Deck 6: Womens Health Problems

Question 1

A nurse is teaching a class on the different types of uterine bleeding. The nurse explains that which of the following is one of the causes of abnormal uterine bleeding?

A) Iron-deficiency anemia
B) Polyps
C) Heavy periods every 2 months
D) Spotting between periods

Answer 1

B

Question 2

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." What is the nurse's best response?

A) "Women with breast cancer often go through several stages of adjustment."
B) "Women with breast cancer cope better than their partners cope."
C) "Women with breast cancer seek multiple opinions before starting treatment."
D) "Women with breast cancer become angry after treatment begins."

Answer 2

A

Question 3

The client's Pap smear result is A S C-U S. Which statement is the best way for the nurse to explain this A S C-U S result?

A) "Abnormal cells of an unknown cause."
B) "Cancer has invaded the upper cervix."
C) "High-grade squamous intraepithelial lesion (H S I L), which includes C I N."
D) "The focus of the Pap smear is the detection of high-risk pregnancy."
E) "The cervical cells are abnormal and the reason why is severe dysplasia and carcinoma in situ."

Answer 3

A

Question 4

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papilloma virus (H P V). Which statement by the nurse conveys an attitude of acceptance toward the client with a sexually transmitted infection?

A) "Don't worry about it. In a few weeks, with treatment, the lesions will disappear."
B) "You seem upset. I'll get the doctor."
C) "You seem upset. Can I help answer any questions?"
D) "I think you need to see a therapist."

Question 5

The client is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome (P C O S). Which problem does the nurse expect to find in the client's history?

A) Multiple first-trimester fetal losses
B) Dyspareunia
C) Vulvitis
D) Oligomenorrhea

Question 6

The 22-year-old client is scheduled for her first gynecologic examination. What can the nurse do to make the client more comfortable during this exam?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Create a trusting atmosphere.
B) Show the client what the speculum looks like.
C) Avoid telling the client what the exam involves.
D) Ask the client why she has delayed her first Pap test this long.
E) Provide a mirror for the client.

Question 7

Which client in the gynecology clinic should the nurse see first?

A) 32-year-old taking gonadotropins, reporting extremity edema
B) 15-year-old, no menses for past 4 months
C) 18-year-old seeking information on contraception methods
D) 31-year-old, taking progestins, reports increasing dyspareunia

Question 8

The nurse is about to tell a client that her Pap smear result was abnormal. Which statement should the nurse include?

A) "The Pap smear is used to diagnose cervical cancer."
B) "A loop electrosurgical excision procedure (L E E P) is needed."
C) "Colposcopy to further examine your cervix is the next step."
D) "Your cervix needs to be treated with cryotherapy."

Question 9

The nurse obtains a health history from four clients. To which client should she give priority for teaching about cervical cancer prevention?

A) Age 37, multiple partners
B) Age 22, abstains from sexual intercourse
C) Age 32, pregnant with twins
D) Age 27, uses female condom

Question 10

The 12-year-old client reports that menarche occurred 5 months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is which of the following?

A) Dysfunctional uterine bleeding (D U B)
B) Diabetes mellitus (D M)
C) Pregnancy
D) Von Willebrand's disease

Question 11

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis. Which question asked by the nurse is appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "Are you having hot flashes?"
B) "Are you experiencing pain during intercourse?"
C) "Is a vaginal discharge present?"
D) "Are you having pain during your period?"
E) "Have you noticed any skin rashes?"

Question 12

The nurse is teaching a client who has been diagnosed with vulvitis. Which statement by the client indicates that the nurse's instruction has not been effective?

A) "I should stop having sexual intercourse."
B) "Non-deodorized tampons could make this condition recur."
C) "Wearing pantyhose daily will improve the problem."
D) "A different brand of soap might eliminate the irritation."

Question 13

A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially?

A) Timing of the symptoms
B) Birth control method
C) Method of breast self-examination
D) Diet history

Question 14

The client with polycystic ovarian syndrome (P C O S) has been prescribed metformin (Glucophage). The nurse tells the client that the medication will do which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "Decrease your excessive hair growth."
B) "Make it easier to lose weight."
C) "Increase your acne."
D) "Improve your chances of pregnancy."
E) "Make your menstrual periods irregular."

Question 15

A woman with polycystic ovarian syndrome (P C O S) is prescribed clomiphene citrate for the treatment of infertility. Which statement does the nurse understand is true?

A) The woman has abnormal ovaries
B) The woman has low prolactin levels
C) The woman's pituitary gland is intact
D) The woman's thyroid gland is normal

Question 16

A client is concerned about her risk for breast cancer. Following the initial history, the nurse identifies which of the following as a high risk factor for breast cancer?

A) History of late menarche and early menopause
B) Sister who has had breast cancer
C) Mother with fibrocystic breast disease
D) Multiparity

Question 17

The client diagnosed with endometriosis asks the nurse whether there are any long-term health risks associated with this condition. The nurse should include which statement in the client teaching about endometriosis?

A) "There are no other health risks associated with endometriosis."
B) "Pain with intercourse rarely occurs as a long-term problem."
C) "You are at increased risk for ovarian and breast cancer."
D) "Most women with this condition develop severe migraines."

Question 18

The nurse has presented a community education class on recommended health screenings for women. Which statement about the Pap smear by a class member indicates that additional teaching is necessary?

