Exam 3: Common Concerns

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Any episode of vaginal bleeding that occurs at a time other than during menses is referred to as _______________.

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Metrorrhagia
Defined as intermenstrual bleeding, metrorrhagia is also commonly referred to as breakthrough bleeding or mittlestaining. It can be a normal part of a woman's menstrual cycle if it occurs regularly, or it may be an indication of an underlying disease process that requires further investigation.

There is little consensus on the management of premenstrual dysphoric disorder (PMDD). However, nurses can advise women on several self-help modalities that often result in symptom improvement. The nurse knows that health teaching has been effective when the woman reports that she has adopted a number of lifestyle changes, including (choose all that apply):

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A, B, D, E

What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?

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A

During her annual gynecologic checkup, a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as:

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An essential component of counseling women regarding safe sex practices includes discussion regarding avoiding the exchange of body fluids. The physical barrier promoted for the prevention of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is the condom. Nurses can help motivate patients to use condoms by initiating a discussion related to a number of aspects of condom use. The most important of these is:

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While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the woman's recent menstrual cycles. The nurse should collect additional information in regard to which statement?

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Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

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One of the alterations in cyclic bleeding that occurs between periods is called:

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The two primary areas of risk for sexually transmitted infections (STIs) are:

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Nafarelin (200 mcg bid per nasal spray) currently is used as a treatment for mild-to-severe endometriosis. The nurse should tell the woman taking this medication that the drug:

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

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A woman has a breast mass that is not well-delineated and is nonpalpable, immobile, and nontender. This is most likely:

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

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To detect the human immunodeficiency virus (HIV), most laboratory tests focus on:

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

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

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On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish white vaginal discharge with a "fishy" odor; complaint of pruritus. On the basis of these findings, the nurse suspects that this woman has:

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The nurse should know that once human immunodeficiency virus (HIV) enters the body, seroconversion to HIV positivity usually occurs within:

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Which statement about the various forms of hepatitis is accurate?

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A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

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