Deck 39: Management of Women with Reproductive Disorders

Question 1

A client complains of a cloudy vaginal discharge with a slight odor. Microscopic examination reveals epithelial cells, leukocytes, and normal vaginal flora. Given these findings, the nurse would assesses that the discharge is

A) candidiasis.
B) Chlamydia.
C) Gardnerella.
D) leukorrhea.

Answer 1

leukorrhea.

Question 2

The nurse teaching a menopausal client about hormone replacement therapy (HRT) would include that HRT decreases the risk of

A) hypertension.
B) osteoporosis.
C) thrombophlebitis.
D) uterine fibromas.

Answer 2

osteoporosis.

Question 3

After the physician has prescribed danazol (Danocrine) for treatment of a client's endometriosis, the nurse would explain that this drug may cause

A) hot flashes.
B) increased breast size.
C) irregular periods.
D) loss of appetite.

Answer 3

hot flashes.

Question 4

The nurse is providing health education to a group of women about ovarian cancer. The nurse would include information on health maintenance activities for both low- and high-risk women, because ovarian cancer

A) grows and spreads without manifestations.
B) is the most common genital cancer.
C) treatment is generally ineffective.
D) tumors grow rapidly.

Question 5

A woman is being taught self-care for a vaginal pessary to treat vaginal prolapse. The nurse would realize that additional discharge instructions are needed when the woman says

A) "I can use estrogen cream in my vagina at night."
B) "If I have trouble removing or inserting the pessary, I will call the doctor."
C) "My follow-up appointment is in 2 months."
D) "The pessary needs to be washed daily with mild soap."

Question 6

The postprocedure teaching plan for a client receiving cryosurgery for cervical cancer would include the instruction to

A) avoid vigorous perineal hygiene.
B) report any malodorous discharge immediately.
C) report discharge that continues longer than 8 weeks.
D) take frequent sitz baths to minimize pain.

Question 7

The question that the nurse would initially ask an 18-year-old client being assessed for amenorrhea is

A) "Are you taking birth control pills?"
B) "Could you be pregnant?"
C) "Have you been dieting?"
D) "How much do you exercise?"

Question 8

The nurse planning care for the client who had a repair of a uterine prolapse 2 days ago would include which intervention?

A) Encouraging a low-fiber diet
B) Having the client void every 2 hours
C) Keeping the client on bed rest
D) Performing routine Foley catheter care

Question 9

The nurse teaches a client self-care measures after a hysterectomy, which include avoiding

A) participating in aerobic exercises.
B) dancing.
C) riding in a car.
D) walking for short distances.

Question 10

A woman complains of severe PMS symptoms. Based on research, the nurse could suggest which of the following over-the-counter products might be beneficial in reducing the symptoms?

A) Aspirin
B) Calcium with vitamin D
C) Ibuprofen
D) Vitamin C

Question 11

After a client's hysterectomy for removal of a leiomyoma, the nurse formulates the nursing diagnosis of Constipation related to bowel manipulation during surgery. The best measure that the nurse would take to prevent constipation is

A) administer a soapsuds enema to the client.
B) encourage early and frequent ambulation.
C) offer the client iced beverages.
D) reduce fiber in the client's diet.

Question 12

A client is suspected of having premenstrual syndrome (PMS). A somatic complaint the nurse would assess for is a client report of

A) abdominal bloating.
B) blurring of vision.
C) nasal congestion.
D) severe uterine cramping.

Question 13

To help a client diagnosed with endometrial cancer effectively deal with this disease, the nurse would base supportive interventions on the fact that endometrial cancer

A) has a 90% cure rate.
B) is difficult to treat.
C) metastasizes quickly.
D) spreads slowly.

Question 14

A vaginal mass is found in a client experiencing vaginal discharge, painless vaginal bleeding, and pruritus. The client's statement that would alert the nurse to the possible etiology is

A) "I've been sexually active since I was 17-years-old."
B) "I've been unable to conceive."
C) "My mother took DES when she was pregnant with me."
D) "The IUD is my form of birth control."

