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Women's Health Practice (Ch 4, 5, 6)
Questions & Answers 2023
Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle? - Answer-endometrial biopsy A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurses most appropriate response is: - Answer-smoking can reduce the quality of your sperm A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but - Answer-FSH level A couple is trying to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. The nurses most appropriate response is: - Answer-Get involved with a support group. Ill give you some names. A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the client in which herbal preparations to avoid while trying to conceive? - Answer-You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive. In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. The nurses most appropriate response is: - Answer-IVF-ET is a type of assisted reproductive therapy that involves collecting eggs from your wifes ovaries, fertilizing them in the laboratory with your sperm, and transferring the embryo to her uterus. Nurses should be aware that infertility: - Answer-Is perceived differently by women and men.
With regard to the assessment of female, male, and couple infertility, nurses should be aware that: - Answer-The investigation takes 3-4 months and a significant financial investment In their role of implementing a plan of care for infertile couples, nurses should: - Answer- Do all of the above plus be knowledgeable about potential drug and surgical remedies. Although remarkable developments have occurred in reproductive medicine, assisted reproductive therapies are associated with numerous legal and ethical issues. Nurses can provide accurate information about the risks and benefits of treatment alternatives so couples can make informed decisions about their choice of treatment. Which issue would not need to be addressed by an infertile couple before treatment? - Answer-Financial ability to cover the cost of treatment A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse: - Answer-Obtain a history of menstrual cycle lengths for the past 6-12 months A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, My period is due in a few days, and my temperature has not gone up. The nurses most appropriate response is: - Answer-You probably didnt ovulate during this cycle A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs). The nurses most appropriate reply is: - Answer-They can be effective for many couples, but they require motivation A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol- 9 (a common spermicide). The nurses most appropriate response is: - Answer- Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; it has also been linked to an increase in the transmission of human immunodeficiency virus and can cause genital lesions. A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurses most appropriate response would be: - Answer-Your current medications will reduce the effectiveness of the pill.
Which contraceptive method has a failure rate of less than 25%? - Answer-standard days Which contraceptive method best protects against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV)? - Answer-barrier methods With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs), nurses should be aware that: - Answer-The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements With regard to the use of intrauterine devices (IUDs), nurses should be aware that: - Answer-IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. Which of the following statements is the most complete and accurate description of medical abortions? - Answer-They can be either elective or therapeutic Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the womans social, cultural, and interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception? - Answer-Determine the womans level of knowledge about contraception and commitment to any particular method. Postcoital contraception with Ovral: - Answer-Requires that the first dose be taken within 72 hours of unprotected intercourse. Informed consent concerning contraceptive use is important because some of the methods: - Answer-have potentially dangerous side effects A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurses most appropriate response is: - Answer-This is a legitimate concern. Would you like to discuss this further before your treatment begins? You (the nurse) are reviewing the educational packet provided to a client about tubal ligation. What is an
important fact you should point out (Select all that apply)? - Answer-- It is highly unlikely that you will become pregnant after the procedure
- Sterilization offers no protection against STIs endometrial or myometrial tumors caused by - Answer-uterine factors anorexia - Answer-ovarian factors isoimmunization - Answer-Vaginal/cervical Thyroid dysfunction or obesity - Answer-other factors endometriosis - Answer-tubal/ peritoneal The two primary functions of the ovary are: - Answer-Ovulation and hormone production. The uterus is a muscular, pear-shaped organ that is responsible for: - Answer-cyclic menstruation Unique muscle fibers make the uterine myometrium ideally suited for: - Answer-the birth process The hormone responsible for maturation of mammary gland tissue is: - Answer- progesterone Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is: - Answer- 5 - 7 days after menses ceases Menstruation is periodic uterine bleeding: - Answer-That is regulated by ovarian hormones. Individual irregularities in the ovarian (menstrual) cycle are most often caused by: - Answer-variations in the follicular (preovulatory) phase Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of prostaglandins is/are: - Answer-menstrual blood Physiologically, sexual response can be characterized by: - Answer-myotonia and vasocongestion The long-term treatment plan for an adolescent with an eating disorder focuses on: - Answer-restructuring perception of body image
A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurses best response is: - Answer-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. The female reproductive organ(s) responsible for cyclic menstruation is/are the: - Answer-uterus The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the: - Answer-bony pelvis A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____ phase of the endometrial cycle. - Answer-secretory The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the: - Answer-hypothalamic-pituitary cycle Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as: - Answer-prostaglandins Which statement regarding female sexual response is inaccurate? - Answer-The orgasmic phase is the final state of the sexual response cycle. As part of their participation in the gynecologic portion of the physical examination, nurses should: - Answer-Help the woman relax through proper placement of her hands and proper breathing during the examination. During which phase of the cycle of violence does the batterer become contrite and remorseful? - Answer-honeymoon phase A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because: - Answer-The fetus is placed at risk for altered brain growth As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? - Answer-cocaine The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to
detect premalignant or malignant cells is called: - Answer-A pap test 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? - Answer-I will explain normal growth and breast development to you Which statement by the patient indicates that she understands breast self-examination?
