Question 1

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old client. You expect the initial treatment to include:

Accepted Answer

A)  beginning hormone therapy. 
B)  scheduling a laparoscopy to remove the cyst. 
C)  examining the client after her next menstrual period. 
D)  aspirating the cyst and sending the fluid to pathology. 
A)  beginning hormone therapy. 
B)  scheduling a laparoscopy to remove the cyst. 
C)  examining the client after her next menstrual period. 
D)  aspirating the cyst and sending the fluid to pathology. C

Question 2

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:

Accepted Answer

A)  "Men are not usually sympathetic to PMS sufferers." 
B)  "You are probably right. You should remind your doctor of your symptoms every time you visit." 
C)  "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." 
D)  "You should keep a daily record of the occurrence and severity of your symptoms for 3 months." 
A)  "Men are not usually sympathetic to PMS sufferers." 
B)  "You are probably right. You should remind your doctor of your symptoms every time you visit." 
C)  "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." 
D)  "You should keep a daily record of the occurrence and severity of your symptoms for 3 months." D

Question 3

Which client is most at risk for fibroadenoma of the breast?

Accepted Answer

A)  Janice, 38 years old 
B)  Helen, 50 years old 
C)  Mary, 16 years old 
D)  Anna, 27 years old 
A)  Janice, 38 years old 
B)  Helen, 50 years old 
C)  Mary, 16 years old 
D)  Anna, 27 years old C

Question 4

A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:

Accepted Answer

A)  "No, it is part of the aging process." 
B)  "Water-soluble vaginal lubricants may provide relief." 
C)  "You need to be evaluated for a sexually transmitted disease." 
D)  "You may have vaginal scar tissue that is producing the discomfort." 
A)  "No, it is part of the aging process." 
B)  "Water-soluble vaginal lubricants may provide relief." 
C)  "You need to be evaluated for a sexually transmitted disease." 
D)  "You may have vaginal scar tissue that is producing the discomfort."

Question 5

A 38-year-old client presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the client, this presentation has occurred off and on for several years, but the pain has increased. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each breast tissue. The areas of concern are approximately 2 cm in size. Based on this assessment, what diagnostic testing would be required? (Select all that apply.)

Accepted Answer

A)  Ultrasound examination 
B)  Open biopsy 
C)  Fine-needle aspiration (FN
A)  biopsy 
D)  CBC with differential 
E)  Mammogram 
A)  Ultrasound examination 
B)  Open biopsy 
C)  Fine-needle aspiration (FN
A)  biopsy 
D)  CBC with differential 
E)  Mammogram

Question 6

Which statement is true about primary dysmenorrhea?

Accepted Answer

A)  Primary dysmenorrhea is experienced by all women. 
B)  It is unaffected by oral contraceptives. 
C)  It occurs in young multiparous women. 
D)  It may be caused by excessive endometrial prostaglandin. 
A)  Primary dysmenorrhea is experienced by all women. 
B)  It is unaffected by oral contraceptives. 
C)  It occurs in young multiparous women. 
D)  It may be caused by excessive endometrial prostaglandin.

Question 7

Which are the most common sites of breast cancer metastasis?

Accepted Answer

A)  Kidneys 
B)  Bones and liver 
C)  Heart and blood vessels 
D)  Central nervous system 
A)  Kidneys 
B)  Bones and liver 
C)  Heart and blood vessels 
D)  Central nervous system

Question 8

Which statement by a client diagnosed with premenstrual syndrome indicates that further health teaching is needed?

Accepted Answer

A)  "I will not eat chips or pickles." 
B)  "I'll eat only three meals per day." 
C)  "Drinking alcohol makes me more depressed." 
D)  "Coffee and chocolate can make me more irritable and nervous." 
A)  "I will not eat chips or pickles." 
B)  "I'll eat only three meals per day." 
C)  "Drinking alcohol makes me more depressed." 
D)  "Coffee and chocolate can make me more irritable and nervous."

Question 9

Which option could be used for the treatment and management of a client who reports mild pain associated with a clinical diagnosis of fibrocystic breast disease?

Accepted Answer

A)  Chamomile tea as a relaxant therapy 
B)  Danazol (Danocrine) 
C)  Tamoxifen (Nolvadex) 
D)  Over-the-counter nonsteroidal antiinflammatory drug (NSAI
D)  therapy 
A)  Chamomile tea as a relaxant therapy 
B)  Danazol (Danocrine) 
C)  Tamoxifen (Nolvadex) 
D)  Over-the-counter nonsteroidal antiinflammatory drug (NSAI
D)  therapy

Question 10

Which should the nurse stress in teaching a client to deal with the symptoms of PMS?

Accepted Answer

A)  Decrease her consumption of caffeine. 
B)  Drink a small glass of wine with her evening meal. 
C)  Decrease her fluid intake to prevent fluid retention. 
D)  Eat three large meals a day to maintain glucose levels. 
A)  Decrease her consumption of caffeine. 
B)  Drink a small glass of wine with her evening meal. 
C)  Decrease her fluid intake to prevent fluid retention. 
D)  Eat three large meals a day to maintain glucose levels.

