Exam 6 Female Reproduction
A nurse is providing care to a client who was just admitted with a diagnosis of ectopic pregnancy. When reviewing the client's history, which of the following would the nurse identify as a major risk factor for this client?
Pelvic Inflammatory Disease
While caring for a patient who is treated for severe pelvic inflammatory disease (PID), the nurse insists on keeping her in a semisitting position. Which of the following is correct rationale for this positioning?
Facilitation of pelvic drainage and minimize the upward extension of infection
A client is very concerned about possibly having breast cancer, especially after caring for a close family member who recently died from the disease. The nurse informs the client that the primary and most common sign of breast cancer is a:
painless mass in the breast, most often in the upper outer quadrant.
A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect?
weight gain
A 24-year-old client births a healthy female infant. Incidentally, the client was given diethylstilbestrol (DES) during her pregnancy. It is important that the nurse stresses frequent gynecological examinations of client's daughter when she reaches a certain age because of which concern?
To prevent the onset of vaginal carcinoma in the client's daughter
During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed?
Wear gloves and protective clothing to avoid any injuries.
The nurse is educating a young man about nonpharmacological contraception methods. The nurse educator knows that he demonstrates an understanding of latex condom use when he makes which statement?
"I should use Avanti male condoms because I itch after eating bananas."
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?
"I will avoid having sexual relations until I see the doctor again."
The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct?
In the testes within the scrotum
A patient asks the nurse if there are any available nonsurgical options to terminate a pregnancy if she is only 2 weeks pregnant. What information should the nurse provide to the patient about a medication that blocks progesterone?
Mifepristone (RU-486, Mifeprex) is used only in early pregnancy to terminate a pregnancy nonsurgically.
During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which suggestion would be most appropriate?
Wear gloves and protective clothing to avoid any injuries.
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?
atrophy of Bartholin glands
A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?
mammogram
On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:
should continue to perform breast self-examination on her right breast.
A nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms:
yearly starting at age 45.
Which of the following is an age-related functional change of the female reproductive system?
Decreased ovulation
Which is an inaccurate manifestation of a fibroadenoma?
Premenstrual changes do not occur
Which is the earliest and the most common symptom of endometrial cancer?
bleeding
Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound?
Drink at least 1 quart of water an hour before the test.
Which condition is a downward displacement of the bladder toward the vaginal orifice?
Cystocele
Which term describes a procedure in which cervical tissue is removed because abnormal cells are detected?
Cone biopsy (conization)
Which term refers to painful menstruation?
Dysmenorrhea
Which statement is true regarding hormonal contraception?
It increases the risk for venous thromboembolism.
Which term refers to breast pain?
Mastalgia
Which of the following is accurate regarding breast cysts?
They develop as breast ducts dilate.
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?
"Are you taking any hormone replacement therapy?"
The nurse is discussing nutritional needs for a postmenopausal patient. What dietary increase should the nurse recommend to the patient?
Calcium
When a female client reports a frothy, yellow-green vaginal discharge, the nurse suspects the client has a vaginal infection caused by which organism?
Trichomonas vaginalis
A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort?
Water-based lubricant
A client is concerned about the lumps that have developed in her breasts and is fearful of cancer. The client reports variability in the size of the lumps. What could be causing this condition?
cyclical hormonal changes
A client is experiencing symptoms associated with menopause. What is a likely recommendation to increase the client's interest in sexual activity?
low-dose androgens
The nurse is obtaining a history from a client who states recurrent breast tenderness. The client inquires if there is something wrong with her breasts. Which question by the nurse is a priority?
"Does the tenderness occur around the same time each month?"
A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?
"I need to use an electric shaver when shaving my right armpit."
Which statement demonstrates that a client has understood instructions about breast self-examination?
"I need to use the pads of three fingers to apply pressure when checking each breast."
An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
"I will remove and clean it every day."
The nurse is preparing a client for a pelvic examination. The client asks the nurse, "Why do I need to urinate and empty my bladder?" Which response by the nurse would be most appropriate?
"It helps make you more comfortable and the exam easier."
