Question 1

A 22-year-old woman who is scheduled for a routine physical examination tells the nurse she would like a prescription for oral contraceptives. Which information in the patient's history will be most important to report to the health care provider?

Accepted Answer

Cholecystitis is aggravated by oral contraceptives. The other information should also be reported but does not impact whether the patient should use oral contraceptives.

Question 2

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated two pads in the past 2 hours. The nurse estimates that the amount of blood loss is ____ ml.

Accepted Answer

The average pad absorbs 20 to 30 ml.

Question 3

When scheduling a pelvic examination and Pap smear for a patient, the nurse instructs the patient that she should

Accepted Answer

The results of a Pap smear may be affected by douching, and so the patient should not douche before the examination. The exam may be scheduled without regard to the menstrual period. The patient may shower or bathe before the examination. Sexual intercourse does not affect the results of the examination or Pap smear.

Question 4

When caring for a male patient who has had surgical removal of both testes and is taking testosterone replacement, the nurse knows that the alterations in the patient's reproductive function includes

Accepted Answer

Because the patient is incapable of spermatogenesis, he will be sterile; however, testosterone replacement therapy will prevent impotency or loss of secondary sex characteristics.

Question 5

A patient in the STD clinic tells the nurse about a recent exposure to syphilis through sexual intercourse. The nurse teaches the patient that the fastest information about syphilis infection will be obtained from

Accepted Answer

If the patient has an active chancre, the Treponema pallidum bacteria can be visualized. The VDRL, RPR, and FTA Abs tests all will take longer.

Question 6

A 42-year-old man who is taking all of the following medications tells the nurse that he has not been able to function sexually for about a year. The nurse will anticipate teaching the patient about a change in which medication?

Accepted Answer

Some antihypertensives may cause erectile dysfunction, and the nurse should anticipate a change in antihypertensive therapy. The other medications will not impact sexual function directly.

Question 7

All these data are obtained by the nurse while performing a physical assessment of a male patient's reproductive system. Which one should be reported to the health care provider?

Accepted Answer

Clear penile discharge may be indicative of a sexually transmitted disease (STD). The other findings are normal and do not need to be reported.

Question 8

A 19-year-old patient who is being assessed for amenorrhea at the clinic makes all of these statements to the nurse. Which one indicates a need for patient teaching?

Accepted Answer

Excessive exercise can cause amenorrhea. The other statements by the patient do not suggest any urgent teaching needs.

Question 9

During the nursing assessment of a 62-year-old man, the patient tells the nurse that he does not respond to sexual stimulation the way he did when he was younger. The nurse's best response to the patient's comment is,

Accepted Answer

The initial response by the nurse should be further assessment of the problem. The other statements by the nurse are accurate but might not respond to the patient's concerns.

Question 10

A patient considering a vasectomy as a means of contraception asks the nurse what is involved in the procedure. The nurse explains that the structure partially removed is the

Accepted Answer

A vasectomy involves partial removal of the vas deferens or ductus deferens. The other structures are not affected by vasectomy.

Question 11

Which information found during the physical assessment of a 68-year-old woman should the nurse report to the health care provider?

Accepted Answer

Serous drainage may indicate an intraductal papilloma and should be investigated further. The other findings are not unusual in older women.

Question 12

A patient calls the clinic and tells the nurse, "My menstrual period is unusually heavy. I have to change my tampon every 4 hours." Which action should the nurse take next?

Accepted Answer

Because a heavy menstrual flow is usually indicated by saturating a pad or tampon in 1 to 2 hours, the nurse should first assess how heavy the patient's usual flow is. There is no need to schedule the patient for an appointment that day. The patient may need to call again, but this is not the first action that the nurse should take. Telling the patient that she does not have a heavy flow is implies that the patient's concern is not important.

Question 13

A 34-year-old patient is hospitalized with acute back pain. He is married and has a 3-year-old son. When the nurse is performing an assessment of the patient's sexuality-reproductive functional health pattern, an appropriate question to initiate a sexual history is,

Accepted Answer

The initial focus when assessing this pattern should be on the impact of the back injury on sexuality. The other questions may be used as the interview progresses, based on the patient's responses.

Question 14

When caring for a patient with an enlarged prostate gland, the nurse monitors the patient for

Accepted Answer

Enlargement of the prostate blocks the urethra, leading to urinary retention and difficulty in initiating a urinary stream. The other clinical manifestations are not directly caused by prostate enlargement.

Question 15

When the nurse obtains a health history from a patient, the patient reports that she had cryosurgery 1 year ago. The nurse anticipates that the patient most likely has a history of

Accepted Answer

Cryosurgery is done to destroy abnormal cells, such as might be found in a Pap smear. Treatment for fallopian tube obstruction, irregular menstrual cycles, and urge incontinence does not involve cryosurgery.

Question 16

A patient with a possible ovarian cyst is scheduled for ultrasound. The nurse will teach the patient that she should

Accepted Answer

Ultrasound measures high-frequency sound waves as they pass through various tissues and should cause very little discomfort. The other instructions are not accurate for this procedure.

Question 17

When preparing a patient for colposcopy with a cervical biopsy, the nurse explains to the patient that the procedure

Accepted Answer

Colposcopy involves visualization of the cervix with a binocular microscope and is similar to a speculum examination. A cervical biopsy may cause a minimal amount of pain.

Question 18

After a patient has been diagnosed with an obstructed fallopian tube resulting from infection, the nurse will anticipate teaching the patient about

Accepted Answer

An obstructed fallopian tube may result in difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is not affected, the patient will not require HRT, have irregular menstrual cycles, or experience changes in secondary sex characteristics.

Question 19

A couple who has not been able to conceive is scheduled for a Huhner test for infertility. In preparation for the test, the nurse will help the couple determine

Accepted Answer

For the Huhner test, the couple should have intercourse at the estimated time of conception and then arrive for the test 2 to 8 hours after intercourse. There is no need to refrain from intercourse before the test. A sample of semen will be needed for a semen analysis. The woman will need to know how to take the temperature for the basal body temperature assessment.

Quiz 51: Nursing Assessment: Reproductive System