Deck 26: Disorders of the Female Reproductive System

Question 1

A female client reports the presence of tenderness and cystic distention that are most prominent during the progesterone-dominant phase of the menstrual cycle. Needle aspiration reveals the diagnosis of fibrocystic breast disease. Which client teaching by the nurse is accurate?
1)"Taking the prescribed danazol will cure the condition."
2)"You need to have any new cysts aspirated immediately."
3)"You need to be aware of foods that are high in methylxanthines."
4)"This condition is not connected with the possibility of cancer."

Answer 1

3

Question 2

A client diagnosed with dysmenorrhea is prescribed ibuprofen and hormonal contraceptives. Which outcome in the client indicates the effectiveness of the therapy?
1)No painful experience during the first 2 days of the menstrual period
2)No behavioral change during the luteal phase of the menstrual cycle
3)No formation of multiple regions of unreleased egg on the ovarian surface
4)No increase in the laboratory test levels of prostaglandin F

Answer 2

1

Question 3

The nurse reviews a client's medical record and learns the endometrial lining is absent in a client who underwent a dilation and curettage (D&C) abortion. Which syndrome does the nurse recognize in the client?
1)Turner syndrome
2)Sheehan's syndrome
3)Asherman's syndrome
4)Mayer-Rokitansky-Hauser syndrome

Answer 3

3

Question 4

A client with premenstrual syndrome (PMS) is prescribed selective serotonin receptor inhibitors (SSRIs) and nutritional supplements. Which symptom in the client indicates the effectiveness of the therapy?
1)The client has decreased irritability and mood swings.
2)The client no longer experiences painful menstruation.
3)The client's blood report shows no serum beta human chorionic gonadotropin (b-HCG).
4)The client has elevated levels of progesterone.

Question 5

While assessing a female client for anomalies of the genital tract, the health-care professional observes that the uterus is absent and the vagina is foreshortened. However, the client's breast is normal in shape and contour. Which menstrual disorder would the nurse suspect in the client?
1)Dysmenorrhea
2)Mayer-Rokitansky-Hauser syndrome
3)Premenstrual syndrome
4)Menorrhea

Question 6

A female client reports missed menstrual periods after discontinuing hormonal contraceptives. Which reason does the nurse recognize as the cause for the missed menstrual periods?
1)Obstruction in the cervix
2)Damage to the fallopian tube
3)Hypothalamic-pituitary-ovarian dysfunction
4)Extra growth of uterine tissue

Question 7

A female client is admitted to the emergency department with severe lower abdominal pain. Physical assessment reveals adnexal tenderness, and an ectopic pregnancy is suspected. Which test is performed to specifically determine if a tubal rupture has occurred?
1)Abdominal x-ray
2)Culdocentesis
3)Human chorionic gonadotropin (HCG) levels
4)Pelvic ultrasound

Question 8

While assessing a female client at 7 years of age, the health-care provider finds the client has enlargement of the breasts, erection of the nipples, and pubic hair. Which hormonal levels are found to be high in the client?
1)Estrogen
2)Progesterone
3)Pitocin
4)Graafian

Question 9

While assessing a young female client for reproductive disorders, the nurse understands the client has amenorrhea. Which specific question does the nurse ask the client?
1)"Do you have frequent vaginal infections?"
2)"Do you have any thyroid gland disorders?"
3)"Do you have diabetes mellitus?"
4)"Do you have continuous or intermittent pelvic pain?"

Question 10

For which reason is a health-care provider most likely to recommend genetic testing for a female client?
1)Estrogen levels are lower than normal
2)Presence of early menopause manifestations
3)First-degree relative with breast cancer
4)Infertility that is unresponsive to treatment

Question 11

The nurse is teaching adolescent girls about the menstrual cycle. Which comment by an attendee expresses understanding about ovulation?
1)"The actual stimulus for ovulation comes from the brain."
2)"Another commonly used term for menstruation is menarche."
3)"The menstrual cycle consists of the number of days of menstruation."
4)"The rise in progesterone decreases if the ovum is fertilized."