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?
"Mammograms can detect cysts or tumors too small to palpate."
A nurse is preparing to obtain a sexual history from a client using the PLISSIT model. Which question would be most appropriate for the nurse to ask first?
"May I ask you some questions about your sexual health?"
The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
"My menstrual period began yesterday."
A client is being treated for trichomoniasis. The client has received instructions about the prescribed drug therapy. The nurse determines that the client needs additional teaching when she states which of the following?
"My partner will not need any treatment."
A client who wishes to preserve childbearing asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?
"Symptoms of endometriosis are increased during normal menstrual cycle."
Which statement by a client following a laparoscopic procedure requires immediate follow-up by the nurse?
"The area around my navel is tender."
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse?
"These are normal, manageable symptoms of menopause."
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?
"We will reschedule your examination when you have finished menstruating."
Within the female internal reproductive structures, where is the egg most commonly fertilized?
fallopian tubes
A client who underwent an anterior colporrhaphy 6 hours ago has not voided. She reports some discomfort in her suprapubic area. Which of the following would the nurse expect to do?
Catheterize the client.
A nurse practitioner examines a patient suspected of having endometriosis. The nurse knows that although a definitive diagnosis could not be made without diagnostic treatment (transvaginal ultrasound), the most frequent symptom is:
Chronic pelvic pain.
Which nursing intervention(s) are related to a client with breast cancer? Select all that apply.
Client education and preparation for treatment Promotion of positive body image Relieving fear Management of complication
The nurse is caring for a client who has been admitted to hospital for uterine bleeding after incomplete miscarriage. The nurse knows what will be included in this client's treatment?
Dilation and Curettage
A nurse is preparing a teaching plan for a client with a vulvovaginal infection. Which teaching would not be appropriate for the nurse to include?
Douche with a dilute vinegar solution twice a day.
An adolescent patient comes to the clinic with complaints of "terrible pain" during menstruation. What should the nurse document this subjective data as?
Dysmenorrhea
Menopause marks the end of a woman's reproductive capacity. Which of the following is a common complaint that may be due to a cystocele?
Dyspareunia
Which diagnostic test is indicated for postmenopausal bleeding?
Endometrial biopsy
The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema?
Enlargement of the arm or hand
The nurse, who is conducting a Papanicolaou (Pap) smear, performs which actions to promote client comfort during the procedure? Select all that apply.
Ensure warming of the speculum Lubricate the blades of the speculum Explain to the client that some discomfort is normal
A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination. Which action by the nurse would be most appropriate?
Ensuring that the client has a full bladder
Which of the following is the descent of the small intestine into the vaginal vault?
Enterocele
A patient is having a biopsy that will remove the entire mass, plus a margin of surrounding tissue. What type of biopsy will be documented on the operative permit?
Excisional biopsy
The nurse is providing education regarding sexually transmitted diseases. Which statement regarding herpes virus 2 (herpes genitalis) is accurate?
In pregnant women with active herpes, babies delivered vaginally may become infected with the virus.
The nurse is providing education regarding sexually transmitted infections. Which statement regarding herpes virus 2 (herpes genitalis) is accurate?
In pregnant women with active herpes, babies delivered vaginally may become infected with the virus.
A woman who is 10 weeks pregnant arrives at the emergency department reporting vaginal bleeding and cramping. She states, "I've passed some small clots." Inspection of the perineal pad reveals moderate bleeding and some tissue. The client's cervix is dilated. The nurse interprets these findings as indicative of which of the following?
Incomplete abortion
The nurse is assessing the breast of a female patient and observes a prominent venous pattern on the left breast. What does the nurse understand that this can be indicative of?
Increased blood supply required by a tumor
A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?
It calls for a biopsy as soon as possible.
A patient is diagnosed with the most common type of uterine fibroid, an intramural fibroid. The nurse includes which information in teaching the patient about this type of fibroid?
It grows within the wall of the uterine muscle.
A client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
Leave the room and notify the radiation therapy department immediately.
The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client?
Lithotomy position
Which drug is the most effective treatment for trichomoniasis?
