Question 1

A client diagnosed with dysmenorrhea is prescribed ibuprofen and hormonal contraceptives. Which outcome in the client indicates the effectiveness of the therapy?

Accepted Answer

The primary symptom of dysmenorrhea is painful menstrual cramps. If the client no longer experiences pain during the first 2 days of her menstrual period, it indicates that the therapy is effective in managing her symptoms. Choice B is not related to dysmenorrhea or the prescribed therapy. Choice C is not a direct therapeutic outcome of ibuprofen and hormonal contraceptives in managing dysmenorrhea.

Question 2

A female client is diagnosed to be infertile due to the production of antibodies against the ovarian tissue. Which treatment will the nurse expect for the client?

Accepted Answer

Estrogen replacement therapy is used to treat infertility caused by antibodies against the ovarian tissue.

Question 3

Which medical condition needs careful use of hormone replacement?

Accepted Answer

All of the listed medical conditions, including breast cancer, cardiac disease, and venous thrombus, require careful use of hormone replacement therapy. Hormones can exacerbate the risk or growth of these conditions, and medical professionals need to carefully assess the benefits and risks before recommending hormone therapy.

Question 4

A nurse observes that the endometrial lining is absent is a client who underwent a dilation and curettage (D&C) abortion. Which syndrome will the nurse suspect in the client?

Accepted Answer

Asherman's syndrome is a condition where intrauterine adhesions develop after uterine surgery, such as a D&C. Absent endometrial lining is a characteristic feature of this syndrome. Turner syndrome, Sheehan's syndrome, and Mayer-Rokitansky-Hauser syndrome do not have a direct association with absent endometrial lining after a D&C.

Question 5

While assessing a young female client for reproductive disorders, a nurse understands that the client has amenorrhea. Which specific question should the nurse ask the client?

Accepted Answer

Amenorrhea can be caused by thyroid gland disorders, so asking the client about any history of thyroid gland disorders is an appropriate question for the nurse to ask. The other options are not directly related to amenorrhea.

Question 6

A female client reports missed menstrual periods after discontinuing hormonal contraceptives. What could be the reason behind the missed menstrual periods?

Accepted Answer

Discontinuing hormonal contraceptives can lead to a temporary period of hypothalamic-pituitary-ovarian dysfunction, which can result in missed menstrual periods. This is due to the body readjusting to its natural hormonal balance. A and B are unlikely causes for missed menstrual periods after discontinuing contraceptives, and D is a possible cause but not the most likely in this case.

Question 7

A registered nurse is teaching a client with dysmenorrhea about her treatment plan. Which statement made by the client indicates the need for further teaching?

Accepted Answer

Oral contraceptives are often recommended as a treatment for dysmenorrhea. Therefore, the statement "I should avoid the use of oral contraceptives" indicates the need for further teaching. The other statements are correct and indicate a good understanding of the treatment plan.

Question 8

A nurse is caring for a 19-year-old female client who has never had a menstrual cycle and has a webbed neck, short stature, and a broad shield-like chest. What is the most probable cause of the client's condition?

Accepted Answer

The symptoms of having a webbed neck, short stature, and a broad shield-like chest are commonly associated with Turner syndrome, a genetic disorder in which a female is born with only one X chromosome or has a missing or incomplete X chromosome. One of the main characteristics of this syndrome is the absence of menstrual periods. Sheehan's syndrome is caused by severe postpartum bleeding, leading to damage or destruction of the pituitary gland, and can result in menstrual irregularities. Asherman's syndrome is a condition that occurs after trauma to the uterine lining, such as after surgery, and can lead to amenorrhea. Mayer-Rokitansky-Hauser syndrome is a rare condition that affects the female reproductive system, resulting in the absence of the vagina and uterus.

Question 9

A 14-year-old female client with constitutional growth delay tells a nurse, "I am not getting any taller! I am the same height I was last year!" How should the nurse respond?

Accepted Answer

Constitutional growth delay is a common variation of growth and development where a child's growth and development slows down temporarily. In most cases, the child will eventually grow at a normal rate, but just later than usual. Therefore, the nurse should reassure the client that she will eventually reach her full height by adulthood. The other options are not appropriate because referring to an endocrinologist and prescribing growth supplements is not necessary and giving a negative answer can cause emotional distress.

