Reproductive system
A 33-year-old patient expresses difficulty in achieving pregnancy and asks when a fertility evaluation is appropriate. The nurse advice is a formal evaluation is appropriate after.
12 months of regular unprotected intercourse
SLNB is planned for a patient undergoing a modified radical mastectomy for breast cancer. What would the nurse teach the patient and her family about the purpose of this procedure?
A radioisotope shows which lymph nodes are most likely to have Metastasis, and all those notes are removed
Although an 18-year-old girl knows that abstinence is the only way to prevent STI's. She does not consider that as an alternative. She asked the nurse at the clinic if there are other measures for preventing STI's what would the nurse teach her?
A vaccine can prevent genital warts in cervical cancer, caused by some strands of HPV
A blood test for syphilis reveals that a patient has a positive venereal disease research laboratory test. How would the nurse advise this patient?
Additional testing to detect specific antitreponemal antibodies is necessary
Which interventions would the nurse include in the plan of care For a young woman with preductal mastitis
Administer antibiotics as ordered
The nurse planning a prevention program for sexually transmitted, infections note which factors are associated with the increased incidence of STI's
Alcohol and drug use, asymptomatic infections, use a long acting contraceptives, being placed in a correctional facility
A woman who has been postmenopausal for 10 years, called the clinic because of vaginal bleeding dinner, scheduled a visit for the patient and informed her to expect to have which diagnostic procedure
An endometrial biopsy
Which findings for my breast examination would most concerned the nurse
An immobile, hard nontender lesion in the upper outer quadrant,
A patient who had a mastectomy and is undergoing radiation for treatment of breast. Cancer is experiencing disturbed body image. What is an appropriate nursing intervention?
Arrange for a reach to recovery visitor or similar resources available in the community
During the immediate postoperative period after a modified radical mastectomy, which exercises with the nurse initially include for the affected arm
Ask the patient to flex and extend the fingers and wrist of the operative side
When admitting a victim of sexual assault to the ED, what would be the nurses first priority
Assess the patient for urgent medical problems
The patient at the urgent care facility reports that her vaginal discharge has a fishy smell. What were the nurse suspect as the cause?
Bacterial vaginosis
A 44-year-old woman undergoing a total abdominal hysterectomy asks if she will need to take estrogen until she reaches the age of menopause. What is the nurses best response?
Because your ovaries won't be removed they will continue to secrete estrogen until your normal menopause
Which are considered risk factors for breast cancer in women
Being a woman over age 60, previous history of ovarian cancer, having a brother with breast cancer
The nurse teaches a patient starting immune based therapy for breast cancer. Did this treatment works by
Blocking HER-2 receptors
A patient with a stage zero cervical cancer identified from a pap test asks the nurse what does finding means what information would the nurse include?
Cancer cells are present in our confined to the epithelial layer of the cervix
A 25-year-old female patient is at the clinic and says that she has white curd like vaginal drainage and itching. Which problem with the nurse suspect
Candidiasis
A patient with a Purland vaginal discharge is seen an outpatient clinic. The nurse suspects a diagnosis of gonorrhea. How old is STI be treated
Ceftriaxone IM with oral azithromycin
Teaching about cancer prevention includes information that the only gynecological cancer with reliable routine screening is cancer of the
Cervix
Which manifestations of menopause are related to estrogen deficiency
Cessation of menses, vasomotor instability
When establishing screening programs for populations at high risk for STI's, which microorganism causes nonagonococcal urethritis in men and cervicits in women
Chlamydia trachomatis
What are characteristics of LH?
