Question 1

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 2

A patient who was admitted to the emergency department with severe abdominal pain is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse to leave her alone to grieve. Which action should the nurse take next?

Accepted Answer

A) Stay with the patient and encourage her to discuss her feelings. 
B) Explain the reason for taking vital signs every 15 to 30 minutes. 
C) Close the door to the patient's room and minimize disturbances. 
D) Provide teaching about options for termination of the pregnancy.

Question 3

A 58-yr-old patient is on the medical-surgical unit after undergoing a radical vulvectomy for vulvar carcinoma. The greatest risk to the patient at this time is

Accepted Answer

A) self-care deficit. 
B) wound infection. 
C) inadequate nutrition. 
D) ineffective sexual pattern.

Question 4

A patient has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?

Accepted Answer

A) "Avoid contraceptives until your reexamination." 
B) "Heavy vaginal bleeding is expected for 2 weeks." 
C) "Abstain from sexual intercourse for the next 2 weeks." 
D) "Irregular menstrual periods are expected for a few months."

Question 5

A patient is scheduled for an induced abortion using instillation of hypertonic saline solution. Which information will the nurse plan to discuss with the patient before the procedure?

Accepted Answer

A) The patient will require a general anesthetic. 
B) The expulsion of the fetus may take 1 to 2 days. 
C) There is a possibility that the patient may deliver a live fetus. 
D) The procedure may be unsuccessful in terminating the pregnancy.

Question 6

To prevent pregnancy in a patient who has been sexually assaulted,the nurse in the emergency department will plan to teach the patient about the use of

Accepted Answer

A) mifepristone . 
B) dilation and evacuation. 
C) methotrexate with misoprostol. 
D) levonorgestrel (Plan-B One-Step).

Question 7

A nursing diagnosis that is likely to be appropriate for a 67-yr-old patient who has just been diagnosed with stage III ovarian cancer is

Accepted Answer

A) sexual dysfunction related to loss of vaginal sensation. 
B) risk for infection related to impaired immune function. 
C) anxiety related to cancer diagnosis and need for treatment decisions. 
D) situational low self-esteem related to guilt about delaying medical care.

Question 8

A patient is considering the use of combined estrogen-progesterone hormone replacement therapy (HRT)during menopause. Which information will the nurse include during their discussion?

Accepted Answer

A) Use of estrogen-containing vaginal creams provides the same benefits as oral HRT. 
B) Increased risk of colon cancer in women taking HRT requires frequent colonoscopy. 
C) HRT decreases osteoporosis risk and increases the risk for cardiovascular disease and breast cancer. 
D) Use of HRT for up to 10 years to prevent symptoms such as hot flashes is generally considered safe.

Question 9

A patient was recently diagnosed with polycystic ovary syndrome. It is most important for the nurse to teach the patient

Accepted Answer

A) reasons for a total hysterectomy. 
B) how to decrease facial hair growth. 
C) ways to reduce the occurrence of acne. 
D) methods to maintain appropriate weight.

Question 10

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 11

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 12

A patient brought to the emergency department reports being sexually assaulted. The patient is confused about where she is and she has a laceration above the right eye. Which action should the nurse take first?

Accepted Answer

A) Assess the patient's neurologic status. 
B) Assist the patient to remove her clothing. 
C) Ask the patient to describe what occurred during the assault. 
D) Ask the sexual assault nurse examiner (SAN
E)  to assess the patient.

Question 13

A 31-yr-old patient who has been diagnosed with human papillomavirus (HPV)infection gives a health history that includes smoking tobacco,taking oral contraceptives,and having been treated twice for vaginal candidiasis. Which topic will the nurse include in patient teaching?

Accepted Answer

A) Use of water-soluble lubricants 
B) Risk factors for cervical cancer 
C) Antifungal cream administration 
D) Possible difficulties with conception

Question 14

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

Accepted Answer

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

Question 15

A 50-yr-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 16

Which statement by the patient indicates that the nurse's teaching about treating vaginal candidiasis was effective?

Accepted Answer

A) "I will tell my partner that we cannot have intercourse for a month." 
B) "I should clean carefully after each urination and bowel movement." 
C) "I can douche with warm water if the itching continues to bother me." 
D) "I will insert the antifungal cream right before I get up in the morning."

Question 17

The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see first?

Accepted Answer

A) A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy 
B) A 42-yr-old patient with secondary amenorrhea who says that her last menstrual cycle was 3 months ago 
C) A 35-yr-old patient with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago 
D) A 19-yr-old patient with menorrhagia who has been using superabsorbent tampons and has fever with weakness

Question 18

A patient is on the surgical unit after a radical abdominal hysterectomy. Which finding requires a report to the health care provider?

Accepted Answer

A) Urine output of 125 mL in the first 8 hours after surgery 
B) Decreased bowel sounds in all four abdominal quadrants 
C) One-inch area of bloody drainage on the abdominal dressing 
D) Complaints of abdominal pain at the incision site with coughing

Question 19

A 32-yr-old patient has oral contraceptives prescribed for endometriosis. The nurse will teach the patient to

Accepted Answer

A) expect to experience side effects such as facial hair. 
B) take the medication every day for the next 9 months. 
C) take calcium supplements to prevent developing osteoporosis during therapy. 
D) use a second method of contraception to ensure that she will not become pregnant.

Question 20

When caring for a patient who has a radium implant for treatment of cervical cancer,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 any concerns by telephone.

Exam 53: Female Reproductive and Genital Problems