) "Douching has been used as an effective means of birth control for years."
B) "Commercially prepared douches will neutralize the female vaginal tract."
C) "Douching should only be done when ordered by a physician or nurse practitioner."
D) "Douching protects the vaginal tract from microorganisms."

Question 13

A patient is admitted with possible cancer of the ovary.The nurse knows that malignant tumors of the ovary:

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

Question 14

The nurse is aware that for a woman to be diagnosed with primary infertility,the patient has:

A) Been unable to conceive after 1 year of regular, unprotected sex.
B) Conceived once but did not deliver a viable infant.
C) Conceived once but was unable to conceive again.
D) Conceived three times in 1 year without a viable birth.

Question 15

The nurse instructing a patient on breast self-examination explains to the patient that the best time of the month to perform a breast self-examination is:

A) Before the menstrual period
B) During the menstrual period
C) After the menstrual period
D) On the first day of the month

Question 16

The 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.The nurse recognizes this as a common sign of:

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

Question 17

A patient tells the nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer.The most appropriate response by the nurse would be:

A) "You need to a have a pelvic examination every 6 months because of your history."
B) "If you have regular Pap smears, 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 18

After a mastectomy,many patients experience lymphedema.To minimize this problem,the nurse can instruct the patient to:

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 19

Teaching for the patient with endometriosis should include the signs and symptoms of common complications,which are:

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

Question 20

The 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+)and has been placed on a protocol of tamoxifen.The patient then asks the nurse,"Do you think I should take this medication?" Which of the following statements is the most appropriate?

A) "Tamoxifen will probably not be effective because your tumor was ER+."
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+."
D) "Tamoxifen is an option to consider, because your tumor was ER+."

Question 21

The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.

Question 22

A woman calls the clinic office and asks the nurse why she is having spotting between her monthly periods when she is taking birth control pills to control the menorrhagia.The nurse's most appropriate response would be:

A) "Remember to take the pill at the same time each day."
B) "Irregular spotting is to be expected with oral contraceptives."
C) "The pills are still safe. Continue to take them, regardless."
D) "Physicians are still uncertain as to how oral contraceptives function."

Question 23

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

Question 24

The nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor.Those signs include:

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

Question 25

When the nurse read that the patient's breast tumor is a stage II,the nurse realizes that the tumor is:

A) Is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident.
B) Measures between 2 and 5 cm, with no positive lymph node involvement and no metastasis evident.
C) Is larger than 5 cm, with no positive lymph node involvement and no metastasis evident.
D) Measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.

Question 26

The nurse explains that the causes for menorrhagia include:

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

Question 27

A mastectomy care plan should address psychosocial problems of the patient.This should 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 28

The nurse points out to a group of young women who are being treated for PID that because of the effect of this disease on their reproductive organs,they may become _________________________.

Question 29

The nurse is aware that the medication used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility is:

A) Estrogen only (diethylstilbestrol)
B) Danazol (Danocrine)
C) Clomiphene citrate (Clomid)
D) Raloxifene (Evista)