- Answer-I will perform breast self-examination 1 week after my menstrual period starts. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior places her at a greater risk for: - Answer-STDs A woman who is older than 35 years may have difficulty achieving pregnancy primarily because: - Answer-her ovaries may be affected by the aging process The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is: - Answer-IUGR Despite warnings, prenatal exposure to alcohol continues to exceed by far exposure to illicit drugs. A diagnosis of fetal alcohol syndrome (FAS) is made when there are visible markers in each of three categories. Which is category is not associated with a diagnosis of FAS? - Answer-repiratory conditions When the nurse is alone with a battered patient, the patient seems extremely anxious and says, It was all my fault. The house was so messy when he got home and I know he hates that. The best response by the nurse is: - Answer-No one deserves to be hurt. Its not your fault. How can I help you? A common effect of both smoking and cocaine use in the pregnant woman is: - Answer- vasoconstriction 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: - Answer--lack of realization that they are pregnant
- uncertainty as to where to go for care
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of: - Answer-pregnancy A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this patient, the nurse should know that: - Answer-Menorrhagia is a common finding During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as: - Answer-dysmenorrhea With regard to dysmenorrhea, nurses should be aware that: - Answer-Pain usually occurs in the suprapubic area or lower abdomen. Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate? - Answer-Premenstrual syndrome is a complex, poorly understood condition that may include any of a hundred symptoms. With regard to endometriosis, nurses should be aware that: - Answer-It may worsen with repeated cycles or remain asymptomatic and disappear after menopause. One of the alterations in cyclic bleeding that occurs between periods is called: - Answer- metrorrhagia As relates to dysfunctional uterine bleeding (DUB), the nurse should be aware that: - Answer-It is most commonly caused by anovulation Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: - Answer-NSAIDs The two primary areas of risk for sexually transmitted infections (STIs) are: - Answer- risky sexual behaviors and inadequate preventive health behaviors When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: - Answer-chlamydia The viral sexually transmitted infection (STI) that affects most people in the United States today is: - Answer-HPV
The U.S. Centers for Disease Control and Prevention (CDC) recommends that HPV be treated with clientapplied: - Answer-topical podofilox 0.5% solution or gel A woman has a thick, white, lumpy, cottage cheeselike discharge, with patches on her labia and in her vagina. She complains of intense pruritus. The nurse practitioner would order which preparation for treatment? - Answer-Fluconazole To detect human immunodeficiency virus (HIV), most laboratory tests focus on the: - Answer-HIV antibodies Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include: - Answer-bed rest in a semi-Fowler position On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish white vaginal discharge with a fishy odor; complaint of pruritus. On the basis of these findings, the nurse suspects that this woman has: - Answer-bacterial vaginosis (BV) The recommended treatment for the prevention of human immunodeficiency virus (HIV) transmission to the fetus during pregnancy is: - Answer-Zidovudine. Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes? - Answer-HSV- 2 The nurse should know that once human immunodeficiency virus (HIV) enters the body, seroconversion to HIV positivity usually occurs within: - Answer- 6 - 8 weeks A 25-year-old single woman comes to the gynecologists office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV). The client asks, What is that? Can you get rid of it? Your best response is: - Answer-HPV stands for human papillomavirus. It is a sexually transmitted infection (STI) that may lead to cervical cancer. Which of the following statements about the various forms of hepatitis is accurate? - Answer-Hepatitis A is acquired by eating contaminated food or drinking polluted water. An essential component of counseling women regarding safe sex practices includes discussion regarding
A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. This is most likely: - Answer-intraductal papilloma Fibrocystic changes in the breast most often appear in women in their 20s and 30s. The etiology is unknown, but it may be an imbalance of estrogen and progesterone. The nurse who cares for this client should be aware that treatment modalities are conservative. One proven modality that may provide relief is: - Answer-Diuretic administration The nurse providing care in a womens health care setting must be aware regarding which sexually transmitted infection that can be successfully treated and cured? - Answer-chlamydia A benign breast condition that includes dilation and inflammation of the collecting ducts is called: - Answer-ductal ectasia Which patient is most at risk for fibroadenoma of the breast? - Answer-a 16 y/o girl The drug of choice for treatment of gonorrhea is: - Answer-Ceftriaxone The nurse providing education regarding breast care should explain to the woman that fibrocystic changes in breasts are: - Answer-Lumpiness with pain and tenderness found in varying degrees in the breast tissue of healthy women during menstrual cycles There is little consensus on the management of premenstrual dysphoric disorder (PMDD). However, nurses can advise women on several self-help modalities that often improve symptoms. The nurse knows that health teaching has been effective when the client reports that she has adopted a number of lifestyle changes, including (Select all that apply): - Answer--regular exercise
- improved nutrition
- smoking cessation
- oil of evening primrose Examples of sexual risk behaviors associated with exposure to a sexually transmitted infection (STI) include (Select all that apply): - Answer--fellatio
- unprotected anal
- multiple sex partners
The exact cause of breast cancer remains undetermined. Researchers have found that there are many common risk factors that increase a womans chance of developing a malignancy. It is essential for the nurse who provides care to women of any age to be aware of which of the following risk factors (Select all that apply)? - Answer--family history
- race
- nulliparity or 1st pregnancy after age 30 Fennel, dong quai - Answer-uterotonic Chaste tree fruit - Answer-Decreases prolactin levels Black cohosh - Answer-Estrogen-like luteinizing hormone suppressant Valerian, wild yam - Answer-Uterine antispasmodic Ginger - Answer-antiinflammatory
