Question 1

An 18-year-old requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods.Which should the nurse take first?

Accepted Answer

A)  Determine whether the patient is sexually active. 
B)  Teach about the side effects of oral contraceptives. 
C)  Take a personal and family health history from the patient. 
D)  Suggest nonsteroidal antiinflammatory drugs (NSAIDs) for relief.

Question 2

A 25-year-old woman 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)  "Heavy vaginal bleeding is expected for about 2 weeks." 
B)  "You should abstain from sexual intercourse for 2 weeks." 
C)  "Contraceptives should be avoided until your reexamination." 
D)  "Irregular menstrual periods are expected for the next few months."

Question 3

A 49-year-old woman is considering the use of combined estrogen-progesterone hormone replacement therapy (HT)during menopause.Which information will the nurse include during their discussion?

Accepted Answer

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

Question 4

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 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

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 7

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 (RU-486). 
B)  dilation and evacuation. 
C)  methotrexate with misoprostol. 
D)  levonorgestrel (Plan-B One-Step).

Question 8

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 9

A 32-year-old woman 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.

Exam 50: Nursing Management: Female Reproductive Problems