Exam 4 Reproductive Flashcards

1
Q

A female client is complaining of spotting blood in between menstrual cycles and after intercourse, continuous vaginal discharge, and flat warts in the genital area. What is most likely the diagnosis for this client?
a.) Cervical Cancer
b.) Endometriosis
c.) Leiomyoma
d.) Ovarian Cancer

A

a.) cervical cancer

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2
Q

A nurse is teaching a new mother about the management of mastitis. Which of the following statements made by the mother would indicate further teaching is needed?
a.) “I should stop breastfeeding until my infection is gone.”
b.) “I can take over-the-counter medications for discomfort.”
c.) “I can apply warm compresses to relieve pain and swelling.”
d.) “I should drink more water.”

A

a.) “I should stop breastfeeding until my infection is gone.”

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3
Q

A client has been diagnosed with chlamydia. Which of the following statements made by the client indicated an accurate understanding of this condition?
a.) “Chlamydia can be cured with antibiotics.”
b.) “Once I am treated, I am immune to Chlamydia and cannon get it again.”
c.) “After I am treated for Chlamydia, I do not have to use condoms.”
d.) “Chlamydia is only transmitted through vaginal intercourse.”

A

a.) “Chlamydia can be cured with antibiotics.”

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4
Q

A nurse is assessing a 45-year-old female client who has come into the clinic with a concern about a lump on her breast. Which of the following findings would most likely suggest breast cancer?
a.) a small, mobile lump with well-defined borders
b.) Hard masses in the breast or axillary, has uneven edges, usually painless
c.) Generalized breast tenderness and swelling

A

b.) Hard mass in the breast or axillary, has uneven edges, usually painless

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5
Q

A 27 year old female presents with pelvic pain and a history of painful menstruations and infertility, the nurse knows these are symptoms of which of the following?
a.) Endometriosis
b.) Leiomyomas
c.) Ovarian cysts
d.) Premenstrual syndrome

A

a.) Endometriosis

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6
Q

A client has been diagnosed with advanced stage cervical cancer. The nurse knows that the most common cause of cervical cancer is which of the following?
a.) Human immunodeficiency virus (HIV)
b.) Herpes virus
c.) Human papillomavirus (HPV)

A

c.) Human papillomavirus (HPV)

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7
Q

A laboring client with a recent genital herpes diagnosis comes to the hospital to give birth. Which of the following complications is the nurses’ primary concern for the fetus?
a.) Trisomy 21
b.) Cleft palate
c.) Encephalitis
d.) Cerebral palsy

A

c.) Encephalitis

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8
Q

” A male client presents with white, rough, raised growths on the penis, accompanied by occasional bleeding. The client is also unvaccinated for HPV. What is the most likely cause?”
a.) Anogenital warts
b.) Gonorrhea
c.) Molluscum contagiosa
d.) Syphilis

A

a.) Anogenital warts

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9
Q

A 27-year-old female client presents to the clinic with complaints of chronic pelvic pain and discomfort during and after sexual intercourse. She reports irregular menstrual cycles and has not yet had children. Based on the client’s symptoms and risk factors, which condition does the nurse suspect?
a.) Ovarian cyst
b.) Endometriosis
c.) Pelvic inflammatory disease (PID)
d.) Uterine fibroids

A

b.) Endometriosis

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10
Q

A nurse is educating a female client on the importance of performing regular breast self-examinations. Which statement made by the client indicated a need for further teaching?
a.) “I only need to perform a self-exam once a year.”
b.) “I will report any lumps I feel in my breast to my doctor immediately.”
c.) “Nipple discharge can be a symptom of breast cancer.”
d.) “I need to pay attention to any areas of tenderness in my breast.”

A

a.) “I only need to perform a self-exam once a year.”

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11
Q

A female client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse knows which of the following findings is most associated with this condition?
a.) Elevated insulin levels
b.) Increased estrogen levels
c.) Decreased luteinizing hormone (LH) levels
d.) Increased progesterone levels

A

a.) Elevated insulin levels

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12
Q

A female client presents with dyschezia, dysmenorrhea, and heavy menstrual bleeding. An exam reveals abdominal tenderness without palpable masses. Which diagnostic procedure should the nurse prepare client education about?
a.) Pelvic ultrasound
b.) Hysteroscopy
c.) Cystourethrogram
d.) Pap smear

A

a.) Pelvic ultrasound

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13
Q

A female client has been diagnosed with leiomyoma. Which of the following manifestations should the nurse expect the client to report?
a.) Nausea and vomiting
b.) Heavy menstrual bleeding
c.) Abnormal vaginal discharge
d.) Breast tenderness

A

b.) Heavy menstrual bleeding

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14
Q

A male client presents to the emergency department with testicular torsion. Which of the following findings would the nurse expect during the assessment? Select all that apply:
a.) Scrotal Edema
b.) Nausea
c.) Urgency
d.) Hematospermia
e.) Proteinuria

A

a.) Scrotal Edema
b.) Nausea
d.) Hematospermia

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15
Q

A female client presents with complaints of severe pelvic pain, especially during menstruation, dyspareunia, and fertility issues. Which of the following are interventions the nurse could anticipate to manage client symptoms? SELECT ALL THAT APPLY
a.) Recommending a high-protein diet to improve hormone levels
b.) Advising the client to avoid any physical activity during menstruation
c.) Educating the client on the use of NSAIDs for pain management
d.) Scheduling an appointment for immediate urinalysis
e.) Scheduling an appointment for a laparoscopy
f.) Implementing hormone therapy

A

c.) Educating the client on the use of NSAIDs for pain management
e.) Scheduling an appointment for a laparoscopy
f.) implementing hormone therapy

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16
Q

A client presents to the ED with sudden onset of severe pain in the left testicle accompanied by nausea and vomiting. The nurse observes redness, and sensitivity of the left testicle. Which of the following does the nurse suspect?
a.) Urinary Tract Infection
b.) Varicocele
c.) Testicular Torsion
d.) Benign Prostatic Hyperplasia

A

c.) Testicular Torsion

17
Q

A client complains of difficulty retracting their foreskin and pain during erections. During assessment the foreskin is tight and cannot be easily pulled back over the glans. Which of the following does the nurse suspect?
a.) Erectile dysfunction
b.) Phimosis
c.) Hydrocele
d.) Priapism

A

b.) Phimosis

18
Q

The nurse is assessing a female client reporting thick, white vaginal discharge, labial itching, and dysuria. Which of the following does the nurse suspect?
a.) Syphilis
b.) Pelvic inflammatory disease
c.) Candidiasis
d.) Chlamydia

A

c.) Candidiasis

19
Q

Which of the following symptoms will the nurse expect in the client diagnosed with syphilis? SELECT ALL THAT APPLY
a.) Painless chancres
b.) Malaise
c.) Brown/red rash
d.) weight gain
e.) sore throat

A

a.) painless chancres
b.) malaise
c.) brown/red rash
e.) sore throat

20
Q
A