Deck 34: Women's Health Problems

Question 1

Which client is most at risk for fibroadenoma of the breast?

A) Janice, 38 years old
B) Helen, 50 years old
C) Mary, 16 years old
D) Anna, 27 years old

Answer 1

Mary, 16 years old

Question 2

In reviewing genetic testing for a female client, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?

A) There is no increased likelihood that the client will develop breast or ovarian cancer.
B) There is an increased likelihood only for the development of breast cancer in a woman.
C) More information is needed to interpret these findings based on the client's family history and the client's current and past medical history.
D) A radical bilateral mastectomy is required immediately because the cancer may have already undergone sub-metastasis.

Answer 2

More information is needed to interpret these findings based on the client's family history and the client's current and past medical history.

Question 3

Which should the nurse teach to assist a client to regain control of her urinary sphincter?

A) Do Kegel exercises.
B) Void every hour while awake.
C) Drink 8 to 10 glasses of water each day.
D) Allow the bladder to become distended before voiding.

Answer 3

Do Kegel exercises.

Question 4

Which should the nurse stress in teaching a client to deal with the symptoms of PMS?

A) Decrease her consumption of caffeine.
B) Drink a small glass of wine with her evening meal.
C) Decrease her fluid intake to prevent fluid retention.
D) Eat three large meals a day to maintain glucose levels.

Question 5

Which option could be used for the treatment and management of a client who reports mild pain associated with a clinical diagnosis of fibrocystic breast disease?

A) Chamomile tea as a relaxant therapy
B) Danazol (Danocrine)
C) Tamoxifen (Nolvadex)
D) Over-the-counter nonsteroidal antiinflammatory drug (NSAID) therapy

Question 6

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:

A) "Men are not usually sympathetic to PMS sufferers."
B) "You are probably right. You should remind your doctor of your symptoms every time you visit."
C) "Since you feel certain you are right, you should just treat yourself with over-the-counter medications."
D) "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."

Question 7

Which client is most likely to have osteoporosis?

A) A 50-year-old client on estrogen therapy
B) A 55-year-old client with a sedentary lifestyle
C) A 65-year-old client who walks 2 miles each day
D) A 60-year-old client who takes supplemental calcium

Question 8

Which statement is true about primary dysmenorrhea?

A) Primary dysmenorrhea is experienced by all women.
B) It is unaffected by oral contraceptives.
C) It occurs in young multiparous women.
D) It may be caused by excessive endometrial prostaglandin.

Question 9

Which statement by a client diagnosed with premenstrual syndrome indicates that further health teaching is needed?

A) "I will not eat chips or pickles."
B) "I'll eat only three meals per day."
C) "Drinking alcohol makes me more depressed."
D) "Coffee and chocolate can make me more irritable and nervous."

Question 10

Which sexually transmitted disease can be cured?

A) Herpes
B) AIDS
C) Chlamydia
D) Venereal warts

Question 11

A client with a history of a cystocele should contact the physician if she experiences:

A) backache.
B) constipation.
C) urinary frequency and burning.
D) involuntary loss of urine when she coughs.

Question 12

You are teaching a group of adolescents about myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group with regard to contraception?

A) Adolescents are more likely to become pregnant even if they use available contraception methods correctly.
B) The withdrawal technique provides a higher likelihood that a teen will not get pregnant.
C) Pregnancy can occur in the presence or absence of orgasm.
D) Pregnancy can occur even if a teen is menstruating at the time of coitus.

Question 13

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old client. You expect the initial treatment to include:

A) beginning hormone therapy.
B) scheduling a laparoscopy to remove the cyst.
C) examining the client after her next menstrual period.
D) aspirating the cyst and sending the fluid to pathology.

Question 14

Which are the most common sites of breast cancer metastasis?

A) Kidneys
B) Bones and liver
C) Heart and blood vessels
D) Central nervous system

Question 15

You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?

A) Documentation of a pessary in the operative procedure notes by the physician
B) Removal of vaginal packing as ordered by the physician
C) Use of a cell saver for transfusion therapy in the postoperative period
D) Order for removal of staples 2 to 3 days post-procedure

Question 16

A benign breast condition that includes dilation and inflammation of the collecting ducts is:

A) fibroadenoma.
B) ductal ectasia.
C) intraductal papilloma.
D) chronic cystic disease.

Question 17

A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:

A) "No, it is part of the aging process."
B) "Water-soluble vaginal lubricants may provide relief."
C) "You need to be evaluated for a sexually transmitted disease."
D) "You may have vaginal scar tissue that is producing the discomfort."

Question 18

The drug of choice to treat gonorrhea is:

A) penicillin G (Pfizerpen).
B) tetracycline (Achromycin).
C) ceftriaxone (Rocephin).
D) acyclovir (Zovirax).

Question 19

A 38-year-old client presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the client, this presentation has occurred off and on for several years, but the pain has increased. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each breast tissue. The areas of concern are approximately 2 cm in size. Based on this assessment, what diagnostic testing would be required? (Select all that apply.)

A) Ultrasound examination
B) Open biopsy
C) Fine-needle aspiration (FNA) biopsy
D) CBC with differential
E) Mammogram

Question 20

Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?

A) Radical mastectomy procedure
B) Radiation therapy
C) Sentinel lymph node mapping
D) Ultrasound

Question 21

Which of the following is a potential disadvantage for a client who wishes to use an intrauterine device (IUD) as a method of birth control?

A) Insertion of the device prior to coitus resulting in decreased spontaneity
B) Ectopic pregnancy
C) Protection against STDs
D) Decrease in dysmenorrhea

Question 22

A client is using Depo-Provera as her method of birth control. Which finding warrants immediate intervention?

A) Mid-cycle bleeding
B) Nausea
C) Temperature of 100° F
D) Irregular periods

Question 23

A client has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method should the client use?

A) Withdrawal method
B) Oral contraceptives
C) Depo-Provera
D) Intrauterine device (IUD)

Question 24

You are assessing a client in the clinic setting who has been taking oral contraceptives for several years, without side effects. Vital signs are stable and the client denies any pain or tenderness. On examination, you note a small erythematous area of approximately 2 cm on her right lower leg. She denies any traumatic injury and says this is a recent onset of a few days. Based on this information you would:

A) instruct the client to use warm compresses for several days and keep the leg elevated as much as possible.
B) have the client wear flats rather than heels to modify her gait and help alleviate this issue.
C) refer the client to the health care provider for additional diagnostic work up.
D) have the client take an over-the-counter (OTC) nonsteroidal antiinflammatory drug (NSAID) and return to the clinic if the problem persists.

Question 25

A client presents to the Women's Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority?

A) Schedule the client for follow-up baseline diagnostic testing to confirm that the client is not pregnant.
B) Obtain information for an alternate contraception method.
C) Ask the client for additional information related to her menstrual cycle.
D) Inspect the skin for site selection of contraceptive method.

Question 26

Which of the statements is correct regarding use of contraception and the occurrence of sexually transmitted diseases (STDs)?

A) As long as the oral contraception method is used correctly, there is no transmission of STDs during sexual activity.
B) Oral contraceptives provide the greatest protection against getting STDs.
C) Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared with other contraceptive methods.
D) It is less likely to see transmission of STDs if clients engage in oral sex as opposed to vaginal penetration.