Deck 11: Structural Disorders and Neoplasms of the Reproductive System

Question 1

The nurse knows that teaching about external radiation therapy is effective when the woman:

A)Uses ointment to keep her skin from drying out
B)Washes the irradiated area with deodorant soap
C)Eats a diet high in protein and drinks at least 2000 ml of fluid a day
D)Washes off the markings for the radiation site after each treatment

Answer 1

Eats a diet high in protein and drinks at least 2000 ml of fluid a day

Question 2

Structural disorders of the uterus and vagina related to pelvic relaxation and urinary incontinence are a delayed result of childbearing.These defects do not appear in women who have never been pregnant.Is this statement true or false?

Answer 2

False

Question 3

Tumors that are on pedicles (stalks)and present in either the endometrium or cervix are more commonly known as ________________ ______________.

Answer 3

Uterine polyps
The etiology of this type of tumor is unknown,although they may develop in response to hormonal stimulus or be the result of inflammation.Polyps are benign lesions that can be removed surgically.

Question 4

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 5

A ____________________ cyst is a germ cell tumor that contains substances such as hair,teeth,sebaceous secretions,and bones.

Question 6

From the age of menarche to menopause,women remain at risk for structural disorders and neoplasms of the reproductive system.When caring for these clients the nurse must begin by assessing the woman's knowledge of the disorder,its management,and prognosis.This assessment should be followed by a nursing diagnosis.Which diagnosis does not address the psychologic effect of these disorders?

A)Anxiety related to surgical procedures
B)Disturbed body image as a result of changes in anatomy
C)Risk for injury related to lack of skill for self-care
D)Interrupted family processes

Question 7

A postmenopausal woman who is 54 years old has been diagnosed with two leiomyomas.What assessment 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 would be most effective in the treatment of what disorder?

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

Question 9

What is the most common reproductive tract cancer associated with pregnancy?

A)Cervical cancer
B)Uterine cancer
C)Ovarian cancer
D)Fallopian tube cancer

Question 10

Which woman is at high risk for psychologic complications after hysterectomy?

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

Question 11

Nurses who work with clients in hospitals that receive federal funding must know that all clients must be asked if they have knowledge of advance directives and be provided with information if so desired.Is this statement true or false?

Question 12

Your client is undergoing treatment for ovarian cancer.Please identify which common nutritional problems are related to gynecologic cancers and the treatment thereof.

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

Question 13

A woman presents with a possible diagnosis of polycystic ovary syndrome (PCOS).While completing the initial assessment of the client,the nurse understands that clinical manifestations of PCOS might include all except:

A)Anorexia
B)Hirsutism
C)Irregular menses
D)Infertility

Question 14

With regard to planning treatment for a pregnant woman with breast 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 more risky than chemotherapy in the first trimester.

Question 15

During internal radiation therapy for cervical cancer,the nurse should:

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 insertion
D)Limit staff or visitor exposure to 30 minutes or less per 8 hours

Question 16

The prevalence of urinary incontinence (UI)increases as women age,with more than one third of women in the United States suffering from some form of this disorder.The symptoms of mild to moderate UI can be successfully decreased by a number of strategies.Which of these should the nurse instruct the client to use first?

A)Pelvic floor support devices
B)Bladder training and pelvic muscle exercises
C)Surgery
D)Medications