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Reproductive System and Gynecological Health, Exams of Nursing

Bennington CollegeNursing

Various aspects of the female reproductive system, including the functions of the ovary, uterus, and breast, as well as the menstrual cycle, breast self-examination, and gynecological examinations. It also addresses issues related to pregnancy, such as the effects of substance abuse, intimate partner violence, and prenatal care. Detailed information on the anatomy, physiology, and health considerations of the female reproductive system, making it a valuable resource for healthcare professionals, students, and individuals interested in women's health.

Typology: Exams

2024/2025

Available from 09/18/2024

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Maternal Child Nursing Care
Assessment and Health Promotion
1. The two primary functions of the ovary are:
A) Normal female development and sex hormone release.
B) Ovulation and internal pelvic support.
C) Sexual response and ovulation.
D) Ovulation and hormone production. - โœ”โœ”D) Ovulation and
hormone production.
2. The uterus is a muscular, pear-shaped organ that is responsible for:
A) Cyclic menstruation.
B) Sex hormone production.
C) Fertilization.
D) Sexual arousal. - โœ”โœ”A) Cyclic menstruation.
3. Unique muscle fibers make the uterine myometrium ideally suited for:
A) Menstruation.
B) The birth process.
C) Ovulation.
D) Fertilization. - โœ”โœ”B) The birth process.
4. The hormone responsible for maturation of mammary gland tissue is:
A) Estrogen.
B) Testosterone.
C) Prolactin.
D) Progesterone. - โœ”โœ”D) Progesterone.
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Maternal Child Nursing Care

Assessment and Health Promotion

  1. The two primary functions of the ovary are: A) Normal female development and sex hormone release. B) Ovulation and internal pelvic support. C) Sexual response and ovulation. D) Ovulation and hormone production. - โœ”โœ”D) Ovulation and hormone production.
  2. The uterus is a muscular, pear-shaped organ that is responsible for: A) Cyclic menstruation. B) Sex hormone production. C) Fertilization. D) Sexual arousal. - โœ”โœ”A) Cyclic menstruation.
  3. Unique muscle fibers make the uterine myometrium ideally suited for: A) Menstruation. B) The birth process. C) Ovulation. D) Fertilization. - โœ”โœ”B) The birth process.
  4. The hormone responsible for maturation of mammary gland tissue is: A) Estrogen. B) Testosterone. C) Prolactin. D) Progesterone. - โœ”โœ”D) Progesterone.
  1. Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is: A) 5 to 7 days after menses ceases. B) Day 1 of the endometrial cycle. C) Midmenstrual cycle. D) Any time during a shower or bath. - โœ”โœ”A) 5 to 7 days after menses ceases.
  2. Menstruation is periodic uterine bleeding: A) That occurs every 28 days. B) In which the entire uterine lining is shed. C) That is regulated by ovarian hormones. D) That leads to fertilization. - โœ”โœ”C) That is regulated by ovarian hormones.
  3. Individual irregularities in the ovarian (menstrual) cycle are most often caused by: A) Variations in the follicular (preovulatory) phase. B) An intact hypothalamic-pituitary feedback mechanism. C) A functioning corpus luteum. D) A prolonged ischemic phase. - โœ”โœ”A) Variations in the follicular (preovulatory) phase.
  4. Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of
  5. prostaglandins is/are: A) Ovaries. B) Breast milk.

E) What? I've never heard of such a thing! That sounds different and strange. - โœ”โœ”C) Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably.

  1. A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should: A) Remind the woman that she is long overdue for her examination and that she should come in B) annually. C) Listen carefully and allow extra time for this woman's health history interview. D) Reassure the woman that a nurse practitioner is just as good as her old doctor. E) Encourage the woman to talk about the death of her husband and her fears about her own death. - โœ”โœ”B) Listen carefully and allow extra time for this woman's health history interview.
  2. During a health history interview, a woman states that she thinks that she has bumps on her labia. She also
  3. states that she is not sure how to check herself. The correct response would be to: A) Reassure the woman that the examination will not reveal any problems. B) Explain the process of vulvar self-examination to the woman and reassure her that she should

C) become familiar with normal and abnormal findings during the examination. D) Reassure the woman that bumps can be treated. E) Reassure her that most women have bumps on their labia. - โœ”โœ”B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.

