Deck 48: Nursing Care of Women With Reproductive System and Breast Disorders

Question 1

A woman is diagnosed with uterine prolapse into the vagina. What factor most likely contributed to this disorder?

A)Multiple pregnancies
B)Cervical polyps
C)Pelvic inflammatory disease
D)Vaginal tears

Answer 1

Multiple pregnancies

Question 2

A 16-year-old person started menstruating at age 14 but has stopped for the last 5 months. How should the nurse respond to this person?

A)'Have you considered that you might be pregnant?'
B)'That's normal in teenagers.'
C)'It's probably psychological.'
D)'Have you noticed any other changes in diet, activity or weight loss?'

Answer 2

'Have you noticed any other changes in diet, activity or weight loss?'

Question 3

A woman is experiencing a reoccurrence of endometrial cancer. What is the treatment of choice for this situation?

A)Partial abdominal hysterectomy
B)Testosterone supplementation
C)Chemotherapy
D)Progesterone therapy

Answer 3

Progesterone therapy

Question 4

A woman complains about increasing premenstrual symptoms over the past few years and thinks, 'something must be wrong.' What is this woman experiencing?

A)Dysmenorrhoea
B)Menorrhagia
C)Normal pattern of premenstrual syndrome
D)Early menopausal symptoms

Question 5

A 55-year-old woman thinks she's 'losing her mind' because of constant anxiety, inability to sleep and headaches. Which condition is this woman describing?

A)Dysmenorrhoea
B)Extreme premenstrual syndrome
C)Menopause
D)Chronic fatigue syndrome

Question 6

A woman is scheduled for an endometrial ablation for extreme uterine bleeding. Which statement indicates that this woman understands the long-term effects of this treatment?

A)Menstrual cycles and the possibility of pregnancy have ended.
B)Hormone replacement therapy will be commenced to regulate menstrual cycles.
C)Pregnancy needs to be avoided for at least 6 months after the procedure.
D)Future menstrual cycles should be normal.

Question 7

A woman is recovering from breast cancer surgery that included axillary node dissection. What is this woman at risk of developing?

A)Lymphoedema
B)Chronic anaemia
C)Metastasis
D)Extensive postoperative scarring

Question 8

A woman who was just diagnosed with cervical cancer does not want to have surgery. What is an alternative treatment for this woman?

A)Chemotherapy
B)Vitamin therapy
C)Testosterone therapy
D)External radiotherapy

Question 9

The nurse is assisting a woman with ways to reduce the severity of the monthly menstrual discomforts associated with premenstrual syndrome. What information should be reviewed with this woman? Select all that apply.

A)Apply heat to the lower abdominal region.
B)Increase salt intake.
C)Limit alcohol intake.
D)Use abdominal breathing.

Question 10

A woman tells the nurse that lately she 'isn't interested in sex' but is concerned that her husband will divorce her. How should the nurse respond to this female?

A)'Sex is only one component of a marriage anyway.'
B)'It is quite common for women to lose interest in sex for a period of time.'
C)'There are other activities you and your husband can do together.'
D)'Let's talk more about how you are feeling right now.'

Question 11

A 25-year-old woman is diagnosed with endometriosis. What should the nurse include when teaching the woman about this disorder?(Select all that apply.

A)If children are desired, pregnancy should occur before the disease progresses.
B)Laser ablation and birth control pills are the treatments for this condition.
C)It can be treated with minimal long-term effects.
D)The condition will improve over time.

Question 12

A woman recovering from a complete hysterectomy for endometrial cancer is concerned about having a sexual relationship because of activity intolerance. What should the nurse suggest to this woman?

A)Coordinate sexual activity with rest periods and pain-free periods.
B)There are other activities to engage in.
C)Time will improve the condition.
D)Discuss concerns with a psychologist.

Question 13

A woman is diagnosed with chocolate cysts. What should the nurse explain as being the cause of these cysts?

A)Old blood
B)Changes in melanocyte functioning
C)Hormone imbalance
D)Accumulation of pus

Question 14

A woman experiencing menopause is 'tired of the night sweats.' What should the nurse suggest to help this woman?

A)Ensure that the bedroom temperature is cool and wear light night attire.
B)Increase fluid intake of an evening.
C)Talk with the doctor about a hysterectomy.
D)Exercise 1 hour before going to sleep.

Question 15

A woman of child-bearing age is diagnosed with large uterine fibroids. Since the woman wants to have children, what will the treatment most likely be?

A)Gonadotropin-releasing hormone (GnRH)antagonists.
B)Removal of the tumour.
C)Oestrogen replacement.
D)Anti-inflammatory medications.

Question 16

A woman is concerned about developing ovarian cancer because an extended family member had the disease. Which factor will help reduce the risk of this woman developing the disease?

A)Never breastfed
B)Had a first child at the age of 20
C)Did not start menstruating until age 10
D)Has never used oral contraceptives

Question 17

A woman who was just diagnosed with breast cancer is scheduled for a lumpectomy. What signs should indicate to the nurse that this woman is demonstrating anticipatory grieving?

A)Making calls to her girlfriends
B)Doing a crossword puzzle
C)Laughing loudly at her roommate's jokes
D)Sitting quietly, occasionally crying

Question 18

A woman is prescribed radiation treatments to the pelvic region after having surgery for cervical cancer. What should the nurse teach this woman?

A)Significant pain is to be expected with external radiation.
B)Skin burning is expected.
C)Preserve the skin markings made for the radiation treatments.
D)Use an oil-based lotion on the skin area being radiated.

Question 19

A 42-year-old woman is diagnosed with a breast cyst. What treatment should be anticipated for this woman?

A)Reduce alcohol intake.
B)A surgical biopsy is needed to rule out cancer.
C)Reschedule mammograms for every 2 years.
D)Apply warm compresses to the cyst.

Question 20

A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. What procedure will both diagnose and treat the dysplasia?

A)Loop electrosurgical excision procedure (LEEP)
B)Colposcopy
C)Cryosurgery
D)Cervical biopsy