Question 1

Although menopause is a normal part of aging,why do many women enter menopause at an earlier age?

Accepted Answer

Early menopause may be brought on at an earlier age because of living in high altitudes,smoking,cancer treatment,and family history.

Question 2

The patient,age 52,is recovering from a modified radical mastectomy.Why is postoperative elevation of the patient's arm important after this procedure?

Accepted Answer

If the arm is not restricted by dressings,it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint.This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.

Question 3

Select the interventions that should be performed with caution,in the affected arm,on patients who have undergone a modified radical mastectomy.(Select all that apply. )

Accepted Answer

Patients should be taught not to have any procedures involving the arm on the affected side-BP readings,injections,intravenous infusion of fluids,or the drawing of blood,which may cause edema or infection-and to guard against infections from burns,needle pricks (sewing),and gardening injuries.

Question 4

A patient,age 36,is scheduled for a unilateral orchiectomy for treatment of testicular cancer.He is withdrawn and does not initiate interaction with the nurse.What is the most appropriate nursing action at this time?

Accepted Answer

An appropriate nursing diagnosis for a patient with a reproductive disorder is Disturbed body image and Ineffective coping.It is beneficial to listen to the concerns about this treatment.

Question 5

A patient,age 46,is recovering from an abdominal hysterectomy.Postoperative nursing assessment findings include a urinary output of 100 mL in 4 hours.What should the nurse do?

Accepted Answer

Postoperative nursing interventions for patients with abdominal hysterectomy focus on monitoring vital signs and preventing urinary retention.The patient should have an output of at least 30 mL/hr.Anything less than that should be reported.

Question 6

A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge.She says it makes her itch and makes it hard to urinate.After a microscopic examination that confirms trichomoniasis,the patient is placed on metronidazole (Flagyl)for 7 days.How should the nurse advise the patient?

Accepted Answer

Alcohol should be avoided as it can cause disorientation,cramps,and possibly convulsions.

Question 7

The nurse instructs a group of women who attend the health clinic that persons who are particularly at risk for cervical cancer are persons who (select all that apply):

Accepted Answer

Women who have been sexually active since their teens,have multiple sexual partners,and have a history of STDs are more at risk for cancer of the cervix.

Question 8

A ___________ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.

Accepted Answer

The answer of A ___________ is performed to evaluate living...

Question 9

A male patient,age 23,seeks care at the health clinic because he has developed a profuse,purulent urethral discharge,and urination is painful.During assessment of the patient,it is most important that the nurse gather information related to his history of:

Accepted Answer

The nurse should encourage notification of present and past sexual partners of the diagnosis,and stress the need for them promptly to seek medical care.

Question 10

Why do false-negative results in mammography occur in specific age groups?

Accepted Answer

Because of the greater density of breast tissue,mammography is less sensitive in younger women,which may result in more false-negative results.

Question 11

When should postmenopausal women be instructed to perform breast self-examination (BSE)?

Accepted Answer

More than 90% of breast cancers are detected by the patient.BSE for postmenopausal women should be done on the same day of the month each month.

Question 12

What are some advantages of a vaginal hysterectomy over the abdominal hysterectomy? (Select all that apply. )

Accepted Answer

The vaginal approach allows for less postoperative discomfort,a reduced hospital stay,is less expensive,and offers a faster recovery.

Question 13

Vaginal fistulas are caused by an ulcerating process resulting from (select all that apply):

Accepted Answer

Vaginal fistulas are caused by an ulcerating process resulting from cancer,radiation,weakening of tissue by pregnancies,and surgical interventions.

Question 14

What factor influences older women's reluctance to seek medical care for problems of the reproductive system?

Accepted Answer

Many older women are reluctant to seek medical care for problems of the reproductive system.This may be related to cultural factors,embarrassment,or lack of knowledge.

Question 15

Which of the following are true of the Gardasil vaccine? (Select all that apply. )

Accepted Answer

Gardasil is a vaccine that is effective against HPV and also reduces the incidence of cervical cancer;it can be given to males and females before they become sexually active.It is not recommended for children under 11 years of age.

Question 16

The young woman comes to the free clinic for the complaint of stomach cramps.During the examination,the nurse recommends that she be tested for chlamydia.The woman says "I don't need any test…I don't have any symptoms for a sexual infection…I just came for my stomach." Which response is most informative?

Accepted Answer

Chlamydia frequently displays no signs or symptoms in women.The Centers for Disease Control and Prevention (CDC)recommends an annual screening for all women over 25 who are at risk for STDs.

Question 17

The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is such a simple thing as:

Accepted Answer

Shining a flashlight from behind the scrotum and visualizing the testes surrounded by fluid is called transillumination.That process is the simple diagnostic test for hydrocele.

Question 18

The 69-year-old patient laughs at the nurse when the nurse suggests that she should have a Pap smear and says,"I had my uterus removed except for the cervix 30 years ago and I am almost 70.Why in the world would I want to get a Pap smear at my age?" What is the nurse's most informative reply?

Accepted Answer

Persons who have a hysterectomy without the removal of the cervix should continue to be screened at least until the age of 70.

Question 19

The nurse is assisting the physician in removing a small sample of tissue from the patient's cervix to have it evaluated.This procedure is called a cervical _______________.

Accepted Answer

The answer of The nurse is assisting the physician in...

Question 20

Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?

Accepted Answer

If there has been an abdominal incision,there may be further restrictions on heavy lifting (nothing over 10 lb).

Quiz 12: Care of the Patient with a Reproductive Disorder