Deck 49: Nursing Care of Women with Reproductive and Breast Disorder

Question 1

A female patient is diagnosed with "chocolate" cysts. The nurse realizes that these cysts are caused by which of the following?

A)pelvic inflammatory disease
B)use of oral contraceptives
C)endometrial overgrowth
D)hormone imbalance

Answer 1

endometrial overgrowth

Question 2

A female patient is concerned that she will develop ovarian cancer because her mother's grandmother had the disease. Which of the following factors will most reflect a potential reduction in risk factors for the patient?

A)had her first menses at age 10
B)has never had long-term antibiotic therapy
C)had her first child at the age of 20
D)has asymptomatic menstrual cycles

Answer 2

had her first child at the age of 20

Question 3

A female patient complains about increasing premenstrual symptoms over the past few years and thinks "something must be wrong." The nurse realizes that this patient is experiencing which of the following?

A)early menopausal symptoms
B)premenstrual dysphoric disorder
C)interpersonal relationship difficulties
D)normal pattern of premenstrual syndrome

Answer 3

normal pattern of premenstrual syndrome

Question 4

A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. The procedure that would both diagnose and treat the dysplasia is which of the following?

A)pap smear
B)colposcopy
C)cervical biopsy
D)loop diathermy

Question 5

A patient who was recently diagnosed with cervical cancer does not want to have surgery. An alternative treatment for this patient is which of the following?

A)chemotherapy
B)radiation therapy
C)vitamin therapy
D)hormone replacement therapy

Question 6

A patient is prescribed radiation treatments to the pelvic region after having surgery for cervical cancer. The nurse should instruct this patient to do which of the following?

A)Preserve the skin markings made for the radiation treatments.
B)Use an oil-based lotion on the skin area being radiated.
C)Ignore skin reactions as they are to be expected.
D)Pain is always associated with focused radiation.

Question 7

A 56-year-old female patient thinks she's "losing her mind" because of constant anxiety, inability to sleep, and headaches. The nurse realizes that this patient is describing symptoms of which of the following?

A)premenopause syndrome
B)menopause.
C)postmenopause
D)dysmennorrhea

Question 8

A mass is found on a mammogram of a 42-year-old female patient and a cyst is confirmed by an ultrasound of the breast. The nurse realizes that the next course of action for this patient is which of the following?

A)Adopt the "watch and wait" approach.
B)Reduce caffeine intake.
C)Apply warm soaks to the cyst.
D)Undergo a surgical biopsy.

Question 9

A female patient is experiencing a reoccurrence of endometrial cancer. The nurse realizes that this patient's treatment might include which of the following?

A)radiation therapy after surgery
B)progesterone therapy
C)partial abdominal hysterectomy
D)chemotherapy

Question 10

A female patient is recovering from breast cancer surgery that included axillary node dissection. The nurse realizes that this patient will need education regarding the potential development of which of the following related to the axillary node dissection?

A)lymphedema
B)metastasis
C)anemia and bleeding.
D)altered shoulder movement

Question 11

A female patient of child-bearing age is diagnosed with large uterine fibroids. Since the patient wants to have children, the nurse realizes that treatment of choice for this problem will most likely be which of the following?

A)oral contraceptives
B)estrogen replacement
C)iron replacement therapy
D)leuprolide acetate (Lupron)

Question 12

The nurse is assisting a patient with ways to reduce the severity of the monthly menstrual discomforts associated with premenstrual syndrome. Information that can be reviewed with this patient includes which of the following? Select all that apply.

A)Apply ice packs to the lower abdominal region.
B)Use abdominal breathing.
C)Balance exercise with rest.
D)Increase sodium intake.
E)Restrict caffeine intake.

Question 13

A patient is scheduled for an endometrial ablation for extreme uterine bleeding. Which of the following provides evidence that this patient understands the long-term effects of this treatment?

A)The patient states that future menstrual cycles will be normal.
B)The patient states that pregnancy needs to be avoided for six months after the procedure.
C)The patient states that menstrual cycles and the option for pregnancy have ended.
D)The patient states that hormone replacement therapy will still be needed to regulate menstrual cycles.

Question 14

The mother of a 16-year-old female child voices concern to the nurse. The parent reports that the teen began menstruating at age 14 but has stopped for at least five months. Which of the following responses would be most appropriate for the nurse to make to this mother?

A)"That's normal for a 16-year-old.That happened to me when I was 16."
B)"Have you thought about a pregnancy?"
C)"It's probably psychological."
D)"Have you noticed any other changes in diet, activity, or weight loss?"

Question 15

A female patient who is experiencing menopause is "tired of the night sweats." Which of the following can the nurse suggest to help this patient?

A)Ensure that the bedroom temperature is cool and limit sleeping attire.
B)Reduce intake of milk and milk products.
C)Suggest talking with the physician about a hysterectomy.
D)Exercise one hour before going to sleep.

