Deck 47: Disorders of the Female Reproductive System
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Deck 47: Disorders of the Female Reproductive System
1
What response should the nurse give to the parents who are concerned about milk secretion from their male newborn's breasts?
A) "I will alert the doctor because this may indicate a serious problem."
B) "This is normal and should go away soon."
C) "This should only occur in female babies."
D) "This will last for about a year."
A) "I will alert the doctor because this may indicate a serious problem."
B) "This is normal and should go away soon."
C) "This should only occur in female babies."
D) "This will last for about a year."
"This is normal and should go away soon."
2
The nurse would expect to observe which findings in a breastfeeding woman with mastitis?
A) Dimpling of the skin, erythema, and inverted nipple
B) Red, scaly rash and warm, hard mass
C) Tenderness, warmth, and erythema
D) Tenderness, inverted nipple, and red, scaly rash
A) Dimpling of the skin, erythema, and inverted nipple
B) Red, scaly rash and warm, hard mass
C) Tenderness, warmth, and erythema
D) Tenderness, inverted nipple, and red, scaly rash
Tenderness, warmth, and erythema
3
Which statement by a breastfeeding woman with mastitis alerts the nurse to a potential problem?
A) "I am favoring my unaffected breast when I breastfeed."
B) "I should continue to breastfeed because the infection won't spread to my baby."
C) "I will try different positions for breastfeeding."
D) "I need to drink a lot of water."
A) "I am favoring my unaffected breast when I breastfeed."
B) "I should continue to breastfeed because the infection won't spread to my baby."
C) "I will try different positions for breastfeeding."
D) "I need to drink a lot of water."
"I am favoring my unaffected breast when I breastfeed."
4
The nurse is preparing a woman with a breast lump for diagnostic testing. Which of the following is not part of the triple assessment for diagnosis of breast cancer?
A) Clinical examination
B) Mammogram
C) Needle biopsy
D) Magnetic resonance imaging
A) Clinical examination
B) Mammogram
C) Needle biopsy
D) Magnetic resonance imaging
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5
Which patient statement is typical of data collected on patients who have primary dysmenorrhea?
A) "Oral contraceptives have not helped my menstrual pain."
B) "I have heavy and irregular menstrual flow."
C) "Pain during menstruation began when I was 22 years old."
D) "I have always had pain during menstruation."
A) "Oral contraceptives have not helped my menstrual pain."
B) "I have heavy and irregular menstrual flow."
C) "Pain during menstruation began when I was 22 years old."
D) "I have always had pain during menstruation."
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6
A woman describes her bleeding during menstruation as abnormally heavy. The nurse explains that this condition is called:
A) menorrhagia.
B) metrorrhagia.
C) menometrorrhagia.
D) dysmenorrhea.
A) menorrhagia.
B) metrorrhagia.
C) menometrorrhagia.
D) dysmenorrhea.
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7
Which of the following descriptions of symptoms would alert the nurse to a diagnosis of premenstrual syndrome?
A) Symptoms are present for 5 days before menstruation begins, symptoms end within 2 days after menstrual cycle starts
B) Symptoms are present for 5 days before menstruation begins, symptoms are present for at least three consecutive menstrual cycles
C) Symptoms are present for 2 days before menstruation begins, symptoms are present for at least six consecutive menstrual cycles
D) Symptoms are present for 2 days before menstruation begins, symptoms end within 4 days after menstrual cycle starts
A) Symptoms are present for 5 days before menstruation begins, symptoms end within 2 days after menstrual cycle starts
B) Symptoms are present for 5 days before menstruation begins, symptoms are present for at least three consecutive menstrual cycles
C) Symptoms are present for 2 days before menstruation begins, symptoms are present for at least six consecutive menstrual cycles
D) Symptoms are present for 2 days before menstruation begins, symptoms end within 4 days after menstrual cycle starts
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8
Which findings would the nurse expect when assessing a woman with polycystic ovary syndrome?
A) Acanthosis nigricans and small ovaries
B) Hirsutism and acne
C) Hypotension and linea nigra
D) Enlarged ovaries and lack of body hair
A) Acanthosis nigricans and small ovaries
B) Hirsutism and acne
C) Hypotension and linea nigra
D) Enlarged ovaries and lack of body hair
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9
A woman, who has just been diagnosed with stage II endometriosis, asks the nurse what the diagnosis means. The nurse explains that in stage II endometriosis:
A) there is minimal invasion of endometrial tissue.
B) there is deeper implantation of into the endometrial tissue.
C) there are many deep implants into the tissue with involvement of the ovaries and some adhesions.
D) there are many deep implants, involvement of the ovaries, and deep adhesions in the rectum.
A) there is minimal invasion of endometrial tissue.
B) there is deeper implantation of into the endometrial tissue.
C) there are many deep implants into the tissue with involvement of the ovaries and some adhesions.
D) there are many deep implants, involvement of the ovaries, and deep adhesions in the rectum.
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10
The nurse is teaching a community program about endometrial cancer. Which risk factors does the nurse include?
A) Obesity
B) Multiparity
C) Late onset menarche
D) Low-fat diet
A) Obesity
B) Multiparity
C) Late onset menarche
D) Low-fat diet
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11
Which of the following should the nurse include in the teaching plan for a patient with cervicitis?
A) This condition is never caused by a sexually transmitted infection.
B) Sexual partners do not need to be tested for sexually transmitted diseases.