A) "It is recommended for women 21 years of age and older."
B) "It diagnoses cervical cancer."
C) "Intercourse at a young age is a risk factor for an abnormal Pap smear."
D) "Detects abnormal cells."

Question 19

The nurse receives a phone call from a 25-year-old woman experiencing breast tenderness in the week prior to her menses, with palpable breast nodularity, without nipple discharge. What is the best response by the nurse?

A) "Please make an appointment at the breast cancer center as soon as possible."
B) "How much salty food do you regularly consume?"
C) "As long as you don't have nipple discharge, it isn't a serious condition."
D) "Eliminate caffeine and chocolate from your diet."

Question 20

The nurse is caring for a client diagnosed with endometriosis. Which statement by the client would require a need for perhaps another treatment option?

A) "I am having many hot flashes since I had the Lupron injection."
B) "The pain I experience with intercourse is becoming more severe."
C) "I have vaginal dryness, reduced libido, and my clitoris has become larger since taking danazol. Is this normal?"
D) "I've noticed I have not had my period on a regular basis since being on ^the G n R H analogs."

Question 21

A patient receiving chemotherapy for breast cancer writes in a journal during the treatments and reads devotional material. Which phase of psychologic adjustment should the nurse identify that this patient is experiencing?

A) Shock
B) Denial
C) Reaction
D) Recovery

Question 22

During an interview the nurse learns that a patient's sister was recently diagnosed with endometrial cancer. What should the nurse review to reduce the patient's risk for developing the same disease process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Smoking cessation
2. Maintain a normal body mass index
3. Consider birth control without estrogen
4. Limit the intake of alcohol to one drink per day
5. Increase exercise to 30 minutes most days of the week

Question 23

The nurse is caring for a female client with a history of pelvic inflammatory disease (P I D) who reports having difficulty conceiving after unprotected sex for over 2 years. Which deviation from the norm does the nurse recognize is most likely the cause of the client's infertility?

A) Non-patent fallopian tube
B) Unfavorable cervical mucus
C) Absence of ovulation
D) Abnormal endometrial preparation

Question 24

A patient is demonstrating manifestations of acute cervicitis. Which laboratory test should the nurse expect to be completed for this patient?

A) Sedimentation rate
B) Blood test for V D R L
C) White blood cell count
D) Vaginal smear for S T Is

Question 25

The nurse is preparing teaching materials for female clients who wish to perform breast self-examination. In which order should the nurse ensure that the teaching materials present the process of inspection?
1. Compare the breasts
2. Study the skin surface
3. Analyze for symmetry
4. Study the shape and direction
5. Look at color, thickening, edema, and venous patterns

Question 26

The nurse is reviewing data collected during a health history and physical assessment and suspects that the patient could be experiencing polycystic ovarian syndrome (P C O S). What information did the nurse use to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Body mass index 31
2. Hair loss and warm moist skin
3. Periods occur every 3 to 4 months
4. Fasting capillary blood glucose 123 m g/d L
5. Inability to become pregnant after 2 years of unprotected intercourse

Question 27

Which of the following systems provides a uniform format and classification of terminology based on current understanding of cervical disease?

A) Levonorgestrel intrauterine
B) P A L M-C O E I N
C) Bethesda
D) B S E

Question 28

The nurse takes a telephone call from a women's health clinic patient. What information should cause the nurse to suspect that the patient is experiencing a cystocele?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Bloody urine
B) Low back pain
C) Onset of stress incontinence
D) Feeling of fullness in the perineum
E) Feels like something "fell out" of the vagina

Question 29

Abdominal hysterectomy is generally recommended for which condition?

A) Severe endometriosis
B) Removal of the ovaries
C) Suspected or confirmed cancer removal
D) Abnormal uterine bleeding

Question 30

A 38-year-old female is scheduled for a laparoscopic-assisted vaginal hysterectomy (L A V H) for severe endometriosis with the removal of both ovaries. What should the nurse expect to be prescribed for this patient postoperatively?

A) Corticosteroid therapy
B) Mineralocorticoid therapy
C) Estrogen replacement therapy
D) Progesterone replacement therapy

Question 31

During a routine physical examination a female patient asks the nurse what can be done to prevent the development of breast cancer. What should the nurse review with the patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Exercise regularly
2. Discuss starting tamoxifen
3. Reduce the intake of red meat
4. Maintain a normal body weight
5. Reduce the intake of dietary fat

Question 32

A female patient is anxious about having a pelvic examination. To help reduce the patient's fears in which order should the nurse explain that the examination will be performed?
1. The speculum is inserted
2. The speculum is removed
3. The perineum is inspected
4. The rectal examination is performed
5. The healthcare provider applies gloves
6. The bimanual examination is performed

Question 33

A patient with a rectocele is experiencing progressive pain and constipation. What should the nurse expect to be indicated for this patient?

A) Enemas
B) Surgery
C) Laxatives
D) Antibiotics

Question 34

During a pelvic examination, a patient is diagnosed with a Bartholin gland cyst. For which treatment should the nurse prepare this patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Pelvic ultrasound
B) Antibiotic therapy
C) Exploratory laparotomy
D) Incision and drainage of the cyst
E) Culture and sensitivity of the discharge