Question 1

The nurse is caring for a patient recovering from a hysterectomy earlier in the day.Four hours later,the woman is unable to urinate.What assessment should the nurse use to determine bladder distention and be comfortable for the patient?

Accepted Answer

Assess bladder fullness using Doppler monitoring or scratch test (listening with a stethoscope,lightly scratch abdomen as you move downward from xiphoid until you hear change in sound indicating the top of the bladder).B.C.D.Palpation and percussion can be uncomfortable near an incision and over a full bladder.

Question 2

After collecting data the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome.What findings did the nurse use to make this decision? (Select all that apply.)

Accepted Answer

Individuals with toxic shock syndrome may experience a sore throat,rash,blisters,and petechiae,followed by peeling of the skin,redness of the palms and soles of the feet and muscle pain and weakness.C.Fluid retention is not a manifestation of toxic shock syndrome.

Question 3

The nurse is providing care for a woman with trichomoniasis who is being treated with metronidazole (Flagyl).Which patient statements indicate that teaching has been effective? (Select all that apply.)

Accepted Answer

The patient should be instructed to avoid alcohol use while on medication and for 48 hours after completion because concurrent use of alcohol and metronidazole will induce severe nausea and vomiting.The patient should use the medication as directed,even if symptoms cease.The medication should be taken with meals,and the partner needs to be treated.A.B.A metallic taste is not identified as a side effect of this medication and it should be taken with meals.

Question 4

The nurse is assisting a new mother who returns to a clinic for a 6-week visit.What instructions about birth control should the nurse provide?

Accepted Answer

Breastfeeding is sometimes used as a method of birth control because the high blood levels of prolactin that occur with breastfeeding may suppress ovulation.This method costs nothing but is not very effective.A.Breastfeeding may suppress ovulation so the ability to conceive may be altered.B.Even when breastfeeding the patient may begin ovulating and pregnancy can occur.C.Avoiding intercourse while breastfeeding is unrealistic.

Question 5

A female patient approaching menopause asks about the use of hormone replacement therapy.Which findings from a study on hormone replacement therapy should the nurse explain to the patient? (Select all that apply.)

Accepted Answer

Research on HRT has shown a 26% increase in breast cancer,a 41% increase in strokes,a 29% increase in heart attacks,doubling of venous thromboembolism rates,and an overall 22% increase in cardiovascular disease.Positive findings with HRT included a one-third reduction in hip fractures,a 24% reduction in total fractures,and a 37% decrease in colorectal cancer.

Question 6

A 42-year-old woman is tearful after a hysterectomy.What information should the nurse use to respond appropriately to the patient?

Accepted Answer

Patients may grieve at the loss of reproductive status,regardless of age.D.Not having periods does not necessarily negate the pain of loss.B.Some women are able to have children after the age of 42.C.Hysterectomy is traumatic for any female patient of any age.

Question 7

The nurse is concerned that a female patient is at risk for developing cervical cancer.What risk factors for cervical cancer did the nurse assess in the patient? (Select all that apply.)

Accepted Answer

Some identified risk factors for development of cervical cancer include smoking,having multiple sexual partners,being infected with the herpes simplex virus type II,and being infected with human papillomavirus.B.Having no children does not increase the risk for this type of cancer.C.Using barrier contraceptives may reduce the risk of this type of cancer.

Question 8

A health care provider (HCP)is anticipating the use of RU-486 to provide a chemically induced abortion for a patient.What information should the nurse obtain from the patient before this medication is provided?

Accepted Answer

RU-486 is a progestin antagonist that prevents the binding of progestins at their receptors,resulting in a chemically induced abortion.It must be used within 63 days after the first day of the woman's last period.Pregnancy must be confirmed along with how far pregnant a woman is prior to medical abortion.A.B.D.The type of contraception used,the date of the patient's first missed period,and the average times the bladder is emptied in one day is not essential information to receive this medication for a chemical abortion.

Question 9

A female patient asks what can be done to reduce symptoms associated with menopause.What should the nurse suggest to this patient? (Select all that apply.)

Accepted Answer

The nurse should teach the patient who is perimenopausal to eat a healthy diet that is light in caffeine,sugar,and alcohol.The patient should also plan ahead for hot flashes by dressing in layers of clothing that may be removed.B.Looking forward to new challenges rather than toward the past may help to counteract hormone-related depressive tendencies.E.Vaginal symptoms can be treated with a water-soluble moisture restorer or lubricant,or with an estrogen cream if prescribed.

Question 10

The nurse is caring for a woman who has just had an uncomplicated abortion.What instructions should the nurse provide? (Select all that apply.)

Accepted Answer

The patient should be instructed to notify the physician if bleeding lasts longer than 3 days.Bleeding should not exceed that of a heavy period.The patient should abstain from sexual intercourse for the time specified by the HCP,usually 3 weeks.C.The discharge should not have a foul odor.D.Clots larger than a golf ball should be reported.E.A fever is not expected after an abortion and should be reported to the HCP.

