Med Surg: Chapter 32: Nursing Assessment: Female and Male Reproductive Function: PREPU
A nurse is conducting a comprehensive assessment of a 73-year-old male patient. When performing an assessment of this patient's genitourinary system, the nurse should anticipate which of the following age-related changes? A. A scrotum that hangs lower than that of younger men B. Erythema on the skin of the penile shaft C Increased difference in the size between the patient's testicles D Atrophy of the patient's penis
A
A nurse is obtaining a male client's health history before performing a physical examination. Which information would most likely not be obtained? A. age of first ejaculate B. pain during sexual intercourse C. contraceptive practices D. premature ejaculation or other concerns of a sexual nature
A
A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs? A. Estrogen B. Follicle-stimulating hormone C. Androgens D Progesterone
A
The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening? A. Labia majora and minora B. Meatus C. Clitoris D. Fourchette
A The labia majora and minora are a portion of the external genitalia and when parted reveals the urethral opening. The meatus refers to an opening or passage. The clitoris is sensitive erectile tissue considered the site of sexual pleasure. The fourchette is the area beneath the vaginal opening at the base of the labia majora.
An older female client reports pain during intercourse, disrupting the intimacy that she and her husband are accustomed to sharing. What might be the cause of her pain? A. decreased sensitivity B. atrophy of Bartholin C. glands increased vascularity D. Lack of desire
B. The female genitalia change during the aging process. Changes include thinning of pubic hair; decrease in the size of the labia majora and minora; shortening and narrowing of the vagina; and atrophy of Bartholin's glands, which results in less lubrication.
During physical examination of the male reproductive system, which method would best provide the nurse information about the prostate's size as well as evidence of tumor? A. transillumination B. inspection of the size of the scrotum C. digital rectal examination D. scrotal radiography
C
During physical examination of the male reproductive system, which method would best provide the nurse information about the prostate's size as well as evidence of tumor? A. transillumination B. inspection of the size of the scrotum C. digital rectal examination D. scrotal radiography
C
A patient with an abnormal Pap test has a colposcopy. The test indicates small areas of mild to moderate dysplasia. The nurse advises the patient that the next procedure that should be done is a: A. Cone biopsy. B. Cervical biopsy. C. Loop electrosurgical excision. D. Cryotherapy.
D
A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort? A. Petroleum jelly B. Aspirin C. Ibuprofen D. Water-based lubricant
D
The examiner is preparing to perform a pelvic examination. Which of the following would be done first? A. Inspection of the cervix B. Specimen collection for a Pap smear C. Bimanual palpation D. Inspection of the external genitalia
D
The nurse is assisting a patient in preparing for a pelvic examination. What position will the nurse place the patient in for the examination? A. Left lateral B. Prone C. Jackknife D. Lithotomy
D
Which statement is true regarding hormonal contraception? A. Fetal anomalies are a concern. B. It increases risk for benign breast cancer. C. It increases risk for uterine cancer. D. It increases risk for venous thromboembolism.
D
A woman at an employee health fair informs the nurse that she has had vaginal bleeding for the past several days. She is postmenopausal and has not had a menstrual period for the past 4 years. What should the nurse instruct the woman to do? A. She should mention the bleeding episode to her physician at her next appointment. B. She should disregard this bleeding episode, because it is probably normal. C. She should use a birth control method, because she may be fertile with her next ovulation. D. She should see her gynecologist or physician as soon as possible.
D Postmenopausal bleeding, or bleeding 1 year after menses cease at menopause, must be investigated, as a malignant condition must be considered until proved otherwise.
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. The nurse suspects the odor is caused by which bacteria? A. Pseudomonas B. Escherichia coli C. Candida D. Trichomonas
D Trichomonas bacteria cause a copious and often frothy yellow-green colored discharge that is malodorous. A yeast infection doesn't have an odor but bacterial vaginosis is fishy in smell
A nurse is preparing a presentation for a health class. The participants will be high-school girls, and the topic will be the menstrual cycle. Which events would the nurse need to incorporate into the presentation as occurring during the proliferative phase? Select all that apply. A. Increasing estrogen secretion B. Ovulation C. Progesterone secretion by the corpus luteum D. Peaked thickening of the endometrium E. Rise in follicle-stimulating hormone secretion
A, E
While examining the introitus, the nurse practitioner asks the client to "bear down." The nursing student observing the examination knows that the nurse practitioner is assessing the client for which condition? A. Colorectal cancer B. Human papillomavirus C Uterine prolapse D. Female genital mutilation
C
A patient who is scheduled for a gynecologic examination and Pap smear informs the nurse that she just began her menstrual cycle. What is the best response by the nurse? A. "This will have no bearing on your test today." B. "We will reschedule your examination when you have finished menstruating." C. "We will proceed with the examination and reschedule your Pap smear for next week." D. "We will do the test and take into consideration that you are menstruating."
