Question 1

A nurse is teaching a class on the different types of uterine bleeding. The nurse explains that which of the following is one of the causes of abnormal uterine bleeding?
A) Iron-deficiency anemia
B) Polyps
C) Heavy periods every 2 months
D) Spotting between periods

Accepted Answer

Polyps are a cause of abnormal uterine bleeding. They are growths attached to the inner wall of the uterus that extend into the uterine cavity, which can lead to bleeding outside of the normal menstrual cycle.

Question 2

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." What is the nurse's best response?
A) "Women with breast cancer often go through several stages of adjustment."
B) "Women with breast cancer cope better than their partners cope."
C) "Women with breast cancer seek multiple opinions before starting treatment."
D) "Women with breast cancer become angry after treatment begins."

Accepted Answer

The client's statement reflects a process of adjustment to her diagnosis, which is common among individuals facing serious health conditions like cancer. The nurse's best response acknowledges this process and normalizes the client's experience by indicating that going through several stages of adjustment is typical for women with breast cancer. This response is supportive and provides validation for the client's feelings.

Question 3

The client's Pap smear result is A S C-U S. Which statement is the best way for the nurse to explain this A S C-U S result?
A) "Abnormal cells of an unknown cause."
B) "Cancer has invaded the upper cervix."
C) "High-grade squamous intraepithelial lesion (H S I L), which includes C I N."
D) "The focus of the Pap smear is the detection of high-risk pregnancy."
E) "The cervical cells are abnormal and the reason why is severe dysplasia and carcinoma in situ."

Accepted Answer

ASC-US stands for Atypical Squamous Cells of Undetermined Significance, indicating that the Pap smear has revealed abnormal cervical cells, but it's unclear what the cause is. This does not necessarily mean there is cancer or a high-grade lesion.

Question 4

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papilloma virus (H P V). Which statement by the nurse conveys an attitude of acceptance toward the client 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."

Accepted Answer

Option C demonstrates an attitude of acceptance and support by acknowledging the client's emotional state and offering assistance in a non-judgmental manner.

Question 5

The client is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome (P C O S). Which problem does the nurse expect to find in the client's history?
A) Multiple first-trimester fetal losses
B) Dyspareunia
C) Vulvitis
D) Oligomenorrhea

Accepted Answer

Oligomenorrhea, which refers to infrequent or very light menstrual periods, is a common symptom of polycystic ovarian syndrome (PCOS). PCOS can lead to irregular menstrual cycles due to hormonal imbalances.

Question 6

The 22-year-old client is scheduled for her first gynecologic examination. What can the nurse do to make the client more comfortable during this exam?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A) Create a trusting atmosphere.
B) Show the client what the speculum looks like.
C) Avoid telling the client what the exam involves.
D) Ask the client why she has delayed her first Pap test this long.
E) Provide a mirror for the client.

Accepted Answer

Creating a trusting atmosphere, showing the client the speculum, and providing a mirror can help make the client more comfortable by reducing anxiety and increasing understanding and involvement in the process.

Question 7

Which client in the gynecology clinic should the nurse see first?
A) 32-year-old taking gonadotropins, reporting extremity edema
B) 15-year-old, no menses for past 4 months
C) 18-year-old seeking information on contraception methods
D) 31-year-old, taking progestins, reports increasing dyspareunia

Accepted Answer

The 32-year-old taking gonadotropins and reporting extremity edema should be seen first because this could indicate ovarian hyperstimulation syndrome (OHSS), a potentially life-threatening condition.

Question 8

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

Accepted Answer

A Pap smear is a screening test for cervical cancer, not a diagnostic tool. An abnormal result does not mean the patient has cancer but indicates the need for further examination, such as a colposcopy, to closely examine the cervix for signs of disease. LEEP and cryotherapy are treatment methods that may be considered after further diagnostic procedures confirm the presence of cervical abnormalities.

Question 9

The nurse obtains a health history from four clients. To which client 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

Accepted Answer

Client A, age 37 with multiple partners, is at a higher risk for HPV, which is a significant risk factor for cervical cancer, thus prioritizing them for cervical cancer prevention education.

Question 10

The 12-year-old client 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 which of the following?
A) Dysfunctional uterine bleeding (D U B)
B) Diabetes mellitus (D M)
C) Pregnancy
D) Von Willebrand's disease

Accepted Answer

Dysfunctional uterine bleeding (DUB) is the most common cause of abnormal uterine bleeding in adolescents. It is often due to anovulation, where the hormonal cycle is not yet well established, leading to irregular and sometimes prolonged bleeding.

Question 11

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis. Which question asked by the nurse is appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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?"

