Exam 51: Care of the Patient with a Reproductive Disorder

Arrange the process of the menstrual cycle in order of their function to produce menses. (Separate letters by a comma and space as follows: A, B, C, D) A) Egg matures in the graafian follicle B) Corpus luteum is formed from old follicle C) Estrogen from the maturing follicle causes vascularization of the uterine lining D) Anterior pituitary releases luteinizing hormone (LH), releasing the ovum E) Anterior pituitary releases follicle-stimulating hormone (FSH) F) Corpus luteum releases estrogen and progesterone G) Corpus luteum disintegrates causing a decrease in progesterone H) Lining of uterus is shed as menses

A Gram stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information should the nurse include in response to his comment?

When should postmenopausal women be instructed to perform breast self-examination (BSE)?

What factor influences older women's reluctance to seek medical care for problems of the reproductive system?

Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?

The 10-year-old clinic patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?

Why do false-negative results in mammography occur in specific age groups?

Which condition would prevent the use of a vaginal hysterectomy?

A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination?

The patient, age 52, is recovering from a modified radical mastectomy. Why is postoperative elevation of the patient's arm important after this procedure?

A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?

The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore." What is the nurse's most therapeutic response?

A patient, age 36, is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. What is the most appropriate nursing action at this time?

The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the "elbow pull-in." Place the steps of the exercise in appropriate order. (Separate letters by a comma and space as follows: A, B, C, D) A) Pull elbows forward until they touch B) Lower and straighten the arms C) Extend arms sideways to shoulder level D) Bring elbows back and extend arms E) Clasp hands behind neck

What does the diagnosis of secondary infertility refer to?

A ___________ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.

What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?

What is the recommended age range for a baseline mammogram?

The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. How should the nurse explain the reason for the catheter?

A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?