Final EAQs for Womens

Which adverse effects can be seen in a client who is taking Danazol for endometriosis? (select all that apply) A. Hot flashes B. Depression C. Deepening of voice D. Pseudohermaphroditism E. Decreased lipoprotein levels

A. Hot flashes B. Depression C. Deepening of voice E. Decreased lipoprotein levels

Which is the role of an RN in women's health promotion and illness prevention? (select all that apply) A. Integrating various modalities of care B. Providing comprehensive primary care C. Coordinating care in communities D. Working to influence health policy E. Collaborating with other healthcare practitioners

A. Integrating various modalities of care D. Working to influence health policy E. Collaborating with other healthcare practitioners

Which nursing instruction is appropriate to assist a client in regaining control of the urinary sphincter? A. Perform kegel exercises B. Void every hour while awake C. Drink 8-10 glasses of water each day D. Allow the bladder to become distended before voiding

A. Perform kegel exercises

Which condition has the highest possibility of occurrence in a client with endometriosis? A. Weight gain B. Mood disorders C. Impaired fertility D. GI bleeding

C. Impaired fertility

Which phase of the ovarian cycle is characteristic of high progesterone levels? A. Follicular phase B. Ovulatory phase C. Luteal phase D. Ischemic phase

C. Luteal phase

Which side effect would be monitored for a client who has been prescribed danazol therapy for treatment of endometriosis? A. Increased breast size B. Increase in heart-protective cholesterol C. Migraine headaches D. Weight loss

C. Migraine headaches

Which statement is accurate regarding premenstrual dysphoric disorder (PMDD)? A. It can present with similar symptoms to panic disorders B. Symptom presentation is acute, episodic in nature, and varies as the disorder progresses, leading to a chronic phase C. There are no associated physical symptoms of PMDD until the disease is well progressed D. There is a symptom-free period in the follicular phase of the menstrual cycle

A. It can present with similar symptoms to panic disorders

Which phase of female sexual response is characterized by the retraction of the clitoris under the clitoral hood and engorgement of the lower one-third of the vagina? A. Plateau phase B. Orgasmic phase C. Resolution phase D. Excitement phase

A. Plateau phase

Which medications are used in the treatment of physical symptoms of premenstrual symptoms (PMS)? (select all that apply) A. Progesterone B. Estrogen replacement therapy C. Prostaglandin inhibitors D. SSRIs E. Gonadotropin-releasing hormone (GnRH) agonist therpy

A. Progesterone C. Prostaglandin inhibitors D. SSRIs

Which statement about female sexual response is accurate? (select all that apply) A. Women and men are more alike than different in their physiologic response to sexual arousal and orgasm B. Vasocongestion is the congestion of blood vessels C. The orgasmic phase is the final state of the sexual response cycle D. Facial grimaces and spasms of hands and feet are often part of arousal E. Resolution occurs just before the orgasmic phase

A. Women and men are more alike than different in their physiologic response to sexual arousal and orgasm B. Vasocongestion is the congestion of blood vessels D. Facial grimaces and spasms of hands and feet are often part of arousal

Which condition is appropriate for a 15 y/o female client who is experiencing extreme stress caused by schoolwork, which has led to an eating disorder and significant weight loss? A. Dysmenorrhea B. Hypothyroidism C. Hypogonadotropic amenorrhea D. Premenstrual dysphoric disorder

C. Hypogonadotropic amenorrhea

Which is the likely effect of low prostaglandin levels on the client's menstrual cycle? A. The endometrium in the uterus fails to form B. Peak levels of progesterone are not attained in the luteal phase C. The ovum remains entrapped in the graafian follicle D. Ovum growth is inhibited in the proliferative phase

C. The ovum remains entrapped in the graafian follicle

Which condition may be seen in a female client who takes oral contraceptive pills (OCP)? A. Salpingitis B. Dysmenorrhea C. Endometritis D. Midcycle bleeding

D. Midcycle bleeding

Which hormone is responsible for maturation of mammary gland tissue? A. Estrogen B. Testosterone C. Prolactin D. Progesterone

D. Progesterone

Which site of examination is appropriate for the client with cervical cancer? A. Clitoris B. Fallopian tube C. Bartholin glands D. Transformation zone

D. Transformation zone

Which information about dysfunctional uterine bleeding is accurate? A. It is most commonly caused by anovulation B. It most often occurs in middle age C. Diagnosis of dysfunctional uterine bleeding should be the first considered for abnormal menstrual bleeding D. The most effective medical treatment involves steroids

A. It is most commonly caused by anovulation

Which symptom described by a client is characteristic of premenstrual syndrome (PMS)? A. "I feel irritable and moody a week before my period is supposed to start." B. "I have lower abdominal pain beginning the third day of my menstrual period." C. "I have nausea and headaches after my period starts, and they last 2-3 days." D. "I have abdominal bloating and breast pain after a couple days of my period."

