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Med Surg C34 > Chapter 91: Female Reproductive Disorders > Flashcards

Chapter 91: Female Reproductive Disorders Flashcards

1
Q

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student needs further teaching if which responses are made? Select all that apply.

  1. Allows for fetal movement
  2. Is a measure of kidney function
  3. Surrounds, cushions, and protects the fetus
  4. Maintains the body temperature of the fetus
  5. Prevents large particles such as bacteria from passing to the fetus
  6. Provides an exchange of nutrients and waste products between the mother and the fetus
A
  1. Prevents large particles such as bacteria from passing to the fetus
  2. Provides an exchange of nutrients and waste products between the mother and the fetus
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2
Q

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure?

  1. “The uterus weighs about 2 ounces.”
  2. “The uterus weighs about 2.2 pounds.”
  3. “The uterus has a capacity of about 50 milliliters.”
  4. “The uterus is round in shape and weighs approximately 1000 grams.”
A
  1. “The uterus weighs about 2 ounces.”
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3
Q

The nursing instructor asks the nursing student about the physiology related to the cessation of ovulation that occurs during pregnancy. Which response by the student indicates an understanding of this physiological process?

  1. “Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high.”
  2. “Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are low.”
  3. “The low levels of estrogen and progesterone increase the release of follicle-stimulating hormone and luteinizing hormone.”
  4. “The high levels of estrogen and progesterone promote the release of follicle-stimulating hormone and luteinizing hormone.”
A
  1. “Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high.”
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4
Q

The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likely day for ovulation in a 30-day menstrual cycle is which day?

  1. Day 14
  2. Day 16
  3. Day 18
  4. Day 28
A
  1. Day 16
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5
Q

The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormones identified by the student indicate an understanding of the hormones produced by this endocrine gland? Select all that apply.

  1. Oxytocin
  2. Estrogen
  3. Progesterone
  4. Luteinizing hormone (LH)
  5. Follicle-stimulating hormone (FSH)
  6. Thyroid-stimulating hormone (TSH)
A
  1. Estrogen
  2. Progesterone
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6
Q

The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for further teaching in this area? Select all that apply.

  1. Luteal phase
  2. Ovulatory phase
  3. Secretory phase
  4. Proliferative phase
  5. Preovulatory phase
A
  1. Secretory phase
  2. Proliferative phase
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7
Q

A client has been examined in the clinic and has been diagnosed with pelvic inflammatory disease. The client asks the nurse to describe this condition. Which description of pelvic inflammatory disease by the nurse is accurate?

  1. “Pelvic inflammatory disease is pain that occurs during ovulation.”
  2. “Pelvic inflammatory disease is also known as primary dysmenorrhea.”
  3. “Pelvic inflammatory disease is the cause of cessation of menstruation.”
  4. “Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus.”
A
  1. “Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus.”
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8
Q

The nurse is providing a teaching session to an adolescent female regarding sexual maturation. The nurse recognizes that successful teaching has occurred if the adolescent female makes which statement?

  1. “I will experience a sudden decline in height and weight.”
  2. “Menstruation typically occurs before breast development.”
  3. “Growth of pubic hair typically precedes changes in breast development.”
  4. “Breast changes most commonly occur before growth of pubic and axillary hair.”
A
  1. “Breast changes most commonly occur before growth of pubic and axillary hair.”
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9
Q

Which statements made by the nursing student accurately reflect correct information about the hormone oxytocin? Select all that apply.

  1. “Production of oxytocin occurs in the ovaries.”
  2. “It is produced by the anterior pituitary gland.”
  3. “It can cause contractions of the uterus during and after birth.”
  4. “Release of oxytocin stimulates the pancreas to produce insulin.”
  5. “Oxytocin is used primarily for labor induction and augmentation.”
A
  1. “It can cause contractions of the uterus during and after birth.”
  2. “Oxytocin is used primarily for labor induction and augmentation.”
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10
Q

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which statement supports this probable diagnosis?