B
A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a thick curdlike white discharge. The nurse suspects which of the following? A. Trichomonas infection B. Candida infection C. Atrophic vaginitis D. Bacterial vaginosis
B
Cone biopsy describes a procedure in which cervical tissue is removed as result of detection of abnormal cells. Which statements by the client demonstrates that the client undergoing a cone biopsy understands the discharge instructions? A. "I require a repeat conization in 2 weeks after the edema subsides." B. "I will avoid having sexual relations until I see the doctor again." C. "I will use a Sitz bath to relieve pain caused by the sutures." D. will need to use a menstrual pad to capture the moisture as my cervix unfreezes."
B
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? A. Transrectal ultrasonography B. Tissue biopsy C. Digital rectal exam D. Tumor marker studies
B
The nurse is conducting a health history when a middle-aged client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next? A, "When was your first menstrual period?" B. "Are you taking any hormone replacement therapy?" C. "Are you finished having children?" D. "Do you feel like hurting yourself?"
B
A group of students are reviewing the female reproductive system in preparation for a test. Which of the following if identified by the students as an internal structure indicates successful learning? A. Vulva B.Vagina C. Labia majora D. Mon pubis
B The vagina is considered an internal female reproductive system structure. The vulva, labia majora, and mons pubis are external structures.
A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge? A. White, curd-like B. Yellow-green C. White D. Gray
B Vaginal discharge associated with Trichomoniasis vaginal infection is copious and often frothy/yellow-green. Candida infection is associated with thin to thick, curd-like, white discharge. White discharge is associated with a normal discharge. Bacterial vaginosis is associated with thin and grayish or yellow discharge.
A 45-year-old woman comes into the Ob-Gyn clinic for her yearly check-up. The woman mentions to the nurse that she has a dimpling of the right breast that has occurred in the last few months. What assessment would be appropriate for the nurse to first make? A. Order an immediate mammogram B Call the health care provider to schedule a biopsy C. Palpate the area for a breast mass D. Assess the woman's previous experience with breastfeeding
C
A nurse practitioner is assessing the size and position of a patient's uterus and ovarian structures. To perform this assessment, the nurse has informed the patient that bimanual palpation will be performed. How will the nurse perform this assessment? A. Insert one finger in the patient's vagina and one in the rectum and palpate for lesions. B. Insert the index finger of each hand into the patient's vagina and palpate simultaneously. C. Insert fingers of one hand into the vagina and palpate outside with the other hand. D. Using two hands, palpate the patient's ovaries simultaneously.
C
The nurse is providing an educational event at the local community center on prostate cancer. A 53-year-old male attendee asks about the prevention and detection of prostate cancer. What information should the nurse provide to this man that would assist in the early identification of prostate cancer? A. Have a complete blood count (CBC) yearly, including blood urea nitrogen (BUN) and creatinine assessment B. Have a transrectal ultrasound every 5 years C Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly D Perform monthly testicular self-examinations
C
During which phase of the menstrual cycle is progesterone secreted by the corpus luteum? A. Secretory B. Premenstrual C. Luteal D. Proliferative
C
The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following? A. "Mammograms provide a baseline that shows changes in breast tissue." B. "Mammograms are just better." C. "Mammograms can detect cysts or tumors too small to palpate." D. "Mammograms provide a reassurance that the breast is free of cancer."
C
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? A. Antibiotics B. Bronchodilators C. Antihypertensives D. Cardiac dysrhythmics
C
A nurse practitioner is teaching a woman how to do a BSE. While inspecting the breasts, the nurse notes this abnormal sign. Which of the following is considered an abnormal sign? A. Asymmetry B. Unevenness in size C. Nipple inversion that has been present for >10 years. D. Dimpling or retraction
D Dimpling or retraction observed during position changes suggests an underlying mass. Deep, pin-point dimpling, similar to the skin of an orange, is associated with carcinoma.
The gynecologist tells the nurse that the patient she just examined was complaining of tenderness over the area known as the "tail of Spence." The doctor asks the nurse to verify her findings. The nurse knows to palpate the: A. Top of the breast near the axilla. B. Upper, outer quadrant of the abdomen. C. Left lower quadrant of the breast. D. Mid-point area between the umbilicus and the symphysis pubis.
A
Which of the following is an age-related functional change of the female reproductive system? A. Decreased ovulation B. Hormone level stability C. Increased vaginal lubrication D. Decreased pH of vagina
A
Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production? A. scrotum B epididymis C. testicles D. shaft
A
The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization? A. The nurse would highlight the uterus. B. The nurse would highlight the ovaries. C. The nurse would highlight the fallopian tube. D. The nurse would highlight the cervix.
C
The nurse educator is teaching a group of nursing students in a reproductive health class. The students are correct in identifying that a woman is most likely to be unable to become pregnant at what age? A. 35 years old B. 18 years old C. 49 years old D. 40 years old
C Menopause marks the end of a woman's reproductive capacity, which typically occurs between 45 and 52 years of age. The alternate options are ages that are under the typical age of onset for menopause.
The nurse is providing client education to a 45-year-old female who asks how she can be certain that she has reached menopause. How should the nurse respond? A. "Menopause can be confirmed when a steady increase in estrogen levels is detected." B. "Menopause has been reached if there have been 8 years of menstrual irregularity." C. "Menopause is marked by persistent night sweats and hot flashes." D. "Menopause is likely if you have not menstruated for 12 months."
D