Deck 11: Structural Disorders and Neoplasms of the Reproductive System

Question 1

A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems,as well as sensations of bearing down and of something in her vagina.What condition would the nurse suspect based upon this report?

A) Pelvic relaxation
B) Cystocele
C) Uterine prolapse
D) Genital fistulas

Answer 1

Cystocele

Question 2

Considering the treatment plan for a pregnant woman with gynecologic cancer,which statement about timing or type of treatment is correct?

A) The fetus is most at risk during the first trimester.
B) The fetus is most at risk during the second trimester.
C) The fetus is most at risk during the third trimester.
D) Surgery is riskier than chemotherapy in the first trimester.

Answer 2

The fetus is most at risk during the first trimester.

Question 3

Which ovarian neoplasm is described as a growth that contains hair,teeth,and sebaceous secretions?

A) Ovarian fibroma
B) Dermoid cyst
C) Uterine polyp
D) Follicular cyst

Answer 3

Dermoid cyst

Question 4

Which woman is at the greatest risk for psychologic complications after hysterectomy?

A) 55-year-old woman who has been having abnormal bleeding and pain for 3 years
B) 46-year-old woman who has had three children and has just been promoted at work
C) 62-year-old widow who has three friends who have had uncomplicated hysterectomies
D) 19-year-old woman who had a ruptured uterus after giving birth to her first child

Question 5

A woman has preinvasive cancer of the cervix.Which modality would the nurse discuss as an available option for a client with this condition?

A) Cryosurgery
B) Colposcopy
C) Hysterectomy
D) Internal radiation

Question 6

Which nursing diagnosis fails to address the psychologic effect of these disorders of a client diagnosed with a neoplasm of the reproductive system?

A) Anxiety related to surgical procedures
B) Reduced self-concept,resulting from changes in anatomy
C) Potential for injury,related to lack of skill for self-care
D) Inadequate family processes

Question 7

A postmenopausal woman has been diagnosed with two leiomyomas (fibroids).Which clinical finding is most commonly associated with the presence of leiomyomas?

A) Abnormal uterine bleeding
B) Diarrhea
C) Weight loss
D) Acute abdominal pain

Question 8

The nurse should be aware that a pessary is most effective in the treatment of which disorder?

A) Cystocele
B) Uterine prolapse
C) Rectocele
D) Stress urinary incontinence

Question 9

The client is undergoing treatment for ovarian cancer.Which common nutritional problems are related to gynecologic cancers and the treatment thereof? (Select all that apply. )

A) Stomatitis
B) Constipation
C) Increased appetite
D) Diarrhea
E) Nausea and vomiting

Question 10

A myomectomy is a procedure prescribed for symptom relief of what condition?

A) Numerous small fibroid tumors
B) Bartholin cysts
C) Fibroid tumors near the outer wall of the uterus with a uterine size no larger than at 12 weeks of gestation
D) Leiomyomas in a uterus larger than 14 weeks of gestation

Question 11

Leiomyomas are benign tumors arising from the muscle tissue of the uterus.Which information related to these tumors is accurate? (Select all that apply. )

A) Are rapid growing
B) Are more common in African-American women
C) Are more common in women who have never been pregnant
D) Obesity is a risk factor with leiomyomas
E) Become malignant if left untreated

Question 12

Which woman has the highest risk for endometrial cancer?

A) Postmenopausal woman with hypertension
B) Woman who has an intrauterine device (IUD)
C) Client who has been on birth control for 15 years
D) Perimenopausal woman who has a cystocele

Question 13

The client has undergone hysteroscopic uterine ablation to destroy several smaller fibroids.The nurse is preparing to provide discharge instructions.Which information is a priority for the patient and should be included in the teaching plan? (Select all that apply. )

A) Analgesics and nonsteroidal antiinflammatory drugs can be used for pain control.
B) Vaginal discharge is to be expected for 5 to 7 days.
C) Sexual activity can be resumed after 48 hours.
D) Next menstrual period will be irregular.
E) Provider should be notified if heavy bleeding occurs.

Question 14

Which condition is the most common malignancy of the reproductive system?

A) Endometrial cancer
B) Cervical cancer
C) Ovarian cancer
D) Vulvar and vaginal cancer

Question 15

Which of these interventions should the nurse instruct the client diagnosed with urinary incontinence (UI)to use first?

A) Pelvic floor support devices
B) Pelvic muscle exercises
C) Surgery
D) Medications

Question 16

What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy?

A) Expect to be fully recovered in 4 to 6 weeks.
B) Expect no changes in hormone levels.
C) Expect surgical menopause.
D) Take tub baths to aid in healing.

Question 17

A 48-year-old woman has just had a hysterectomy for endometrial cancer.Which statement alerts the nurse that further teaching is needed?

A) "I can't wait to go on the cruise that I have planned for this summer."
B) "I know that the surgery saved my life,but I will miss having sexual intercourse with my husband."
C) "I have asked my daughter to come and stay with me next week after I am discharged from the hospital."
D) "Well,I don't have to worry about getting pregnant anymore."

Question 18

Which precaution should the nurse take while caring for a client who is undergoing internal radiation therapy for cervical cancer?

A) Wear gloves when assessing the cervical intracavity implant.
B) Instruct the client to urinate in the lead-lined bedpan or "hat" every 2 hours.
C) Prepare the client for an enema before inserting the implant.
D) Limit staff or visitor exposure to 30 minutes or less in an 8-hour period.