  1. “My monthly cycle is very heavy.”
  2. “I experience pain that occurs during intercourse.”
  3. “I have incapacitating pain for the first few days of my menstrual cycle.”
  4. “I experience a sharp pain located on my low right side midway through my cycle.”
A
  1. “I experience a sharp pain located on my low right side midway through my cycle.”
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11
Q

The nursing student is assigned to care for an adolescent female client in the health care clinic who has the potential diagnosis of gonorrhea. Which signs/symptoms if found in this client support this diagnosis? Select all that apply.

  1. Edematous labia
  2. Acute severe pelvic pain
  3. Generalized lymphadenopathy
  4. Maculopapular rash on the palms and soles of the feet
  5. Presence of a greenish-yellow purulent endocervical discharge
A
  1. Edematous labia
  2. Acute severe pelvic pain
  3. Presence of a greenish-yellow purulent endocervical discharge
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12
Q

A client who has been seen in the clinic has been diagnosed with endometriosis and asks the nurse to describe this condition. Which is the best response for the nurse to provide?

  1. Endometriosis is pain that occurs during ovulation.
  2. Endometriosis causes the cessation of menstruation.
  3. Endometriosis is also known as primary dysmenorrhea.
  4. Endometriosis is the presence of tissue outside the uterus that resembles the lining of the uterus.
A
  1. Endometriosis is the presence of tissue outside the uterus that resembles the lining of the uterus.
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13
Q

The nurse is teaching an adolescent female about menstruation. Which statements if made by the adolescent female demonstrate a need for further teaching? Select all that apply.

  1. “The average duration of menstruation is 3 days.”
  2. “Menstruation typically begins 14 days after ovulation.”
  3. “The menstrual cycle prepares the uterus for pregnancy.”
  4. “I will lose about 40 mL of blood during my menstrual period.”
  5. “The day of ovulation is counted as the first day of the menstrual cycle.”
A
  1. “The average duration of menstruation is 3 days.”
  2. “The day of ovulation is counted as the first day of the menstrual cycle.”
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14
Q

A nursing instructor asks a nursing student to describe Montgomery’s tubercles of the breast. Which response by the student indicates successful learning regarding Montgomery’s tubercles?

  1. “These are lobes of glandular tissue that secrete milk.”
  2. “These are sebaceous glands that are located in the areola.”
  3. “These are small sacs that contain acinar cells to secrete milk.”
  4. “These are ducts containing milk from all areas of the breast.”
A
  1. “These are sebaceous glands that are located in the areola.”
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15
Q

A maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that successful learning has occurred if the nursing students correctly identify which statements as true? Select all that apply.

  1. The stage of the embryo lasts for 12 weeks.
  2. Uterine implantation occurs 21 days following fertilization.
  3. The blastocyst usually implants in the anterior or posterior fundal region.
  4. Fertilization of the mature ovum occurs in the distal third of the fallopian tube.
  5. Human chorionic gonadotropin is the hormone needed for a positive pregnancy test.
A
  1. The blastocyst usually implants in the anterior or posterior fundal region.
  2. Fertilization of the mature ovum occurs in the distal third of the fallopian tube.
  3. Human chorionic gonadotropin is the hormone needed for a positive pregnancy test.
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16
Q

A nursing student is asked to identify the layers of tissue found within the uterus. Which student responses are correct with regard to the tissue layers of the uterus? Select all that apply.

  1. Ectometrium
  2. Myometrium
  3. Perimetrium
  4. Endometrium
  5. Transmetrium
A
  1. Myometrium
  2. Perimetrium
  3. Endometrium
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17
Q

A 17-year-old pregnant client is being seen at the obstetric clinic. The nurse is reviewing the following laboratory results, which were obtained 2 hours after breakfast: hemoglobin 10 g/dL (100 mmol/L), sodium 140 mEq (140 mmol/L), glucose 110 mg/dL (6 mmol/L), potassium 4.1 mEq (4.1 mmol/L). Which dietary instruction would the nurse reinforce for this client?

  1. Increase the amount of red meats.
  2. Increase the intake of milk products.
  3. Limit the number of bananas per day.
  4. Decrease the amounts of heavily sugared items.
A
  1. Increase the amount of red meats.
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18
Q

The nursing student is asked to describe the size of the uterus in a pregnant client at the end of pregnancy. Which response by the student indicates an understanding of the anatomy of this structure?