  1. A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurses initial response should be to: A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which B) she is scheduled. C) Reassure the woman that using vaginal cream is not a problem for the examination. D) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. E) Ask the woman to reschedule the appointment for the examination. - โœ”โœ”C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
  2. The transition phase during which ovarian function and hormone production decline is called: A) The climacteric. B) Menarche. C) Menopause. D) Puberty. - โœ”โœ”A) The climacteric.

C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician. D) Check it again in 1 month and call me back if its still there. - โœ”โœ”C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician.

  1. The female reproductive organ(s) responsible for cyclic menstruation is/are the: A) Uterus. B) Ovaries. C) Vaginal vestibule. D) Urethra. - โœ”โœ”A) Uterus.
  2. The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the: A) Perineum. B) Bony pelvis. C) Vaginal vestibule. D) Fourchette. - โœ”โœ”B) Bony pelvis.
  3. A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____
  4. phase of the endometrial cycle. A) Menstrual B) Proliferative C) Secretory D) Ischemic - โœ”โœ”C) Secretory
  1. The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the: A) Menstrual cycle. B) Endometrial cycle. C) Ovarian cycle. D) Hypothalamic-pituitary cycle. - โœ”โœ”D) Hypothalamic-pituitary cycle.
  2. Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as: A) Gonadotropin-releasing hormone (GnRH). B) Prostaglandins (PGs). C) Follicle-stimulating hormone (FSH). D) Luteinizing hormone (LH). - โœ”โœ”B) Prostaglandins (PGs).
  3. Which statement regarding female sexual response is inaccurate? A) Women and men are more alike than different in their physiologic response to sexual arousal and B) orgasm. C) Vasocongestion is the congestion of blood vessels. D) The orgasmic phase is the final state of the sexual response cycle. E) Facial grimaces and spasms of hands and feet are often part of arousal. - โœ”โœ”C) The orgasmic phase is the final state of the sexual response cycle.
  4. As part of their participation in the gynecologic portion of the physical examination, nurses should:
  1. As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? A) Heroin B) Alcohol C) PCP D) Cocaine - โœ”โœ”D) Cocaine
  2. The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to
  3. detect premalignant or malignant cells is called: A) Bimanual palpation. B) Rectovaginal palpation. C) A Papanicolaou (Pap) test. D) A four A's procedure. - โœ”โœ”C) A Papanicolaou (Pap) test.
  4. As a girl progresses through development, she may be at risk for a number of age-related conditions. While preparing a 21-year-old client for her first adult physical examination and Papanicolaou (Pap) test, the nurse is aware of excessiveness shyness. The young woman states that she will not remove her bra because, There is something wrong with my breasts; one is way bigger. What is the best response by the nurse in this situation? A) Please reschedule your appointment until you are more prepared. B) It is okay; the provider will not do a breast examination. C) I will explain normal growth and breast development to you. D) That is unfortunate; this must be very stressful for you. - โœ”โœ”C) I will explain normal growth and breast development to you.
  1. Which statement by the patient indicates that she understands breast self-examination? A) I will examine both breasts in two different positions. B) I will perform breast self-examination 1 week after my menstrual period starts. C) I will examine the outer upper area of the breast only. D) I will use the palm of the hand to perform the examination. - โœ”โœ”B) I will perform breast self-examination 1 week after my menstrual period starts.
  2. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior places her at a greater risk for: A) Depression of the central nervous system B) Hypotension and vasodilation C) Sexually transmitted diseases D) Postmature birth - โœ”โœ”C) Sexually transmitted diseases
  3. A woman who is older than 35 years may have difficulty achieving pregnancy primarily because: A) Personal risk behaviors influence fertility B) She has used contraceptives for an extended time C) Her ovaries may be affected by the aging process D) Prepregnancy medical attention is lacking - โœ”โœ”C) Her ovaries may be affected by the aging process
  4. The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is: A) Genetic changes and anomalies

B) Increased appetite C) Changes in insulin metabolism D) Increased metabolism - โœ”โœ”A) Vasoconstriction

  1. Many pregnant teens wait until the second or third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include: A) Lack of realization that they are pregnant. B) Uncertainty as to where to go for care. C) Continuing to deny the pregnancy. D) A desire to gain control over their situation. E) Wanting to hide the pregnancy as long as possible. - โœ”โœ”A) Lack of realization that they are pregnant.