Completes follicle maturation, stimulates testosterone production, called interstitial cell-stimulating hormone in men
Fertility in normal reproductive function can't be maintained when I cancer of the cervix is successfully treated with which therapy
Conization or laser surgery
When teaching a patient with pelvic support problems, how would the nurse tell the patient to perform Keagle exercises
Contracting muscles used to stop rectal gas expulsion
Which diagnostic test is most accurate and advantageous in terms of time and expense in diagnosing breast cancer
Core biopsy
Which diagnostic tests of the female reproductive system are operating procedures requiring surgical anesthesia
D&C, conization, culdoscopy, laparoscopy
A 22 year old woman with multiple sexual partners, six care after several weeks of having painful and frequent urination and vaginal discharge. Although the results of a culture of cervical secretions are not yet available, what complications with the nurse explained to the patient are being prevented by treating her as if she has gonorrhea and chlamydia.
Damage to the fallopian tubes
When assessing an aging and adult men, what would the nurse consider as a normal finding?
Decrease penis size
Well, examining a patient breasts, the nurse palpates multiple bilateral mobile lumps. To assess the patient further what is the most appropriate question by the nurse
Did the size and tenderness of the lumps change with your menstrual cycle?
The nurse is reviewing treatment orders for a pregnant woman, diagnosed with chlamydia what is most important to consider
Doxycycline should not be used as treatment
Which structure of the female breast carries milk from the alveoli to the lactiferous sinuses
Ducts
A priority and providing care for a patient who underwent mastectomy includes
Encouraging exercises to restore arm function on the affected side
To prepare a woman who's been raped for physical examination what would the nurse do first
Ensure that assigned informed consent is obtained from the patient
A patient who is recovering from a radical prostatectomy for prostate cancer expresses concern that he will have erectile dysfunction. In responding to this patient the nurse will keep in mind that.
Erectile dysfunction can occur even with a nerve sparing procedure
The nurse reviews, the ultrasound report for a woman with a suspected ectopic pregnancy, knowing that it is most often located in the
Fallopian tube
During the birth of a woman's baby, which STI actively occurring at the same time of delivery, would indicate the need for a cesarean section
Genital herpes
Which conditions would the nurse suspect in a patient with red, tender vulvar lesions
Genital herpes
Which laboratory tests are used to diagnose chlamydia
Gram stain, nucleic acid amplified test
What is most important for the nurse to teach the female patient with genital warts?
Have an annual Pap test
Which manifestations are characteristic of the late or tertiary stage of syphilis
Heart failure, Tabes dorsalis, aortic aneurysms, mental deterioration, destructive Skin, Bone, and soft tissue lesions
After a dilation of curettage, what complication with the nurse prioritize?
Hemorrhage
A patient is diagnosed and treated for a gardnerella vaginalis infection at the clinic. For her treatment to be effective what would the nurse tell the patient
Her sexual partner should be examined and treated
Which patient has the highest risk of breast cancer
Hey 65 year old woman with a sister diagnosed with breast cancer
When educating patients about preventing STI is the nurse should highlight
How alcohol and substance use may increase risk, sexual practices that are considered high risk behaviors
A female patient returns to the clinic with a recurrent urethral discharge after being treated for a chlamydial infection two weeks ago. Which statement by the patient indicates the most likely cause of the recurrence of her infection.
I haven't told my boyfriend about my infection yet.
A 58-year-old man is being assessed by the nurse. Which information would identify the need for further examination for a benign prosthetic hyperplasia?
I slow and difficult start of urinary stream
A 29-year-old woman is at the clinic with heavy menstrual bleeding. What assessment finding would the nurse anticipate?
Increase duration or amount of menstrual bleeding
An age related, finding when assessing an older man's reproductive system is
Increase in prostate size
FSH is secreted by the anterior pituitary gland in both women and men. Which characteristics describe FSH?
Increased at onset of menopause, responsible for spermatogenesis, stimulates growth, and maturity of ovarian follicles
A patient undergoing a modified radical mastectomy for cancer of the breast is going to use tissue expansion and an implant for breast reconstruction. What would the nurse teach the patient about tissue expansion?
Injections of sterile, saline into the expander will be needed over weeks to months
The patient called the office and says that she thinks she has a yeast infection. What signs and symptoms would the nurse expect?
