Practice Questions Flashcards
A nurse is teaching a client about abnormal uterine bleeding. The client displays adequate knowledge of this topic when she identifies the following causes of AUB as all of the following EXCEPT:
a) Menopause
b) Menarche
c) Uterine infection
d) Coagulopathy
e) Uterine cancer
Correct answer: D) Coagulopathy
Rationale: AUB is IRREGULAR, sometimes heavy, sometimes light, bleeding. Coagulopathy causes HMB (heavy menstrual bleeding).
A client tells a nurse that her last menstrual periods occurred on Jan 1st, Feb 28th, May 2nd, and May 18th. Her periods are heavy, requiring double protection, and lasting 9-13 days. She has no cramps. Is the patient ovulating?
A) Yes
B) No
Correct answer: B) No
Rationale: Periods are irregular, no mid-cycle discomfort
Which of the following are most likely to experience AUB (abnormal uterine bleeding)? Select all that apply.
A) Jenny, age 12; began period 2 months ago.
B) Sally, age 24; coming off birth control pills to become pregnant
C) Alisha, age 50; occasional hot flashes and night sweats
Correct Answer: A & C
Rationale: Most common time women are likely to see abnormal uterine bleeding is during perimenopause, menopause, and menarche
Janey’s periods are as follows: Jan 1st, Feb 12th, March 1st, May 15th, and June 7th. She only needs to change her pad one time per day for her entire period. Is Janey ovulating?
A) Yes
B) No
Correct Answer: B
Rationale: Her cycles are irregular, she is not ovulating
Which statement is consistent with the diagnosis of endometriosis?
A) Endometriosis is associated with a higher risk of cervical cancer.
B) Endometriosis can be diagnosed with a blood test.
C) Endometriosis may cause infertility.
D) Endometriosis is concentrated in the uterus.
Correct Answer: C
Rationale: Endometrial tissue can develop throughout the entire body
Which condition is suspected for a 17-year-old female patient who has not had her first period, displays normal growth, and has developed secondary sex characteristics?
A) Primary amenorrhea
B) Secondary amenorrhea
C) Primary dysmenorrhea
D) Secondary dysmenorrhea
Correct Answer: A
Which condition is associated with a 39-year-old woman experiencing secondary dysmenorrhea?
A) Premenstrual syndrome
B) Menopause
C) Uterine cancer
D) Endometriosis
Correct Answer: D
Rationale: Secondary dysmenorrhea is caused by a second underlying condition, not with the menstrual cycle.
Which condition is suspected in a woman with previously regular menstrual cycles who has not had a period for 6 months and is not pregnant?
A) Primary amenorrhea
B) Secondary amenorrhea
C) Primary dysmenorrhea
D) Secondary dysmenorrhea
Correct Answer: B
Which finding must be included for the diagnosis of premenstrual syndrome, according to ACOG? Select all that apply.
A) Symptoms must end within 4 days after menses begins.
B) Symptoms must include primary dysmenorrhea
C) Symptoms must interfere with some of the woman’s normal activities
D) The woman’s symptoms must be present 5 days before menses begins.
E) At least one of the woman’s symptoms must be irritability or labile mood.
Correct Answer: A, C & D
A nurse is teaching a client with PMS about interventions which may help this condition. It is evident that the client needs more education when she states:
A) I should eat a diet rich in complex carbohydrates, high in calcium, and reduce my intake of fat, sugar, and salt.
B) I should consider moderately increasing my caffeine intake to help with fatigue.
C) I should eat 6 small meals per day.
D) Regular aerobic exercise may lessen my PMS symptoms.
Correct Answer: B
Rationale: Reducing caffeine intake can help with irritability and anger.
