CH 23

Question 1

Implantation of a fertilized egg within a fallopian tube:

• can cause severe intra-abdominal hemorrhage.
• produces atypical signs of pregnancy.
• is usually detected after the 20th week of pregnancy.
• represents only 3% of all ectopic pregnancies.

Answer 1

can cause severe intra-abdominal hemorrhage

Question 2

A patient was secretly given large doses of Xanax and Rohypnol before being sexually assaulted. The patient is unresponsive and has slow, shallow breathing. What additional assessment finding would you expect to encounter?

• Hypertension
• Bradycardia
• Tachycardia
• Tachypnea

Answer 2

Bradycardia

Question 3

Mittelschmerz is defined as:

• pain in the middle of the menstrual cycle.
• pain that occurs outside the menstrual cycle.
• a sudden premature cessation of menses.
• two consecutively missed menstrual periods.

Answer 3

pain in the middle of the menstrual cycle.

Question 4

In contrast to endometriosis, a patient with endometritis would be expected to present with:

fever, chills, and vomiting.
a feeling of rectal pressure.
painful intercourse.
escalating menstrual cramping.

Answer 4

fever, chills, and vomiting.

Question 5

Which of the following is a potential complication of pelvic inflammatory disease?

Urinary tract infection
Ectopic pregnancy
Respiratory failure
Uterine rupture

Answer 5

Ectopic pregnancy

Question 6

In the average female, the menstrual cycle lasts how many days?
28
35
21
24

Answer 6

28

Question 7

The region of sexual stimulation in a female is the:
vestibule.
urethra.
clitoris.
hymen.

Answer 7

clitoris

Question 8

In contrast to endometritis, endometriosis:

• generally causes light menstrual periods.
• may present without abdominal pain.
• is often the result of gynecologic surgery.
• is an inflammation of the uterine lining.

Answer 8

may present without abdominal pain.

Question 9

In an ectopic pregnancy, bleeding usually occurs:

• after signs of shock have developed.
• before the onset of pain.
• only if a fallopian tube is involved.
• after the onset of pain

Answer 9

after the onset of pain

Question 10

Which of the following questions is most important to ask when obtaining a patient’s gynecologic history?

“Do you have any abdominal pain?”
“When was your last menstrual period?”
“Is there a chance that you are pregnant?”
“When was your last sexual encounter?”

Answer 10

“When was your last menstrual period?”