Deck 4: Assessment and Health Promotion

Question 1

Individual irregularities in the ovarian (menstrual)cycle are most often caused by what?

A) Variations in the follicular (preovulatory)phase
B) Intact hypothalamic-pituitary feedback mechanism
C) Functioning corpus luteum
D) Prolonged ischemic phase

Answer 1

Variations in the follicular (preovulatory)phase

Question 2

How would the physiologic process of the sexual response best be characterized?

A) Coitus,masturbation,and fantasy
B) Myotonia and vasocongestion
C) Erection and orgasm
D) Excitement,plateau,and orgasm

Answer 2

Myotonia and vasocongestion

Question 3

A blind woman has arrived for an examination.She appears nervous and says,"I've never had a pelvic examination." What response from the nurse would be most appropriate?

A) "Being visually impaired must be very anxiety producing."
B) "Try to relax.I'll be very gentle,and I promise not to hurt you."
C) "Your anxiety is common.I was anxious when I first had a pelvic examination."
D) "I'll let you touch each instrument I'll be using as I tell you how it will be used."

Answer 3

"I'll let you touch each instrument I'll be using as I tell you how it will be used."

Question 4

What fatty acids (classified as hormones)are found in many body tissues with complex roles in many reproductive functions?

A) GnRH
B) Prostaglandins (PGs)
C) Follicle-stimulating hormone (FSH)
D) Luteinizing hormone (LH)

Question 5

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman replies,"I have special undergarments that I do not remove for religious reasons." Which is the most appropriate response from the nurse?

A) "You can't have an examination without removing all your clothes."
B) "I'll ask the physician to modify the examination."
C) "I'll explain the examination procedure,and then we can discuss how you can comfortably have your examination."
D) "I have no idea how we can accommodate your beliefs."

Question 6

Which female reproductive organ is responsible for cyclic menstruation?

A) Uterus
B) Ovary
C) Vaginal vestibule
D) Urethra

Question 7

A woman tells the nurse that she thinks she has a vaginal infection,and has been using an over-the-counter cream for the past 2 days to treat it.How should the nurse initially respond?

A) Determine when she first noticed the symptoms.
B) Reassure the woman that using vaginal cream is not a problem for the examination.
C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
D) Ask the woman to reschedule the appointment for the examination.

Question 8

Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?

A) Perineum
B) Bony pelvis
C) Vaginal vestibule
D) Fourchette

Question 9

Which part of the menstrual cycle includes the stimulated release of gonadotropin-releasing hormone (GnRH)and follicle-stimulating hormone (FSH)?

A) Menstrual phase
B) Endometrial cycle
C) Ovarian cycle
D) Hypothalamic-pituitary cycle

Question 10

The microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells is called what?

A) Bimanual palpation
B) Rectovaginal palpation
C) Papanicolaou (Pap)test
D) Four As procedure

Question 11

Ovarian function and hormone production decline during which transitional phase?

A) Climacteric
B) Menarche
C) Menopause
D) Puberty

Question 12

Which phase of the endometrial cycle best describes a heavy,velvety soft,fully matured endometrium?

A) Menstrual
B) Proliferative
C) Secretory
D) Ischemic

Question 13

The unique muscle fibers that constitute the uterine myometrium make it ideally suited for what?

A) Menstruation
B) Birth process
C) Ovulation
D) Fertilization

Question 14

Which statement best describes Kegel exercises?

A) Kegel exercises were developed to control or reduce incontinent urine loss.
B) Kegel exercises produce a pleasurable vaginal sensation.
C) Kegel exercises help manage stress.
D) Kegel exercises are ineffective without sufficient calcium in the diet.

Question 15

Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder?

A) Four Cs
B) Dietary Guidelines for Americans
C) SCOFF screening tool
D) Dual-energy x-ray absorptiometry (DEXA)scan

Question 16

Which statement indicates that a client requires additional instruction regarding breast self-examination (BSE)?

A) "Yellow discharge from my nipple is normal if I'm having my period."
B) "I should check my breasts at the same time each month,after my period."
C) "I should also feel in my armpit area while performing my breast examination."
D) "I should check each breast in a set way,such as in a circular motion."

