Chapter 7: Benign Disorders of the Female Reproductive Tract

A client is diagnosed with an enterocele. The nurse interprets this condition as:

bulging of the small intestine through the posterior vaginal wall.

When preparing the discharge teaching plan for the woman who had surgery to correct pelvic organ prolapse, which information would the nurse include?

care of the indwelling catheter at home

A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding as associated with the client's condition?

chronic pelvic pain

A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation?

irregular, acyclic bleeding

When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?

massaging the client's legs

After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require:

no treatment

When teaching a woman how to perform Kegel exercises, the client asks what muscles are being helped with these exercises. The nurse would include reference to which muscles in the response?

pelvic floor

A nurse is conducting a presentation for a local women's group about pelvic floor disorders. Which instruction would the nurse include about preventing pelvic support disorders?

performing Kegel isometric exercises

A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? Select all that apply.

rectocele cystocele enterocele

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

restore menstrual regularity

A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head, but I've got hair on my chin and upper lip. I don't feel like a woman anymore." Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would the nurse identify as the priority?

situational low self-esteem related to masculinization effects of the disease

After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence?

sneezing as an initiating stimulus

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find?

stress incontinence with feeling of low abdominal pressure

A nurse is conducting an in-service program for a group of staff nurses. After teaching the group about ovarian cysts, the nurse determines that the teaching was successful when the group identifies which type of cyst as being associated with hydatidiform mole?

theca-lutein cyst

A client comes to the clinic for an evaluation. After assessing the client, the nurse suspects that the client may be experiencing uterine prolapse. Which findings would the nurse report when notifying the primary care provider about the suspicion? Select all that apply.

urge to defecate nocturnal urinary freq. abdominal pressure dyspareunia

A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

vaginal ulceration

After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which statement would indicate the need for additional teaching?

"I should take up jogging to make sure I exercise enough."

A client is diagnosed with urinary incontinence. The nurse teaches the client about the condition and ways to manage it. The nurse determines that the teaching was successful based on which client statement?

"I will limit my daily fluid intake to about 1.5 liters."

The nurse is caring for a client with polycystic ovarian syndrome (PCOS) who is receiving oral contraceptives as part of her treatment plan. The nurse teaches the client about the drug therapy and how it will help her. The nurse determines that the teaching was successful when the client states which reason for the drug?

"It will help regulate my menstrual cycle."

A nurse is teaching a client how to perform Kegel exercises. Which directives would the nurse include? Select all that apply.

"Squeeze your rectal muscles as if you are trying to avoid passing flatus." "Contract and relax your pubococcygeal muscles rapidly 10 times."

A woman diagnosed with uterine fibroids is scheduled for a myomectomy. After reviewing this procedure with the client, the nurse determines that the client understands this procedure based on which statement?

"The fibroid will be removed but new ones may grow."

A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which description would be most appropriate to include?

"This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position."

A nurse is providing care to a female client receiving treatment for a Bartholin cyst. The client has had a small loop of plastic tubing secured in place to allow for drainage. The nurse instructs the client that she will have a follow-up appointment for removal of the plastic tubing at which time?

3 weeks

A group of nurses are preparing a presentation about reproductive tract polyps for a local women's group. Which information would the nurses include in the presentation?

Endocervical polyps are most common in women in their 50s.

A client is experiencing urinary incontinence. The nurse is teaching the client measures to regain control of the urinary sphincter. The nurse determines that the teaching was effective when the client states she will perform which action?

Perform Kegel exercises daily.

To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to perform which action?

Perform Kegel exercises daily.

A nurse is reading a journal article about treatment options for fibroids. Which information would the nurse most likely find as a disadvantage associated with uterine artery embolization? Select all that apply.

The procedure often causes pain. It can negatively affect fertility. Radiation and contrast dye are used.

A nurse is reviewing the medical record of a client. Which finding would lead the nurse to suspect that the client is experiencing polycystic ovarian syndrome? Select all that apply.

elevated blood insulin levels anovulation triglyceride level of 175 mg/dL

A nurse is conducting an in-service program for a group of staff nurses working at the women's health center. After teaching the group about genital fistulas, the nurse determines that the teaching was successful when the group identifies which as a major cause of genital fistulas?

female genital cutting

A client is diagnosed with a leiomyoma. The client asks the nurse what this is. The nurse describes this as a:

fibroid.