NURS 2211: Female Reproductive Problems

The following are nursing and collaborative management steps for a client with dysmenorrhea. Arrange the nursing interventions in the correct order.

1. Distinguish between primary and secondary dysmenorrhea. 2. Obtain menstrual and gynaecological history. 3. Obtain a pelvic examination from a primary health care provider. 4. Select appropriate treatment options based on the nature of the dysmenorrhea.

The risk of infertility increases in a woman after which age?

40

A client is admitted to the hospital with severe pain due to a tubo-ovarian abscess caused by pelvic inflammatory disease (PID). Which nursing interventions should the nurse implement for the client?

Administer analgesics to relieve pain Administer IV fluids Offer a sitz bath to the client

A client is admitted to the hospital with severe pain due to a tubo-ovarian abscess caused by pelvic inflammatory disease (PID). Which nursing interventions should the nurse implement for the client? Select all that apply.

Administer analgesics to relieve pain. Administer IV fluids. Offer a sitz bath to the client.

A client is being discharged from the hospital after a vaginal hysterectomy for a malignant uterine growth. What advice should the nurse give to the client for rehabilitation? Select all that apply.

Avoid dancing for several months. Avoid lifting heavy weights for 2 months.

The primary health care provider has prescribed metronidazole for a client diagnosed with trichomoniasis. Which statement the nurse include when teaching the client about this medication?

Both partners must be treated with the medication.

A client with premenstrual syndrome (PMS) approaches the nurse for advice on conservative ways of managing the condition. Which information should the nurse include in the teaching plan?

Increase consumption of pork, milk, and legumes Exercise on a regular basis Practice relaxation techniques

Because of the risks associated with hormone therapy (HT), a 50 year old female client does not want to take HT and asks the nurse how she can handle the perimenopausal symptoms of hot flashes and sweating at night. Which information should the nurse first provide to this client?

Decrease heat production.

A client is one-day postoperative following an abdominal hysterectomy. Which intervention should the nurse perform to prevent deep vein thrombosis (DVT)?

Encourage the client to change positions frequently.

Which information should the nurse provide to a female client recovering from surgical repair of a fistula?

Ensure that she does not place stress on the repaired area.

The nurse is teaching health promotion to a variety of women in a community centre. When asked when a female should begin having a Pap smear, which response should the nurse make?

Every one to three years, depending upon test results.

A client at the client has symptoms of abdominal bloating, depression, and irritability related to her premenstrual syndrome. Which actions should the nurse first recommend?

Exercise regularly Increase pork, chicken, and milk intake

A client with cervical cancer asks the nurse about various treatment modalities. Which information should the nurse provide to this client? Select all that apply.

External radiotherapy and/or internal radiotherapy. Management depends on stage of the tumour, client's age, and general state of health. Surgical procedures include hysterectomy and radical hysterectomy.

Which information should the nurse provide to a postmenopausal client for management of hot flashes?

Hot flashes can be due to stress, which acts as a risk factor. Hot flashes are aggravated by hot meals, warm clothing, and hot weather.

Which information should the nurse give to a client diagnosed with a cervical polyp?

Inform that occasionally they may undergo malignant change. Inform that if the polyps are accessible, they may be excised or cauterized on an outpatient basis.

Which information should the nurse give to a client diagnosed with a cervical polyp? Select all that apply.

Inform that occasionally they may undergo malignant change. Inform that if the polyps are accessible, they may be excised or cauterized on an outpatient basis.

A couple who have experienced a spontaneous abortion before 8 weeks of gestation visit the nurse for counseling about increasing their chances for successful future pregnancies. Which information should the nurse provide?

Inform that the abortion may have been due to chromosomal defects. Advise that any bleeding should be reported immediately.

Which advise should the nurse give to postmenopausal clients about sexuality?

Inform them that water-soluble lubricants are effective for atrophic changes in the vagina. Teach them that the use of moisturizing soaps and body lotions may help improve dry skin.

The health care provider requests a postcoital test for a couple. Which instructions should the nurse provide to the couple?

It is done to assess the favourability of the cervical environment for sperm. It is done via aspiration and examination of cervical and vaginal secretions for number and motility of sperm.

Which statement is true regarding primary dysmenorrhea?

It may be caused by excessive endometrial prostaglandin.

A client with polycystic ovary syndrome (PCOS) is prescribed metformin. The client seeks an explanation, as the drug is usually prescribed for diabetes. Which explanations should the nurse provide to this client? Select all that apply.

It restores ovulation. It reduces plasma insulin. It improves hyperandrogenism.

When explaining various abnormal vaginal bleeding disorders to a group of women, which information should the nurse include? Select all that apply.

Menorrhagia is excessive or prolonged duration of menstrual bleeding. Secondary amenorrhea is cessation of the menstrual cycle once it is established. Primary amenorrhea is failure of menstrual cycles to begin in a woman of 14 years of age with presence of secondary sexual characteristics.

A client seen in the women's clinic reports a fishy-smelling, thin, white watery vaginal discharge and is diagnosed with bacterial vaginosis (BV). The client reports an allergy to sulfa. Which medication does the nurse expect to administer?