A. "I feel irritable and moody a week before my period is supposed to start."

Which approximate age is expected for a client to have started perimenopause if she experienced menopause at 52 y/o? A. 48 B. 49 C. 50 D. 51

A. 48

Which are the 5 A's implemented with smoking cessation? A. Ask, assess, advise, assist, and arrange follow-up B. Ask, answer, admit, be accountable, and accept the help C. Ask, answer, assess, administer meds, and arrange support groups D. Ask, advise, assist, administer therapy, and arrange support groups

A. Ask, assess, advise, assist, and arrange follow ups

Which test would the nurse expect to be prescribed for further evaluation after a pathology report indicates that atypical endometrial cells were detected in a postmenopausal client's vaginal pool specimen? A. Biopsy B. Chlamydia test C. STI test D. HIV test

A. Biopsy

Which process is the uterus, a muscular pear-shaped organ, responsible for? A. Cyclic menstruation B. Sex hormone production C. Fertilization D. Sexual arousal

A. Cyclic menstruation

Which symptom control measures are appropriate for a client with premenstrual syndrome (PMS)? A. Decrease consumption of caffeine B. Drink a small class of wine with the evening meal C. Decrease fluid intake to prevent fluid retention D. Eat three large meals a day to maintain glucose levels

A. Decrease consumption of caffeine

Which symptoms are seen in a client who experiences secondary dysmenorrhea? (select all that apply) A. Feelings of bloating B. Poor concentration C. Heavy menstrual flow D. Lower abdominal aching E. GI bleeding

A. Feelings of bloating C. Heavy menstrual flow D. Lower abdominal aching

Which are the major goals of prenatal care? (select all that apply) A. Monitor the development of the fetus B. Provide family planning services to the parents C. Improve the nutritional status of the mother and fetus D. Provide appropriate education and counseling to the parents E. Minimize the risk of complications in both the mother and fetus

A. Monitor the development of the fetus C. Improve the nutritional status of the mother and fetus D. Provide appropriate education and counseling to the parents E. Minimize the risk of complications in both the mother and fetus

Which category of weight is appropriate for the client with a calculated BMI of 32? A. Obesity B. Appropriate C. Underweight D. Overweight

A. Obesity

Which are causes of menorrhagia in a client? (select all that apply) A. Obesity B. Fibroids C. Endometritis D. Chemotherapy E. Diabetes mellitus

A. Obesity B. Fibroids C. Endometritis D. Chemotherapy

Which test is appropriate for the client who reports no menses for the past 6 mo? A. Pregnancy test B. Blood sugar test C. Thyroid function test D. Toxicology blood screening

A. Pregnancy test

Which finding is associated with endometriosis? A. Positive chandelier sign B. Chocolate cyst C. Chadwick sign D. Blood in the cul-de-sac

B. Chocolate cyst

Which information is accurate regarding the diagnosis and management of amenorrhea? A. It probably is the result of a hormone deficiency that can be treated with medication B. It may be caused by stress or excessive exercise, or both C. It will likely require the client to eat less and exercise more D. It often goes away on its own

B. It may be caused by stress or excessive exercise, or both

Which statements are accurate regarding the occurrence of obesity in the US? (select all that apply) A. 25% of women in the US are presently considered obese B. Women in the age group of 40-59 y/o have the highest prevalence C. Obesity is associated with hypercholesterolemia D. Obesity is associated with a decreased incidence of diabetes E. Women who are obese may be more likely to have irregularities of the menstrual cycle

B. Women in the age group of 40-59 y/o have the highest prevalence C. Obesity is associated with hypercholesterolemia E. Women who are obese may be more likely to have irregularities of the menstrual cycle

Which nursing response is appropriate for an adolescent client who experiences primary dysmenorrhea and complains of pain and lower abdominal cramps? A. "You need to increase sugar and fats in your diet" B. "Call the clinic only if you have dark-colored stools" C. "A hot bath or heating pad may help the problem" D. "The problem will diminish in 2-3 months"

C. "A hot bath or heading pad may help the problem"

Which condition is described in the client who shows signs of depression, is excessively concerned about her body size and shape, and also eats uncontrollably? A. Anorexia nervosa B. Bulimia nervosa C. Binge eating disorder D. Night eating disorder

C. Binge eating disorder

Which stressor can result in "empty nest syndrome?" A. Financial crisis caused by loss of job B. Loss of job caused by personal inefficiency C. Children leaving home to seek higher education D. Chronic illness, such as diabetes and hypertension

C. Children leaving home to seek higher education

Which conditions can be seen in a female during the menstruation phase of her menstrual cycle? (select all that appply) A. Amenorrhea B. Osteoporosis C. Dysmenorrhea D. Premenstrual syndrome E. Premenstrual dysphoric disorder

C. Dysmenorrhea D. Premenstrual syndrome E. Premenstrual dysphoric disorder

Which is a possible reason for the absence of congenital anomaly in the offspring of a type 1 diabetic pregnant client? A. Vitamin supplements taken during pregnancy B. Calcium supplements taken during pregnancy C. Stable blood pressure maintained during pregnancy D. An euglycemic condition maintained during pregnancy

D. An euglycemic condition maintained during pregnancy

Which condition is appropriate for the client with dysmenorrhea who has been prescribed NSAIDs and is passing dark-colored stools 1 week after therapy? A. Hemorrhoids B. Allergy to NSAIDs C. GI infection D. GI bleeding

D. GI bleeding

Which statement is accurate regarding primary dysmenorrhea? A. It is experienced by all women B. It is not affected by oral contraceptives C. It occurs in young, multiparous women D. It may be caused by excessive endometrial prostaglandin

D. It may be caused by excessive endometrial prostaglandin

Which fetal complication is increased by maternal cigarette smoking? A. Spina bifida B. Anencephaly C. Facial deformities D. Low birth weight

D. Low birth weight