Question 11

The nurse is caring for a patient who is breastfeeding and receiving antibiotics for mastitis.What should be included in the patient's teaching? (Select all that apply.)

Accepted Answer

Patient teaching should include instructions to wash hands carefully to prevent the spread of infection.D.If the patient is breastfeeding,breastfeeding is often continued to promote drainage of the breast,mother/infant bonding,and infant nutrition.The infant is often already colonized with the bacteria,so further exposure is not thought to be detrimental.Frequent changes in feeding positions can help empty the entire breast.C.Cool packs will reduce blood flow,which is not desirable.NSAIDs,warm packs,and breast supports are often used to control pain and swelling.

Question 12

The nurse is providing care for a patient after a hysterectomy.Which interventions are appropriate to prevent constipation? (Select all that apply.)

Accepted Answer

Fluids,fiber,and exercise all help relieve constipation.E.Opioid analgesics are constipating but should be given to control the patient's pain and prevent additional complications related to pain and immobility.Stool softeners may be ordered if no complication related to the surgery is present.B.Increased protein intake will not help prevent constipation.

Question 13

The nurse is caring for a patient with primary dysmenorrhea.Which medication should the nurse anticipate being prescribed because it blocks prostaglandin synthesis?

Accepted Answer

Primary dysmenorrhea may be treated with drugs that inhibit prostaglandin synthesis,such as aspirin and NSAIDs.B.C.Vitamins and antacids will not relieve symptoms of dysmenorrhea.D.Morphine use is reserved for acute or severe pain,not generally for chronic conditions like dysmenorrhea.

Question 14

A patient who is 6 weeks pregnant is contemplating having an abortion.What methods of abortion should the nurse explain as most commonly used to terminate a pregnancy of less than 14 weeks? (Select all that apply.)

Accepted Answer

Early in a pregnancy (during approximately the first 13 weeks),there are three primary means of pregnancy termination-menstrual extraction,vacuum aspiration,and D & C.B.E.D & E and saline induction may be used later in pregnancy.

Question 15

A patient is diagnosed with polycystic ovary syndrome.When preparing teaching for this patient,which hormone should the nurse explain as being too abundant in the patient's body?

Accepted Answer

Many of the symptoms of PCOS are a result of excessive levels of insulin in the blood because of insulin resistance.Excess insulin,in turn,stimulates secretion of androgens.B.D.D.ADH,GH,and thyroxine are not believed to cause the symptoms.

Question 16

The nurse notes that a female patient has been treated for vaginal yeast infections 6 times in one year.For which additional health problem should the nurse suspect the patient should be evaluated?

Accepted Answer

Frequent and persistent yeast infections can be one sign of HIV infection.B.C.D.Chronic vaginal yeast infections are not associated with hepatitis B,tuberculosis,or chronic inflammation.

Question 17

A patient is scheduled for a hysterectomy and bilateral salpingo-oophorectomy.She asks what this means.How should the nurse respond?

Accepted Answer

Removal of the uterus,the tubes,and ovaries is called total abdominal hysterectomy with bilateral salpingo-oophorectomy,or panhysterectomy.C.Removal of the uterus alone is called hysterectomy.A.Bladder suspension is a separate procedure.D.The ovaries are removed with the fallopian tubes in a bilateral salpingo-oophorectomy.

Question 18

An adolescent comes into the emergency department requesting the "morning-after pill." What should the nurse assess in this patient?

Accepted Answer

The "morning-after pill," or emergency contraceptive treatment,consists of postcoital administration of sufficient estrogen or an estrogen/progestin combination to cause sudden sloughing of the endometrial lining of the uterus,preventing implantation of a possibly fertilized ovum.For this to be effective,the initial dose is generally given within 72 hours of intercourse.A.D.The patient's age and location of the parents is not important at this time.C.If the patient used contraception,the morning-after pill would not be needed.

Question 19

The nurse is assisting in the preparation of an educational seminar about breast pathology.What characteristics of cancerous breast lesions should the nurse include in this teaching? (Select all that apply.)

Accepted Answer

Cancerous growths tend to be harder,less mobile,less painful,more irregularly shaped,and have less clearly defined borders than benign growths.

Question 20

The nurse is providing care for a woman experiencing premenstrual syndrome (PMS).Which nursing actions should be included in the plan of care? (Select all that apply.)

Accepted Answer

Measures to reduce the effects of PMS include avoiding nicotine,limiting alcohol intake,and participating in regular exercise.C.Small frequent meals are not necessary.E.Simple sugars should be limited.F.Caffeine should be restricted.

Quiz 42: Nursing Care of Women With Reproductive System Disorders