Deck 51: Nursing Assessment: Reproductive System

Question 1

A 22-year-old woman who is scheduled for a routine physical examination tells the nurse she would like a prescription for oral contraceptives. Which information in the patient's history will be most important to report to the health care provider?

A) The patient has not been vaccinated or infected by rubella.
B) The patient has chronic iron-deficiency anemia.
C) The patient had mumps when she was in high school.
D) The patient has had episodes of acute cholecystitis.

Answer 1

The patient has had episodes of acute cholecystitis.

Question 2

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated two pads in the past 2 hours. The nurse estimates that the amount of blood loss is ____ ml.

A) 10 to 20
B) 20 to 30
C) 30 to 40
D) 40 to 60

Answer 2

40 to 60

Question 3

When scheduling a pelvic examination and Pap smear for a patient, the nurse instructs the patient that she should

A) plan to have the Pap smear just after her menstrual period.
B) shower, but not take a tub bath, before the examination.
C) not douche for at least 24 hours before the examination.
D) not have sexual intercourse the day before the Pap smear.

Answer 3

not douche for at least 24 hours before the examination.

Question 4

When caring for a male patient who has had surgical removal of both testes and is taking testosterone replacement, the nurse knows that the alterations in the patient's reproductive function includes

A) impotency.
B) both sterility and impotency.
C) loss of secondary sex characteristics.
D) sterility.

Question 5

A patient in the STD clinic tells the nurse about a recent exposure to syphilis through sexual intercourse. The nurse teaches the patient that the fastest information about syphilis infection will be obtained from

A) Venereal Disease Research Laboratory (VDRL) testing.
B) rapid plasma reagent (RPR) agglutination.
C) examination of a specimen obtained from an active chancre.
D) fluorescent treponemal antibody absorption (FTA-Abs) testing.

Question 6

A 42-year-old man who is taking all of the following medications tells the nurse that he has not been able to function sexually for about a year. The nurse will anticipate teaching the patient about a change in which medication?

A) Propranolol (Inderal) for high blood pressure
B) Atorvastatin (Lipitor) for hyperlipidemia
C) Metformin (Glucophage) for type 2 diabetes
D) Ranitidine (Zantac) for gastroesophageal reflux

Question 7

All these data are obtained by the nurse while performing a physical assessment of a male patient's reproductive system. Which one should be reported to the health care provider?

A) The foreskin is absent.
B) Clear penile discharge is present.
C) One testes hangs lower than the other.
D) Inguinal lymph nodes are nonpalpable.

Question 8

A 19-year-old patient who is being assessed for amenorrhea at the clinic makes all of these statements to the nurse. Which one indicates a need for patient teaching?

A) "I drink at least 3 glasses of non-fat milk every day."
B) "I am not sexually active currently but I have an IUD."
C) "I run 10 to 12 miles every day to keep in shape."
D) "I had a bladder infection once about 3 years ago."

Question 9

During the nursing assessment of a 62-year-old man, the patient tells the nurse that he does not respond to sexual stimulation the way he did when he was younger. The nurse's best response to the patient's comment is,

A) "Erectile dysfunction is a common problem with older men."
B) "Tell me more about how your response has changed."
C) "Interest in sex frequently decreases as men get older."
D) "Many men need more sexual stimulation with aging."

Question 10

A patient considering a vasectomy as a means of contraception asks the nurse what is involved in the procedure. The nurse explains that the structure partially removed is the

A) epididymis.
B) ductus deferens.
C) spermatic cord.
D) ejaculatory duct.

Question 11

Which information found during the physical assessment of a 68-year-old woman should the nurse report to the health care provider?

A) Pendulous breasts
B) Nonpalpable ovaries
C) Serous nipple drainage
D) Atrophy of vaginal tissue

Question 12

A patient calls the clinic and tells the nurse, "My menstrual period is unusually heavy. I have to change my tampon every 4 hours." Which action should the nurse take next?

A) Schedule the patient for an appointment later that day.
B) Have the patient call again if the heavy flow continues.
C) Ask the patient how heavy her menstrual periods usually are.
D) Tell the patient that her flow is not unusually heavy.

Question 13

A 34-year-old patient is hospitalized with acute back pain. He is married and has a 3-year-old son. When the nurse is performing an assessment of the patient's sexuality-reproductive functional health pattern, an appropriate question to initiate a sexual history is,

A) "Do you consider your sex life satisfactory?"
B) "Was your back pain precipitated by sexual activity?"
C) "Have you ever had any problems with your genitourinary system?"
D) "Are you worried that your back pain will affect your sexual activity?"

Question 14

When caring for a patient with an enlarged prostate gland, the nurse monitors the patient for

A) penile discharge.
B) urinary problems
C) constipation.
D) low back pain.

Question 15

When the nurse obtains a health history from a patient, the patient reports that she had cryosurgery 1 year ago. The nurse anticipates that the patient most likely has a history of

A) obstructed fallopian tubes.
B) irregular menstrual cycles.
C) abnormal Pap smear.
D) urge incontinence.

Question 16

A patient with a possible ovarian cyst is scheduled for ultrasound. The nurse will teach the patient that she should

A) not eat or drink for 4 hours before the procedure.
B) experience minimal discomfort during the procedure.
C) discontinue taking aspirin before the procedure.
D) receive IV contrast solution during the procedure.

Question 17

When preparing a patient for colposcopy with a cervical biopsy, the nurse explains to the patient that the procedure

A) will take place in a same-day surgery center so that local anesthesia can be used.
B) involves dilation of the cervix and biopsy of the tissue lining the uterus.
C) is similar to a speculum examination of the cervix and should result in little or no pain.
D) requires that the patient have nothing to eat or drink for 6 hours before the procedure.

Question 18

After a patient has been diagnosed with an obstructed fallopian tube resulting from infection, the nurse will anticipate teaching the patient about

A) possible difficulty in becoming pregnant.
B) use of hormone replacement therapy (HRT).
C) irregularities in the menstrual cycle.
D) changes in secondary sex characteristics.

Question 19

A couple who has not been able to conceive is scheduled for a Huhner test for infertility. In preparation for the test, the nurse will help the couple determine

A) how long to refrain from intercourse before the test.
B) when the estimated time of ovulation will occur.
C) how to obtain a sample of the man's semen.
D) when to take the woman's basal body temperature.