Chapter 11: The Nurse's Role in Women's Health Care

What statement by a man considering a vasectomy indicates a need for further information? a. "Sterility does not occur immediately after the procedure." b. "We will need to use some form of birth control for about a month afterward." c. "The procedure involves the use of local anesthesia." d. "I'll need to remain in the hospital for a few days."

d. "I'll need to remain in the hospital for a few days."

______________________ is the presence of tissue that resembles endometrium outside the uterus.

Endometriosis

The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply.) a. Melanoma b. Estrogen-dependent breast cancer c. Hepatitis C d. Thromboembolic disease e. Hyperthyroidism

A, B, C, D

The patient who has been dealing with urge incontinence tells the nurse that the symptoms have gotten worse lately. The nurse reminds the patient that which food(s) and drug(s) can increase incontinence? (Select all that apply.) a. Antihypertensive drugs b. Coffee c. Alcohol d. Diuretics e. NSAIDs

A, B, C, D

What might the nurse advise the woman with pelvic floor dysfunction to do for relief of the associated discomfort? (Select all that apply.) a. Lie down with feet elevated. b. Practice Kegel exercises. c. Assume knee-chest position periodically. d. Perform leg lift exercises. e. Prevent constipation.

A, B, C, E

The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.) a. Abdominal pain b. Weight gain c. Headache d. Eye or visual problems e. Speech disturbances

A, C, D, E

What are anonymous sperm donors screened for? (Select all that apply.) a. Particular physical features b. Genetic defects c. Infections d. High-risk behaviors e. Nationality

B, C, D

The nurse is caring for a patient planning to undergo a uterine fibroid embolization. What information can the nurse provide? (Select all that apply.) a. It involves laser destruction of fibroids. b. It has fewer physiological effects than drug therapy. c. It is nonsurgical. d. It is associated with more psychological effects than surgery. e. It has a faster recovery time than surgery.

B, C, E

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? a. Abstain from sex. b. Use the male condom. c. Use the female condom. d. Use the barrier method.

a. Abstain from sex.

. A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. With what are these findings consistent? a. Candidiasis b. Trichomoniasis c. Bacterial vaginosis d. Chlamydia

a. Candidiasis

The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place? a. Cervical mucus enhances the motility of the sperm. b. Cervical mucus indicates endometrial readiness for implantation. c. Cervical mucus facilitates movement of the ovum through the fallopian tube. d. Cervical mucus provides vaginal lubrication during intercourse.

a. Cervical mucus enhances the motility of the sperm.

A woman is prescribed to take alendronate (Fosamax) for osteoporosis postmenopause. What information will the nurse provide when educating this patient on alendronate (Fosamax)? a. Drink 8 oz. of water following dosage. b. Lay down for 30 minutes after taking. c. This medication has no known side effects. d. Avoid weight-bearing exercises.

a. Drink 8 oz. of water following dosage.

A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal? a. Her periods have stopped for 1 year. b. Her periods have been irregular and light for 12 months. c. She has symptoms of vasomotor instability. d. She experiences symptoms of decreased estrogen, such as dyspareunia.

a. Her periods have stopped for 1 year.

The nurse explains that the drug clomiphene (Clomid) is used in infertility treatment. What is the primary action of clomiphene (Clomid)? a. Induces ovulation b. Reduces endometriosis c. Promotes implantation of a fertilized ovum d. Inhibits excess prolactin secretion

a. Induces ovulation

At her 6-week postpartum checkup, a woman states, "I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again?" What is the nurse's best response? a. "You should know that oral contraceptives increase your milk production." b. "Oral contraceptives can be taken once lactation is well established." c. "You don't need to use any form of birth control as long as you are breastfeeding." d. "Oral contraceptives are contraindicated for the lactating woman."

b. "Oral contraceptives can be taken once lactation is well established."

