Deck 7: Womens Health Problems

Question 1

The nurse is educating a group of women about the manifestations of benign breast conditions. Information discussed includes:

A) Masses rapid in appearance or disappearance.
B) Galactorrhea is common.
C) Galactorrhea is seen with some psychiatric medications.
D) Ulcerations or skin erosions are possible.
E) An increased breast size with dimpling.

Answer 1

Masses rapid in appearance or disappearance.
Galactorrhea is common.
Galactorrhea is seen with some psychiatric medications.

Question 2

A nurse is caring for a patient admitted preoperatively for a bilateral mastectomy. Which statement indicates that this patient is still in the shock phase of adjustment to her diagnosis?

A) "I can't understand why this is happening to me."
B) "I am so happy that my daughter graduates from high school this year."
C) "I know that breast cancer is now part of my life."
D) "I can't believe that I need to lose both of my breasts."

Answer 2

"I can't understand why this is happening to me."

Question 3

The nurse is writing a care plan for a patient with abnormal uterine bleeding (AUB). Goals that the nurse writes include:

A) Preventing or treating anemia.
B) Preventing hyperplasia.
C) Restoring quality of life.
D) Conducting pelvic exams monthly.
E) Analyzing liver and kidney function.

Answer 3

Preventing or treating anemia.
Preventing hyperplasia.
Restoring quality of life.

Question 4

The nurse is teaching a patient who has been diagnosed with vulvitis. Which statement by the patient indicates that the instruction has been effective?

A) "I should stop having sexual intercourse."
B) "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 5

A nurse is providing a patient with instructions regarding breast self-examination (BSE). Which of the following statements by the patient would indicate that the teaching has been successful?

A) "I should perform BSE 1 week prior to the start of my period."
B) "When I reach menopause, I will perform BSE every 2 months."
C) "Knowing the texture of my breasts is important."
D) "I should inspect my breasts while standing with my arms down at my sides."
E) "I should inspect my breasts while in a supine position with my arms at my sides."

Question 6

A patient is at a physician's office following the end of treatment for breast cancer. The patient is not scheduled to receive any more radiation or chemotherapy at this time. With treatment behind her, the patient can now look again to the future. Which phase of psychological adjustment is this patient experiencing?

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

Question 7

The patient's Pap smear result is ASC-US. The best way for the nurse to explain this result is "ASC-US means:

A) "Abnormal squamous cells of undetermined significance."
B) "Cancer has invaded the upper cervix."
C) "A sexually transmitted infection is present."
D) "The Pap should be repeated in 4 months."
E) "The cervical cells are abnormal, but the reason why is unknown."

Question 8

The nurse is scheduling an ultrasound for a 45-year-old woman with a suspected uterine tumor. The nurse includes in the patient's teaching that the most common benign uterine tumor seen in women in their 40s is a:

A) Fibroid tumor.
B) Fibroadenoma.
C) Fibrocystic tumor.
D) Lymphoma.

Question 9

The nurse obtains a health history from four patients. To which one 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 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 consume on a regular basis?"
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 11

A nurse is teaching a class on the different types of uterine bleeding. Abnormal uterine bleeding accounts for 5% to 10% of the cases in an outpatient setting. The nurse explains the abnormal uterine bleeding can be caused by:

A) Iron-deficiency anemia.
B) A disruption in the normal cyclic hormonal pattern of ovulation to the lining of the uterus.
C) Heavy periods every 2 months.
D) Spotting between periods.

Question 12

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The patient states, "First, the cancer seemed unreal. Now I feel like I can cope." The best response of the nurse would be "Women with breast cancer often:

A) "Go through several stages of adjustment."
B) "Cope better than their partners cope."
C) "Seek multiple opinions before starting treatment."
D) "Become angry after treatment begins."

Question 13

The nurse walks in to find the patient crying after the physician informed her of her diagnosis of human papilloma virus (HPV). Which statement by the nurse conveys an attitude of acceptance toward the patient 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 14

The nurse is about to tell a patient 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 (LEEP) is needed."
C) "Colposcopy to further examine your cervix is the next step."
D) "Your cervix needs to be treated with cryotherapy."

Question 15

A patient 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 with premenopausal breast cancer
C) Mother with fibrocystic breast disease
D) Multiparity

Question 16

The 12-year-old patient 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:

A) Dysfunctional uterine bleeding (DUB).
B) Diabetes mellitus (DM).
C) Pregnancy.
D) Von Willebrand's disease.

