Deck 11: The Nurses Role in Womens Health Care

Question 1

A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when:

A) Her periods have stopped for 1 year
B) Her periods have been irregular and light for 12 months
C) She has symptoms of vasomotor instability
D) She experiences symptoms of decreased estrogen, such as dyspareunia

Answer 1

Her periods have stopped for 1 year

Question 2

The statement from the man considering a vasectomy, which indicates the need for further information about a vasectomy, is:

A) "Sterility does not occur immediately after the procedure."
B) "We will need to use some form of birth control for about a month afterward."
C) "The procedure involves the use of local anesthesia."
D) "I'll need to remain in the hospital for a few days."

Answer 2

"I'll need to remain in the hospital for a few days."

Question 3

At her 6-week postpartum check-up, a woman states, "I am wondering about birth control. I used oral contraceptives before. I'm breastfeeding now. Can I use the pill again?" The nurse's best response is:

A) "You should know that oral contraceptives increase your milk production."
B) "Oral contraceptives can be taken once lactation is well established."
C) "You don't need to use any form of birth control as long as you are breastfeeding."
D) "Oral contraceptives are contraindicated for the lactating woman."

Answer 3

"Oral contraceptives can be taken once lactation is well established."

Question 4

A 25-year-old woman has a family history of breast cancer. The nurse reviews the procedure for breast self-examination and tells her that the best time for a woman to perform a breast self-examination is:

A) A few days before her period
B) During her menstrual period
C) On the last day of menstrual flow
D) One week after the beginning of her period

Question 5

The nurse planning to teach a woman about perimenopause would include the information that estrogen:

A) Prevents osteoporosis
B) Decreases vaginal lubrication
C) Lowers the level of low-density lipoproteins
D) Raises the level of high-density lipoproteins

Question 6

When a woman starts hormone replacement therapy, the nurse would instruct her to look for the side effect of:

A) Fatigue
B) Headache
C) Weight loss
D) Amenorrhea

Question 7

A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant. When an ovarian cyst is suspected, the nurse explains that the diagnosis is confirmed by:

A) Laparotomy
B) Oophorectomy
C) Transvaginal ultrasound
D) Hysteroscopy

Question 8

The woman who is using a diaphragm correctly would tell the nurse that the diaphragm:

A) Does not require the use of a spermicidal cream or jelly with it
B) Should be left in place for at least 6 hours after intercourse
C) Is removed immediately after intercourse for douching
D) Is effective for up to 48 hours if positioned properly

Question 9

When a woman asks what she can do to reduce the discomfort of hot flashes, the nurse advises:

A) "Aerobic exercise helps control hot flashes."
B) "Increase the amount of calcium and vitamin D in your diet."
C) "Dress in layers of cotton clothing."
D) "Drink plenty of fluids, particularly caffeinated beverages."

Question 10

The nurse reminds a group of high school students that the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases is to:

A) Abstain from sex
B) Use the male condom
C) Use the female condom
D) Use the barrier method

Question 11

In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. The nurse suggests a remedy to relieve these symptoms, which is:

A) Drink tea or hot chocolate before going to bed.
B) Take a daily folic acid and vitamin C supplement.
C) Include complex carbohydrates and fiber in the diet.
D) Avoid exercise when symptoms occur.

Question 12

The nurse is preparing a community education program on preventive health care for women. The nurse plans to tell the women attending the program that a screening test common in women's health care is:

A) Breast examination by a health professional
B) Breast self-examination
C) Breast biopsy
D) Mammography

Question 13

A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" The nurse explains the action of combination estrogen and progesterone in oral contraceptives is:

A) Making cervical mucus hostile to sperm
B) Preventing ovulation
C) Prohibiting implantation of the egg
D) Acting as a barrier by destroying sperm

Question 14

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. A few days before ovulation, the cervical mucus is:

A) Cloudy and tacky
B) Scant and thick
C) Thin and white
D) Clear and slippery

Question 15

Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?

A) Super-absorbency tampons offer the best protection against TSS.
B) Tampons should be changed at least every 4 hours.
C) Gloves should be worn when changing tampons.
D) TSS can be prevented by using a pad for the first 2 days of menstrual flow.

Question 16

On day 13 of a 28-day cycle, a woman's basal body temperature is 97.7°F. If she ovulates on day 14, her temperature measurement on day 14 would most likely be:

A) 96.7° F
B) 98.1° F
C) 98.9° F
D) 97.3° F

Question 17

At her regular gynecological examination, a woman tells the nurse that she is concerned about osteoporosis. The nurse could suggest to the patient to:

A) Take a vitamin E supplement daily
B) Do isometric exercises that can be practiced every day
C) Include more dairy products and green, leafy vegetables in her diet
D) Try to limit her intake of caffeine

Question 18

The nurse explains that the drug clomiphene (Clomid) is used in infertility treatment because it:

A) Induces ovulation
B) Reduces endometriosis
C) Promotes implantation of a fertilized ovum
D) Inhibits excess prolactin secretion

Question 19

The nurse would tell the patient to expect which of the following after she had an intrauterine device (IUD) inserted?

A) Menstrual flow will be lighter.
B) Menstrual cramps are eliminated.
C) A string should be felt in the vagina.
D) The device should be changed every 2 years.

Question 20

The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods. The nurse determines the woman understands the information presented when she says the changes in cervical mucus at ovulation:

A) Enhance the motility of the sperm
B) Indicate endometrial readiness for implantation
C) Facilitate movement of the ovum through the fallopian tube
D) Provide vaginal lubrication during intercourse

Question 21

The nurse advises the woman with pelvic floor dysfunction that for relief of the associated discomfort she could: Select all that apply.

A) Lie down with feet elevated.
B) Practice Kegel exercises.
C) Assume knee-chest position periodically.
D) Do leg lift exercises.
E) Prevent constipation.

Question 22

The patient who has been dealing with urge incontinence tells the nurse that the symptoms have gotten worse lately. The nurse reminds the patient that many foods and drugs increase incontinence, among which are: Select all that apply.

A) Antidepressants
B) Coffee
C) Alcohol
D) Diuretics
E) Anticholinergics
F) None of the above

Question 23

The nurse cautions that not all women are candidates for hormone replacement therapy (HRT) because of: Select all that apply.

A) History of melanoma
B) Estrogen-dependent breast cancer
C) Hepatitis C
D) Thromboembolic disease
E) Epilepsy
F) None of the above

Question 24

The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is _____ ______ ___________________.

Question 25

The nurse points out that anonymous sperm donors are screened for: Select all that apply.

A) Particular physical features
B) Genetic defects
C) Infections
D) High-risk behaviors
E) Nationality

Question 26

A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. Vaginal discharge has a cottage-cheese appearance. These findings are consistent with:

A) Candidiasis
B) Trichomoniasis
C) Bacterial vaginosis
D) Chlamydia