Metronidazole
While caring for a client who is being treated for severe pelvic inflammatory disease (PID), which nursing action minimizes transmission of infection?
Performing hand hygiene when entering the room
A client is diagnosed with hypertension. The client also reports skin discoloration, weight gain, and nausea. Which contraceptive preparations would the nurse practitioner recommend for this client?
Progestin-only
Which of the following is the extrusion of the rectum into the posterior vagina?
Rectocele
At a follow-up visit, the client is informed that her breast cancer has recurred. The nurse knows that which situation places the client at risk for developing bone metastases?
Recurrence within 2 years of the original diagnosis
A nurse is caring for a group of breast cancer survivors after mastectomy. Which teaching point should the nurse reinforce about activities 6 weeks after surgery?
Resume light household work.
A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. What should the nurse encourage the patient to do?
See her gynecologist as soon as possible.
The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction?
The procedure removes all cancer from the body.
A group of students are reviewing the anatomy and physiology of the breasts. The students demonstrate understanding of breast structure when they identify the tail of Spence as an extension of which quadrant?
Upper outer
What is the most common location for breast cancer?
Upper outer quadrant of the breast
A client has undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy as treatment for endometrial cancer. When providing postoperative care to this client the nurse would be alert for signs and symptoms of which of the following?
bladder dysfunction
A client who has been unable to conceive is intent on discovering the reason. The client has had very scanty, infrequent menses since their onset, and has a history of type 2 diabetes and acne. What could be the reason for this client's menstrual disorder?
polycystic ovarian syndrome
A client is prescribed a combination hormonal contraceptive. What condition would the nurse instruct the client to report to the healthcare provider immediately?
pregnancy
Pelvic infection is most commonly caused by which of the following?
sexual transmission
A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct?
"The clinical breast evaluation will be completed with annual gynecologic examination."
A 25-year-old sales manager reports to the health care unit with high stress levels and a BP of 130/80 mm Hg. She admits that her life has been stressful as she is unable to meet sales targets and is going through a financial crisis. She suffers from frequent headaches and blurred vision. She currently uses a cervical ring for contraception. Which additional assessment questions related to the client's choice of contraception does the nurse need to ask? Select all that apply.
"Tell me about the last time you had leg pain." "Describe any abdominal pain you may be experiencing." "Have you noticed any episodes of chest pain?"
Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis?
"The cancer has not spread."
Which patient in the ED should the advance nurse practitioner treat first?
A 21-year-old woman reporting sharp colicky abdominal pain, menstrual spotting, and dizziness
During a breast examination, which finding most strongly suggests that a client has breast cancer?
A fixed nodular mass with dimpling of the overlying skin
The nurse is providing shift report related to a client newly received back to the unit from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis minor muscle removed. The oncoming nurse documents which procedure completed?
A modified radical mastectomy
When a female client reports profuse purulent discharge, dysuria, and bleeding, the advance practice nurse is most likely to prescribe which medication to treat this condition?
Doxycycline for 1 week
A 28-year-old woman is learning about breast self-examination. The nurse teaches the woman that the best time of each month to examine her breasts is during the:
First week after menstruation.
Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?
Fishy smelling watery discharge
A patient informs the nurse that she believes she has premenstrual syndrome and is having physical symptoms as well as moodiness. What physical symptoms does the nurse recognize are consistent with PMS? Select all that apply.
Fluid retention Low back pain Headache
A 30-year-old client whose mother died of breast cancer at age 44, and whose sister has ovarian cancer, is concerned about developing cancer. As a member of the oncology multidisciplinary team, the nurse should suggest that the client ask the physician about which topic?
Genetic counseling
The nurse teaches a premenopausal female client to perform breast self-examination (BSE) at which interval?
On day 5 to day 7, counting the first day of menses as day 1
A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Take sitz baths frequently.
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. What bacteria does the practitioner suspect is causing this disorder?
Trichomonas
A client who had intracavity radiation treatment for cervical cancer 1 month earlier reports small amounts of vaginal bleeding. This finding most likely represents:
an expected effect of the radiation therapy.