Question 15

The nurse would be aware that a client with the diagnosis of endometriosis may require additional emotional support, because the major complication of this disease is

A) cervical cancer.
B) endometrial cancer.
C) infertility.
D) pelvic inflammatory disease.

Question 16

The nurse would assess a client with leiomyoma for a history of

A) abnormal vaginal discharge.
B) amenorrhea.
C) excessive uterine bleeding.
D) severe menstrual pain.

Question 17

The nurse explains to a client that the cause of the client's primary dysmenorrhea is a/an

A) abnormal decrease in estrogen levels.
B) abnormal elevation in progesterone levels.
C) decrease in oxytocin levels.
D) elevation of uterine prostaglandin levels.

Question 18

A nurse is counseling an adolescent and her mother about preventing cervical cancer. The most important health promotion action the nurse could suggest is to

A) abstain from alcohol.
B) avoid sexual intercourse.
C) do not start smoking.
D) get the HPV vaccine.

Question 19

The nurse would determine that a client with menorrhagia is at risk for significant blood loss if the client reports changing the perineal pad or tampon at least every

A) 1 to 2 hours.
B) to 3 hours.
C) 4 to 5 hours.
D) 6 to 8 hours.

Question 20

The nurse explains that because there is no screening method to detect endometrial cancer, the first manifestation is

A) a bowel obstruction.
B) an abdominal mass.
C) postmenopausal bleeding.
D) sudden, intense abdominal pain.

Question 21

A woman is scheduled for surgery to treat vaginal cancer. When the nurse takes the consent form to the woman to sign, she says "My husband and I are so glad this won't affect sexual activity." Which action by the nurse is most appropriate?

A) Ask if she has any questions about sexual activity.
B) Have the physician return and explain the procedure again.
C) Have the woman sign the consent form.
D) Offer her a referral to a sexual counselor.

Question 22

A clinic nurse is assessing a 16 year-old girl with menstrual complaints. When the nurse learns that the client has had a recent infibulation, the nurse should

A) call the local authorities.
B) find a smaller speculum.
C) educate the client about perineal hygiene.
D) tell the parents this is not done in this country.

Question 23

The client tells the nurse that she is experiencing pain on her left side during the entire time of menstrual flow. The nurses assesses the possibility of

A) endometriosis.
B) pelvic inflammatory disease.
C) uterine myoma.
D) uterine prolapse.

Question 24

Reading in the client record that a female client has undergone type II excision of the genitalia, the nurse would understand that there has been excision of the

A) clitoris and labia minora.
B) clitoris only.
C) entire vulva.
D) labia minora and labia majora.

Question 25

The assessment that would alert the nurse to vulvar carcinoma is

A) lichen sclerosa.
B) reduced libido.
C) vaginal atrophy.
D) white, frothy vaginal discharge.

Question 26

The nurse caring for the client who is undergoing radiation therapy for endometrial cancer would include which directions in the nursing care plan? (Select all that apply.)

A) Elevate head of bed to 90 degrees.
B) Encourage in-room exercising.
C) Minimize visitation.
D) Organize cares.

Question 27

The statement by a client who has undergone radiation therapy for vaginal cancer that would indicate the need for further teaching is

A) "I can try different positions for intercourse."
B) "I need to stop douching."
C) "If I take a warm bath to relax before sex, it might make it easier."
D) "I'm distressed about never having sexual intercourse again."

Question 28

A woman is scheduled to have a vulvectomy for vulvar cancer. Important interventions by the nurse to help her cope with this diagnosis and treatment include (Select all that apply)

A) encouraging her and her partner to discuss sexuality.
B) encouraging her to see that being a "woman" means more than having genitals.
C) helping her adapt by limiting talk about grief and mourning.
D) providing a referral to a qualified sex therapist.
E) suggesting alternative forms of sexual pleasure.