Question 1

Which action should the nurse take when a 35-year-old patient has a result of minor cellular changes on her Pap test?

Accepted Answer

A)  Teach the patient about colposcopy. 
B)  Teach the patient about punch biopsy. 
C)  Schedule another Pap test in 4 months. 
D)  Administer the human papillomavirus (HPV) vaccine.

Question 2

Which information will the nurse include when teaching a patient who has developed a small vesicovaginal fistula 2 weeks into the postpartum period?

Accepted Answer

A)  Take stool softeners to prevent fecal contamination of the vagina. 
B)  Limit oral fluid intake to minimize the quantity of urinary drainage. 
C)  Change the perineal pad frequently to prevent perineal skin breakdown. 
D)  Call the health care provider immediately if urine drains from the vagina.

Question 3

A 27-year-old patient tells the nurse that she would like a prescription for oral contraceptives to control her premenstrual dysphoric disorder (PMD-D)symptoms.Which patient information is most important to communicate to the health care provider?

Accepted Answer

A)  Bilateral breast tenderness 
B)  Frequent abdominal bloating 
C)  History of migraine headaches 
D)  Previous spontaneous abortion

Question 4

A 47-year-old woman asks whether she is going into menopause if she has not had a menstrual period for 3 months.The best response by the nurse is which of the following?

Accepted Answer

A)  "Have you thought about using hormone replacement therapy?" 
B)  "Most women feel a little depressed about entering menopause." 
C)  "What was your menstrual pattern before your periods stopped?" 
D)  "Since you are in your mid-40s, it is likely that you are menopausal."

Question 5

A 28-year-old patient with endometriosis asks why she is being treated with medroxyprogesterone (Depo-Provera),a medication that she thought was an oral contraceptive.The nurse explains that this therapy

Accepted Answer

A)  suppresses the menstrual cycle by mimicking pregnancy. 
B)  will relieve symptoms such as vaginal atrophy and hot flashes. 
C)  prevents a pregnancy that could worsen the menstrual bleeding. 
D)  will lead to permanent suppression of abnormal endometrial tissues.

Question 6

A 58-year-old patient who has undergone a radical vulvectomy for vulvar carcinoma returns to the medical-surgical unit after the surgery.The priority nursing diagnosis for the patient at this time is

Accepted Answer

A)  risk for infection related to contact of the wound with urine and stool. 
B)  self-care deficit: bathing/hygiene related to pain and difficulty moving. 
C)  imbalanced nutrition: less than body requirements related to low-residue diet. 
D)  risk for ineffective sexual pattern related to disfiguration caused by the surgery.

Question 7

A 28-year-old patient reports anxiety,headaches with dizziness,and abdominal bloating occurring before her menstrual periods.Which action is best for the nurse to take at this time?

Accepted Answer

A)  Ask the patient to keep track of her symptoms in a diary for 3 months. 
B)  Suggest that the patient try aerobic exercise to decrease her symptoms. 
C)  Teach the patient about appropriate lifestyle changes to reduce premenstrual syndrome (PMS) symptoms. 
D)  Advise the patient to use nonsteroidal antiinflammatory drugs (NSAIDs) such as ibuprofen (Advil) to control symptoms.

Question 8

A 22-year-old tells the nurse that she has not had a menstrual period for the last 2 months.Which action is most important for the nurse to take?

Accepted Answer

A)  Obtain a urine specimen for a pregnancy test. 
B)  Ask about any recent stressful lifestyle changes. 
C)  Measure the patient's current height and weight. 
D)  Question the patient about prescribed medications.

Question 9

A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago.The most appropriate nursing diagnosis for the patient is

Accepted Answer

A)  anxiety related to effects of being raped. 
B)  sleep deprivation related to frightening dreams. 
C)  rape-trauma syndrome related to rape experience. 
D)  ineffective coping related to inability to resolve incident.

Question 10

A 50-year-old patient is diagnosed with uterine bleeding caused by a leiomyoma.Which information will the nurse include in the patient teaching plan?