Question 17

Preconception and prenatal care have become important components of women's health.What is the guiding principal of preconception care?

A) Ensure that pregnancy complications do not occur.
B) Identify the woman who should not become pregnant.
C) Encourage healthy lifestyles for families desiring pregnancy.
D) Ensure that women know about prenatal care.

Question 18

What is the goal of a long-term treatment plan for an adolescent with an eating disorder?

A) Managing the effects of malnutrition
B) Establishing sufficient caloric intake
C) Improving family dynamics
D) Restructuring client perception of body image

Question 19

Which hormone is responsible for the maturation of mammary gland tissue?

A) Estrogen
B) Testosterone
C) Prolactin
D) Progesterone

Question 20

Due to the effects of cyclic ovarian changes in the breast,when is the best time for breast self-examination (BSE)?

A) Between 5 and 7 days after menses ceases
B) Day 1 of the endometrial cycle
C) Midmenstrual cycle
D) Any time during a shower or bath

Question 21

Which statements regarding menstruation (periodic uterine bleeding)are accurate? (Select all that apply. )

A) Menstruation occurs every 28 days.
B) During menstruation,the entire uterine lining is shed.
C) Menstruation begins 7 to 10 days after ovulation.
D) Menstruation leads to fertilization.
E) Average blood loss during menstruation is 50 ml.

Question 22

Women of all ages will receive substantial and immediate benefits from smoking cessation.The process is not easy,and most people have attempted to quit numerous times before achieving success.Which organizations provide self-help and smoking cessation materials? (Select all that apply. )

A) Leukemia and Lymphoma Society
B) March of Dimes
C) American Cancer Society
D) American Lung Association
E) Easter Seals

Question 23

A 62-year-old woman has not been to the clinic for an annual examination for 5 years.The recent death of her husband reminded her that she should come for a visit.Her family physician has retired,and she is going to see the women's health nurse practitioner for her visit.What should the nurse do to facilitate a positive health care experience for this client?

A) Remind the woman that she is long overdue for her examination and that she should come in annually.
B) Carefully listen and allow extra time for this woman's health history interview.
C) Reassure the woman that a nurse practitioner is just as good as her old physician.
D) Encourage the woman to talk about the death of her husband and her fears about her own death.

Question 24

Which statement regarding female sexual response is inaccurate?

A) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm.
B) Vasocongestion is the congestion of blood vessels.
C) Orgasmic phase is the final state of the sexual response cycle.
D) Facial grimaces and spasms of the hands and feet are often part of arousal.

Question 25

Many pregnant teenagers wait until the second or third trimester to seek prenatal care.What should the nurse recognize as reasons for this delay? (Select all that apply. )

A) Lack of realization that they are pregnant
B) Uncertainty as to where to go for care
C) Continuing to deny the pregnancy
D) Desire to gain control over their situation
E) Wanting to hide the pregnancy as long as possible

Question 26

What is the primary reason why a woman who is older than 35 years may have difficulty achieving pregnancy?

A) Personal risk behaviors influence fertility.
B) Mature women have often used contraceptives for an extended time.
C) Her ovaries may be affected by the aging process.
D) Pre-pregnancy medical attention is lacking.

Question 27

During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.The correct response by the nurse would be what?

A) Reassure the woman that the examination will reveal any problems.
B) Explain the process of vulvar self-examination and reassure the woman that she should become familiar with normal and abnormal findings during the examination.
C) Reassure the woman that "bumps" can be treated.
D) Reassure her that most women have "bumps" on their labia.

Question 28

Which statement by the client indicates that she understands breast self-examination (BSE)?

A) "I will examine both breasts in two different positions."
B) "I will examine my breasts 1 week after my menstrual period starts."
C) "I will examine only the outer upper area of the breast."
D) "I will use the palm of the hand to perform the examination."

Question 29

What are the two primary functions of the ovary? (Select all that apply. )

A) Normal female development
B) Ovulation
C) Sexual response
D) Hormone production
E) Sex hormone release