  1. “The uterus weighs about 2 ounces.”
  2. “The uterus weighs about 1 pound.”
  3. “The uterus has a capacity of about 10 milliliters.”
  4. “The uterus is round and weighs approximately 1000 grams.”
A
  1. “The uterus is round and weighs approximately 1000 grams.”
19
Q

The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. Which time of the month would the nurse tell the client to perform breast self-examination?

  1. At ovulation time
  2. 7 to 10 days after menses
  3. Just before the menses begins
  4. On a specific day of the month and on that same day every month thereafter
A
  1. On a specific day of the month and on that same day every month thereafter
20
Q

The nurse is assisting in planning a teaching session with a client diagnosed with urethritis caused by infection with Chlamydia. The nurse would plan to include which point in the teaching session?

  1. The most serious complication of this infection is sterility.
  2. Sexual partners during the last 12 months should be notified and treated.
  3. Medication therapy should be continued for 2 months without interruption.
  4. The infection can be prevented by using spermicide to alter the pH in the perineal area.
A
  1. The most serious complication of this infection is sterility.
21
Q

A client with chlamydial infection has received instructions on self-care and prevention of further infection. The nurse determines that the client needs further teaching if the client states which?

  1. I will use latex condoms to prevent disease transmission.
  2. I will return to the clinic as requested for follow-up culture in 1 week.
  3. I will use an antibiotic prophylactically to prevent symptoms of Chlamydia.
  4. I will reduce the chance of reinfection by limiting the number of sexual partners.
A
  1. I will use an antibiotic prophylactically to prevent symptoms of Chlamydia.
22
Q

The nurse is conducting a session on the process of fertilization with a group of nursing students. The nurse asks a nursing student to identify the structure in which fertilization of an ovum takes place. The nurse midwife recognizes the teaching has been effective if the student selects which location?

  1. Ovary
  2. Fallopian tube
  3. Fundus of the uterus
  4. Corpus of the uterus
A
  1. Fallopian tube
23
Q

The nurse is collecting data from a pregnant client when the client asks the nurse about the purpose of the fallopian tubes. Which is the accurate response the nurse would make?

  1. The organ of copulation
  2. Where the fetus develops
  3. Where fertilization occurs
  4. The organ that secretes estrogen and progesterone
A
  1. Where fertilization occurs
24
Q

A mother is breast-feeding her newborn baby and experiences breast engorgement. The nurse would encourage the mother to do which to provide relief of the engorgement?

  1. Breast-feed only during the daytime hours.
  2. Apply cold compresses to the breast before feeding.
  3. Avoid the use of a bra while the breasts are engorged.
  4. Massage the breasts before feeding to stimulate let-down.
A
  1. Massage the breasts before feeding to stimulate let-down.
25
Q

A client taking metronidazole for the treatment of Trichomonas vaginalis calls the nurse employed in the primary health care provider’s office concerned because of a feeling of tingling and numbness in the extremities. Which instructions would the nurse provide to the client?

  1. Increase fluid intake.
  2. Discontinue the medication.
  3. Numbness and tingling of the extremities is a harmless side effect.
  4. Report to the clinic to see the primary health care provider immediately.
A
  1. Report to the clinic to see the primary health care provider immediately.
26
Q

The nurse is assigned to care for the client diagnosed with herpes simplex virus (HSV) prescribed acyclovir. The nurse is monitoring for adverse effects of the medication. Which laboratory result would the nurse primarily monitor to identify an adverse effect associated with the use of this medication?

  1. Platelet count
  2. Red blood cell count
  3. White blood cell count
  4. Blood urea nitrogen (BUN)
A
  1. Blood urea nitrogen (BUN)
27
Q

A client has been taking prednisone for 3 years. She is scheduled for abdominal hysterectomy. The nurse plans care realizing that postoperatively the client is at risk for which conditions? Select all that apply.

