Deck 32: Women’s HealthCare

Question 1

Adjuvant treatment with tamoxifen may be recommended for patients with breast cancer if the tumor is

A) smaller than 5 cm.
B) located in the upper outer quadrant only.
C) contained only in the breast.
D) estrogen receptive.

Answer 1

estrogen receptive.

Question 2

Which statement by the patient indicates that she understands breast self-examination?

A) "I will examine both breasts in two different positions."
B) "I will perform breast self-examination 1 week after my menstrual period starts."
C) "I will examine the outer upper area of the breast only."
D) "I will use the palm of the hand to perform the examination."

Answer 2

"I will perform breast self-examination 1 week after my menstrual period starts."

Question 3

A 49-year-old patient confides to the nurse that she has started experiencing pain with intercourse and asks,"Is there anything I can do about this?" What is the best response by the nurse?

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

Answer 3

"Water-soluble vaginal lubricants may provide relief."

Question 4

The microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells is called

A) bimanual palpation.
B) rectovaginal palpation.
C) a Papanicolaou test.
D) DNA testing.

Question 5

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

A) "I may have to try some antidepressants."
B) "I need to limit my intake of caffeine."
C) "I might try taking some vitamin E."
D) "Salty foods will not affect this condition."

Question 6

Which woman is most likely to have osteoporosis?

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

Question 7

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

A) A 38-year-old woman
B) A 50-year-old woman
C) A 16-year-old woman
D) A 27-year-old woman

Question 8

A 70-year-old woman should be taught to report what condition to her health care provider?

A) Vaginal bleeding
B) Pain with intercourse
C) Breasts become smaller
D) Skin becomes thinner

Question 9

The nurse providing care in a women's health care setting must be aware that which sexually transmitted disease (STD)can be cured?

A) Herpes
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia

Question 10

To assist the woman in regaining control of the urinary sphincter,the nurse should teach her to

A) practice Kegel exercises.
B) void every hour while awake.
C) allow the bladder to become full before voiding.
D) restrict fluids to limit incontinent episodes.

Question 11

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

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

Question 12

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?

A) Gloves and eye protectors
B) Speculum
C) Fixative agent
D) Lubricant

Question 13

The drug of choice to treat gonorrhea is

A) penicillin G.
B) tetracycline.
C) ceftriaxone.
D) acyclovir.

Question 14

When a nurse is counseling a woman for primary dysmenorrhea,which nonpharmacologic intervention might be recommended?

A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods, such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping

Question 15

A woman with a history of a cystocele should contact the physician right away if she experiences

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

Question 16

Nafarelin (Synarel)is currently used as a treatment for mild to severe endometriosis.The nurse should tell the woman taking this medication that the drug

A) stimulates the secretion of gonadotropin-releasing hormone (GnRH).
B) may produce masculinizing effects.
C) must be continued for at least a year.
D) can cause her to experience some hot flashes and vaginal dryness.

Question 17

The physician diagnoses a 3-cm ovarian cyst in a 28-year-old woman.The nurse expects the initial treatment to include

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

Question 18

With regard to endometriosis,nurses should be aware that

A) it is characterized by the presence and growth of endometrial tissue inside the uterus.
B) it affects 25% of all women.
C) it may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) it is unlikely to affect sexual intercourse or fertility.

Question 19

Which statement is true about primary dysmenorrhea?

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

Question 20

In helping a patient manage PMS,the nurse should

A) recommend a diet with more red meat and sugar.
B) suggest herbal therapies and massage.
C) tell the patient to ask for medications as soon as symptoms occur.
D) suggest the use of diuretics.

Question 21

A nurse is teaching a community group of women about ways to decrease their risk of cardiovascular disease.What actions does the nurse recommend? (Select all that apply.)

A) Stop smoking
B) Drink 8 to 10 glasses of water daily
C) Exercise on most days of the week
D) Get your blood pressure checked
E) Decrease the fat in your diet

Question 22

The nurse who is teaching a group of women about breast cancer should tell the women that

A) risk factors identify almost all women who will develop breast cancer.
B) African-American women have a higher rate of breast cancer.
C) 1 in 10 women in the United States will develop breast cancer in her lifetime.
D) the exact cause of breast cancer is unknown.

Question 23

A woman is 6 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the first trimester is

A) administration of prostaglandins.
B) dilation and evacuation.
C) intravenous administration of Pitocin.
D) vacuum aspiration.

Question 24

A 36-year-old woman has been diagnosed as having uterine fibroids.When planning care for this patient,the nurse should know that

A) fibroids are malignant tumors of the uterus.
B) fibroids will increase in size during the perimenopausal period.
C) abnormal uterine bleeding is a common finding.
D) hysterectomy should be performed.

Question 25

The exact cause of breast cancer remains undetermined.Researchers have found that there are a number of common risk factors that increase a woman's chance of developing a malignancy.It is essential for the nurse who provides care to women of any age to be aware of which risk factors? (Select all that apply.)

A) Family history
B) Late menarche
C) Early menopause
D) Race
E) Nulliparity or first pregnancy after age 30

Question 26

When discussing estrogen replacement therapy (ERT)with a perimenopausal woman,the nurse should include the risks of

A) breast cancer.
B) vaginal and urinary tract atrophy.
C) osteoporosis.
D) arteriosclerosis.

Question 27

Management of primary dysmenorrhea often requires a multifaceted approach.The nurse who provides care for a patient with this condition should be aware that the optimal pharmacologic therapy for pain relief is

A) acetaminophen.
B) oral contraceptives (OCPs).
C) nonsteroidal anti-inflammatory drugs (NSAIDs).
D) aspirin.

Question 28

Women are often reluctant to have annual mammograms for many reasons.These reasons include which of the following? (Select all that apply.)

A) Reluctance to hear bad news
B) Fear of x-ray exposure
C) Belief that lack of family history makes this test unnecessary
D) Expense of the procedure
E) Having heard that the test is painful

Question 29

While evaluating a patient for osteoporosis,the nurse should be aware of what risk factor?

A) African-American race
B) Low protein intake
C) Obesity
D) Cigarette smoking

Question 30

A woman calls the triage nurse at the family medicine clinic and reports a raised area on her vulva.What response by the nurse is best?

A) Ask her when her next annual physical is due.
B) Make an appointment for the next day or two.
C) Send her directly to the emergency department.
D) Ask about protection she uses during sexual activity.

Question 31

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 32

During her annual gynecologic checkup,a woman states that recently she has been experiencing cramping and pain during her menstrual periods.The nurse should document this complaint as

A) amenorrhea.
B) dysmenorrhea.
C) dyspareunia.
D) PMS.

Question 33

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

A) Mammogram
B) Ultrasound
C) Core needle biopsy
D) MRI

Question 34

When assessing a woman for menopausal discomforts,the nurse expects the woman to describe the most frequently reported discomfort,which is

A) headaches.
B) hot flashes.
C) mood swings.
D) vaginal dryness with dyspareunia.

Question 35

The nurse should be aware that a pessary is most effective in the treatment of what disorder?

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

Question 36

Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? (Select all that apply.)

A) Calcium
B) Evista
C) Fosamax
D) Actonel
E) Vitamin C

Question 37

The nurse providing education regarding breast care should explain to the woman that fibrocystic changes in breasts are

A) a disease of the milk ducts and glands in the breasts.
B) a pre-malignant disorder characterized by lumps found in the breast tissue.
C) lumpiness with pain and tenderness found in the breasts of healthy women.
D) lumpiness accompanied by tenderness after menses.