Urogynecological complaints Flashcards
The nurse practitioner is educating a group of students on risk factors associated with the formation of vulvar cancer. Predict which of the following reflects risk factors.
Low socio-economic status
History of drug addiction
A woman with more than one pregnancy
History of obesity
Low socio-economic status
A 65-year-old African-American woman presents to the clinic with complaints of abnormal vaginal bleeding. The nurse practitioner is completing a work-up for vulvar cancer. Predict which of the following statements is accurate.
The etiology of the vulvar cancer is not clear.
Metronidazole is required when prescribing for the patient.
Patients should be treated with estrogen therapy.
The patient should be treated with Rocephin or doxycycline.
The etiology of the vulvar cancer is not clear.
A 20-year-old sexually active woman visits the clinic with complaints of lower abdominal pain and pain with intercourse. The patient is concerned about pelvic inflammatory disease. Predict the accurate statement.
The majority of women with pelvic inflammatory disease are over 30 years old.
MRI is the current criterion standard for diagnosis.
Metronidazole 500 mg for 14 days is the treatment of choice.
Infertility and ectopic pregnancies are consequences of PID.
Infertility and ectopic pregnancies are consequences of PID.
The nurse practitioner is educating a patient on pelvic organ prolapse. The patient has questions on associated risk factors. Propose an identified risk factor for pelvic organ prolapse.
History of sexually transmitted infection
Older than 25 years at first birth
Nulliparous
Multiparity
Multiparity
Pelvic organ prolapse (POP) refers to the abnormal descent or herniation of the pelvic organs from their original attachment sites or their normal position in the pelvis. Predict a common type of pelvic prolapse.
Urethrocele
Hystocele
Myelomeningocele
Rectocele
Rectocele
A 34-year-old woman presents to the clinic with complaints of abnormal uterine bleeding. Propose an accurate statement regarding cervical cancer.
Early symptoms include dyspareunia.
The majority of HPV infections remain detectable after 2 years.
The associated mortality rate has declined.
Older women are no longer at risk for developing cervical cancer.
The associated mortality rate has declined.
The nurse practitioner is educating a patient on vulvar cancer. Establish a statement regarding vulvar cancer that is accurate.
Fifty percent of squamous cell cancers of the vulva are caused by human papillomavirus.
The majority of women with vulvar cancer are asymptomatic.
This disorder is typically detected early.
It is a common disorder in young women.
Fifty percent of squamous cell cancers of the vulva are caused by human papillomavirus.
Pelvic inflammatory disease (PID) is a common and serious reproductive health disorder that involves infection and inflammation of a woman’s pelvic organs. Predict which of the following is included in the minimum criteria for PID.
Dysmenorrhea
Vomiting
Lower abdominal tenderness
Nausea
Lower abdominal tenderness
Predict which of the following statements is accurate when diagnosing and treating a patient with ovarian cancer.
Family history is the best predictor of risk.
A pelvic exam is sensitive for the detection of ovarian cancer.
The majority of women are symptomatic.
Diagnosis is based on clinical findings.
Family history is the best predictor of risk.
A 65-year-old African-American woman presents to the clinic with complaints of abnormal vaginal bleeding. The nurse practitioner is completing a work-up for vulvar cancer. Predict which of the following statements is accurate.
CT scans are an effective way to prevent vulvar cancer.
Patients should be treated with estrogen therapy.
Symptoms include a history of bleeding, itching, and a palpable mass.
Zithromax is recommended to treat chlamydia and gonorrhea.
Symptoms include a history of bleeding, itching, and a palpable mass.
When obtaining the history on a patient presenting with incontinence, the nurse practitioner documents her findings. Predict the findings that accurately reflect the patient presenting with stress incontinence.
Loss of urine with activity exercise
Urethral stricture
Associated with dribbling after voiding
Associated with a strong sensation to empty the bladder
Loss of urine with activity exercise
A 25-year-old patient presents to the clinic with complaints of urinary incontinence (UI). Propose a statement that is accurate.
Mixed incontinence is overflow and stress incontinence together.
Urinary incontinence is the involuntary loss of urine.
Overflow incontinence is associated with urine loss with coughing.
Functional incontinence is the most common type.
Urinary incontinence is the involuntary loss of urine.
A 34-year-old woman presents to the clinic with complaints of abnormal uterine bleeding. Propose an accurate statement regarding cervical cancer.
Older women are no longer at risk for developing cervical cancer.
Cervical cancer typically occurs midlife.
The majority of HPV infections remain detectable after 2 years.
It is common in women under 20 years of age.
Cervical cancer typically occurs midlife.
A 45-year-old woman is diagnosed with vaginal cancer. Propose a statement that reflects an understanding regarding vaginal cancer.
Most cancers like this metastasize from the pancreas.
A hysterectomy is not recommended for patients with vaginal cancer.
Vaginal cancer is common among women my age.
This cancer probably metastasized from the cervix.
This cancer probably metastasized from the cervix.
The nurse practitioner is educating a group of adolescents on ovarian cancer. Establish an accurate statement.
Hysterectomy is needed to remove cancer.
This cancer is more common in Caucasian women.
The survival rate for ovarian cancer is higher in African-American women.
Ovarian cancer develops in the uterus and spreads to the ovaries.
This cancer is more common in Caucasian women.