Metronidazole 500mg PO BID for one week.

Which term describes bleeding or spotting between menstrual periods?

Metrorrhagia

When teaching a client about recording basal body temperature, at which time should the nurse tell the client to record the temperature?

On awakening before any activity.

A newly married couple is interested in using a combined oral contraceptive containing both estrogen and progesterone. Which information should the nurse include when explaining about combines oral contraceptives to this couple?

Oral contraceptives increase risk of breast cancer. Oral contraceptives increase blood pressure and serum cholesterol.

When collecting data from a client who is menopausal, which symptoms are likely associated with menopause?

Osteoporosis Hot flashes and irregular menses Loss of skin elasticity

Which nursing intervention is best for a client with endometriosis?

Reassure the client that it is not a life-threatening condition, but she should be prepared for a conservative and progressive treatment approach.

When teaching a group of adolescent females about cervical cancer, which information should the nurse give? Select all that apply.

Smoking is a risk factor for cervical cancer. Limiting sexual activity is recommended during adolescence. Doing regular Pap tests is important to screen for cervical cancer.

The nurse is providing education to a group of perimenopausal women. Which herbs or supplements should the nurse include in a discussion regarding effective alternative therapies for menopausal symptoms?

Soy Black cohosh

A client approaches the nurse expressing concerns about impeding menopause. Which information should the nurse give to this to alleviate anxiety?

The age of menopause ranges from 44-55 years. Cigarette smoking may lead to early menopause.

A client has been asked to take tranexamic acid for menorrhagia. Which instructions should the nurse give to the client? Select all that apply.

The drug only addresses blood loss. The drug may cause clots in the blood.

1. Which diagnostic test should the nurse question when prescribed for a client diagnosed with pelvic inflammatory disease (PID)?

Throat culture for streptococcus A

Which diagnostic test should the nurse question when prescribed for a client diagnosed with pelvic inflammatory disease (PID)?

Throat culture for streptococcus A.

A client newly diagnosed with leiomyomas asks for information regarding her diagnosis. Which information should the nurse give to this client? Select all that apply.

Uterine fibroids may result in abortion or infertility. Uterine fibroids are benign tumours with a good prognosis. Uterine fibroids are slow-growing benign tumours that undergo atrophy after menopause.

A client newly diagnosed with leiomyomas asks for information regarding her diagnosis. Which information should the nurse give to her client?

Uterine fibroids may result in abortion or infertility. Uterine fibroids are benign tumours with good prognosis. Uterine fibroids are slow-growing benign tumours that undergo atrophy after menopause.

While interviewing a client, the nurse finds that the client uses super absorbent tampons during the menstrual cycle. The nurse understands that the client may be at risk of developing toxic shock syndrome. Which symptoms should the nurse tell the client to be observant for?

Vomiting Diarrhea Dizziness

A postmenopausal woman comes to the clinic reporting unexpected vaginal bleeding. Which information should the nurse tell the client about diagnosing the cause of this bleeding?

You will need an endometrial biopsy to determine the cause of bleeding.

When teaching a group of young women about pelvic inflammatory disease (PID) which information should the nurse include?

PID is associated with a higher risk of ectopic pregnancy. Causative organisms reach the pelvic organs through the cervix in an ascending manner.

When teaching a group of young women about pelvic inflammatory disease (PID), which information should the nurse include? Select all that apply.

PID is associated with a higher risk of ectopic pregnancy. Causative organisms reach the pelvic organs through the cervix in an ascending manner.

A couple who is infertile is undergoing in vitro fertilization (IVF). The nurse is teaching them about the process. In which order will the steps of IVF occur?

1. Maturation of ovarian follicles. 2. Harvest of mature oocytes. 3. In vitro fertilization of the ova with sperm. 4. Transfer of one or more embryos to the uterus. 5. Implantation of the embryo.

A client who is pregnant is experiencing amenorrhea, morning sickness, and breast tenderness. In the ninth week after her last menstrual period she is rushed to the hospital with severe left shoulder pain, BP of 90/60 mmHg, and heart rate of 112 bpm. Which tests should the nurse anticipate a prescription for in order to diagnosis the client?

A transvaginal ultrasound Serial B-human chorionic gonadotropin levels

A client who is pregnant is experiencing amenorrhea, morning sickness, and breast tenderness. In the ninth week after her last menstrual period she is rushed to the hospital with severe left shoulder pain, blood pressure of 90/60 mm Hg, and heart rate of 112 beats/minute. Which tests should the nurse anticipate a prescription for in order to diagnosis the client? Select all that apply.

A transvaginal ultrasound. Serial β-human chorionic gonadotropin levels.

A client has been admitted for dilation and evacuation. Which nursing interventions should the nurse perform for this client?

Prepare the client both physically and emotionally for the procedure. Teach the client that possible complications may include abnormal vaginal bleeding, abdominal cramps, foul-smelling discharge, and fever.

The nurse is caring for a client with an ectopic pregnancy of more than 3cm in size. Which nursing interventions should the nurse perform for this client? Which nursing interventions should the nurse perform for this client?

Prepare the client for either laparoscopic surgery. Monitor vital signs around the clock to identify signs of shock.