Womens Health Chapter 7

9. When teaching a woman how to perform Kegel exercises, the client asks what muscles are being helped with these exercises. The nurse would include reference to which muscles in the response? A. gluteus B. lower abdominal C. pelvic floor D. diaphragmatic

C

4. A nurse is conducting a presentation for a local women's group about pelvic floor disorders. Which instruction would the nurse include about preventing pelvic support disorders? A. performing Kegel isometric exercises B. consuming low-fiber diets C. using hormone replacement D. voiding every 2 hours

A

20. A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? Select all that apply. A. rectocele B. fecal incontinence C. cystocele D. urinary incontinence E. enterocele

A,C,E

11. When preparing the discharge teaching plan for the woman who had surgery to correct pelvic organ prolapse, which information would the nurse include? A. care of the indwelling catheter at home B. emphasis on coughing to prevent complications C. return to usual activity level in a few days D. daily douching with dilute vinegar solution

A

12. A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head, but I've got hair on my chin and upper lip. I don't feel like a woman anymore." Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would the nurse identify as the priority? A. situational low self-esteem related to masculinization effects of the disease B. social isolation related to feelings about appearance C. risk for suicide related to effects of condition and fluctuating hormone levels D. ineffective peripheral tissue perfusion related to effects of disease on vasculature

A

19. A nurse is conducting an in-service program for a group of staff nurses. After teaching the group about ovarian cysts, the nurse determines that the teaching was successful when the group identifies which type of cyst as being associated with hydatidiform mole? A. theca-lutein cyst B. corpus luteum cyst C. follicular cyst D. polycystic ovarian syndrome

A

2. To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to perform which action? A. Perform Kegel exercises daily. B. Void every hour while awake. C. Limit the intake of fluid. D. Take a laxative every night.

A

25. The nurse is caring for a client with polycystic ovarian syndrome (PCOS) who is receiving oral contraceptives as part of her treatment plan. The nurse teaches the client about the drug therapy and how it will help her. The nurse determines that the teaching was successful when the client states which reason for the drug? A. "It will help regulate my menstrual cycle." B. "It will help me to ovulate." C. "My body will be able to use insulin better." D. "It will help decrease my hair growth."

A

26. A client is experiencing urinary incontinence. The nurse is teaching the client measures to regain control of the urinary sphincter. The nurse determines that the teaching was effective when the client states she will perform which action? A. Perform Kegel exercises daily. B. Urinate every hour while awake. C. Limit the intake of fluids. D. Use a laxative every night.

A

29. A client is diagnosed with urinary incontinence. The nurse teaches the client about the condition and ways to manage it. The nurse determines that the teaching was successful based on which client statement? A. "I will limit my daily fluid intake to about 1.5 liters." B. "I can continue to drink coffee, but I must avoid drinking tea." C. "I can use a feminine deodorant spray to help control the odor." D. "I should perform Kegel exercises about once a week."

A

6. A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which description would be most appropriate to include? A. "This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position." B. "Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder." C. "This is a series of exercises that you will learn to do so that you can strengthen your bladder muscles." D. "These are plastic devices that your primary care provider will insert into your vagina to provide support to the uterus and keep it in the proper position."

A

8. A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy? A. restore menstrual regularity B. induce ovulation C. improve insulin uptake D. alleviate hirsutism

A

28. A client comes to the clinic for an evaluation. After assessing the client, the nurse suspects that the client may be experiencing uterine prolapse. Which findings would the nurse report when notifying the primary care provider about the suspicion? Select all that apply. A. urge to defecate B. nocturnal urinary frequency C. abdominal pressure D. low back pain on sitting E. dyspareunia

A,B,C,E

27. A nurse is reading a journal article about treatment options for fibroids. Which information would the nurse most likely find as a disadvantage associated with uterine artery embolization? Select all that apply. A. The procedure often causes pain. B. It can negatively affect fertility. C. The fibroids can regrow after the procedure. D. The procedure is noninvasive. E. Radiation and contrast dye are used.