Intense itching and dysuria, thick, white cottage cheese, like discharge
Hey student nurse is assisting the staff nurse with an admission history for a patient with pelvic inflammatory disease from gonorrhea, which action by the student nurse requires the nurse to Intervine
Interviews the patient with a partner present to determine if the partner is at risk
Which characteristics describe an intraductal papilloma
Is more common in women ages 30 to 50 years old , is associated with an increase cancer risk, has wart like growths in memory, ducks, near nipple
A woman and the health clinic tells the nurse that she does not do breast self examination because it just seems too much of a bother. What is the best response by the nurse about BSE
It is useful to help women learn how their breast normally look and feel
Which stage of syphilis is identified by the absence of clinical manifestations and a positive fluorescent, treponemal antibody absorption test
Latent
When discussing a male patient reproductive organs, the nurse should
Maintain a non-judge mental attitude toward his sexual practices
What is an important outcome for a patient undergoes an anterior colporrhaphy?
Maintain normal bowel patterns
A patient has fibrocystic changes in her breast. What would the nurse tell the patient is significant about this condition
Makes it more difficult to examine the breasts
What describes the use of high-dose Brachytherapy radiation?
May be completed in five days, alternative to traditional radiation therapy for early stage breast cancer
Which statement accurately describes the female reproductive system
Middle-aged woman is considered to be in menopause when she has not had a menstrual period for one year
A patient with abdominal pain and irregular vaginal bleeding is admitted to the hospital with a suspected ectopic pregnancy before actual diagnosis. What is the most appropriate action by the nurse?
Monitor, vital signs, pain and bleeding frequently
What would the nurse expect during the physical assessment of a female patient with human papillomavirus infection?
Multiple coalescing gray warts in perineal area
And caring for a patient with endometriosis the nurse teaches a common interventions to treat this condition include
NSAIDs, oral contraceptives, surgical removal of tissue
What diagnostic results have the best prognosis for a patient with breast cancer
Negative axillary lymph nodes
A patient with breast cancer, who underwent mastectomy is asking about reconstructive surgery which information would the nurse provide
Nipple sensation may not return
What is the most common way to determine a diagnosis of chlamydial infection and a male patient?
Nucleic acid amplification test is positive
Which risk factors are associated with endometrial cancer?
Obesity, smoking, early menarche and late menopause, unopposed estrogen, only replacement therapy
Which factors would place a patient at a higher risk for prostate cancer
Older than 65 years
844-year-old female patient has breast cancer with estrogen, receptor negative cells, which genomic assay test can be used to provide information about the likely recurrence in need for chemotherapy
Oncotype DX
A 20 year old patient with PID is crying and tells the nurse that she's afraid she will not be able to have children as a result of the infection. What is the nurses best response to this patient
PID increases the possibility of infertility. Would you like to talk about what it means to you?
Assessment findings that may be present in a patient with testicular cancer include
Painless mass in the scrotal area
Any patient undergoing gynecological surgery may need assistance in coping with changes in body image. This will be most likely to occur after which surgery
Pelvic exenteration
The patient with a large rectocele is undergoing surgery. What nursing intervention would be a priority postoperatively
Perineal care after each urination or defecation
A couple six assistance from an infertility specialist for evaluation of infertility. What does the nurse inform the couple they can expect during the initial visit
Physical and psychosocial functioning assessments
A 72 year old man ask the nurse whether it is normal for him to have erectile dysfunction at his age. What is her best response by the nurse
Physiological changes of aging may require increased stimulation for an erection to occur
Young woman, who runs vigorously as a form of exercise has not had a menstrual period in more than six months. What would the nurse teach her?
Progesterone or combined oral contraceptives, should be used to prevent persistent overgrowth of the endometrium
Following a mastectomy, a patient develops lymphedema of the affected arm. What would the nurse teach the patient to do?