Question 10

Which physiological changes occur in a female during the perimenopausal stage?

Accepted Answer

During perimenopause, a woman's estrogen secretion decreases, leading to irregular menstrual cycles and other symptoms. This decrease in estrogen causes an increase in follicle-stimulating hormone (FSH) in an attempt to prompt the ovaries to produce more estrogen. Therefore, both choices A and B are correct.

Question 11

A client who is scheduled for a hysteroscopy asks a nurse about the procedure involved in this technique. Which statement made by the client indicates effective understanding?

Accepted Answer

A hysteroscopy involves the insertion of a thin, telescopic device through the vagina into the uterus, allowing for visualization of the cervix and uterine cavity. No surgical incision or radiopaque dye is typically used in the procedure. While tissue samples may be taken during the procedure, this is not the primary purpose of a hysteroscopy.

Question 12

While assessing a 7-year-old female client, the primary health-care provider finds that the client has enlargement of the breasts, erection of the nipples, and development of pubic hair. Which hormonal levels can be found high in the client?

Accepted Answer

The described symptoms suggest early onset of puberty, which is typically caused by hormonal changes. Elevated levels of both estrogen and gonadotropins may be found in such cases.

Question 13

While reviewing a client's medical record, a nurse finds the client to be described as gravida 2, para 2, or G2 P2. What will the nurse interpret from this description?

Accepted Answer

The designation "gravida 2, para 2" means that the client has been pregnant twice (G2) and has given birth to two infants after 24 weeks of gestation (P2). This indicates that both of the client's pregnancies resulted in live births.

Question 14

A client with premenstrual syndrome (PMS) is prescribed selective serotonin receptor inhibitors (SSRIs) and nutritional supplements. Which symptom in the client indicates the effectiveness of the therapy?

Accepted Answer

SSRIs are commonly used to manage symptoms of PMS, including irritability and mood swings. The effectiveness of the therapy can be determined by assessing whether the client's irritability and mood swings have decreased. The other options are not related to the effectiveness of SSRIs and nutritional supplements in managing symptoms of PMS.

Question 15

A female client tells a nurse, "I have excessive bleeding that lasts for more than 7 days every time I menstruate." Which menstrual disorder does the nurse suspect in the client?

Accepted Answer

Menorrhagia is a menstrual disorder characterized by excessive bleeding that lasts for more than 7 days every time the woman menstruates. Metrorrhagia is irregular bleeding between menstrual periods. Oligomenorrhea is infrequent menstruation, while secondary amenorrhea is the absence of menstruation for three or more months in a woman who previously had regular cycles.

Question 16

A night-shift nurse documents "primigravida" for a client. Which client is being referred to by the nurse?

Accepted Answer

Primigravida refers to a woman who is pregnant for the first time.

Question 17

Which laboratory test can assess a client's blood to rule out the possibility of ovarian cancer?

Accepted Answer

Carcinoembryonic antigen 125 (CA-125) is a blood test that can be used to screen for ovarian cancer or monitor treatment for it. Elevated levels of CA-125 can indicate the presence of ovarian cancer, although it is not specific to this type of cancer and can also be elevated in other conditions such as endometriosis or pregnancy.

Question 18

Which medication is associated with the growth of endometrial polyps?

Accepted Answer

Tamoxifen, a medication commonly used in breast cancer treatment and prevention, has been found to increase the risk of endometrial polyps.

Question 19

A woman who has tested positive on a serum beta-human chorionic gonadotropin (b-HCG) test had her last menstrual period on April 18, 2015. What would be the estimated date of childbirth, according to Naegele's rule?

Accepted Answer

The answer of A woman who has tested positive on...

Question 20

While assessing a female client for anomalies of the genital tract, the primary health-care professional observes that the uterus is absent in the client and the vagina is foreshortened. However, the client's breast is normal in shape and contour. Which menstrual disorder would the nurse suspect in the client?

Accepted Answer

Mayer-Rokitansky-Hauser syndrome, also known as vaginal agenesis or Müllerian agenesis, is a condition in which the vagina and uterus do not develop properly. Women with this syndrome typically have normal breasts and external genitalia, but the uterus is either absent or greatly underdeveloped. This results in a shortened vagina and typical menstrual cycles cannot occur because there is no uterus to shed its lining.

Quiz 26: Disorders of the Female Reproductive System