Question 16

A 25-year-old female is diagnosed with endometriosis. The nurse should include which of the following when teaching the patient about this disorder? Select all that apply.

A)Endometriosis can be treated without any long-term effects.
B)Pregnancy should occur before the disease progresses if the woman desires children.
C)Laser ablation and birth control pills are the treatments for this condition.
D)Leaving it untreated will not result in any long-term health issues.
E)Dyspareunia can occur.

Question 17

A patient who is recovering from a complete hysterectomy for endometrial cancer is concerned that she will not be able to continue a sexual relationship with her husband because of the related activity intolerance. Which of the following would assist this patient?

A)Suggest other activities to participate in with her spouse.
B)Suggest that she discuss her fears with a marriage counselor.
C)Suggest she and her husband should be thankful she survived cancer surgery.
D)Suggest that she and her husband coordinate sexual activity with rest periods and pain-free periods.

Question 18

A patient who has been diagnosed with breast cancer is scheduled for a lumpectomy. The nurse believes that the patient is demonstrating signs of anticipatory grieving when the patient is doing which of the following?

A)joking with her hospital roommate
B)making calls to her girlfriends
C)doing a crossword puzzle
D)sitting quietly, occasionally crying

Question 19

A patient is diagnosed with uterine prolapse into the vagina. The factor that most likely contributed to this patient's disorder is which of the following?

A)multiple pregnancies
B)endometriosis
C)pelvic inflammatory disease
D)cervical tumor

Question 20

A female patient tells the nurse that lately she "isn't interested in sex" but is concerned that her husband will divorce her. Which of the following would be an appropriate response for the nurse to make to this patient?

A)"I'm sure it's nothing and will go away in time."
B)"There are other activities you and your husband can do together."
C)"Sex isn't that important in a marriage anyway."
D)"Let's talk more about how you are feeling right now."

Question 21

The nurse is preparing to counsel a 46-year-old woman who has been post menopausal for one year about the common health risks associated with menopause. The nurse would include in the teaching plan which of the following common health risks that increase after menopause? Select all that apply.

A)hypertension
B)heart disease
C)diabetes
D)macular degeneration
E)osteoporosis

Question 22

A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. Which of the following might assist in the management of her irritability? Select all that apply.

A)Increase dietary sugar intake to promote energy.
B)Increase intake of simple carbohydrates.
C)Reduce caffeine.
D)Utilize guided imagery.
E)Drink one glass of red wine each evening.

Question 23

A patient asks the nurse about alternative and complementary therapies that she might consider in place of hormone replacement therapy after menopause. The nurse would give the patient information about which of the following herbal supplements? Select all that apply. Select all that apply.

A)black cohosh
B)ginseng
C)ginger
D)flaxseed
E)St.John's Wort

Question 24

A 41-year-old patient reports to the clinic stating her menstrual periods have become irregular, with the last period occurring approximately four months ago. What information should be provided to the patient concerning the use of contraceptives during the perimenopausal period?

A)Contraceptives should continue to be utilized.
B)Contraceptives are no longer needed.
C)Contraceptives will only be needed if menstruation is experienced.
D)Contraceptive use will only be needed for another two months.

Question 25

The nurse is collecting data during a routine patient admission history and physical. The patient reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?

A)Determine the timing of the bleeding episodes.
B)Determine the amount of the bleeding episodes.
C)Assess for the presence of sexually transmitted infections.
D)Review the length of the patient's normal menstrual cycles.

Question 26

A patient expresses to the nurse she thinks she is having menopause. The nurse would assess the patient for which of the following common manifestations of menopause? Select all that apply.

A)increased body hair
B)vaginal dryness
C)hot flashes
D)night sweats
E)vaginitis

Question 27

A nurse is developing a teaching plan for a post menopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which of the following interventions in the teaching plan? Select all that apply.

A)Kegel exercises
B)increased caffeine intake
C)use of progesterone supplements
D)proper perineal care
E)use of perineal pads

Question 28

A patient who has been experiencing premenstrual syndrome (PMS) reports to the clinic with a diet diary she has kept over the past several weeks. The nurse should suggest the patient made a dietary modification based on the following entries in her diet.

A)daily intake of caffeine-free soda
B)daily intake of low-fat yogurt
C)foods rich in magnesium
D)daily intake of white bread

Question 29

The clinic nurse is preparing to do a sexual counseling session with a 19-year-old has had a sexual encounter and is getting married soon. The nurse would place the phases of the sexual response cycle in which sequential order to teach the sexual response cycle? Click and drag the options below to move them up or down.

A)plateau
B)resolution
C)excitement
D)orgasm

Question 30

The nurse is planningcare for a women with pre-menstrual syndrome (PMS). The nurse would write interventions to relieve PMS manifestations. The primary nursing diagnoses for a woman with PMS include which of the following nursing diagnoses? Select all that apply.

