Med Surg. Ch. 56 PrepU

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 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

Which of the following is true regarding hormonal contraception?

Increases the risk for venous thromboembolism

Due to a patient's reluctance to begin hormone therapy, the advance nurse practitioner prescribes venlafaxine (Effexor) to decreases the risk of which of the following?

Hot flashes

As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your student education sessions, you discuss male anatomy and the appropriate titles and functions of each structure. Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production?

Scrotum

Which of the following positions may be utilized for a patient who is unable to maintain the supine lithotomy position?

Sims'

A nurse who will be working at a health fair is preparing a presentation on reproductive health and contraception. Which of the following would the nurse expect to include as advantages of combined hormonal contraception? Select all that apply.

-Reduced incidence of benign breast disease -Improved acne control -Reduced risk of ovarian cancer -Decreased risk of anemia

The nurse practitioner performing a physical assessment on an 80-year-old woman is looking for which of the following functional changes in the reproductive system? Select all that apply.

-Thickening and stiffness of the vaginal wall -Uterine prolapse -Vulvar dystrophy -Vaginal dryness

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 caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?

Administer an enema prior to arrival.

A nurse is obtaining a 40-year-old male's health history before performing a physical examination. Which of the following information would most likely not be obtained?

Age of first ejaculate

The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history?

Angina with nitrate use

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 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.

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

Which of the following terms is used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells?

Cone biopsy (Conization)

A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans?

Cottage cheese-like discharge

Which of the following is an age-related functional change of the female reproductive system?

Decreased ovulation

A female patient experienced a severe reduction in body fat by extreme caloric restriction and exercise. Which of the following female reproductive abnormalities could she acquire as a result of the reduction in body fat?

Delay or cessation of menstruation

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.

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 is indicated for postmenopausal bleeding?

Endometrial biopsy

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

A nurse educator is giving a lecture to a group of boys about normal male reproductive structures. Which of the following male structures collects the spermatocytes and nourishes them until they are able to spontaneously move about?

Epididymis

As a grade school nurse, you speak to the sixth grade girls regarding their physical maturation and body changes during puberty. In your student education sessions, you discuss female anatomy and the appropriate names and functions of each structure. Which of the following structures is referred to as the vulva?

External female genitalia

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?

Fallopian tube

In your role as nursing director at the local free clinic, you spend a significant amount of time instructing young women about their bodies and maintaining sexual health. Instruction regarding conception includes the structures involved and their roles. Within the female internal reproductive structures, where is the egg most commonly fertilized?

Fallopian tubes

The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client?

Lithotomy position

In educating a patient with PMS about changing her dietary practices, what would the nurse recommend that she increase her intake of?

Magnesium

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system?

Men retain the ability to fertilize ova irrespective of age.

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.

The nurse is reviewing the medical record of a client who has come to the clinic for contraception. The nurse determines that hormonal contraceptives would be inappropriate based on the client's history of which of the following?

Migraine headaches with visual auras

A 32-year-old woman has had three consecutive normal Pap tests. Which of the following recommendations for screening would be appropriate?

Pap testing every 2 to 3 years

A patient reports a pain rating of 6 (on a 1 to 10 pain scale, with 10 being the worst possible pain) when the nurse examiner gently moves the cervix. This finding is most consistent with which of the following conditions?

Pelvic infection

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 (PID)

Which of the following is the period of transition from normal periods to the complete cessation of menses for 1 year?

Perimenopause

As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your student education sessions, you discuss the procedure of circumcision and how it is viewed by different ethnicities. Which external reproductive structure is removed by circumcision?

Prepuce

During menstruation there is an absence of which hormone?

Progesterone

Ovulation occurs midway between days 17 and 22 (usually at day 14) in a normal 28-day menstrual cycle. Conception occurs during ovulation. If an egg is fertilized, this hormone will continue to be produced to protect the egg until the placenta takes over. Which of the following is the correct hormone?

Progesterone

In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, production of which of the following leads to menstruation?

