Timby's Reproductive System SATA

± Preserves bone mineral density ± Prevents osteoporosis ± Lowers LDL ± Decreased risk of MI ± Increased risk of endometrial cancer, DVT, pulmonary embolism, cataracts Ø "Tamoxifen is known to be a highly effective protective measure."

Tamoxifen

Ø Hirsutism Ø Impaired glucose tolerance Ø Sleep apnea

A client is diagnosed with polycystic ovarian syndrome. Which of the following findings would the nurse expect to assess? Select all that apply.

Ø ensuring sperm survival

A client is preparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid?

Radical trachelectomy

A 25-year-old client diagnosed with invasive cervical cancer expresses a desire to have children. What procedure might the care team offer as treatment?

Hysteroscopic resection of myomas

A 36-year-old female client is being evaluated for fibroids with accompanying symptoms of menorrhagia, chronic constipation, abdominal pain and pressure. The client is a very busy lawyer who wants children and requests that any treatments be accomplished on an outpatient basis. What is the best treatment option for this client?

Ø RH factor Ø Pregnancy test Ø Hematocrit level

A client who is 6 weeks' pregnant is scheduled for an induced abortion. Which laboratory test(s) will the nurse schedule for the client before the procedure? Select all that apply.

Ø Daily alcohol intake Ø Increased age Ø Nulliparity Ø Obesity

An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors increase the risk for breast cancer? Select all that apply.

Ø testicular biopsy Ø test to measure the level of plasma luteinizing hormone (LH)

Fertility studies for men include a semen analysis to determine sperm count, sperm motility, and abnormal sperm. Which tests can also be performed to determine infertility? Select all that apply.

Ø Magnesium Others Ø vitamins B6 (pyridoxine) and E Ø calcium Ø oil of primrose capsules

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

Ø Ligaments hold the uterus in place. Ø The fundus and cervix comprise the uterus.

Nursing students are reviewing information about the various structures of the female reproductive system. The students demonstrate understanding of the material when they identify which of the following about the uterus? Select all that apply.

1. Hold the inner ring between the thumb and middle finger. 2. Put the index finger on the pouch between the thumb and other fingers. 3. Squeeze the ring of the female condom. 4. Slide the condom into the vagina as far as it will go. 5. The inner ring keeps the condom in place.

Proper use of female condom

Ø "Do you ever experience bleeding after intercourse?" Ø "How long is your typical cycle?" Ø "Do you experience cramps or pain during your cycle?"

The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the client's menstrual history? Select all that apply.

Ø "My sexual partner will also need to be treated."

Vaginitis

Ø "I will avoid douching after my period."

Vaginosis

Ø Prolactin promotes the production of milk; progesterone stimulates the development of alveoli, which secrete the milk; and estrogen stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple.

What are the effects of hormones on breast tissue during pregnancy?

Ø Signs and symptoms of chlamydia Ø Doxycycline for 1 week

When a female client reports profuse purulent discharge, dysuria, and bleeding, the advance practice nurse is most likely to prescribe which medication to treat this condition?

Ø FSH

Which hormone increases during the premenstrual phase?

Ø Luteinizing hormone (LH)

Which of the following hormones causes the ovary to release an ovum during ovulation?

ENDOMETRIOSIS

familial predisposition

Ø "What medications are you currently taking?" Ø "Is it possible you could be pregnant?" Ø "Is the discharge from one breast or both?" Ø "How is your blood pressure?"

The nurse is caring for a client who reports that she has been having spontaneous nipple discharge over the past 2 months. The client is not lactating. Which assessment questions should the nurse ask to investigate the client's reported concern? Select all that apply.

Ø annual mammogram and MRI Ø bilateral prophylactic mastectomy Ø chemoprevention with tamoxifen

Which options are available to women who have an increased risk of developing breast cancer? Select all that apply.

Ø Cone biopsy Ø Cryotherapy Ø Laser therapy

A client with a Pap smear that showed abnormal cells is recovering from a colposcopy and cervical biopsy. Which additional procedure(s) might the nurse prepare the client for if the specimen shows precancerous cells? Select all that apply.

Ø Consume complex carbohydrates and foods high in calcium. Ø Eliminate alcohol prior to menstruation.

A client was recently diagnosed with premenstrual dysphoric disorder and is meeting with a nurse to discuss lifestyle changes that will aid in relieving symptoms. Which interventions will the nurse suggest? Select all that apply.

Ø Apply a tight-fitting brassiere.

A client recovering from a breast abscess has decided to stop breast-feeding. Which of the following measures would the nurse employ to assist the client?

Ø An intravenous infusion pump for antibiotics Ø Sequential compression devices to reduce the risk of venous thromboembolism

A female client is being admitted postoperatively to the surgical floor after a radical vulvectomy. What minimum equipment and interventions should the nurse anticipate and prepare for? Select all that apply.

Ø Antibiotics Ø Corticosteroid Ø Diabetes

A female client with diabetes and heart failure is taking an antibiotic, loop diuretic, corticosteroid, and an antipyretic medication. What medicines and conditions would likely increase the client's risk of developing the infection Candida albicans? Select all that apply.

Ø Instruct the client to not ingest anything by mouth in preparation for an emergency surgical intervention Ø Request pain relief measures for the torsion being manually reduced by a health care provider

A male client is admitted to the emergency department with possible testicular torsion. Which interventions will the nurse expect and provide for this client? Select all that apply.

Ø Difficulty cleaning under the foreskin Ø Painful erections

A nurse is assessing an uncircumcised male. Which client symptoms would the nurse expect to find when assessing a client with phimosis? Select all that apply.

Ø Obesity Ø Nulliparity

A nurse is reviewing the health history of a client who has been diagnosed with endometrial cancer. Which of the following would the nurse identify as a factor increasing this client's risk? Select all that

Ø Fluid retention Ø Low back pain Ø Headache

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.

Ø It is an antigonadotropin that decreases pituitary and ovarian stimulations.

A patient is taking oral danazol (Danocrine), 800 mg/day, for 9 months for the treatment of endometriosis. How does the nurse describe this medication to the patient?

Ø Cleansing the wound daily Ø Offering a low-residue diet Ø Positioning the patient with pillows

The nurse is caring for a patient postoperatively who had a simple vulvectomy. What nursing interventions should be provided to this patient? Select all that apply.

Ø Vaginal ring Ø Birth control patch Ø Birth control pills Ø Injectable birth control

The nurse is preparing a teaching tool on the use of contraceptives. For which method will the nurse include instructions to use a condom to prevent sexually transmitted infections (STIs)? Select all that apply.

Ø "If you feel pain let me know because this is not something you should expect." Ø "Many people feel nervous before and while having this examination." Ø "If you like, I can give you a mirror so you can watch the examination." Ø "It can help you relax if you use deep breath and meditation during the exam."

The nurse is preparing to begin a pelvic examination of a female client in the health clinic. The client states, "These exams make me feel so nervous and out of control." How should the nurse respond? Select all that apply.

Ø A suspected pregnancy Ø An inability to place or retain the device

The nurse is working with a female client who had coitus 12 days prior to a physical examination and has questions pertaining to the use of an intrauterine device (IUD). What are some contraindications of using an IUD? Select all that apply.

Ø Age 65 Ø Body mass index 32 Ø Menopause at age 55

The nurse reviews data collected while completing a health history with a female client. Which information does the nurse identify that increases the client's risk for developing uterine cancer? Select all that apply.

Ø BSE plays a very small role in detecting breast cancer.

Which statement about a breast exam is correct?

epididymis

Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously?