Question 1

A client is scheduled to have a hysteroscopic myomectomy.Which statement by the client indicates that she understands the procedure?

Accepted Answer

Because of the risk for uterine rupture after this procedure,future deliveries will be done by cesarean section.The procedure is done during the early part of the menstrual cycle to limit blood loss and reduce the possibility of interrupting a pregnancy.This operation is a uterus-sparing procedure.The woman will not be infertile after the myomectomy.

Question 2

A client is crying because her endometrial cancer is scheduled to be treated with chemotherapy agents that will cause hair loss.Which is the most appropriate response from the nurse?

Accepted Answer

The client should be given the opportunity to talk with someone who has undergone treatment with chemotherapy that causes hair loss.It would be ineffective for the nurse to suggest that the client should simply start shopping for wigs/scarves or shave her head.This would prevent the client from making her own decision.It would be incorrect for the nurse to tell the client that total body hair loss will occur.This may not happen.It depends completely on the agent given.

Question 3

The client has been diagnosed with possible vulvovaginitis pending the outcome of laboratory tests.What information does the nurse teach the client?

Accepted Answer

Vulvovaginitis occurs as a result of imbalances in the hormones and florae of the vulva and/or vagina.Several causative factors are known,and self-care includes wearing cotton underwear and not wearing tight-fitting jeans or pants.Using tampons will not prevent it.Douching and washing the area with antibacterial soap should be avoided.

Question 4

A client has recently undergone an anterior colporrhaphy.Which is the most important discharge instruction that the nurse can provide?

Accepted Answer

Fever and pain may indicate an infection and should be reported.Sexual activity is restricted for 6 weeks.Sutures will absorb or fall out.Discomfort can be lessened with heat,not cold,therapy.

Question 5

The nurse is teaching a woman's group about gynecologic cancers.Which does the nurse teach are risk factors?

Accepted Answer

Nulliparity,smoking,and obesity are risk factors for uterine cancer.Risk factors for cervical cancer include multiple sex partners,obesity,and smoking.Early age at first intercourse (before 18)is a risk factor for cervical cancer.

Question 6

A woman has been told she has cervical polyps.Which statement by the client indicates a good understanding of the teaching the nurse provided?

Accepted Answer

Cervical polyps are benign growths.They can be removed easily in the physician's office with little to no pain.The other statements are inaccurate: Polyps are not related to cancer or to sexually transmitted diseases.

Question 7

A client is recovering from a hysteroscopic myomectomy.The nurse assesses the client and finds the following: 2+ bilateral pedal edema; pulse,108 beats/min; and respiratory rate,28 breaths/min.Which action by the nurse takes priority?

Accepted Answer

This client has signs of fluid overload,which is a possible complication of hysteroscopic surgery.The nurse should assess the client's oxygenation status,then should notify the provider or call the Rapid Response Team.An ECG may be ordered but is not the priority,nor is reviewing intake and output patterns.Although the provider does need to be notified,the nurse needs further assessment data to report.

Question 8

A woman had returned to the nursing unit after a total abdominal hysterectomy.After settling the client and performing a thorough assessment including vital signs,which action by the nurse is most important?

Accepted Answer

Care of a client post-abdominal hysterectomy includes measures to prevent deep vein thrombosis and pulmonary embolism.The client needs sequential compression devices ordered and applied.The other actions might be needed,but they are not the priority.

Question 9

A woman has had recurrent Bartholin cysts.Which intervention is most appropriate for the nurse to add to the client's care plan?

Accepted Answer

Bartholin cysts tend to recur and can be treated with surgical marsupialization,the creation of a pouch as a new opening for the cysts,so it does not become obstructed again.The woman should have already been screened for STDs,Bartholin cysts are not genetic in nature,and wearing cotton underwear will not prevent them from occurring.

Quiz 74: Care of Patients With Gynecologic Problems