What side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)? a. Fatigue b. Headache c. Weight loss d. Amenorrhea

b. Headache

The nurse is educating a woman diagnosed with Premenstrual Dysphoric Disorder (PMDD). What is the best type of diet for the nurse to recommend? a. High protein, low fat b. High carbohydrate, high fiber c. Low calorie, low fat d. Low carbohydrate, high protein

b. High carbohydrate, high fiber

What information will the nurse provide when educating a woman about the correct use of a diaphragm? a. Use of a spermicidal cream or jelly is not recommended. b. Leave in place for at least 6 hours after intercourse. c. Remove immediately after intercourse for douching. d. It is effective for up to 48 hours if positioned properly.

b. Leave in place for at least 6 hours after intercourse.

A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives? a. Makes cervical mucus hostile to sperm b. Prevents ovulation c. Prohibits implantation of the egg d. Acts as a barrier by destroying sperm

b. Prevents ovulation

The nurse is instructing a man considering a vasectomy. What instruction will the nurse provide to address the postoperative time period? a. Intercourse should be delayed for 6 weeks. b. Sperm will still be ejaculated for a month. c. Erections will be difficult to maintain. d. Monthly sperm counts for a year will be necessary.

b. Sperm will still be ejaculated for a month.

Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)? a. Super-absorbency tampons are effective for overnight absorption. b. Tampons should be changed at least every 4 hours. c. Gloves should be worn when changing tampons. d. TSS can be prevented by using a pad for the first 2 days of menstrual flow.

b. Tampons should be changed at least every 4 hours.

What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes? a. "Aerobic exercise helps control hot flashes." b. "Increase the amount of calcium and vitamin D in your diet." c. "Dress in layers of cotton clothing." d. "Drink plenty of fluids, particularly caffeinated beverages."

c. "Dress in layers of cotton clothing."

On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5° C (97.7° F). What will her temperature measurement most likely be if ovulation takes place on day 14? a. 35.9° C (96.7° F) b. 36.3° C (97.3° F) c. 36.7° C (98.1° F) d. 37.1° C (98.9° F)

c. 36.7° C (98.1° F)

What should a woman expect after insertion of an intrauterine device (IUD)? a. Menstrual flow will be lighter. b. Menstrual cramps will be eliminated. c. A string should be felt in the vagina. d. The device should be changed every 2 years.

c. A string should be felt in the vagina.

. A woman diagnosed with endometriosis reports "painful intercourse." What is the appropriate medical term for the nurse to document when describing this symptom? a. Dyspnea b. Dysmenorrhea c. Dyspareunia d. Dysrhythmia

c. Dyspareunia

In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms? a. Drink tea or hot chocolate before going to bed. b. Take a daily folic acid and vitamin C supplement. c. Include complex carbohydrates and fiber in the diet. d. Avoid exercise when symptoms occur.

c. Include complex carbohydrates and fiber in the diet.

At her regular gynecological examination, a woman tells the nurse that she is concerned about osteoporosis. What suggestion can the nurse make to this patient? a. Take a vitamin E supplement daily. b. Do isometric exercises that can be practiced every day. c. Include more dairy products and green, leafy vegetables in her diet. d. Try to limit her intake of caffeine.

c. Include more dairy products and green, leafy vegetables in her diet.

The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level? a. It prevent osteoporosis. b. It decreases vaginal lubrication. c. It raises the level of low-density lipoproteins. d. It raises the level of high-density lipoproteins.

c. It raises the level of low-density lipoproteins.

A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant. An ovarian cyst is suspected. The nurse knows that what confirms this diagnosis? a. Laparotomy b. Oophorectomy c. Transvaginal ultrasound d. Hysteroscopy

c. Transvaginal ultrasound

The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives? a. Antihistamines for seasonal allergies b. Iron preparations for treatment of anemia c. Appetite suppressants for weight reduction d. Anticonvulsants for treatment of epilepsy

d. Anticonvulsants for treatment of epilepsy

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? a. Cloudy and tacky b. Scant and thick c. Thin and white d. Clear and slippery

d. Clear and slippery

The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program? a. Breast examination by a health professional b. Breast self-examination c. Breast biopsy d. Mammography

d. Mammography

The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination? a. A few days before her period b. During her menstrual period c. On the last day of menstrual flow d. One week after the beginning of her period

d. One week after the beginning of her period

The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is ____________ ______________ _________________.

in vitro fertilization

When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele, __________ ___________ results.

stress incontinence