A,B,E

23. A nurse is teaching a client how to perform Kegel exercises. Which directives would the nurse include? Select all that apply. A. "Squeeze your rectal muscles as if you are trying to avoid passing flatus." B. "Tighten your pubococcygeal muscles for a count of 10." C. "Contract and relax your pubococcygeal muscles rapidly 10 times." D. "Try bearing down for about 10 seconds for no more than 5 times." E. "Do these exercises at least 5 times every hour."

A,C

14. After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which statement would indicate the need for additional teaching? A. "If I wear a girdle, it will help support the muscles in the area." B. "I should take up jogging to make sure I exercise enough." C. "I will try to drink at least 64 oz of fluid each day." D. "I need to increase the amount of fiber I eat every day."

B

17. After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require: A. biopsy. B. no treatment. C. oral contraceptives. D. metformin.

B

3. When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated? A. Ambulating the client B. Massaging the client's legs C. Applying elasticized stockings D. Encouraging range-of-motion exercises

B

7. A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding as associated with the client's condition? A. diarrhea B. chronic pelvic pain C. amenorrhea D. upper back pain

B

21. A nurse is reviewing the medical record of a client. Which finding would lead the nurse to suspect that the client is experiencing polycystic ovarian syndrome? Select all that apply. A. decreased androgen levels B. elevated blood insulin levels C. anovulation D. waist circumference of 32 inches E. triglyceride level of 175 mg/dL F. high-density lipoprotein level of 40 mg/dL

B,C,E

15. A nurse is conducting an in-service program for a group of staff nurses working at the women's health center. After teaching the group about genital fistulas, the nurse determines that the teaching was successful when the group identifies which as a major cause of genital fistulas? A. radiation therapy B. congenital anomaly C. female genital cutting D. Bartholin's gland abscess

C

16. A nurse is providing care to a female client receiving treatment for a Bartholin cyst. The client has had a small loop of plastic tubing secured in place to allow for drainage. The nurse instructs the client that she will have a follow-up appointment for removal of the plastic tubing at which time? A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks

C

30. A woman diagnosed with uterine fibroids is scheduled for a myomectomy. After reviewing this procedure with the client, the nurse determines that the client understands this procedure based on which statement? A. "This will help to reduce the size of my fibroids." B. "I will have tiny particles put in to shrink the fibroids." C. "The fibroid will be removed but new ones may grow." D. "I will not be able to have any more children."

C

5. A client is diagnosed with an enterocele. The nurse interprets this condition as: A. protrusion of the posterior bladder wall downward through the anterior vaginal wall B. Sagging of the rectum with pressure exerted against the posterior vaginal wall C. bulging of the small intestine through the posterior vaginal wall D. descent of the uterus through the pelvic floor into the vagina

C

1. A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find? A. sporadic vaginal bleeding accompanied by chronic pelvic pain B. heavy leukorrhea with vulvar pruritus C. menstrual irregularities and hirsutism on the chin D. stress incontinence with feeling of low abdominal pressure

D

10. A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect? A. increased vaginal discharge B. urinary tract infection C. vaginitis D. vaginal ulceration

D

13. After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence? A. feeling a strong need to void B. passing a large amount of urine C. developing most often in women in their 30s D. sneezing as an initiating stimulus

D

18. A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation? A. bleeding after intercourse B. vaginal discharge C. bleeding between menses D. irregular, acyclic bleeding

D

22. A group of nurses are preparing a presentation about reproductive tract polyps for a local women's group. Which information would the nurses include in the presentation? A. Polyps are rarely the result of an infection. B. Endocervical polyps commonly appear after menarche. C. Cervical polyps are more common than endocervical polyps. D. Endocervical polyps are most common in women in their 50s

D

24. A client is diagnosed with a leiomyoma. The client asks the nurse what this is. The nurse describes this as a: A. cyst. B. pelvic organ prolapse. C. fistula. D. fibroid.

D