Question 1

A patient receiving chemotherapy for breast cancer writes in a journal during the treatments and reads devotional material. Which phase of psychologic adjustment should the nurse identify that this patient is experiencing?

Accepted Answer

The patient is in the Reaction phase, where they begin to process their emotions and cope with the reality of their situation, often seeking comfort through activities like journaling and reading devotional material.

Question 2

During an interview the nurse learns that a patient's sister was recently diagnosed with endometrial cancer. What should the nurse review to reduce the patient's risk for developing the same disease process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of During an interview the nurse learns that...

Question 3

The nurse is caring for a female client with a history of pelvic inflammatory disease (P I D) who reports having difficulty conceiving after unprotected sex for over 2 years. Which deviation from the norm does the nurse recognize is most likely the cause of the client's infertility?

Accepted Answer

Pelvic inflammatory disease (PID) can lead to scarring and blockages of the fallopian tubes, which can prevent the egg from being fertilized or reaching the uterus, thus causing infertility. Non-patent (blocked) fallopian tubes are a common consequence of PID and a likely cause of infertility in women with a history of the condition.

Question 4

A patient is demonstrating manifestations of acute cervicitis. Which laboratory test should the nurse expect to be completed for this patient?

Accepted Answer

A vaginal smear for STIs (Sexually Transmitted Infections) is the most appropriate laboratory test for diagnosing acute cervicitis, as it can identify the presence of pathogens that commonly cause the condition.

Question 5

The nurse is preparing teaching materials for female clients who wish to perform breast self-examination. In which order should the nurse ensure that the teaching materials present the process of inspection?

Accepted Answer

The answer of The nurse is preparing teaching materials for...

Question 6

The nurse is reviewing data collected during a health history and physical assessment and suspects that the patient could be experiencing polycystic ovarian syndrome (P C O S). What information did the nurse use to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Polycystic Ovarian Syndrome (PCOS) is often associated with obesity or higher body mass index (BMI), irregular menstrual cycles (such as periods occurring every 3 to 4 months), elevated fasting blood glucose levels indicating insulin resistance, and infertility or difficulty becoming pregnant. Hair loss and warm moist skin are not typically associated with PCOS; instead, symptoms like hirsutism (excessive hair growth) would be more indicative.

Question 7

Which of the following systems provides a uniform format and classification of terminology based on current understanding of cervical disease?

Accepted Answer

The Bethesda system provides a uniform format and classification of terminology specifically for reporting cervical and vaginal cytology results. It is based on the current understanding of cervical disease, aiming to standardize the communication among healthcare providers.

Question 8

The nurse takes a telephone call from a women's health clinic patient. What information should cause the nurse to suspect that the patient is experiencing a cystocele?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A cystocele occurs when the wall between a woman's bladder and her vagina weakens and allows the bladder to droop into the vagina, which can lead to stress incontinence (C), a feeling of fullness in the perineum (D), and a sensation that something has "fallen out" of the vagina (E). Bloody urine (A) and low back pain (B) are not specific symptoms of a cystocele.

Question 9

Abdominal hysterectomy is generally recommended for which condition?

Accepted Answer

The answer of Abdominal hysterectomy is generally recommended for which...

Question 10

A 38-year-old female is scheduled for a laparoscopic-assisted vaginal hysterectomy (L A V H) for severe endometriosis with the removal of both ovaries. What should the nurse expect to be prescribed for this patient postoperatively?

Accepted Answer

Estrogen replacement therapy is often prescribed after the removal of both ovaries (oophorectomy) to manage the symptoms of menopause that can occur due to the sudden decrease in estrogen levels. Since the patient is having both ovaries removed, she will likely need estrogen replacement to help manage these symptoms.

Question 11

During a routine physical examination a female patient asks the nurse what can be done to prevent the development of breast cancer. What should the nurse review with the patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of During a routine physical examination a female...

Question 12

A female patient is anxious about having a pelvic examination. To help reduce the patient's fears in which order should the nurse explain that the examination will be performed?

Accepted Answer

The answer of A female patient is anxious about having...

Question 13

A patient with a rectocele is experiencing progressive pain and constipation. What should the nurse expect to be indicated for this patient?

Accepted Answer

Surgery is often indicated for patients with a rectocele experiencing progressive symptoms like pain and constipation when conservative treatments (e.g., dietary changes, pelvic floor therapy) are not effective.

Question 14

During a pelvic examination, a patient is diagnosed with a Bartholin gland cyst. For which treatment should the nurse prepare this patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Bartholin gland cysts may require antibiotic therapy if infected, incision and drainage to relieve the cyst, and culture and sensitivity tests of the discharge to identify the causative bacteria and determine the appropriate antibiotic treatment. Pelvic ultrasound and exploratory laparotomy are not standard treatments for Bartholin gland cysts.

Quiz 6: Womens Health Problems