Question 17

The patient has been found to have vitiligo on her vulva. Which statement indicates that the patient requires additional teaching on this condition?

A) "This can occur in other places on my body."
B) "Vitiligo is only a decrease of pigmentation."
C) "Other serious health conditions are common with vitiligo."
D) "There usually are no other symptoms of this condition."

Question 18

The 22-year-old patient is scheduled for her first gynecologic examination. What can the nurse do to make the patient more comfortable during this exam?

A) Have a female physician perform the exam.
B) Show the patient what the speculum looks like.
C) Avoid telling the patient what the exam involves.
D) Ask the patient why she has delayed her first Pap test this long.
E) Provide a mirror for the patient.

Question 19

A patient 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 20

The nurse interviews a 28-year-old patient with a new medical diagnosis of endometriosis. Which is appropriate?

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 21

The nurse has assessed a patient who is to undergo gynecological surgery. The nurse will determine the nursing diagnosis based upon the patient's:

A) Attitudes about menstruation.
B) Body image.
C) Attitudes about sexuality.
D) Long-term risk reduction.
E) Use of acupuncture.

Question 22

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

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

Question 23

The patient 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 patient 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 24

A 56-year-old patient comes into the gynecology clinic with the complaints of constipation and a protrusion from her vagina. This patient most likely has:

A) A cystocele.
B) A prolapsed uterus.
C) Polycystic ovarian syndrome.
D) A rectocele.

Question 25

A nurse is examining a patient with a potential of polycystic ovarian syndrome. The nurse knows that which diagnostic is the most important indicator to support a diagnosis of polycystic ovarian syndrome?

A) Total estrogen level
B) Waist to chest ratio
C) Hyperandrogenism
D) Hypoinsulinemia

Question 26

The nurse educator is discussing abdominal and vaginal hysterectomy with the students. The one main disadvantage of a vaginal hysterectomy is:

A) More blood loss with the surgery.
B) Increased pain postoperatively.
C) A longer recuperation period.
D) Trauma to the bladder.

Question 27

The nurse working on a postoperative gynecology unit has to be knowledgeable of the psychological concerns of many of her patients. These will most often include:

A) Feelings of loss, grief, and anger.
B) Feelings of euphoria and happiness.
C) Feelings of control and calmness.
D) Feelings of cheerfulness and satisfaction.

Question 28

The nurse in the emergency department is admitting a 22-year-old woman who complains of chills, dizziness, and vomiting. She is in the middle of her period, and has a tampon in place. The nurse suspects toxic shock syndrome, and assesses for the manifestations of:

A) Fever.
B) Rash.
C) Desquamation of skin.
D) Bloating.
E) Urinary frequency and urgency.

Question 29

The nurse is planning a group session for parents who are beginning infertility evaluation. Which statement should be included in this session?

A) "Infertility can be stressful for a marriage."
B) "The doctor will be able to tell why you have not conceived."
C) "Your insurance will pay for the infertility treatments."
D) "Keep communicating with one another through this process."
E) "Taking a vacation usually results in pregnancy."

Question 30

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

A) "Is recommended every year."
B) "Diagnoses cervical cancer."
C) "Can be done every 3 years in some women."
D) "Detects abnormal cells."

Question 31

The patient with polycystic ovarian syndrome (PCOS) has been prescribed metformin (Glucophage). The nurse tells the patient "This medication will:

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 32

The nurse is caring for a patient diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?

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) "My leg has become painful and swollen since I started taking birth control pills."
D) "I've noticed my voice is lower since I started taking danazol."

Question 33

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

A) 22-year-old with fever, hypotensive, using tampons
B) 15-year-old, no menses for past 4 months
C) 18-year-old seeking information on contraception methods
D) 31-year-old, reports increasing dyspareunia.

Question 34

The nurse is caring for a patient who underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy several hours ago. The highest priority for the nurse is to:

A) Monitor blood pressure and pulse.
B) Assess the patient's acceptance of not being able to have children.
C) Teach the patient how to splint her abdomen while taking deep breaths.
D) Verify that the IV pump is working correctly.

Question 35

A patient is diagnosed with a cystocele. The nurse actively listens as the patient talks about which treatment choice to make. The treatment options available to the patient are:

A) Kegel exercises.
B) Vaginal pessaries.
C) Surgical intervention.
D) Estrogen replacement therapy.
E) Bladder training.