Question 11

You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?

Accepted Answer

A)  Documentation of a pessary in the operative procedure notes by the physician 
B)  Removal of vaginal packing as ordered by the physician 
C)  Use of a cell saver for transfusion therapy in the postoperative period 
D)  Order for removal of staples 2 to 3 days post-procedure 
A)  Documentation of a pessary in the operative procedure notes by the physician 
B)  Removal of vaginal packing as ordered by the physician 
C)  Use of a cell saver for transfusion therapy in the postoperative period 
D)  Order for removal of staples 2 to 3 days post-procedure

Question 12

Which should the nurse teach to assist a client to regain control of her urinary sphincter?

Accepted Answer

A)  Do Kegel exercises. 
B)  Void every hour while awake. 
C)  Drink 8 to 10 glasses of water each day. 
D)  Allow the bladder to become distended before voiding. 
A)  Do Kegel exercises. 
B)  Void every hour while awake. 
C)  Drink 8 to 10 glasses of water each day. 
D)  Allow the bladder to become distended before voiding.

Question 13

A benign breast condition that includes dilation and inflammation of the collecting ducts is:

Accepted Answer

A)  fibroadenoma. 
B)  ductal ectasia. 
C)  intraductal papilloma. 
D)  chronic cystic disease. 
A)  fibroadenoma. 
B)  ductal ectasia. 
C)  intraductal papilloma. 
D)  chronic cystic disease.

Question 14

The drug of choice to treat gonorrhea is:

Accepted Answer

A)  penicillin G (Pfizerpen). 
B)  tetracycline (Achromycin). 
C)  ceftriaxone (Rocephin). 
D)  acyclovir (Zovirax). 
A)  penicillin G (Pfizerpen). 
B)  tetracycline (Achromycin). 
C)  ceftriaxone (Rocephin). 
D)  acyclovir (Zovirax).

Question 15

Which client is most likely to have osteoporosis?

Accepted Answer

A)  A 50-year-old client on estrogen therapy 
B)  A 55-year-old client with a sedentary lifestyle 
C)  A 65-year-old client who walks 2 miles each day 
D)  A 60-year-old client who takes supplemental calcium 
A)  A 50-year-old client on estrogen therapy 
B)  A 55-year-old client with a sedentary lifestyle 
C)  A 65-year-old client who walks 2 miles each day 
D)  A 60-year-old client who takes supplemental calcium

Question 16

Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?

Accepted Answer

A)  Radical mastectomy procedure 
B)  Radiation therapy 
C)  Sentinel lymph node mapping 
D)  Ultrasound 
A)  Radical mastectomy procedure 
B)  Radiation therapy 
C)  Sentinel lymph node mapping 
D)  Ultrasound

Question 17

A client with a history of a cystocele should contact the physician if she experiences:

Accepted Answer

A)  backache. 
B)  constipation. 
C)  urinary frequency and burning. 
D)  involuntary loss of urine when she coughs. 
A)  backache. 
B)  constipation. 
C)  urinary frequency and burning. 
D)  involuntary loss of urine when she coughs.

Question 18

In reviewing genetic testing for a female client, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?

Accepted Answer

A)  There is no increased likelihood that the client will develop breast or ovarian cancer. 
B)  There is an increased likelihood only for the development of breast cancer in a woman. 
C)  More information is needed to interpret these findings based on the client's family history and the client's current and past medical history. 
D)  A radical bilateral mastectomy is required immediately because the cancer may have already undergone sub-metastasis. 
A)  There is no increased likelihood that the client will develop breast or ovarian cancer. 
B)  There is an increased likelihood only for the development of breast cancer in a woman. 
C)  More information is needed to interpret these findings based on the client's family history and the client's current and past medical history. 
D)  A radical bilateral mastectomy is required immediately because the cancer may have already undergone sub-metastasis.

Question 19

Which sexually transmitted disease can be cured?

Accepted Answer

A)  Herpes 
B)  AIDS 
C)  Chlamydia 
D)  Venereal warts 
A)  Herpes 
B)  AIDS 
C)  Chlamydia 
D)  Venereal warts

Exam 34: Women's Health Problems

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old client. You expect the initial treatment to include:

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:

Which client is most at risk for fibroadenoma of the breast?

A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:

Which statement is true about primary dysmenorrhea?

Which are the most common sites of breast cancer metastasis?

Which statement by a client diagnosed with premenstrual syndrome indicates that further health teaching is needed?

Which option could be used for the treatment and management of a client who reports mild pain associated with a clinical diagnosis of fibrocystic breast disease?

Which should the nurse stress in teaching a client to deal with the symptoms of PMS?

You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?

Which should the nurse teach to assist a client to regain control of her urinary sphincter?

A benign breast condition that includes dilation and inflammation of the collecting ducts is:

The drug of choice to treat gonorrhea is:

Which client is most likely to have osteoporosis?

Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?

A client with a history of a cystocele should contact the physician if she experiences:

In reviewing genetic testing for a female client, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?

Which sexually transmitted disease can be cured?

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

Infertility

Preventive Care for Women

Infertility

Preventive Care for Women

Women's Health Problems

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