  1. Hypoglycemia
  2. Increased risk for dehiscence
  3. Excessive bleeding at the surgical incision
  4. Increased likelihood of surgical site infection
  5. Very early wound healing, causing excessive scarring
A
  1. Increased risk for dehiscence
  2. Increased likelihood of surgical site infection
28
Q

The nurse is caring for a client diagnosed with herpes simplex virus (HSV) who has just been prescribed acyclovir. The nurse explains that which statement is true about treatment with this medication?

  1. The medication will cure the virus.
  2. The medication should be taken until the lesions are gone.
  3. The medication can help reduce the severity of the outbreak.
  4. The infection cannot be transmitted to others once the lesions are gone.
A
  1. The medication can help reduce the severity of the outbreak.
29
Q

A client has returned to the nursing unit following abdominal hysterectomy. To gather data on the client’s postoperative bleeding, the nurse would implement which interventions? Select all that apply.

  1. Observing perineal pad drainage
  2. Observing the abdominal dressing
  3. Rolling the client to one side to view bedding
  4. Monitoring output from the Jackson-Pratt drain
  5. Auscultation of bowel sounds, especially lower quadrants
  6. Observing for abdominal distention and presence of ecchymosis
A
  1. Observing perineal pad drainage
  2. Observing the abdominal dressing
  3. Rolling the client to one side to view bedding
  4. Monitoring output from the Jackson-Pratt drain
30
Q

The nurse is reinforcing instructions to the client about the use of ceftriaxone, an antibiotic, for treating cervical gonorrhea. The nurse would determine a need for further teaching if the client makes which statement?

  1. “I can expect to get this one shot.”
  2. “I will take the pills for 20 full days.”
  3. “I may experience some discomfort at the injection site.”
  4. “If I have a penicillin allergy, I may be allergic to this medication too.”
A
  1. “I will take the pills for 20 full days.”
31
Q

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which finding, on data collection, is most closely associated with this disorder?

  1. Profuse vaginal bleeding
  2. Pain that occurs during intercourse
  3. Pain at the beginning of menstruation
  4. Sharp pain located on the right side of the pelvis
A
  1. Sharp pain located on the right side of the pelvis
32
Q

The nurse is caring for a client with a possible ectopic pregnancy. The nurse would perform the following actions in which priority order? Arrange the actions in the order they should be performed. All options must be used.

A

S1. Assess the client for signs of increased pain or vaginal bleeding.
S2. Obtain a urine specimen.
S3. Prepare the client for US.
S4. Assess the emotional state of the client.

33
Q

The nurse in a women’s health clinic is reinforcing instructions to a client that is being treated for pelvic inflammatory disease (PID). Which information is essential for the nurse to reinforce before discharge? Select all that apply.

  1. Refrain from sexual activity for 3 weeks.
  2. Get plenty of rest and increase fluid intake.
  3. Continue antibiotic for 2 days after symptoms resolve.
  4. Re-evaluation in 48 to 72 hours is necessary, unless signs/symptoms are improving.
  5. Inform your sexual partner of the need for treatment, even if no signs/symptoms are present.
A
  1. Refrain from sexual activity for 3 weeks.
  2. Get plenty of rest and increase fluid intake.
  3. Inform your sexual partner of the need for treatment, even if no signs/symptoms are present.
34
Q

The nurse observes a student nurse using a bladder scanner to determine a postoperative hysterectomy client’s post-void residual (PVR). Which actions observed demonstrate the need for further teaching? Select all that apply.

  1. Placing the scan head on the symphysis pubis and aiming toward the bladder
  2. Pressing and holding the done button to display the volume measurement and print results
  3. Applying a generous amount of transmission/conductivity gel across the client’s abdomen
  4. Pressing the gender button to select the male setting and wiping the scan head with an alcohol pad
  5. Turning on the scanner by pressing the on/off button and then the scan button to turn on the scanning screen
  6. Assisting the client to a supine position with head elevated on a pillow and exposing the client’s lower abdomen
A
  1. Placing the scan head on the symphysis pubis and aiming toward the bladder
  2. Applying a generous amount of transmission/conductivity gel across the client’s abdomen
35
Q

A client presents to a women’s health clinic and would like to begin taking an oral contraceptive pill (OCP). The nurse reviews the client’s past medical history and suspects that oral contraceptives may not be the best option for her. Which information in the client’s past medical history would trigger the nurse to question oral contraceptives for this client? Select all that apply.

