Deck 26: Disorders of the Female Reproductive System

Question 1

A client diagnosed with dysmenorrhea is prescribed ibuprofen and hormonal contraceptives. Which outcome in the client indicates the effectiveness of the therapy?
1) No painful experience during the first 2 days of her menstrual period
2) No behavioral change during the luteal phase of the menstrual cycle
3) No formation of multiple regions of unreleased egg on the ovarian surface
4) All of the above

Answer 1

1

Question 2

A female client is diagnosed to be infertile due to the production of antibodies against the ovarian tissue. Which treatment will the nurse expect for the client?
1) Estrogen replacement therapy
2) Oral contraceptive therapy
3) Clomiphene citrate
4) Dilatation and curettage surgery

Answer 2

1

Question 3

Which medical condition needs careful use of hormone replacement?
1) Breast cancer
2) Cardiac disease
3) Venous thrombus
4) All of the above

Answer 3

4

Question 4

A nurse observes that the endometrial lining is absent is a client who underwent a dilation and curettage (D&C) abortion. Which syndrome will the nurse suspect in the client?
1) Turner syndrome
2) Sheehan's syndrome
3) Asherman's syndrome
4) Mayer-Rokitansky-Hauser syndrome

Question 5

While assessing a young female client for reproductive disorders, a nurse understands that the client has amenorrhea. Which specific question should the nurse ask the client?
1) "Do you have frequent vaginal infections?"
2) "Do you have any thyroid gland disorders?"
3) "Do you have diabetes mellitus?"
4) "Do you have continuous or intermittent pelvic pain?"

Question 6

A female client reports missed menstrual periods after discontinuing hormonal contraceptives. What could be the reason behind the missed menstrual periods?
1) Obstruction in the cervix
2) Damage to the fallopian tube
3) Hypothalamic-pituitary-ovarian dysfunction
4) Extra growth of uterine tissue

Question 7

A registered nurse is teaching a client with dysmenorrhea about her treatment plan. Which statement made by the client indicates the need for further teaching?
1) "I should avoid the use of oral contraceptives."
2) "I should take ibuprofen as prescribed."
3) "I should consume a low-fat diet."
4) "I should perform regular exercise."

Question 8

A nurse is caring for a 19-year-old female client who has never had a menstrual cycle and has a webbed neck, short stature, and a broad shield-like chest. What is the most probable cause of the client's condition?
1) Turner syndrome
2) Sheehan's syndrome
3) Asherman's syndrome
4) Mayer-Rokitansky-Hauser syndrome

Question 9

A 14-year-old female client with constitutional growth delay tells a nurse, "I am not getting any taller! I am the same height I was last year!" How should the nurse respond?
1) "I will refer you to an endocrinologist."
2) "You should start taking growth supplements."
3) "You will reach full height by adulthood."
4) "I am afraid you will not grow any taller."

Question 10

Which physiological changes occur in a female during the perimenopausal stage?
1) Decreased estrogen secretion
2) Increased follicle-stimulating hormone (FSH) level
3) Both A and B
4) None of the above

Question 11

A client who is scheduled for a hysteroscopy asks a nurse about the procedure involved in this technique. Which statement made by the client indicates effective understanding?
1) "A radiopaque dye is used during a hysteroscopy."
2) "A scope is inserted into the uterus to take a small amount of tissue."
3) "A scope is inserted through a small surgical incision in the abdomen."
4) "A thin telescopic type device is inserted via the vagina into the uterus."

Question 12

While assessing a 7-year-old female client, the primary health-care provider finds that the client has enlargement of the breasts, erection of the nipples, and development of pubic hair. Which hormonal levels can be found high in the client?
1) Estrogen
2) Gonadotropin
3) Both A and B
4) None of the above

Question 13

While reviewing a client's medical record, a nurse finds the client to be described as gravida 2, para 2, or G2 P2. What will the nurse interpret from this description?
1) The client had two deliveries and two abortions.
2) The client had two pregnancies and both of them were aborted.
3) The client had one delivery after 24 weeks and two pregnancies.
4) The client had two pregnancies and two deliveries after 24 weeks.

Question 14

A client with premenstrual syndrome (PMS) is prescribed selective serotonin receptor inhibitors (SSRIs) and nutritional supplements. Which symptom in the client indicates the effectiveness of the therapy?
1) The client has decreased irritability and mood swings.
2) The client no longer experiences painful menstruation.
3) The client's blood report shows no serum beta-human chorionic gonadotropin (b-HCG).
4) The client has elevated levels of progesterone.

Question 15

A female client tells a nurse, "I have excessive bleeding that lasts for more than 7 days every time I menstruate." Which menstrual disorder does the nurse suspect in the client?
1) Menorrhagia
2) Metrorrhagia
3) Oligomenorrhea
4) Secondary amenorrhea

Question 16

A night-shift nurse documents "primigravida" for a client. Which client is being referred to by the nurse?
1) The client who hasn't had a pregnancy.
2) The client who had multiple pregnancies.
3) The client who is carrying her first pregnancy.
4) The client who has delivered a baby after her first pregnancy.

Question 17

Which laboratory test can assess a client's blood to rule out the possibility of ovarian cancer?
1) Estrogen
2) Urine calcium oxalate
3) Carcinoembryonic antigen 125 (CA-125)
4) Follicle-stimulating hormone (FSH)

Question 18

Which medication is associated with the growth of endometrial polyps?
1) Tamoxifen
2) Ibuprofen
3) Haloperidol
4) Metoclopramide

Question 19

A woman who has tested positive on a serum beta-human chorionic gonadotropin (b-HCG) test had her last menstrual period on April 18, 2015. What would be the estimated date of childbirth, according to Naegele's rule?
1) January 15, 2016
2) January 20, 2016
3) January 25, 2016
4) January 30, 2016

Question 20

While assessing a female client for anomalies of the genital tract, the primary health-care professional observes that the uterus is absent in the client and the vagina is foreshortened. However, the client's breast is normal in shape and contour. Which menstrual disorder would the nurse suspect in the client?
1) Dysmenorrhea
2) Mayer-Rokitansky-Hauser syndrome
3) Premenstrual syndrome
4) Menorrhea

Question 21

Which complications should a nurse expect in a female client caused by atrophic vaginitis during the perimenopausal stage?
1) Hot flashes
2) Night sweats
3) Irregular menses
4) Painful sexual intercourse
5) Vaginal yeast infection

Question 22

Prioritize the steps involved in menstrual cycle (A-F). (Enter the letter of each step in the proper sequence; do not use commas or spaces.)
A. Ovulation
B. Production of progesterone
C. Formation of the corpus luteum
D. Release of luteinizing hormone
E. Increased follicle-stimulating hormone (FSH)
F. Inhibition of FSH and luteinizing hormone

Question 23

Which drugs are used to treat hyperprolactinemia?
1) Clozapine
2) Cabergoline
3) Risperidone
4) Bromocriptine
5) Metoclopramide
Other

Question 24

The transabdominal ultrasound examination of a female client shows the presence of fibroid tumors. Which treatment options should the nurse anticipate from the primary health-care provider to suppress the growth of the tumors?
1) Myomectomy
2) Hysterectomy
3) Ablation of the endometrium
4) Uterine artery embolization
5) Injection of hypothalamic gonadotropic-releasing hormone (GnRH)

Question 25

In a client with a uterine disorder, a nurse observes that the endometrial tissue grows inside the muscular layer of the uterus. Which complications will the nurse observe in the client?
1) Menorrhagia
2) Infertility
3) Pelvic pain
4) Dysmenorrhea
5) Dyspareunia