LS1 Week 8 Chapter 57 Management of Pt With Female Reproductive Disorders

A client undergoing treatment for vaginitis is also counsealed about measures to prevent its recurrence. Which statement by the client best indicates effective counseling? a. "My sexual partner will also need to be treated" b. "I will always douche immediately after intercourse" c. "I will void immediately after intercourse" d. "I will insert a vaginal suppository after intercourse"

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

Which statement by the nurse demonstrated effective communication techniques when initation a discussion about sex with a 25 year old female client? a. "What questions do you have related to your sexual health?" b. "Have you had sex with more than one partner?" c. "Why didn't you start receiving annual Pap tests at an earlier age?" d. "Do you know how to properly apply a male condom?"

a. "What questions do you have related to your sexual health?"

When a female client reports profuse purulent dischage, dysuria, and bleeding, the advance practice nurse is most likely to prescribe which medication to treat this condition? a. Doxycyline for 1 week b. Tinidazole, one time for bothe the client and her partner c. Metronidazole, administered orally twice a day for 1 week d. Terconazole cream, inserted into the vagina at bedtime

a. Doxycycline for 1 week

Which is a risk for cervical cancer? a. Exposure to HPV b. Underweitght status c. Sex with circumcised males d. Late childbearing

a. Exposure to HPV

The nurse is providing education regarding sexually transmitted diseases. Which statement regarding herpes virus 2 (herpes genitalis) is accurate? a. In pregnant women with active herpes, babies delivered vaginally may become infected with the virus . b. Usually, the virus is killed at room temperature by drying c. Transmission of the virus requires sexual contact d. The virus is very difficult to kill

a. In pregnant women with active herpes, babies delievered vaginally may become infected with the virus.

Which statement is true regarding endometriosis? a. It affects women of reproductive age b. Extensive endometriosis causes many symptoms c. Its cause is not linked to infertility d. it is a malignant lesion similar to those lining the uterus

a. It affects women of reproductive age

Upon examination, the nurse practioner notes a backward positoning of the client's uterus. How would the nurse document this finding? a. Retroversion b. Anteversion c. Antefles=xion d. Retroflexion

a. Retroversion

While caring for a client who is treated for severe PID, the nurse insists on keeping the client in a semisitting position. Which is the correct rationale for this positioning? a. To faciltate pelvic drainage and minimize the upward extension of infection b. To prevent movement, as it increases pain c. To prevent nosocomial infections to other clients d. To easily distract the client

a. To facilitate pelvic drainage and minimize the upward extension of infection

A 24 year old client births a healthy female infant. Incidentally, the client was given diethylstibestrol (DES) during her pregnancy. It is important that the nurse stresses frequent gynecological examinations of client's daughter when she reaches a certain age because of which concern? a. To prevent the onset of vaginal carcinoma in the client's daughter b. To ensure regularized menstruation cycles in the client's daughter c. To ensure that the client's daughter has complications free pregnancy d. To prevent the onset of vulvar cancer in the client's daughter

a. To prevent the onset of vaginal carcinoma in the client's daughter

A client with HIV has recently completed a 7=day regimen of antibiotics. She reports vaginal itching and irritation. In addition, the client has a white, cheeslike vaginal discharge. Which condition is the client most experiencing? a. Vulvovaginal candidiasis b. Trichomonas vaginalis vaginitis c. Bacterial vaginosis d. Human papillomavirus

a. Vulvovaginal candidiasis

A client undergoing treatment for vaginosis is also counseled about measures to prevent its recurrence. Which statement by the client best indicates effective counseling? a. "My sexual partner will avoid using condoms until I'm better" b. "I will avoid douching after my period" c. "I will void immediately after intercourse" d. "I will insert a vaginal suppository after intercourse"

b. "I will avoid douching after my period"

During a routine sports physicial examination, the nurse practitioner recommends HPV vaccination for an 11 year old girl. Which statements by the client's mother demonstrates understanding of HPV vaccinations? a. "This vaccination is not indicated for my son, since boys cannot receive the HPV vaccine" b. "I will track follow up appointments in my smartphone so she receives all three injections" c. "It's nice that she can take this vaccination intranasally, to avoid repeated injections" d. "If my daughter is immunization against HPV, she can delay her first scheduled PAP test"

b. "I will track follow up appointments in my smartphone so she receives all three injections"

