Question 1

The nurse is assisting a new mother who returns to a clinic for a 6-week visit.What instructions about birth control should the nurse provide?

Accepted Answer

A)  "Breastfeeding has no effect on your ability to conceive." 
B)  "As long as you are breastfeeding, you will not get pregnant." 
C)  "You should avoid having intercourse until you are finished breastfeeding." 
D)  "You should plan to use birth control; breastfeeding is not a reliable form of contraception."

Question 2

The nurse is teaching a woman with a menstrual disorder how to measure menstrual flow.Which instruction should the nurse include?

Accepted Answer

A)  Use a perineal collection system. 
B)  Use a vaginal catheter and collection bag. 
C)  Weigh her perineal pads before and after use. 
D)  Weigh the woman before and after her menses.

Question 3

A patient is scheduled for a hysterectomy and bilateral salpingo-oophorectomy.She asks what this means.How should the nurse respond?

Accepted Answer

A)  "You will have your uterus removed and your bladder suspended." 
B)  "You are going to have your uterus, fallopian tubes, and ovaries removed." 
C)  "You will have your uterus removed and your fallopian tubes and ovaries sutured in place." 
D)  "You will have your uterus and fallopian tubes removed, but your ovaries will remain intact."

Question 4

A patient reports long,heavy,irregular menses accompanied by headache and back pain for the past several months.How should the nurse document these symptoms?

Accepted Answer

A)  Polymenorrhea 
B)  Oligomenorrhea 
C)  Hypermenorrhea 
D)  Menometrorrhagia

Question 5

The nurse is assisting with a community education class on breast cancer prevention.Which risk factors should the nurse include in this training?

Accepted Answer

A)  History of breastfeeding 
B)  Large or pendulous breasts 
C)  High-fat diet and alcohol intake 
D)  Early first pregnancy and late menarche

Question 6

A female patient has just learned that she is infertile.She says,"All I ever wanted in life was to have a baby.My life is over." What is the best response by the nurse?

Accepted Answer

A)  "You are overreacting because you are upset. Your life really is not over." 
B)  "You have a wonderful husband. Maybe you should think about adoption." 
C)  "There is an infertility clinic I just heard about in Mexico. Do you want the address?" 
D)  "A baby must have been very important to you. When you feel ready, we can talk about other alternatives."

Question 7

The nurse is assisting in the development of a program to instruct female high school students on ways to prevent the development of toxic shock syndrome.What should the nurse include in this program? (Select all that apply.)

Accepted Answer

A)  Increase oral fluid intake. 
B)  Change tampons every 4 hours. 
C)  Wash hands before inserting a new tampon. 
D)  Take over-the-counter aspirin while menstruating. 
E)  Use sanitary pads instead of tampons overnight when menstruating.

Question 8

A female patient is diagnosed with mild uterine prolapse into the vagina.For which areas should the nurse prepare to reinforce teaching to help this patient? (Select all that apply.)

Accepted Answer

A)  Avoid weight gain 
B)  Take care of the pessary 
C)  Consume a healthy diet 
D)  Perform Kegel exercises 
E)  Perform vaginal douches

Question 9

The nurse notes that a female patient has been treated for vaginal yeast infections 6 times in one year.For which additional health problem should the nurse suspect the patient should be evaluated?

Accepted Answer

A)  HIV 
B)  Hepatitis B 
C)  Tuberculosis 
D)  Chronic inflammation

Question 10

A 50-year-old woman states,"It is such a relief not to need birth control any more.I haven't had a period in 3 months." How should the nurse respond?

Accepted Answer

A)  "Birth control is usually unnecessary after age 50, even if you are still having periods." 
B)  "It is still possible for you to get pregnant. You should consider having a tubal ligation." 
C)  "You should continue to use birth control for at least 6 months after cessation of your periods." 
D)  "You may still be fertile for several months after your last period. You should consult with your physician to know when to stop using birth control."

Question 11

A 16-year-old girl is admitted to the hospital with toxic shock syndrome (TSS).Which action by the nurse should take priority?

