F Repro Flashcards

1
Q

While taking a health history on a 20-year-old female patient, the nurse ascertains that this patient is taking miconazole (Monistat). The nurse is justified in presuming that this patient has what medical condition?
A) Bacterial vaginosis
B) Human papillomavirus (HPV)
C) Candidiasis
D) Toxic shock syndrome (TSS)

A

C) Candidiasis

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2
Q

A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection?
A) Clotrimazole (Gyne-Lotrimin)
B) Metronidazole (Flagyl)
C) Podophyllin (Podofin)
D) Acyclovir (Zovirax)

A

D) Acyclovir (Zovirax)

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3
Q

When teaching patients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?
A) Late childbearing
B) Human papillomavirus (HPV)
C) Postmenopausal bleeding
D) Tobacco use

A

B) Human papillomavirus (HPV)

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4
Q

The nurse is providing preoperative education for a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this patient?
A) Menstrual periods will continue to occur for several months, some of them heavy.
B) Normal activity will be permitted within 48 hours following surgery.
C) After a hysterectomy, hormone levels remain largely unaffected.
D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.

A

D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.

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5
Q

The nurse is teaching a patient preventative measures regarding vaginal infections. The nurse should include which of the following as an important risk factor?
A) High estrogen levels
B) Late menarche
C) Nonpregnant state
D) Frequent douching

A

D) Frequent douching

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6
Q

A patient with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the patients health history. What clinical manifestation would the nurse expect to assess?
A) Fish-like vaginal odor
B) Increased abdominal girth
C) Fever and chills
D) Lower abdominal pelvic pain

A

B) Increased abdominal girth

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7
Q

A 30-year-old patient has come to the clinic for her yearly examination. The patient asks the nurse about ovarian cancer. What should the nurse state when describing risk factors for ovarian cancer?
A) Use of oral contraceptives increases the risk of ovarian cancer.
B) Most cases of ovarian cancer are attributed to tobacco use.
C) Most cases of ovarian cancer are considered to be random, with no obvious causation.
D) The majority of women who get ovarian cancer have a family history of the disease.

A

C) Most cases of ovarian cancer are considered to be random, with no obvious causation.

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8
Q

The nurse notes that a patient has a history of fibroids and is aware that this term refers to a benign tumor of the uterus. What is a more appropriate term for a fibroid?
A) Bartholins cyst
B) Dermoid cyst
C) Hydatidiform mole
D) Leiomyoma

A

Leiomyoma

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9
Q

A patient has herpes simplex 2 viral infection (HSV2). The nurse recognizes that which of the following should be included in teaching the patient?
A) The virus causes cold sores of the lips.
B) The virus may be cured with antibiotics.
C) The virus, when active, may not be contracted during intercourse.
D) Treatment is aimed at relieving symptoms.

A

D) Treatment is aimed at relieving symptoms.

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10
Q

A patient has been diagnosed with polycystic ovary syndrome (PCOS). The nurse should encourage what health promotion activity to address the patients hormone imbalance and infertility?
A) Kegel exercises
B) Increased fluid intake
C) Weight loss
D) Topical antibiotics as ordered

A

C) Weight loss

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11
Q

A patient has been diagnosed with endometriosis. When planning this patients care, the nurse should prioritize what nursing diagnosis?
A) Anxiety related to risk of transmission
B) Acute pain related to misplaced endometrial tissue
C) Ineffective tissue perfusion related to hemorrhage
D) Excess fluid volume related to abdominal distention

A

B) Acute pain related to misplaced endometrial tissue

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12
Q

Following a recent history of dyspareunia and lower abdominal pain, a patient has received a diagnosis of pelvic inflammatory disease (PID). When providing health education related to self-care, the nurse should address which of the following topics? Select all that apply.
A) Use of condoms to prevent infecting others
B) Appropriate use of antibiotics
C) Taking measures to prevent pregnancy
D) The need for a Pap smear every 3 months
E) The importance of weight loss in preventing symptoms

A

A) Use of condoms to prevent infecting others
B) Appropriate use of antibiotics

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13
Q

The nurse is caring for a patient who has just been told that her ovarian cancer is terminal and that no curative options remain. What would be the priority nursing care for this patient at this time?
a) Provide emotional support to the patient and her family.
b) Implement distraction and relaxation techniques.
c) Offer to inform the patients family of this diagnosis.
D) Teach the patient about the importance of maintaining a positive attitude.

A

a) Provide emotional support to the patient and her family.

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14
Q

A public health nurse is participating in a campaign aimed at preventing cervical cancer. What strategies should the nurse include is this campaign? Select all that apply.
A) Promotion of HPV immunization
B) Encouraging young women to delay first intercourse
C) Smoking cessation
D) Vitamin D and calcium supplementation
E) Using safer sex practices

A

A) Promotion of HPV immunization
B) Encouraging young women to delay first intercourse
C) Smoking cessation
E) Using safer sex practices

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15
Q

A patient is being discharged home after a hysterectomy. When providing discharge education for this patient, the nurse has cautioned the patient against sitting for long periods. This advice addresses the patients risk of what surgical complication?
A) Pudendal nerve damage
B) Fatigue
C) Venous thromboembolism
D) Hemorrhage

A

C) Venous thromboembolism

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16
Q

A patient is post-operative day 1 following a vaginal hysterectomy. The nurse notes an increase in the patients abdominal girth and the patient complains of bloating. What is the nurses most appropriate action?
A) Provide the patient with an unsweetened, carbonated beverage.
B) Apply warm compresses to the patients lower abdomen.
C) Provide an ice pack to apply to the perineum and suprapubic region.
D) Assist the patient into a prone position.

A

B) Apply warm compresses to the patients lower abdomen.

17
Q

A 31-year-old patient has returned to the post-surgical unit following a hysterectomy. The patients care plan addresses the risk of hemorrhage. How should the nurse best monitor the patients postoperative blood loss?
A) Have the patient void and have bowel movements using a commode rather than toilet.
B) Count and inspect each perineal pad that the patient uses.
C) Swab the patients perineum for the presence of blood at least once per shift.
D) Leave the patients perineum open to air to facilitate inspection.

A

B) Count and inspect each perineal pad that the patient uses.

18
Q

A patient diagnosed with cervical cancer will soon begin a round of radiation therapy. When planning the patients subsequent care, the nurse should prioritize actions with what goal?
A) Preventing hemorrhage
B) Ensuring the patient knows the treatment is palliative, not curative
C) Protecting the safety of the patient, family, and staff
D) Ensuring that the patient adheres to dietary restrictions during treatment

A

C) Protecting the safety of the patient, family, and staff

19
Q

The nurse is caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. For what adverse effect of this treatment should the nurse monitor the patient?
A) Leukopenia
B) Metabolic acidosis
C) Hyperphosphatemia
D) Respiratory alkalosis

A

A) Leukopenia

20
Q

A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery the physician explained to the patient that after the surgery a source of radiation would be placed near the tumor site to aid in reducing recurrence. What is the placement of the source of radiation called?
A) Internal beam radiation
B) Trachelectomy
C) Brachytherapy
D) External radiation

A

C) Brachytherapy

21
Q

A nurse providing prenatal care to a pregnant woman is addressing measures to reduce her postpartum risk of cystocele, rectocele, and uterine prolapse. What action should the nurse recommend?
A) Maintenance of good perineal hygiene
B) Prevention of constipation
C) Increased fluid intake for 2 weeks postpartum
D) Performance of pelvic muscle exercises

A

D) Performance of pelvic muscle exercises