BN Ch.91 Female Reproductive Disorders

Question 1

Infection of the oviducts is called __________.

Answer 1

salpingitis

Question 2

Accumulation of lymphatic fluid in the
tissues after the removal of a lymph node is called __________.

Answer 2

lymphedema

Question 3

The surgical procedure removing the entire contents of the pelvis is called pelvic __________.

Answer 3

exenteration

Question 4

Inflammation of the cervix is called __________.

Answer 4

cervicitis

Question 5

Thick, whitish vaginal discharge is called __________.

Answer 5

leukorrhea

Question 6

Excessive bleeding in amount or duration during menstrual

Answer 6

Menorrhagia

Question 7

Absence or abnormal or stoppage of menses

Answer 7

Amenorrhea

Question 8

Painful Menstruation

Answer 8

Dysmenorrhea

Question 9

Bleeding between menstrual periods

Answer 9

Metrorrhagia

Question 10

Write the correct sequence of steps that occur during the vaginal irrigation procedure.

1. Carefully inspect the douche tip to make sure that it is not cracked or rough.
2. Release the clamp to let air out of the tubing before inserting the nozzle.
3. Place the irrigating bag slightly above the client’s hip level.
4. Have the client lie back and place them on the bedpan.

Answer 10

1. Carefully inspect the douche tip to make sure that it is not cracked or rough.
2. Have the client lie back and place them on the bedpan.
3. Place the irrigating bag slightly above the client’s hip level.
4. Release the clamp to let air out of the tubing before inserting the nozzle.

Question 11

What are the risk factors for developing cervical cancer?

Answer 11

The risk factors for developing cervical cancer are:

• Human papillomavirus (HPV) infection
• Sexual activity at a young age
• Frequent sexual activity
• Sex with multiple partners
• Presence of genital warts (e.g., condyloma)
• Herpes virus type 2 infection
• Maternal history of cancer (especially cervical cancer)
• Maternal use of diethylstilbestrol (DES) during pregnancy (especially if the mother had toxicity to DES).

Question 12

What are the signs and symptoms of breast cancer?

Answer 12

• A lump, thickening, or any other changes in the breast are the most prominent signs of breast cancer.
• Nipple discharge, particularly bloody discharge
• History of pain or tingling without a palpable mass
• Breast enlargement or thickening;
• Nipple retraction
• Redness with swelling and heat
• Puckering in any area of the breast

are the possible noticeable changes caused by breast cancer.

Question 13

What are the stages of cervical cancer?

Answer 13

The following are the stages of cervical cancer:

• Stage 0: Cancer is confined to the epithelial layer, with no signs of invasion of deeper tissue or surrounding area.
• Stage I: Cancer is limited to the cervix.
• Stage II: Cancer extends beyond the cervix; it involves part of the vagina but not the lower third.
• Stage III: Cancer extends to the pelvic wall and the lower third of the vagina.
• Stage IV: Cancer spreads throughout the pelvic region or throughout the body.

Question 14

What are the signs and symptoms of rectocele?

Answer 14

The signs and symptoms of rectocele are backache, fatigue, heaviness in the pelvic region, bowel difficulties, incontinence, flatus, and alternating constipation and diarrhea.

Question 15

What are the discomforts associated with menopause?

Answer 15

Some of the discomforts associated with menopause are:

• Heavy bleeding
• Hot flashes with accompanying
  
  • perspiration
  • palpitation
  • fatigue;
• Vaginal dryness and atrophy
• Weight gain
• Skin dryness
• Sagging breasts
• Signs of calcium deficiency (osteoporosis)
• Insomnia
• Anxiety
• Crying spells
• Fatigue
• Mood swings
• Depression.

Question 16

Consider the following information and then answer the questions that follow. A nurse’s role in managing reproductive disorders in clients involves monitoring the symptoms of the disorder and providing proper nursing care.

A nurse is caring for a client who has undergone a mastectomy. The surgeon has asked the client to do rope-turning exercises.

a. How would the nurse instruct the client to do the rope-turning exercise?

Answer 16

The nurse should include the following instructions when guiding the client in doing the rope-turning exercise:

• Tie a light rope to a doorknob.
• Stand facing the door.
• Take the free end of the rope in the hand on the side of surgery.
• Place the other hand on the hip.
• With the rope-holding arm extended and held away from the body (almost parallel with the floor)
• Turn the rope making as wide swings as possible.
• Begin slowly at first
  
  • Speed up later.

Question 17

What are the postoperative nursing care measures to be employed when caring for this client?

Answer 17

The following postoperative nursing care measures should be employed when caring for the client who has undergone mastectomy:

• Provide emotional support to the client.
• Encourage the client to walk and move around.
• Inform the client about breast reconstruction surgery.
• Inform the client about breast prostheses.
• Monitor drains that have been placed in the surgical wound.
• Note the amount and character of drainage.
• Monitor the client for excessive bleeding complications.
• Check dressings frequently for drainage.
• Keep the affected arm elevated for several days to minimize development of edema.
• Provide a low-sodium diet and prescribed dose of diuretics.
• Take precautions to prevent damage to the skin and tissues.
• Avoid taking blood pressure, giving injections, or drawing blood on the operative side.
• Protect the arm against future infection.
• Report signs of infection in the arm or the hand immediately to the healthcare provider.
• Teach the client post mastectomy exercises.

Question 18

A nurse is assessing a client for possible vaginal candidiasis. a. Which data would the nurse collect from this client?

Answer 18

The nurse should collect the following data from the client:

• Client’s sexual history, client’s reproductive history (pregnancies, abortions),
• Birth control measures used
• Menstrual history and date of last menses
• History of STDs and other gynecologic infections,
• Visual observation of external genitalia
• Client’s knowledge about breast self-examination.

Question 19

Which self-care tips would the nurse provide to the client?

Answer 19

The nurse should provide the following self-care tips to the client:

• Read and follow the medication instructions on the package.
• Insert the full dosage of medication before going to sleep.
• Use cream during the day to control external itching.
• Continue the treatment for the specified number of consecutive days.
• Avoid skipping the treatment during menses.
• Avoid participating in sexual activity during the treatment and for at least 3 days after completion of the treatment.
• Use of condoms or diaphragms during treatment will not be effective because the medication can weaken the latex.
• Avoid the use of scented sanitary napkins during treatment.
• Avoid the use of tampons during treatment, because they may reduce the effective dosage and can cause irritation