Accepted Answer

Endometriosis is often associated with pain during intercourse (dyspareunia) and painful periods (dysmenorrhea), making these questions relevant to the client's condition.

Question 12

The nurse is teaching a client who has been diagnosed with vulvitis. Which statement by the client indicates that the nurse's instruction has not been effective?
A) "I should stop having sexual intercourse."
B) "Non-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."

Accepted Answer

Wearing pantyhose daily can actually worsen vulvitis by trapping moisture and heat, which creates an environment that can exacerbate or lead to infections. The other options (A, B, D) are generally good advice for preventing irritation or recurrence of vulvitis.

Question 13

A client 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

Accepted Answer

The timing of the symptoms is crucial to determine if the swelling and tenderness are related to the menstrual cycle, which is a common cause of such symptoms.

Question 14

The client with polycystic ovarian syndrome (P C O S) has been prescribed metformin (Glucophage). The nurse tells the client that the medication will do which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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."

Accepted Answer

The answer of The client with polycystic ovarian syndrome (P...

Question 15

A woman with polycystic ovarian syndrome (P C O S) is prescribed clomiphene citrate for the treatment of infertility. Which statement does the nurse understand is true?
A) The woman has abnormal ovaries
B) The woman has low prolactin levels
C) The woman's pituitary gland is intact
D) The woman's thyroid gland is normal

Accepted Answer

Clomiphene citrate works by stimulating the pituitary gland to release more gonadotropins, which in turn stimulate ovulation. This mechanism of action implies that the woman's pituitary gland must be intact for the medication to be effective.

Question 16

A client 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 who has had breast cancer
C) Mother with fibrocystic breast disease
D) Multiparity

Accepted Answer

Having a first-degree relative, such as a sister, with breast cancer significantly increases an individual's risk of developing breast cancer. This familial link is a well-established risk factor.

Question 17

The client 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 client 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."

Accepted Answer

Endometriosis is associated with an increased risk for certain types of cancer, including ovarian cancer. While the evidence linking it to breast cancer is less clear, the condition can lead to other health issues beyond the reproductive system, making option C the most accurate statement regarding long-term health risks.

Question 18

The nurse has presented a community education class on recommended health screenings for women. Which statement about the Pap smear by a class member indicates that additional teaching is necessary?
A) "It is recommended for women 21 years of age and older."
B) "It diagnoses cervical cancer."
C) "Intercourse at a young age is a risk factor for an abnormal Pap smear."
D) "Detects abnormal cells."

Accepted Answer

A Pap smear is a screening test, not a diagnostic test. It is used to find abnormal cells that may become cancerous. If abnormal cells are found, further testing is needed to diagnose cervical cancer.

Question 19

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 regularly consume?"
C) "As long as you don't have nipple discharge, it isn't a serious condition."
D) "Eliminate caffeine and chocolate from your diet."

Accepted Answer

The answer of The nurse receives a phone call from...

Question 20

The nurse is caring for a client diagnosed with endometriosis. Which statement by the client would require a need for perhaps another treatment option? 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) "I have vaginal dryness, reduced libido, and my clitoris has become larger since taking danazol. Is this normal?" D) "I've noticed I have not had my period on a regular basis since being on ^theG n R H analogs."

Accepted Answer

The answer of The nurse is caring for a client...

Quiz 6: Womens Health Problems

A nurse is teaching a class on the different types of uterine bleeding. The nurse explains that which of the following is one of the causes of abnormal uterine bleeding?

The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." What is the nurse's best response?

The client's Pap smear result is A S C-U S. Which statement is the best way for the nurse to explain this A S C-U S result?

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papilloma virus (H P V) . Which statement by the nurse conveys an attitude of acceptance toward the client with a sexually transmitted infection?

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

The 22-year-old client is scheduled for her first gynecologic examination. What can the nurse do to make the client more comfortable during this exam? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

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

The nurse is about to tell a client that her Pap smear result was abnormal. Which statement should the nurse include?

The nurse obtains a health history from four clients. To which client should she give priority for teaching about cervical cancer prevention?

The 12-year-old client 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 which of the following?

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis. Which question asked by the nurse is appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is teaching a client who has been diagnosed with vulvitis. Which statement by the client indicates that the nurse's instruction has not been effective?

A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially?

The client with polycystic ovarian syndrome (P C O S) has been prescribed metformin (Glucophage) . The nurse tells the client that the medication will do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A woman with polycystic ovarian syndrome (P C O S) is prescribed clomiphene citrate for the treatment of infertility. Which statement does the nurse understand is true?

A client 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?

The client 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 client teaching about endometriosis?

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

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?

The nurse is caring for a client diagnosed with endometriosis. Which statement by the client would require a need for perhaps another treatment option?