Reproduction

A client with a history of ovarian cysts is seen by the primary health care provider (PHCP). The client has had two previous surgeries related to this condition. The PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?

"A prolonged ovarian abnormality needs to be evaluated thoroughly."

The nurse is caring for a 25-year-old client who will undergo bilateral orchidectomy for testicular cancer. Which statement by the nurse would be helpful in exploring the client's concerns about loss of reproductive ability?

"Can you share with me any concerns about how this surgery will affect you in the future?"

A client is suspected of having a vaginal infection caused by the organism Candida albicans. Which assessment question would elicit data associated with this infection? "Have you had any vaginal discharge?" 2"Do you have any blood in your urine?" 3"Have you had any flank pain or headaches?" 4"Have you noticed any swelling in your feet?"

"Have you had any vaginal discharge?"

The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement by the student indicates an understanding of the ductus venosus?

"It connects the umbilical vein to the inferior vena cava."

The nurse is caring for a client with a diagnosis of endometriosis. The client asks the nurse to describe this condition. How would the nurse respond? Select all that apply.

"It is the presence of tissue outside the uterus that resembles the endometrium." "Major symptoms of endometriosis are pelvic pain, dysmenorrhea, and dyspareunia."

An adolescent seen in the health care clinic has been diagnosed with endometriosis. The client asks the clinic nurse to describe this condition. Which response would the nurse provide?

"It is the presence of tissue outside the uterus."

The nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the nurse's best response?

"It promotes the fertilized ovum's normal implantation in the top portion of the uterus."

The nurse would make which statement to a pregnant client found to have a gynecoid pelvis?

"Your type of pelvis is the most favorable for labor and birth."

A 33-year-old client is admitted to the hospital with a tentative diagnosis of Graves' disease. Which symptom related to the menstrual cycle would the client be most likely to report during the initial assessment? 1Amenorrhea 2Menorrhagia 3Metrorrhagia 4Dysmenorrhea

1Amenorrhea (decreased menstrual flow)

The nurse is interviewing a middle-aged woman with a history of fibrocystic disorder of the breasts. Which statements made by the client indicate a need for further teaching? Select all that apply. "I might experience pain in my underarm region." 2"My symptoms will decrease just before menstruation." 3"After I experience menopause, my symptoms may lessen." 4"Taking oral contraceptives now will increase my symptoms." 5"Upon self-breast examination, I may detect lumpiness in the upper, outer area of my breasts."

2"My symptoms will decrease just before menstruation." 4"Taking oral contraceptives now will increase my symptoms."

The nursing student is asked to discuss information related to the uterus with high school students. Which statements by the nursing student are accurate? Select all that apply. "The uterus consists mostly of skeletal muscle." 2"The uterus is an organ located in the pelvic region." 3"The uterus weighs approximately 2.2 lb (1000 g) at term pregnancy." 4"The uterus weighs approximately 2 oz (60 g) in the nonpregnant state." 5"The uterus is composed of three layers: endometrium, myometrium, and perimetrium."

2"The uterus is an organ located in the pelvic region." 3"The uterus weighs approximately 2.2 lb (1000 g) at term pregnancy." 4"The uterus weighs approximately 2 oz (60 g) in the nonpregnant state." 5"The uterus is composed of three layers: endometrium, myometrium, and perimetrium."

The nurse employed in a fertility clinic is preparing to provide information to a couple considering in vitro fertilization. The nurse's explanation would most appropriately include which information? Select all that apply. Embryo transfer occurs through an abdominal incision. 2A fertilized ovum is transferred into the client's uterus. 3Mild spotting or cramping may occur following egg removal. 4A medication protocol for follicle development will be prescribed. 5Ova and sperm are collected and immediately transferred into the client's uterus.

2A fertilized ovum is transferred into the client's uterus. 3Mild spotting or cramping may occur following egg removal. 4A medication protocol for follicle development will be prescribed.

A fasting blood glucose screening test is performed on a pregnant client. The results indicate that the blood glucose level is 140 mg/dL (8 mmol/L). The nurse would anticipate that which treatment measure would most likely be prescribed next for the client?

A 3-hour glucose tolerance test

The nursing instructor asks a nursing student to explain the characteristics of the amniotic fluid. The student responds correctly by explaining which as characteristics of amniotic fluid? Select all that apply.

Allows for fetal movement 2Surrounds, cushions, and protects the fetus 3Maintains the body temperature of the fetus 4Can be used to measure fetal kidney function

The nurse is performing an assessment on a client who asks how to recognize ovulation. The nurse would explain that which occurs at ovulation? Select all that apply. Breast tenderness 2Decreased sex drive 3Small amount of vaginal spotting 4Slight decrease in basal body temperature 5Lower abdominal pain known as Mittelschmerz 6Presence of spinnbarkeit—thin and clear mucous discharge

Breast tenderness 3Small amount of vaginal spotting 5Lower abdominal pain known as Mittelschmerz 6Presence of spinnbarkeit—thin and clear mucous discharge

The nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 15 minutes. How would the nurse respond to this finding initially?

Contact the primary health care provider (PHCP) and inform the PHCP of this finding

A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse would determine whether this method of family planning would be most appropriate?

Do you plan to have any other children?"

Which purposes of placental functioning would the nurse include in a prenatal class? Select all that apply.

It provides an exchange of nutrients and waste products between the parent and developing fetus. It is the way the baby gets food and oxygen

A preadolescent client asks the nurse about the onset of puberty. The nurse describes which changes as indicating puberty? Select all that apply. Mood swings occur. 2Pubic hair will develop. 3Breast development begins. 4Uterus matures to adult size. 5Height will increase due to a growth spurt.

Mood swings occur. 2Pubic hair will develop. 3Breast development begins. 5Height will increase due to a growth spurt.

The nurse is preparing a plan of care for a postpartum client who is at risk for postpartum endometritis. Which intervention would the nurse include in the plan of care to minimize this risk?

Review hand-washing techniques and pericare procedures with the client.

A pregnant client in the first trimester calls the nurse at a health care clinic and reports noticing a thin, colorless vaginal drainage. The nurse would make which statement to the client?

The vaginal discharge may be bothersome but is a normal occurrence."

A pregnant client being admitted to the labor room tells the nurse about feeling a large gush of fluid before arriving at the hospital. The nurse performs an assessment on the client and notes that the fetal heart rate is 90 beats/minute and that the umbilical cord is protruding from the vagina. What is the appropriate nursing action?

Wrap the cord loosely in a sterile towel saturated with warm, sterile normal saline.

The client has a regular 32-day cycle. The client asks on which day she most likely ovulates. How would the nurse reply?

day 18