Which options are available to women who have an increased risk of developing breast cancer? Select all that apply.
annual mammogram and MRI bilateral prophylactic mastectomy chemoprevention with tamoxifen
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?
digital rectal examination
A client has been diagnosed with breast cancer and is awaiting cytology results of a biopsy. During client education, the nurse discusses the possible types of breast malignancies. Which is the most common type?
ductal
A client is preparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid?
ensuring sperm survival
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?
49 years old
The nurse is discussing mammography with a female client at the clinic. The client asks at what age she should begin getting yearly mammograms. What answer should the nurse provide?
5 to 7 days
The nurse instructs a female client about contraceptive options. The nurse explains that the intrauterine device (IUD) is a good contraceptive option for women who:
Are in a monogamous relationship
A client returns to the recovery room following a mastectomy. An initial postoperative assessment is performed by the nurse. What is the nurse's priority assessment?
Assessing the vital signs and oxygen saturation levels.
Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon?
gross swelling
Hormone therapy decreases the risk of
hot flashes
Because of a client's reluctance to begin hormone therapy, the advance nurse practitioner prescribes venlafaxine to decrease the risk of
hot flashes.
Which abnormality is not considered a structural abnormality?
pelvic inflammatory disease
A patient is receiving chemotherapy with paclitaxel as treatment for ovarian cancer. The patient arrives at the facility for laboratory testing prior to her next dose of chemotherapy. The results are as follows:Hemoglobin: 12.9 gm/dLWhite blood cell count: 2,200 /cu mmPlatelets: 250,000 /cu mmRed blood cell count: 4,400,00/cu mmWhich result would be a cause for concern?
white blood count
After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which of the following?
Breast Symmetry
Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following?
Bulging of the bladder into the vagina
Which nursing question is essential when caring for a client prior to a pelvic examination?
"Would you like to void at this time?"
Which client has the highest risk of ovarian cancer?
45-year-old woman who has never been pregnant
The nurse is educating a patient about the best time to perform breast self-examination (BSE). When does the nurse inform her is the best time after menses to perform BSE?
5 to 7 days
A patient reports to the nurse that she has a sense of pelvic pressure and urinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. What does the nurse suspect the patient is experiencing?
A cystocele
A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they identify which of the following?
A primary function of the female breast is to produce milk.
The nurse is providing information at the local YMCA about screenings for breast and cervical cancer. The nurse should inform young women that they should begin their screenings at what time?
Annual breast and pelvic examinations are important for all women 21 years of age or older and for those who are sexually active, regardless of age.
A client reports intermittent pelvic pain that does not seem to have a predictable occurrence. She recalls that these episodes began approximately 8 months ago. Following months of physical and diagnostic tests, the physician diagnoses the client with chronic pelvic pain. Which choices could be used as possible treatment options? Select all that apply.
Antidepressants Analgesics Oral contraceptives
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?
Antihypertensives
The nurse is about to begin conducting a pelvic examination of a client. The client reports having lower back and hip pain anytime she has to lie on her back. What is the best way for the nurse to proceed with the examination?
Ask the client to lie on her left side with the right leg bent
A female client is diagnosed with breast abscess. She would like to continue to breast-feed her newborn. Which of the following would be most appropriate in this situation?
Assist the client to pump the breasts to remove breast milk.
A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a thick curd-like white discharge. The nurse suspects which of the following?
Candida Infection
Over the past 2 months, a client has been receiving treatment for multiple ear infections and tonsillitis. The client reports a curdy white vaginal discharge and burning with urination. What is the most likely cause of these symptoms?
Candida albicans
The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?
Candida albicans
The nurse working on a cancer treatment floor assesses her assigned clients. It is most important for the nurse to report which assessment finding?
Coolness and mottling of a newly constructed breast site
How can breast cancer prevention programs best serve at-risk women from lower socioeconomic backgrounds?
Develop screening and educational programs.