A)Situational Low Self-Esteem
B)Acute Pain
C)Ineffective Coping
D)Disturbed Body Image
E)Sexual Dysfunction

Question 31

A 13-year-old female patient reports to the school nurse with concerns about her menstrual cycle. The patient states that she has not started her period yet and asks if this is normal. Which of the following should be included in the nurse's response?

A)The teenager should be referred to a gynecologist for a pelvic examination.
B)The teenager should have started her period by now.
C)The teenager should be informed she is not abnormal.
D)The teenager should be tested for hormonal imbalances.

Question 32

A 25-year-old patient has been experiencing anovulatory dysfunctional uterine bleeding and is concerned about maintaining her fertility. The nurse would plan teaching the patient about which of the following therapies for anovulatory dysfunctional uterine bleeding?

A)oral contraceptives
B)progestin therapy
C)therapeutic D and C
D)endometrial ablation

Question 33

The patient who has been experiencing the clinical manifestations associated with menopause voices an interest in using alternative and complementary therapies to manage them. What is the best response by the nurse?

A)"Alternative and complementary therapies seldom work."
B)"Many women report success with those measures."
C)"What types of therapies are of interest to you?"
D)"Have you discussed this with the healthcare provider?

Question 34

A patient who recently had a hysterectomy states that she is nervous about taking the estrogen replacement therapy prescribed by her health care provider. She states that she is worried about developing breast cancer later in life. Which of the statements by the nurses is most appropriate?

A)"The risk of breast cancer is somewhat increased for women with a family history of breast cancer who opt to take estrogen replacement therapy."
B)"The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications."
C)"Has your gynecologist discussed estrogen-progestin combination therapy with you?"
D)"Has your gynecologist shared that it is not necessary to take estrogen drugs after a hysterectomy?"

Question 35

Hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. The patient should be informed she will be at an increased risk of which of the following as a result of HRT? Select all that apply.

A)breast cancer
B)strokes
C)venous thrombosis
D)colon cancer
E)heart attacks

Question 36

A patient shares with a nurse that she has pain during intercourse. The nurse asks Select all that apply.

A)perforated hymen
B)vaginal scarring
C)fear of sexual abuse
D)vaginismus
E)climacteric

Question 37

A patient is scheduled to undergo a laparoscopic procedure. Which of the following statements by the patient indicates to the nurse a need for further education about the procedure?

A)"I can expect to go home a few hours after the procedure."
B)"I might experience some abdominal pain after the procedure."
C)"There might be some vaginal bleeding after the procedure."
D)"Shoulder pain should be reported, as it might signal a complication."

Question 38

Pre-menstrual Syndrome (PMS) is a complex of manifestations including mood swings, breast tenderness, fatigue, irritability, food cravings, and depression. Dietary remedies to combat the symptoms of PMS should include which of the following as part of the educational regime? Select all that apply.

A)Eat a diet high in complex carbohydrates.
B)Eat a diet high in protein.
C)Increase caffeine intake.
D)Increase fat intake.
E)Reduce sodium and alcohol consumption.

Question 39

A patient is preparing to be discharged to home after a panhysterectomy. Which of the following statements by the patient indicates to the nurse that the teaching session has been successful? Select all that apply.

A)"I will need to report temperature greater than 101 degrees."
B)"I might experience vaginal bleeding for about one week."
C)"I will need to report any hot flashes and night sweats."
D)"I will still need to see my physician for gynecological examinations."
E)"I should not drive my car for the next few weeks."

Question 40

A nurse is providing care for a patient with dysfunctional uterine bleeding (DUB) who has been informed by her primary care physician that this problem requires surgical intervention. The nurse would reinforce which of the following procedures as options for managing DUB? Select all that apply.

A)hysterectomy
B)laparoscopy
C)endometrial ablation
D)hormonal agents
E)dilatation and curettage

Question 41

A patient is to receive hormone therapy as adjunct treatment for advanced breast cancer. The nurse should anticipate the primary care provider choose which of the following oral medications for this patient? Herceptin Select all that apply.

A)tamoxifen
B)Avastin
C)Arimidex
D)Faslodex

Question 42

The nurse would prepare a patient who is suspected of endometrial cancer fori which of the following diagnostic procedures? Select all that apply.

A)abdominal x-ray
B)transvaginal ultrasound
C)dilatation and curettage
D)Intravenous pyelogram
E)CT scan of abdomen

Question 43

A nurse is caring for a patient who will be receiving radiation therapy for cervical cancer. Patient education should include which of the following skin care interventions? Select all that apply.

A)Teach wound and skin care.
B)Apply oil-based lotions to the skin surface.
C)Remove markings from skin.
D)Monitor for evidence of fistula formation.
E)Apply heat to the abdomen use a heating pad.

Question 44

A patient has been diagnosed with cervical cancer. Identify the common risk factors associated with cervical cancer. Select all that apply.

A)history of HPV infections
B)first intercourse before the age of 20
C)multiple sex partners
D)long term use of birth control pills
E)alcohol abuse