Progesterone by the corpus luteum beginning to decrease

A patient is diagnosed with hypertension. In addition, the patient reports skin discoloration, weight gain, and nausea. Which of the following contraceptive preparations would the nurse practitioner recommend for this patient?

Progestin-only

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability? You Selected:

Prostate gland

When the nurse places the patient in the stirrups for a pelvic exam she observes a bulge caused by rectal cavity protrusion. What does the nurse know this protrusion is called?

Rectocele

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

During a physical examination, the nurse inspects the external genitalia of a male client. Which of the following would the nurse identify as an abnormality?

Skin lesions

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

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.

When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?

The prepuce

A 21-year-old female is talking with a nurse at her gynecologist's office. She is scheduled to have her first Pap test and she asks the nurse why she needs to have this test done. Which of the following is the nurse's best response?

The test is used to detect early cancer of the cervix and to determine estrogen activity as it relates to menopause or endocrine abnormalities.

A urologist suspects that a 62-year-old male client might have prostate cancer. Which of the following tests would be used to make a diagnosis of cancer?

Tissue biopsy

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

While examining the introitus, the nurse practitioner asks the patient to "bear down." The nursing student observing the examination knows that the nurse practitioner is assessing the patient for which of the following conditions?

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 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 5

An 56-year-old menopausal client comes to the clinic reporting painful intercourse. Her pelvic examination reveals vaginal dryness. Which suggestion would be most appropriate?

"Try using a water-soluble lubricant before intercourse."

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."

A 15-year-old high student reports to the school nurse with complaints of cramping, nausea, diarrhea, and backache. Which of the following assessment questions by the nurse is most appropriate in this situation?

"When was your last period?"

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 27-year-old patient is a regular smoker and is diabetic. She is requesting contraceptive therapy. She has been diagnosed with hypertension. She says she finds it cumbersome and time consuming to visit the doctor regularly just to check her blood pressure. Her vital signs are temperature 98.8°F, pulse 72, respirations 12, BP 112/72 mm Hg. In addition, laboratory reports show a hemoglobin A1C level of 5%. Which of the following aspects of patient teaching would the nurse recommend? Select all that apply.

-Purchasing a self-monitoring cuff -Discussing methods for stress reduction -Advising a smoking cessation program -Prescribing a combination oral contraceptive pill

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor?

Hypertension

The nurse is conducting a health history when the 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?"

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."

Cone biopsy is a term used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells. Which of the following statements made by the patient demonstrates that the patient undergoing a cone biopsy understands the discharge instructions?

"I will avoid having sexual relations until I see the doctor again."

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?"

Which of the following statements when made by a patient following a laparoscopic procedure requires immediate follow-up by the nurse?

"The area around my navel is tender."

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 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 67-year-old client reports to her healthcare provider that she is having difficulty during intercourse, causing her pain and disrupting the intimacy that she and her husband are accustomed to sharing. What might be the cause of her pain?

Atrophy of bulbourethral glands

A woman visits her primary health care provider with a complaint of pain and swelling in the vaginal area. The pain is present when she sits and walks; intercourse is painful. The nurse prepares the patient for an examination. The nurse and health care provider suspect that the patient may have an inflammation or infection of the:

Bartholin glands.

Fertility studies for men include a semen analysis to determine sperm count, sperm motility, and abnormal sperm. Which of the following tests can also be performed to determine infertility?

Blood test for LH

The nurse is discussing nutritional needs for a postmenopausal patient. What dietary increase should the nurse recommend to the patient?

Calcium

A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a thick curdlike white discharge. The nurse suspects which of the following?

Candida infection

A 35-year-old African American who is a regular smoker visits the health care unit with sustained elevated blood levels and is diagnosed with essential hypertension. She is also diabetic. Which of the following contraceptive methods is best for this patient?

Cervical cap

Which of the following dinner selections 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

The nurse is discussing contraception with a patient interested in transdermal contraceptives. What should the nurse inform the client is the most common side effect of transdermal contraceptives?

Withdrawal bleeding

A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge?

Yellow-green