Chapter 56: Assessment and Management of Patient with Female Physiologic Processes

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."

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."

The nurse is about to begin conducting a pelvic examination of a client. The client reports having lower back and hip pain anytime she has to lie on her back. What is the best way for the nurse to proceed with the examination?

Ask the client to lie on her left side with the right leg bent

Fibrocystic breast condition

Benign condition causing development of fibrotic connective tissue and cysts in the breast. Diagnosed though breast ultrasound

The nurse is preparing a patient for a gynecologic examination when the patient says, "I hope the exam doesn't hurt as much as intercourse with my husband does." What should the nurse document this finding as?

Dyspareunia

Which diagnostic test 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

Contraindications for Hormone Therapy

Estrogen Patch Undiagnosed vaginal bleeding Weight gain

Most common STD among teens

HPV

A nurse is caring for a patient after a HYSTERECTOMY who presents with decreased urine output, decreased BP and HR and weak pedal pulses. What is the nurse's main concern?

Hemorrhage

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.

Signs and Symptoms of Fibrocystic Breast Condition

Rubber-like lumps in upper/outer quadrant of breasts

The nurse is providing care to a client scheduled to undergo an elective abortion that involves the use of medications. Which of the following medications could be used during this procedure? Select all that apply.

Misoprostol Methotrexate Mifepristone

Hormone Replacement Therapy increases the risk for what factors?

Myocardial Infarction Embolism (Deep Vein Thrombosis) Stroke Breast Cancer

Endometriosis

Overgrowth of endometrial tissue outside the uterus; common cause of infertility

Cystocele

Protrusion of the bladder through the anterior vaginal wall

Rectocele

Protrusion of the rectum through the posterior vaginal wall

Symptoms of DVT

Unilateral Leg Swelling Pain Warmth Erythema

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

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

Which structure is referred to as the vulva?

external female genitalia

Hormone therapy decreases the risk of

hot flashes.

Which patient in the ED should the advance nurse practitioner treat first?

A 21-year-old woman reporting sharp colicky abdominal pain, menstrual spotting, and dizziness

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 female client severely reduced her body fat through extreme caloric restriction and exercise. Which reproductive abnormalities could she acquire as a result of the reduction in body fat?

Delay or cessation of menstruation

During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. What bacteria does the practitioner suspect is causing this disorder?

Trichomonas

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

Yellow-green