Accepted Answer

A)  The symptoms may decrease after the patient undergoes menopause. 
B)  The tumor size is likely to increase throughout the patient's lifetime. 
C)  Aspirin or acetaminophen may be used to control mild to moderate pain. 
D)  The patient will need frequent monitoring to detect any malignant changes.

Question 11

A 24-year-old patient with pelvic inflammatory disease (PID)is being treated with oral antibiotics as an outpatient.Which instruction will be included in patient teaching?

Accepted Answer

A)  Abdominal pain may persist for several weeks. 
B)  Return for a follow-up appointment in 2 to 3 days. 
C)  Instruct a male partner to use a condom during sexual intercourse for the next week. 
D)  Nonsteroidal antiinflammatory drug (NSAI
D)  use may prevent pelvic organ scarring

Question 12

The nurse will plan to teach the female patient with genital warts about the

Accepted Answer

A)  importance of regular Pap tests. 
B)  increased risk for endometrial cancer. 
C)  appropriate use of oral contraceptives. 
D)  symptoms of pelvic inflammatory disease (PI
D) .

Question 13

When caring for a patient who has a radium implant for treatment of cancer of the cervix,the nurse will

Accepted Answer

A)  assist the patient to ambulate every 2 to 3 hours. 
B)  use gloves and gown when changing the patient's bed. 
C)  flush the toilet several times right after the patient voids. 
D)  encourage the patient to discuss needs or concerns by telephone.

Question 14

Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?

Accepted Answer

A)  The 55-year-old patient who has 3 to 4 alcoholic drinks each day 
B)  The 35-year-old patient who has used oral contraceptives for 15 years 
C)  The 25-year-old patient who has a family history of hereditary nonpolyposis colorectal cancer 
D)  The 45-year-old patient who has had 6 full-term pregnancies and 2 spontaneous abortions

Question 15

Which topic will the nurse include in the preoperative teaching for a patient admitted for an abdominal hysterectomy?

Accepted Answer

A)  Purpose of ambulation and leg exercises 
B)  Adverse effects of systemic chemotherapy 
C)  Decrease in vaginal sensation after surgery 
D)  Symptoms caused by the drop in estrogen level

Question 16

A 29-year-old patient who is trying to become pregnant asks the nurse how to determine when she is most likely to conceive.The nurse explains that

Accepted Answer

A)  ovulation is unpredictable unless there are regular menstrual periods. 
B)  ovulation prediction kits provide accurate information about ovulation. 
C)  she will need to bring a specimen of cervical mucus to the clinic for testing. 
D)  she should take her body temperature daily and have intercourse when it drops.

Question 17

A 49-year-old woman tells the nurse that she is postmenopausal but has occasional spotting.Which initial response by the nurse is most appropriate?

Accepted Answer

A)  "A frequent cause of spotting is endometrial cancer." 
B)  "How long has it been since your last menstrual period?" 
C)  "Breakthrough bleeding is not unusual in women your age." 
D)  "Are you using prescription hormone replacement therapy?"

Question 18

A 19-year-old has been diagnosed with primary dysmenorrhea.How will the nurse suggest that the patient prevent discomfort?

Accepted Answer

A)  Avoid aerobic exercise during her menstrual period. 
B)  Use cold packs on the abdomen and back for pain relief. 
C)  Talk with her health care provider about beginning antidepressant therapy. 
D)  Take nonsteroidal antiinflammatory drugs (NSAIDs) when her period starts.

Question 19

The nurse notes that a patient who has a large cystocele,admitted 10 hours ago,has not yet voided.Which action should the nurse take first?

Accepted Answer

A)  Insert a straight catheter per the PRN order. 
B)  Encourage the patient to increase oral fluids. 
C)  Notify the health care provider of the inability to void. 
D)  Use an ultrasound scanner to check for urinary retention.

Question 20

The nurse will plan to teach a 34-year-old patient diagnosed with stage 0 cervical cancer about

Accepted Answer

A)  radiation. 
B)  conization. 
C)  chemotherapy. 
D)  radical hysterectomy.

Exam 54: Nursing Management: Female Reproductive Problems