Question 1

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

Accepted Answer

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.

Question 2

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):

Accepted Answer

A)   Regular exercise.
B)   Improved nutrition.
C)   A daily glass of wine.
D)   Smoking cessation.
E)   Oil of evening primrose. A, B, D, E

Question 3

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

Accepted Answer

A)   The blood pressure (BP)  cuff should not be applied to the affected arm.
B)   Venipuncture for blood work should be performed on the affected arm.
C)   The affected arm should be used for intravenous (IV)  therapy.
D)   The affected arm should be held down close to the woman's side. A

Question 4

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:

Accepted Answer

A)   Amenorrhea.
B)   Dysmenorrhea.
C)   Dyspareunia.
D)   Premenstrual syndrome (PMS) .

Question 5

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:

Accepted Answer

A)   Strategies to enhance condom use.
B)   Choice of colors and special features.
C)   Leaving the decision up to the male partner.
D)   Places to safely carry condoms.

Question 6

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?

Accepted Answer

A)   The woman says her menstrual flow lasts 5 to 6 days.
B)   She describes her flow as very heavy.
C)   She reports that she has had a small amount of spotting midway between her periods for the past 2 months.
D)   She says the length of her menstrual cycle varies from 26 to 29 days.

Question 7

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

Accepted Answer

A)   Herpes simplex virus (HSV) -2
B)   Human papillomavirus (HPV) 
C)   Human immunodeficiency virus (HIV) 
D)   Cytomegalovirus (CMV)

Question 8

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

Accepted Answer

A)   Oligomenorrhea.
B)   Menorrhagia.
C)   Leiomyoma.
D)   Metrorrhagia.

Question 9

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

Accepted Answer

A)   Sexual orientation and socioeconomic status.
B)   Age and educational level.
C)   Large number of sexual partners and race.
D)   Risky sexual behaviors and inadequate preventive health behaviors.

Question 10

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:

Accepted Answer

A)   Stimulates the secretion of gonadotropin-releasing hormone (GnRH) , thereby stimulating ovarian activity.
B)   Should be sprayed into one nostril every other day.
C)   Should be injected into subcutaneous tissue BID.
D)   Can cause her to experience some hot flashes and vaginal dryness.

Question 11

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

Accepted Answer

A)   Mammogram
B)   Ultrasound
C)   Fine-needle aspiration (FN
A)  
D)   CA 15-3

Question 12

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

Accepted Answer

A)   Fibroadenoma.
B)   Lipoma.
C)   Intraductal papilloma.
D)   Mammary duct ectasia.

Question 13

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

Accepted Answer

A)   Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B)   Fibroids will increase in size during the perimenopausal period.
C)   Menorrhagia is a common finding.
D)   The woman is unlikely to become pregnant as long as the fibroids are in her uterus.

Question 14

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

Accepted Answer

A)   HIV virus.
B)   HIV antibodies.
C)   CD4 counts.
D)   CD8 counts.

Question 15

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

Accepted Answer

A)   A disease of the milk ducts and glands in the breasts.
B)   A premalignant disorder characterized by lumps found in the breast tissue.
C)   Lumpiness with pain and tenderness found in varying degrees in the breast tissue of healthy women during menstrual cycles.
D)   Lumpiness accompanied by tenderness after menses.

Question 16

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

Accepted Answer

A)   Increasing the intake of red meat and simple carbohydrates
B)   Reducing the intake of diuretic foods such as peaches and asparagus
C)   Temporarily substituting physical activity for a sedentary lifestyle
D)   Using a heating pad on the abdomen to relieve cramping

Question 17

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:

Accepted Answer

A)   Bacterial vaginosis (BV) .
B)   Candidiasis.
C)   Trichomoniasis.
D)   Gonorrhea.

Question 18

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

Accepted Answer

A)   6 to 10 days.
B)   2 to 4 weeks.
C)   6 to 12 weeks.
D)   6 months.

Question 19

Which statement about the various forms of hepatitis is accurate?

Accepted Answer

A)   A vaccine exists for hepatitis C but not for hepatitis B.
B)   Hepatitis A is acquired by eating contaminated food or drinking polluted water.
C)   Hepatitis B is less contagious than human immunodeficiency virus (HIV) .
D)   The incidence of hepatitis C is decreasing.

Question 20

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:

Accepted Answer

A)   Endometriosis.
B)   PMS.
C)   Primary dysmenorrhea.
D)   Secondary dysmenorrhea.

Exam 3: Common Concerns