Protect the arm from any type of trauma
When teaching a 24-year-old woman who wants to learn BSE see the nurse knows that is important to do what
Provide time for a return demonstration
Male orgasm is characterized by
Rapid release of vasocongestion and muscular tension through rhythmic contractions
What are characteristics of HSV infection?
Recurrent symptomatic genital herpes may be precipitated by sexual activity and stress, the primary symptom of genital herpes is painful vesicular lesions that rupture and ulcerate
During examination of the female reproductive system, which findings with the nurse consider abnormal
Reddened base of the vulva
The nurse plans to include in the teaching plan for a patient with herpes, who is prescribed an antiviral agent that daily use of the medication
Reduces the frequency and severity of recurrent episodes
What would the nurse include when teaching a patient with acute PID about self care?
Rest in a semi Fowlers position
A patient has been diagnosed with ovarian cancer when planning patient care the nurse recognizes that which factors influence treatment
Results of a lap rock to me with multiple biopsies
What describes Montgomery tubercles and the female breast?
Sebaceous like glands on areola
A couple has not conceived using at home basal body temperature in ovulation testing. What therapy would most likely be used next to treat this couples infertility
Selective estrogen receptor modulator
Which fertility test requires a couple to have no sexual intercourse for 2 to 3 days before the test
Semen analysis
What additional treatment would be recommended for a patient undergoing either a mastectomy or a lumpectomy for breast cancer?
Sentinel, lymph node dissection
A young woman is admitted to the hospital with a cute pelvic, inflammatory disease. Which risk factor in the health history with the nurse consider as most significant
Sexual activity with multiple partners
The five P's of sexual history taking includes asking questions about
Sexual practices, gender of partners, past treatment sexually transmitted infection
A woman has an unwanted pregnancy in the seeking an abortion. What would the nurse teach her about the effects of an abortion?
She will need someone to support her through her loss
When performing a breast exam on a patient, which positions are recommended
Sitting leaning forward, while sitting and arms raised, sitting with hands placed on hips
What would the nurse expect during assessment of the patient with vulvar cancer?
Soreness and itching of the Vulva
Follicle-stimulating hormone (FSH)
Stimulate seminiferous tubules to make sperm in men, stimulates growth and maturity of ovarian follicles in women with her already
A 20 year old woman is a college softball player who participates in strenuous practices, and they have a class schedule. She is describing an absence of menses. What could be contributing to her amenorrhea
Strenuous exercise or elevated stress
What would the nurse teach a patient with premenstrual dysphoric disorder about managing the disorder?
Supplement the diet with vitamin B, calcium and magnesium
The laboratory result of a specimen from a patient is positive for Fluorescent treponemal antibodies. What would the nurse expect the diagnosis to be?
Syphilis
Which STI our patients most likely to avoid obtaining in following treatment measures for their infection
Syphilis
Which STI's can be asymptomatic
Syphilis, chlamydia, genital warts, General herpes, gonorrhea of the throat
The nurse is teaching a woman with an intact uterus about hormone therapy states that it is essential to
Take progesterone with estrogen to reduce the risk of endometrial cancer
Hey 51 year old woman is having symptoms of menopause. She has her uterus and is interested in starting hormone replacement therapy. What would the nurse include when discussing the risks and benefits of HRT.
Taking both estrogen and progesterone may decrease her bone loss
A patient with a positive breast biopsy tells the nurse that she read about tamoxifen on the Internet and asks about its use. What information would the nurse include when responding?
Tamoxifen is the treatment of choice if the tumor has receptors for estrogen on it cells
Post operatively a patient who had a greenlight laser photo selective vaporization of the prostate has continuous bladder irrigation with a three-way urinary catheter with a 30 mL balloon. On assessment, CBI outflow is light pink. The patient reports bladder spasms with the catheter in place the nurse would.
