Chapter 26

The nurse reviews a client's medical record and learns the endometrial lining is absent in a client who underwent a dilation and curettage (D&C) abortion. Which syndrome does the nurse recognize in the client?

Asherman's syndrome

A client is attending an appointment with a new gynecologist. Medical history reveals surgery for uterine fibroids and a family history of ovarian cancer. Which specific test is prescribed for the client?

Carcinoembryonic antigen 125 (CA-125)

A female client is admitted to the emergency department with severe lower abdominal pain. Physical assessment reveals adnexal tenderness, and an ectopic pregnancy is suspected. Which test is performed to specifically determine if a tubal rupture has occurred?

Culdocentesis

A client who is scheduled for a hysteroscopy asks the nurse about the procedure. Which statement made by the nurse promotes client understanding?

"A thin telescopic-type device is inserted via the vagina into the uterus"

While assessing a young female client for reproductive disorders, the nurse understands the client has amenorrhea. Which specific question does the nurse ask the client?

"Do you have any thyroid gland disorders"

The registered nurse is teaching a client with dysmenorrhea about her treatment plan. Which statement made by the client indicates the need for additional teaching?

"I should avoid the use of oral contraceptives"

The nurse is reviewing the causes and manifestations of perimenopause with a group of staff nurses. Which comment by an attending staff nurse indicates understanding of the difference between perimenopause and menopause?

"Perimenopause is confirmed by high levels of follicle-stimulating hormone (FSH)".

The nurse is teaching adolescent girls about the menstrual cycle. Which comment by an attendee expresses understanding about ovulation?

"The actual stimulus for ovulation comes from the brain"

A female client reports the presence of tenderness and cystic distention that are most prominent during the progesterone-dominant phase of the menstrual cycle. Needle aspiration reveals the diagnosis of fibrocystic breast disease. Which client teaching by the nurse is accurate?

"You need to be aware of foods that are high in methylxanthines"

A female client at 14 years of age is identified with constitutional growth delay. The client tells a nurse, "I am not getting any taller! I am the same height I was last year!" In which manner does the nurse respond?

"You will reach full height by adulthood"

The nurse is providing care for a female client who is breastfeeding her newborn. The client reports one beast has become hard, inflamed, and tender. Which treatments does the nurse initiate when the client is diagnosed with mastitis?

-Antibiotics -Oral analgesics -A supportive bar -warm or cold compress

In a client with a uterine disorder, a nurse observes that the endometrial tissue grows inside the muscular layer of the uterus. Which complications will the nurse observe in the client?

-Menorrhagia -Pelvic pain -Dysmenorrhea -Dyspareunia

Which complications does the nurse expect in a female client diagnosed with atrophic vaginitis during the perimenopausal stage?

-Painful sexual intercourse -Vaginal yeast infection

The transabdominal ultrasound examination of a female client shows the presence of fibroid tumors. Which treatment options does the nurse anticipate from the health-care provider to suppress the growth of the tumors?

-Uterine artery embolization -Injection of the hormone gonadotropin-releasing hormone (GnRH)

Prioritize the steps involved in the menstrual cycle. 1. Ovulation 2. Production of progesterone 3. Formation of the corpus luteum 4. Release of luteinizing hormone 5. Increased follicle-stimulating hormone (FSH)

1.Increase follicle-stimulating hormone (FSH) 2. Release of luteinizing hormone 3. ovulation 4.formation of corpus luteum 5. production of progesterone

While assessing a female client at 7 years of age, the health-care provider finds the client has enlargement of the breasts, erection of the nipples, and pubic hair. Which hormonal levels are found to be high in the client?

Estrogen

A female client is diagnosed with infertility due to the production of antibodies against the ovarian tissue. Which treatment does the nurse expect for the client?

Estrogen replacement therapy

For which reason is a health-care provider most likely to recommend genetic testing for a female client?

First-degree relative with breast cancer

A female client reports missed menstrual periods after discontinuing hormonal contraceptives. Which reason does the nurse recognize as the cause for the missed menstrual periods?

Hypothalamic-pituitary-ovarian dysfunction

While assessing a female client for anomalies of the genital tract, the health-care professional observes that the uterus is absent and the vagina is foreshortened. However, the client's breast is normal in shape and contour. Which menstrual disorder would the nurse suspect in the client?

Mayer-Rokitansky-Hauser syndrome

A female client tells a nurse, "I have excessive bleeding that lasts for more than 7 days every time I menstruate." Which menstrual disorder does the nurse suspect in the client?

Menorrhagia

A client diagnosed with dysmenorrhea is prescribed ibuprofen and hormonal contraceptives. Which outcome in the client indicates the effectiveness of the therapy?

No painful experience during the first 2 days of the menstrual period

A client visits the gynecologist because of pelvic pain and the inability to conceive after trying for 1 year. After reading the results of a pelvic ultrasound, the gynecologist suspects endometriosis. Which prescribed treatment will both confirm and treat the client's condition?

Performance of laparoscopy

A client with premenstrual syndrome (PMS) is prescribed selective serotonin receptor inhibitors (SSRIs) and nutritional supplements. Which symptom in the client indicates the effectiveness of the therapy?

The client has decreased irritability and mood swings

A nurse is caring for a female client at 19 years of age who never had a menstrual cycle. Physical assessment reveals a webbed neck; short stature; and a broad, shieldlike chest. Which is the most probable cause of the client's condition?

Turner syndrome