C) The infection is confined to the cervix.
D) Chlamydia is a common cause of cervicitis.
A) This condition is never caused by a sexually transmitted infection.
B) Sexual partners do not need to be tested for sexually transmitted diseases.
C) The infection is confined to the cervix.
D) Chlamydia is a common cause of cervicitis.
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12
Which of the following statements made by a patient with cervical cancer indicates to the nurse that more teaching is needed?
A) "This cancer is caused by HPV."
B) "Multiple sexual partners increased my risk for HPV."
C) "HPV does not increase my risk for HIV."
D) "HPV places me at risk for other sexually transmitted infections."
A) "This cancer is caused by HPV."
B) "Multiple sexual partners increased my risk for HPV."
C) "HPV does not increase my risk for HIV."
D) "HPV places me at risk for other sexually transmitted infections."
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13
Which recommendation should the nurse at a women's center on a college campus give to women during a health and wellness presentation?
A) HPV vaccination is recommended for most college-age women.
B) Women should undergo Pap smear testing beginning at age 16.
C) Women should begin Pap smear testing within 5 years of beginning sexual activity.
D) HPV vaccination is only indicated before age 21.
A) HPV vaccination is recommended for most college-age women.
B) Women should undergo Pap smear testing beginning at age 16.
C) Women should begin Pap smear testing within 5 years of beginning sexual activity.
D) HPV vaccination is only indicated before age 21.
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14
Which statement by a 34-year-old woman, who has been trying to get pregnant, indicates to the nurse that more teaching is needed?
A) "My husband may also contribute to my infertility."
B) "I have infertility because I have had unprotected sex for at least a year without conceiving."
C) "I have infertility because I have been trying to get pregnant for 6 months. "
D) "Cervical stenosis can contribute to my infertility."
A) "My husband may also contribute to my infertility."
B) "I have infertility because I have had unprotected sex for at least a year without conceiving."
C) "I have infertility because I have been trying to get pregnant for 6 months. "
D) "Cervical stenosis can contribute to my infertility."
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15
Which response should the nurse give when a woman shares that she has never had an orgasm?
A) "Some women never have an orgasm."
B) "It is not necessary for you to have an orgasm in order to be healthy."
C) "Tell me more about this."
D) "This problem does not involve your sexual partner."
A) "Some women never have an orgasm."
B) "It is not necessary for you to have an orgasm in order to be healthy."
C) "Tell me more about this."
D) "This problem does not involve your sexual partner."
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16
Which of the following laboratory values would the nurse anticipate might occur in a patient with galactorrhea?
A) Decreased TSH levels
B) Elevated estradiol levels
C) Elevated serum gonadotropin levels
D) Elevated prolactin levels
A) Decreased TSH levels
B) Elevated estradiol levels
C) Elevated serum gonadotropin levels
D) Elevated prolactin levels
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17
The nurse is participating in a community health fair and is teaching risk factors for breast cancer. Which statement is the nurse most likely to make?
A) "Menopause after age 55 increases the risk of breast cancer."
B) "Overuse of alcohol does not increase the risk of breast cancer."
C) "Menarche after age 15 increases the risk of breast cancer."
D) "A first- or second-degree relative with breast cancer before age of 50 increases the risk of breast cancer."
A) "Menopause after age 55 increases the risk of breast cancer."
B) "Overuse of alcohol does not increase the risk of breast cancer."
C) "Menarche after age 15 increases the risk of breast cancer."
D) "A first- or second-degree relative with breast cancer before age of 50 increases the risk of breast cancer."
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18
Which statement by a woman with breast cancer indicates that more teaching about treatment is needed?
A) "Staging the cancer helps guide treatment."
B) "Because my friend didn't have chemotherapy after lumpectomy, I am not expecting chemotherapy either."
C) "Because I have the BRCA1 gene, I am considering having both breasts removed."
D) "Hormone therapy won't work because my cancer doesn't have hormone receptors."
A) "Staging the cancer helps guide treatment."
B) "Because my friend didn't have chemotherapy after lumpectomy, I am not expecting chemotherapy either."
C) "Because I have the BRCA1 gene, I am considering having both breasts removed."
D) "Hormone therapy won't work because my cancer doesn't have hormone receptors."
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19
Which of the following information should the nurse not include in a women's breast health program?
A) Breast tissue changes throughout the menstrual cycle.
B) Nonproliferative benign breast disease raises the risk of breast cancer.
C) Many women develop benign breast disease during their lifetime.
D) One in eight women in the United States will be diagnosed with breast cancer.
A) Breast tissue changes throughout the menstrual cycle.
B) Nonproliferative benign breast disease raises the risk of breast cancer.
C) Many women develop benign breast disease during their lifetime.
D) One in eight women in the United States will be diagnosed with breast cancer.
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20
Which of the following statements by a woman with a follicular ovarian cyst indicates that more teaching is needed?
A) "What is the prognosis for this type of cancer?"
B) "The cyst formed during a surge of FSH and a drop in LH before ovulation."
C) "My CA-125 test was negative so it is likely my cyst is benign."
D) "Because my cyst is small, I will need to follow up in a few months to see if it has grown."
A) "What is the prognosis for this type of cancer?"
B) "The cyst formed during a surge of FSH and a drop in LH before ovulation."
C) "My CA-125 test was negative so it is likely my cyst is benign."
D) "Because my cyst is small, I will need to follow up in a few months to see if it has grown."
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