  1. Hepatitis
  2. Cholecystitis
  3. Meniscus tear
  4. Hashimoto thyroiditis
  5. Chronic obstructive pulmonary disorder (COPD)
A
  1. Hepatitis
  2. Cholecystitis
  3. Chronic obstructive pulmonary disorder (COPD)
36
Q

The nurse is caring for a 45-year-old client. The client has 3 healthy children, all born via spontaneous vaginal birth. The client has been diagnosed with mild uterine prolapse and asks the nurse what she can do to prevent further prolapse. The nurse would include which instructions in the teaching plan? Select all that apply.

  1. Lose weight.
  2. Eat a diet high in fiber.
  3. Perform Kegel exercises.
  4. Take a stool softener daily as needed.
  5. Engage in high-impact exercise 3 to 5 times weekly.
A
  1. Lose weight.
  2. Eat a diet high in fiber.
  3. Perform Kegel exercises.
  4. Take a stool softener daily as needed.
37
Q

The nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understands the process of the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) if the student makes which statement?

  1. “FSH and LH are secreted by the adrenal glands.”
  2. “FSH and LH are released from the anterior pituitary gland.”
  3. “FSH and LH are secreted by the corpus luteum of the ovary.”
  4. “FSH and LH stimulate the formation of milk during pregnancy.”
A
  1. “FSH and LH are released from the anterior pituitary gland.”
38
Q

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which are functions of amniotic fluid? Select all that apply.

  1. Allows for fetal movement
  2. Is a measure of kidney function
  3. Surrounds, cushions, and protects the fetus
  4. Maintains the body temperature of the fetus
  5. Prevents large particles such as bacteria from passing to the fetus.
  6. Provides an exchange of nutrients and waste products between the mother and the fetus
A
  1. Allows for fetal movement
  2. Is a measure of kidney function
  3. Surrounds, cushions, and protects the fetus
  4. Maintains the body temperature of the fetus
39
Q

A client is scheduled for a pelvic examination. In preparation for the procedure, which intervention by the nurse is appropriate?

  1. Ask the client to empty their bladder.
  2. Instruct the client to hold their breath when the speculum is inserted.
  3. Place the client in the prone position.
  4. Have a Vaseline-based gel available to lubricate the speculum.
A
  1. Ask the client to empty their bladder.
40
Q

A client requests an office visit for a Pap test. When is the best time for the nurse to schedule the client?

  1. The timing of the test is not significant and the appointment can be scheduled at any time.
  2. The appointment should be scheduled while the client is on their menstrual period.
  3. The appointment should be scheduled the day after the client’s menstrual period.
  4. The appointment should be scheduled between the client’s menstrual periods.
A
  1. The appointment should be scheduled between the client’s menstrual periods.
41
Q

A client is having a breast biopsy with the entire lump to be removed and analyzed. Which type of breast biopsy would the nurse prepare the client for?

  1. Needle biopsy
  2. Excisional biopsy
  3. Incisional biopsy
  4. Aspiration biopsy
A
  1. Excisional biopsy
42
Q

A client is postoperative after a laparoscopy. After the procedure, the client reports severe pain under the right clavicle. Which is the priority action by the nurse?

  1. Prepare the client to return to surgery.
  2. Turn the client on the right side.
  3. Notify the healthcare provider.
  4. Administer an analgesic.
A
  1. Notify the healthcare provider.
43
Q

A client reports frequent vaginal infections. Which suggestions can the nurse make to decrease the risk of infection in this client? Select all that apply.

  1. Douche daily.
  2. Wipe from front to back after voiding.
  3. Avoid the use of bubble bath.
  4. Thoroughly wash hands, especially during menses after voiding.
  5. Wear nylon panties.
A
  1. Wipe from front to back after voiding.
  2. Avoid the use of bubble bath.
  3. Thoroughly wash hands, especially during menses after voiding.

Med Surg C34 (5 decks)

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