The nurse documents the following history obtained from a female patient:No known allergiesDouching 2 to 3 times per weekUse of barrier methods for contraceptionRecent viral upper respiratory infectionEstrogen levels within acceptable parametersWhich of the following would the nurse identify as a risk factor for the patient developing a vulvovaginal infection?
Douching
A 13-year-old who started her menstrual cycle at age 12 asks the nurse practitioner how frequently her "period" should come. The nurse takes a calendar and has the girl circle the date of her last period, which started on January 7. The nurse then circles when her next period should start based on the average number of days in a normal cycle. What date did the nurse circle?
February 4 28 days
Which is a characteristic of a breast cancer mass?
Firm, hard, embedded in surrounding tissue
A nurse is reviewing a client's history for possible risk factors associated with breast cancer. Which of the following would the nurse identify as increasing the client's risk?
First full-term pregnancy at age 34 years
A nurse is reviewing the medical record of a client who has come to the clinic for contraception. What condition would hormonal contraceptives be contraindicated for in a client?
History of thrombophlebitis
A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective?
I will wear loose cotton underwear
A client comes to the clinic reporting dysmenorrhea and is diagnosed with primary dysmenorrhea. Which medication would the nurse most likely suggest for pain relief?
Ibuprofen
Nursing students are reviewing information about the age-related changes in the reproductive system and their effects. The students demonstrate a need for additional study when they identify which of the following as an expected change?
Increased labial thickness
A female patient comes to the clinic with the complaint that she is having a greenish-colored discharge from the nipple and the breast feels warm to touch. What does the nurse suspect these symptoms may indicate?
Infection
A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client?
Infertility
The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding?
It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.
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?
Labia majora and minora
Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which complication does this technique help avoid?
Lymphedema
The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following?
Lymphedema
A nurse is preparing a presentation for a health fair about preventing breast cancer. Which of the following would the nurse include?
Maintain ideal weight
Which is the main cause of anemia in a client with active uterine leiomyoma?
Menorrhagia
The nurse recognizes which statement as accurately reflecting a risk factor for breast cancer?
Mother affected by cancer before 60 years of age
A client has a history of dysmenorrhea. During monthly menses, the client experiences incapacitating cramping and passes large clots. The client's primary care physician initiates conservative treatment. What interventions would the physician to recommend?
NSAIDS
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
Prepuce
Following a radical vulvectomy, the nurse is preparing the client for discharge to home. Which care intervention would be considered the priority for this client?
Prevention of wound complications
A client is considering use of chemoprevention because she is at high risk for developing breast cancer. What can the nurse do to assist the patient with her decision?
Provide the patient with information regarding the benefits, risks, and possible side effects.
A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
Nursing students are reviewing information about natural family planning methods in preparation for a quiz the next day. The students demonstrate a need for additional study when they identify which of the following as an example?
Spermicide
A health care provider tells a breast cancer client that he is going to prescribe hormone therapy that has been found to significantly reduce mortality. Which drug would most likely be prescribed?
Tamoxifen
A nurse who works in an oncology practice prepares patients for the side effects of adjuvant hormonal therapy to treat breast cancer. Which of the following is the hormonal agent that has an increased risk of pulmonary embolism and deep vein thrombosis?
Tamoxifen
Students are reviewing information about the use of adjuvant hormonal therapy for breast cancer. They demonstrate understanding of this information when they identify which of the following as an example of a selective estrogen receptor modulator (SERM)?
Tamoxifen
According to Tanner, which occurs in stage 3 of breast development?
The areola (a darker tissue ring around the nipple) develops.
Nursing students are reviewing information about the various structures of the female reproductive system. The students demonstrate understanding of the material when they identify which of the following about the uterus? Select all that apply.
The uterus is a pear-shaped muscular organ. Ligaments hold the uterus in place. The fundus and cervix comprise the uterus.
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?
Uterine prolapse
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?
Vagina
A client with HIV has recently completed a 7-day regimen of antibiotics. She reports vaginal itching and irritation. In addition, the client has a white, cheese-like vaginal discharge. Which condition is the client most likely experiencing?
Vulvovaginal candidiasis
A patient has been diagnosed with an invasive vulvar malignancy. What primary treatment for invasive vulvar malignancy will the nurse prepare the patient for?