Question 12

A client visits the gynecologist because of pelvic pain and the inability to conceive after trying for 1 year. After reading the results of a pelvic ultrasound, the gynecologist suspects endometriosis. Which prescribed treatment will both confirm and treat the client's condition?
1)Prescribed oral contraceptives
2)Administration of danazol
3)Performance of laparoscopy
4)Continuous progestogen

Question 13

A female client tells a nurse, "I have excessive bleeding that lasts for more than 7 days every time I menstruate." Which menstrual disorder does the nurse suspect in the client?
1)Menorrhagia
2)Metrorrhagia
3)Oligomenorrhea
4)Secondary amenorrhea

Question 14

A female client is diagnosed with infertility due to the production of antibodies against the ovarian tissue. Which treatment does the nurse expect for the client?
1)Estrogen replacement therapy
2)Oral contraceptive therapy
3)Clomiphene citrate
4)Dilatation and curettage surgery

Question 15

The registered nurse is teaching a client with dysmenorrhea about her treatment plan. Which statement made by the client indicates the need for additional teaching?
1)"I should avoid the use of oral contraceptives."
2)"I should take ibuprofen as prescribed."
3)"I should consume a low-fat diet."
4)"I should perform regular exercise."

Question 16

A client is attending an appointment with a new gynecologist. Medical history reveals surgery for uterine fibroids and a family history of ovarian cancer. Which specific test is prescribed for the client?
1)Papanicolaou smear
2)Magnetic resonance imaging (MRI) of the pituitary gland
3)Estrogen and progesterone levels
4)Carcinoembryonic antigen 125 (CA-125)

Question 17

A client who is scheduled for a hysteroscopy asks the nurse about the procedure. Which statement made by the nurse promotes client understanding?
1)"A radiopaque dye is used during a hysteroscopy."
2)"A scope is inserted into the uterus to take a small amount of tissue."
3)"A scope is inserted through a small surgical incision in the abdomen."
4)"A thin telescopic-type device is inserted via the vagina into the uterus."

Question 18

A nurse is caring for a female client at 19 years of age who never had a menstrual cycle. Physical assessment reveals a webbed neck; short stature; and a broad, shieldlike chest. Which is the most probable cause of the client's condition?
1)Turner syndrome
2)Sheehan's syndrome
3)Asherman's syndrome
4)Mayer-Rokitansky-Hauser syndrome

Question 19

A female client at 14 years of age is identified with constitutional growth delay. The client tells a nurse, "I am not getting any taller! I am the same height I was last year!" In which manner does the nurse respond?
1)"I will refer you to an endocrinologist."
2)"You should start taking growth supplements."
3)"You will reach full height by adulthood."
4)"I am afraid you will not grow any taller."

Question 20

The nurse is reviewing the causes and manifestations of perimenopause with a group of staff nurses. Which comment by an attending staff nurse indicates understanding of the difference between perimenopause and menopause?
1)"A normal level of estrogen continues after menopause."
2)"Perimenopause is confirmed by high levels of follicle-stimulating hormone (FSH)."
3)"Menstruation will occur occasionally after menopause."
4)"Perimenopause brings a permanent stage of infertility."

Question 21

The nurse is providing care for a female client who is breastfeeding her newborn. The client reports one beast has become hard, inflamed, and tender. Which treatments does the nurse initiate when the client is diagnosed with mastitis? Select all that apply.
1)Antibiotics
2)Oral analgesics
3)Increased fluids
4)A supportive bra
5)Warm or cold compresses

Question 22

Which complications does the nurse expect in a female client diagnosed with atrophic vaginitis during the perimenopausal stage? Select all that apply.
1)Hot flashes
2)Night sweats
3)Irregular menses
4)Painful sexual intercourse
5)Vaginal yeast infection

Question 23

Prioritize the steps involved in the menstrual cycle. (Enter the number of each step in the proper sequence; do not use commas or spaces.)
1) Ovulation
2) Production of progesterone
3) Formation of the corpus luteum
4) Release of luteinizing hormone
5) Increased follicle-stimulating hormone (FSH)

Question 24

In a client with a uterine disorder, a nurse observes that the endometrial tissue grows inside the muscular layer of the uterus. Which complications will the nurse observe in the client? Select all that apply.
1)Menorrhagia
2)Infertility
3)Pelvic pain
4)Dysmenorrhea
5)Dyspareunia

Question 25

The transabdominal ultrasound examination of a female client shows the presence of fibroid tumors. Which treatment options does the nurse anticipate from the health-care provider to suppress the growth of the tumors? Select all that apply.
1)Myomectomy
2)Hysterectomy
3)Ablation of the endometrium
4)Uterine artery embolization
5)Injection of the hormone gonadotropin-releasing hormone (GnRH)