Accepted Answer

A)  Teach the girl risk factors for TSS. 
B)  Teach the girl's mother risk factors for TSS. 
C)  Educate the girl on signs and symptoms of TSS. 
D)  Determine what the girl understands about risk factors for TSS.

Question 12

A woman tells the nurse,"I am having terrible pain with my period.This has never happened before.What should I do?" What is the best response by the nurse?

Accepted Answer

A)  "Sometimes getting into a knee-chest position is helpful." 
B)  "You should notify your doctor if this is a new experience for you." 
C)  "Dysmenorrhea is a common occurrence; NSAIDs or aspirin may help." 
D)  "The best way to combat painful menses is to exercise and drink plenty of fluids."

Question 13

The nurse enters the room of a patient with a new mastectomy and finds her crying.After confirming that the patient is crying because of the loss of her breast,which response by the nurse is best?

Accepted Answer

A)  "At least they got all the cancer. You are fortunate." 
B)  "I know how you feel. It is difficult to lose a breast." 
C)  "How have you coped with other problems in your life? Do you have someone you can talk to?" 
D)  "Here, have a tissue. I know you feel like crying now, but before you know it, you will feel much better, and this will all be behind you."

Question 14

A patient who is 6 weeks pregnant is contemplating having an abortion.What methods of abortion should the nurse explain as most commonly used to terminate a pregnancy of less than 14 weeks? (Select all that apply.)

Accepted Answer

A)  Vacuum suction 
B)  Saline induction 
C)  Menstrual extraction 
D)  Dilation and curettage (D&
C)  
E)  Dilation and evacuation (D&
E)

Question 15

A patient at a walk-in clinic requests oral contraceptives (OCs)because she heard they can prevent sexually transmitted infections (STI).What information should the nurse use to base a response to this patient?

Accepted Answer

A)  OCs provide excellent protection against most STIs. 
B)  There is no connection between OC use and risk of STIs. 
C)  Only OCs with estrogen and progestin can prevent STIs. 
D)  Not enough research has been done to prove that OCs can prevent STIs.

Question 16

The nurse is weighing the perineal pads of a patient bleeding after having an abortion.The weight of one pad increased in weight by 20 grams.How many mL of blood has this patient lost?

Accepted Answer

The answer of The nurse is weighing the perineal pads...

Question 17

The nurse is assessing a patient after a mastectomy and thinks the patient's affected arm appears swollen.What is the best way to verify this finding?

Accepted Answer

A)  Measure and document the circumference of the arm. 
B)  Measure and compare the circumferences of both arms. 
C)  Press a finger into the arm and measure the indentation. 
D)  Ask the patient to hang the arm down for 3 minutes and check for increased swelling.

Question 18

A female patient asks what can be done to reduce symptoms associated with menopause.What should the nurse suggest to this patient? (Select all that apply.)

Accepted Answer

A)  Eat a healthy diet. 
B)  Reflect on past experiences and challenges. 
C)  Dress in layers so clothing can be removed. 
D)  Reduce intake of caffeine, sugar, and alcohol. 
E)  Use an oil-based vaginal lubricant to ease vaginal dryness.

Question 19

The nurse is assisting in the preparation of an educational seminar about breast pathology.What characteristics of cancerous breast lesions should the nurse include in this teaching? (Select all that apply.)

Accepted Answer

A)  They tend to be harder. 
B)  They tend to be less mobile. 
C)  They tend to be more painful. 
D)  They tend to be more irregularly shaped. 
E)  They tend to have more clearly defined borders.

Question 20

A female patient approaching menopause asks about the use of hormone replacement therapy.Which findings from a study on hormone replacement therapy should the nurse explain to the patient? (Select all that apply.)

Accepted Answer

A)  A decrease in strokes 
B)  A decrease in breast cancer 
C)  An increase in heart attacks 
D)  A reduction in total fractures 
E)  A decrease in colorectal cancer
F) An increase in thromboembolism

Exam 42: Nursing Care of Women With Reproductive System Disorders