ch 6

Question 1

1. Which condition is the least likely cause of amenorrhea in a 17–year–old client?

Answer 1

Type 1 diabetes mellitus

Question 2

2. When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended?

Answer 2

Using a heating pad on the abdomen to relieve cramping

Question 3

3. Nafarelin (Synarel) is used to treat mild–to–severe endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration?

Answer 3

It can cause the client to experience some hot flashes and vaginal dryness.

Question 4

4. While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the client’s recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?

Answer 4

“My flow is very heavy.”

Question 5

5. A 21–year–old client complains of severe pain immediately after the commencement of her menses. Which gynecologic condition is the most likely cause of this client’s presenting complaint?

Answer 5

Primary dysmenorrhea

Question 6

6. Which symptom described by a client is characteristic of premenstrual syndrome (PMS)?

Answer 6

“I feel irritable and moody a week before my period is supposed to start.”

Question 7

7. A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related?

Answer 7

Endometriosis

Question 8

8. Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?

Answer 8

Hot flashes

Question 9

9. Which risk factor would the nurse recognize as being frequently associated with osteoporosis?

Answer 9

Cigarette smoking

Question 10

10. A perimenopausal client has arrived for her annual gynecologic examination. Which preexisting condition would be extremely important for the nurse to identify during a discussion regarding the risks and benefits of hormone therapy?

Answer 10

Breast cancer

Question 11

11. Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate?

Answer 11

DUB is most commonly caused by anovulation.

Question 12

12. The female athlete triad includes which common menstrual disorder?

Answer 12

Amenorrhea

Question 13

13. Which system responses would the nurse recognize as being unrelated to prostaglandin (PGF2) release?

Answer 13

Genitourinary system

Question 14

14. Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate?

Answer 14

PMS is a complex, poorly understood condition that may include any of a hundred symptoms.

Question 15

15. To assist a client in managing the symptoms of PMS, what should the nurse recommend based on current evidence?

Answer 15

Herbal therapies, yoga, and massage

Question 16

16. Which statement related to the condition of endometriosis is most accurate?

Answer 16

Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause.

Question 17

17. Which alteration in cyclic bleeding best describes bleeding that occurs at any time other than menses?

Answer 17

Metrorrhagia

Question 18

18. Management of primary dysmenorrhea often requires a multifaceted approach. Which pharmacologic therapy provides optimal pain relief for this condition?

Answer 18

Nonsteroidal antiinflammatory drugs (NSAIDs)

Question 19

1. A client has requested information regarding alternatives to hormonal therapy for menopausal symptoms. Which current information should the nurse provide to the client? (Select all that apply.)

Answer 19

Soy

Vitamin E

Question 20

2. Which suggestions are appropriate for a client who complains of hot flashes? (Select all that apply.)

Answer 20

Avoid caffeine.

Wear layered clothing.

Question 21

3. Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? (Select all that apply.)

Answer 21

Calcium

Fosamax
Actonel
Calcitonin

Question 22

4. Which statement(s) might the nurse appropriately include when teaching a client about calcium intake for osteoporosis? (Select all that apply.)

Answer 22

“Tums are the most soluble form of calcium.”

“You should take calcium with vitamin D because the vitamin D helps your body better absorb calcium.”

Question 23

5. Nurses are in an ideal position to educate clients who experience PMDD. What self-help activities have been documented as helpful in alleviating the symptoms of PMDD? (Select all that apply.)

Answer 23

Regular exercise

Improved nutrition

Smoking cessation

Oil of evening primrose

Question 24

Herbal preparations have long been used for the management of menstrual problems, including dysmenorrhea, cramping and discomfort, and breast pain. For the nurse to counsel adequately the client who elects to use this alternative modality, understanding the action of these herbal preparations is important. Match the herbal medicine with the appropriate action.

Answer 24

1. Fennel, dong quai - Uterotonic
2. Chaste tree fruit -
   Decreases prolactin levels
3. Black cohosh root -
   Estrogen-like luteinizing hormone suppressant
4. Valerian, wild yam -
   Uterine antispasmodic
5. Ginger - antiinflammatory