Question 1

Which of the following are socioeconomic and geographical factors that increase the risk of women having decreased access to health care services related to gynecological cancers? (Select all that apply.)

Accepted Answer

Factors such as being a single parent, working multiple jobs, having a low income, and being a caregiver can all contribute to decreased access to healthcare services. These conditions often lead to limited time, resources, and opportunities to seek and receive medical care, including for gynecological cancers. Living in a large city can sometimes increase access to healthcare services due to the higher concentration of medical facilities, making option B generally incorrect in this context.

Question 2

Why do lesbian, bisexual, and gender nonconforming women statistically present later for gynecological concerns and are at greater risk for gynecological cancers? (Select all that apply.)

Accepted Answer

These groups may believe routine care is unnecessary if not seeking contraception, assume low STI risk, fear discrimination, and may lack engagement with their reproductive health, leading to delayed care.

Question 3

Which gynecological cancer has the highest incidence rate, in terms of number of cases per year?

Accepted Answer

Uterine cancer, specifically endometrial cancer which is the most common type of uterine cancer, has the highest incidence rate among gynecological cancers in many parts of the world, including the United States.

Question 4

Which of the following are symptoms associated with vulvar cancer? (Select all that apply.)

Accepted Answer

The answer of Which of the following are symptoms associated...

Question 5

Maggie is a client who is wondering whether she is at increased risk for developing vaginal cancer. Which of the following factors would increase Maggie's risk? (Select all that apply.)

Accepted Answer

Factors that increase the risk of developing vaginal cancer include having an HPV (human papillomavirus) infection, being a smoker, and exposure to diethylstilbestrol (DES) in utero. Age and a slightly elevated BMI (26) are not specifically linked to an increased risk of vaginal cancer.

Question 6

Which one of the following infections is a significant risk factor for developing cervical cancer?

Accepted Answer

Human papillomavirus (HPV) is a significant risk factor for developing cervical cancer. Persistent infection with high-risk HPV types is the primary cause of cervical cancer.

Question 7

Nellie has just been diagnosed with advanced ovarian cancer. Which of the following symptoms should the nurse expect Nellie to have? (Select all that apply.)

Accepted Answer

Advanced ovarian cancer often presents with symptoms related to the abdominal and pelvic area due to the tumor's growth and its impact on nearby organs. B) A sense of pressure and fullness in the abdomen, C) Bowel or bladder dysfunction, and E) Abdominal distention are common symptoms as the growing tumor can press on nearby organs, causing discomfort, changes in bowel or bladder habits, and an increase in abdominal size. A) An abnormally heavy and prolonged period and D) Foul-smelling vaginal discharge are less specifically associated with advanced ovarian cancer and can be symptoms of various other conditions.

Question 8

Cecilia is worried about developing ovarian cancer and wonders whether anything in her health history would increase her risk for getting it. Which of the following factors would increase Cecilia's risk? (Select all that apply.)

Accepted Answer

A history of breast cancer and endometriosis are both factors that can increase the risk of ovarian cancer. Breast cancer is linked due to genetic factors like BRCA mutations, and endometriosis is associated with an increased risk of ovarian cancer.

Question 9

A nurse practitioner is trying to promote prevention of gynecological cancers in the community. In a presentation at a women's health fair, which of the following should the nurse mention? (Select all that apply.)

Accepted Answer

The answer of A nurse practitioner is trying to promote...

Question 10

On genetic testing, Lydia has been found to have the BRCA 1 gene mutation. Which type of cancer Lydia has with a greater risk of developing?

Accepted Answer

The BRCA1 gene mutation significantly increases the risk of developing ovarian cancer, among other types, such as breast cancer. This mutation is known for its strong association with hereditary breast and ovarian cancer syndrome.

Question 11

On genetic testing, Patrice has been found to have Lynch syndrome. Which types of cancer Patrice has at a greater risk of developing? (Select all that apply.)

Accepted Answer

The answer of On genetic testing, Patrice has been found...

Question 12

Laurie is experiencing mucositis after receiving radiation therapy to treat her ovarian cancer. Which of the following should the nurse recommend to Laurie?

Accepted Answer

Eating soft, bland foods can help reduce irritation and discomfort caused by mucositis, which is a common side effect of radiation therapy affecting the mucous membranes.

Question 13

Maia is experiencing nausea after receiving chemotherapy. The nurse should recommend which of the following as a natural remedy for nausea?

Accepted Answer

Ginger is widely recognized for its antiemetic properties, which can help alleviate nausea, including that caused by chemotherapy.

Question 14

Hospice care is generally available only to those who are expected to live how long?

Accepted Answer

Hospice care is typically available to those who are expected to live 6 months or less, as determined by a physician.

Question 15

Which of the following is true of palliative care but not of hospice care?

Accepted Answer

Palliative care focuses on relieving symptoms and improving quality of life for patients at any stage of a serious illness, including while they are receiving treatments such as chemotherapy. Hospice care, on the other hand, is for patients who are no longer receiving curative treatments and have a limited life expectancy.

Quiz 33: Gynecologic Cancers