Wide excision
A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge?
Yellow-green
A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Nonmobile mass with irregular edges
A nurse is obtaining health history from a young adult woman. Which of the following would alert the nurse to a possible problem?
Reports of dyspareunia
A 32-year-old client has been diagnosed with an ovarian cyst and asks the nurse, "Should I be worried about cancer?" Which response by the nurse would be most appropriate?
"Most cysts are benign in younger women, but it's good to have it checked out."
The nurse is preparing a patient for a gynecologic examination when the patient says, "I hope the exam doesn't hurt as much as intercourse with my husband does." What should the nurse document this finding as?
Dyspareunia
Which of the following is an expected outcome for a client 24 hours after an abdominal hysterectomy?
The client will perform leg exercises hourly.
What interventions for the relief of pain and discomfort can the nurse educate the patient with a vulvovaginal infection about using? Select all that apply.
Warm perineal irrigations Sitz baths Cornstarch for chafed inner thighs
Which dinner selection demonstrates an understanding of nutritional therapy used by women to decrease the signs and symptoms of menopause?
Wheat toast, apple slices, broiled chicken breast, and steamed carrots
A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?
Refer the client to the American Cancer Society's Reach for Recovery program or another support program.
Which of the following would the nurse expect to find when assessing the breasts of a client with fibrocystic breast disease?
soft mass
Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)?
use of superabsorbant tampons
A nurse is preparing a presentation about contraception for a young adult community group. Which of the following would the nurse expect to address as the most effective means of contraception?
Abstinence
A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response?
"Many times, an ultrasound is done to distinguish between a tumor and cyst."
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?
"Menopause is likely if you have not menstruated for 12 months."
A client is diagnosed with polycystic ovarian syndrome. Which of the following findings would the nurse expect to assess? Select all that apply.
Hirsutism Impaired glucose tolerance Sleep apnea
A 32-year-old woman has had three consecutive normal Pap tests. Which of the following recommendations for screening would be appropriate?
Pap test every 2 to 3 years
Which is one of the most important prognostic factors in breast cancer?
Status of lymph node
A client comes to the clinic for a routine evaluation. During the physical examination, the nurse palpates the client's breast and finds a small lump. Which of the following would lead the nurse to suspect possible breast cancer?
The lump is irregularly shaped.
A patient is having a fine-needle biopsy (FNB) for a mass in the left breast. When the needle is inserted and the mass is no longer palpable, what does the nurse know has most likely occurred?
The mass may be cystic and was ruptured when the needle was inserted.
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?
The nurse would highlight the fallopian tube.
Which drug is the usual treatment for vulvar dystrophy?
Topical corticosteroids
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. The nurse suspects the odor is caused by which bacteria?
Trichomonas
A nurse who works in a gynecologist's office frequently cares for patients who are diagnosed with vulvovaginal candidiasis. The nurse should teach the patients how to manage and treat the most common symptom of:
Vulvar pruritus.
A nurse is reviewing a female client's history, which includes the following information:Age at menarche: 14 yearsCesarean delivery: 2 pregnanciesAge at first pregnancy: 35 yearsAlcohol use: approximately 1 to 2 glasses of wine/monthThe nurse identifies which as a possible risk factor for the client to develop breast cancer?
age at first pregnancy
A woman in her late 30s has been having unusually heavy menstrual periods combined with occasional urine and stool leakage over the past few weeks. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead?
cervical cancer
Which structure is referred to as the vulva?
external female genitalia
While caring for a client who is being treated for severe pelvic inflammatory disease (PID), the nurse insists on keeping the client in a semi-sitting position. The nurse advises this in order to:
facilitate pelvic drainage and minimize the upward extension of the infection.
On a visit to the gynecologist, a client complains of urinary frequency, pelvic discomfort, and weight loss. After a complete physical examination, blood studies, and a pelvic examination with a Papanicolaou test, the physician diagnoses stage IV ovarian cancer. The nurse expects to prepare the client for which initial treatment?
major surgery