Tell him spasms are expected and he should not try to urinate around the catheter
A normal male reproductive function that may be altered in a patient who had an orchiectomy is the production of
Testosterone
Why would the nurse encourage serologic testing for human immunodeficiency virus in the patient with syphilis
The incidence of syphilis is increased in those with high rates of indiscriminate sexual activity and drug use
A patient with a 10 week pregnancy is admitted to the emergency department with vaginal bleeding and abdominal cramping. What does the nurse recognize about this situation?
The patient is most likely having a spontaneous abortion
What occurs during treatment of the patient with an in intrauterine radioactive implant?
The patient is restricted to bed rest with turning from side to side
The nurse is caring for a patient scheduled for a transvaginal ultrasound. The nurse explains to the woman that
The uterus, ovaries, and potential abnormal findings can be visualized
Which is true about premenstrual syndrome
The woman has consistent syndrome complex with symptoms ending after menses begins
Which points would the nurse include in the teaching plan for a patient with erectile dysfunction?
Their medication's and devices that can be used to help with erections, this condition can be caused by psychological problems, like anxiety or depression, if they take a PDEF5 inhibitor they may experience a headache and nasal congestion
The healthcare provider of a patient with a positive biopsy of a 2 cm breast. Tumor has recommended a lumpectomy with radiation therapy or modified radical mastectomy as treatment. The patient says that she does not know how to choose and ask the female nurse what she would do if she had to make the choice what is the best response by the nurse
There are advantages and disadvantages of both procedures. What do you know about these procedures?
What is the rationale for the regular use of nonsteroidal anti-inflammatory drugs during the first several days of the menstrual period for women who have primary dysmenorrhea
They inhibit the production of prostaglandins believe to be responsible for menstrual pain and associated symptoms
What is the serum estradiol laboratory testing for?
To measure ovarian function
The first nursing intervention for a patient who has been sexually assaulted, is to
Treat acute traumatic injuries
The nurse explains the patient with chronic bacterial prostatitis who is undergoing antibiotic therapy that
Treatment is generally 8 to 12 weeks, long-term therapy may be needed in immunocompromise patient
The patient is suspected of having endometriosis and or uterine leiomyoma. What best describes what is found with these conditions
Treatment of endometriosis, and leiomyoma depends on the severity of symptoms in the woman's desire to maintain her fertility
Which laboratory test with the nurse evaluate to confirm, suspected syphilis in a patient who denies a prior history of syphilis
Treponemal-specific test, and a follow up rapid plasma Reagin if positive
An 18 year old patient with irregular menstrual periods, hirsutism and obesity, has been diagnosed with polycystic ovarian syndrome. What is an accurate rationale for the expected treatment
Untreated, PCOS leads to cardiovascular disease and abdominal insulin resistance
In part, what is the current incidence of sexually transmitted infections related to?
Use of oral agents rather than condoms as contraceptives
Which cancer associated with intrauterine exposure to DES or mestastasis from another gynecological cancer
Vaginal
When assessing an aging adult woman, what would the nurse consider as a normal finding?
Vaginal dryness
The nurse suspects that the patient with vaginal itching and thick, curvy white discharge, most likely has
Vulvovaginal candidiasis
A patient with breast cancer has a lump ectomy with Centennial lymph node biopsy that is positive for cancer. Can you explain that of the other test done to determine the risk for cancer recurrence or spread The results of support the more favorable prognosis are
Well differentiated tumor, estrogen, receptor, positive tumor
During evaluation and treatment of a patient with gonorrhea what question is most important for the nurse to ask the patient
What are the names of your recent sexual partners?
Inappropriate question to ask a patient with painful menstruation to distinguish primary from secondary dysmenorrhea is
When did you start experiencing painful menstruation?
A nurse is planning a community program on breast cancer screening guideline would include which recommendation about screening in average risk women
Women, age 45 to 54 should get annual mammograms
Which benign breast disorder occurs most often during lactation, and is commonly caused by staphylococcus aureus
mastitis
The patient is describing a feeling of something coming down her vagina, and having a backache. What is most likely the cause of this discomfort
uterine prolapse