A client has been diagnosed with genital herpes. Knowing that education is an essential part of nursing care of the client with a gential herpes infection, the nurse plans to include which method to minimize HIV transmission? Select all that apply a. Avoiding physical contact with others in crowded places b. Avoiding multiple sexual partners c. Avoiding unprotected sexual intercourse d. Avoid IV drug use e. Avoiding HPV vaccinations

b. Avoiding multiple sexual partners c. Avoiding unprotected sexual intercourse d. Avoid IV drug use

Which type of yeast infection is manifested by white, cheeselike discharge? a. Trichomoniasis b. Candidiasis c. Bacterial vaginosis d. Cervicitis

b. Candidiasis

Which type of yeast infecton is manifested by white, cheeselike dischage? a. Cervicitis b. Candidiasis c. Bacterial vaginosis d. Trichomoniasis

b. Candidiasis

Which condtion is a downward displacement of the bladder toward the vaginal orifcie? a. Fistula b. Cystocele c. Rectocele d. Vulvodynia

b. Cystocele

The nurse is providing education regarding sexually transmitted infections. Which statement regarding herpes virus 2 (herpes genitalis) is accurate? a. Transmission of the virus requires sexual contact b. In pregnant women with active herpes, babies delivered vaginally may become infected with the virus. c. usually, the virus is killed at room temperature by drying d. The virus is very difficult to kill

b. In pregnant women with active herpes, babies delievered vaginally may become infected with the virus

The nurse reports to work an evening shift on the postsurgical unit. Based on the information received before beginning the shift, which client does the nurse need to see first? a. Donna, 1 day after cryosurgery, reports vaginal drainage. Donna's vital signs are T 98.2, P. 86, R 20, BP 136/80 b. June, 2 days after abdonminal surgery, reports chest discomfort. June's vital signs are T 99.4, p 98, R 12, BP 140/86 c. Joan, 2 days after vaginal reconstructive surgery, reports vaginal bleeding. VS T 100.2, P 90, R 20, BP 128/76 d. Mary, 1 day after robotic assisted laparoscopic surgery reports sharp chest pain. VS T 99.2, P. 82, R. 18 and BP 114/72

b. June, 2 days after abdonminal surgery, reports chest discomfort. June's vital signs are T 99.4, p 98, R 12, BP 140/86

Which is the main cause of anemia in a client with active uterine leiomyoma? a. Hemolysis b. Menorrhagia c. Poor intake of foods containing iron d. Pressure of the fibroid on the pelvic veins

b. Menorrhagia

A client is admitted to the health care center with abdominal pain, nausea, and vomiting. The client has a body mass index (BMI) of 30 and reports irregular menstrual cycles and feeling tired all the time. The nurse suspects the client's symptoms to indicate which conditions? a. Cancer of the cervix b. Polycycstic ovary syndrome c. Endometriosis d. Bacterial vaginosis

b. Polycystic ovary syndrome (PCOS)

Which position occures when the uterus turns posteriorly as a whole unit? a. Anteversion b. Retroversion c. Retroflexion d. Anteflexion

b. Retroversion

Which drug is the most effective treatment for trichomoniasis? a. Clotrimazole b. Tinidazole c. Clindamycin d. Miconazole

b. Tinidazole

When a female client reports a frothy, yellow geen vaginal discharge, the nurse suspects the client has a vaginal infection caused by which organism? a. Candida albicans b. Trichomonas vaginalis c. Chlamydia d. Gardnerella vaginalis

b. Trichomonas vaginalis

A client reports intermittent pelvic pain that does not seem to have a predictable occurence. She recalls that these episodes began approximately 8 months ago. Following months of physicial and diagnostic test, the physician diagnoses the client with chronic pelvid pain. Which choices could be used as possible treatment options? Select all that apply a. Antidepressants. b. Oral contraceptives c. Analgesics d. Estrogen replacement e. Corticosteroids

c. Analgesics

A woman in her late 30s has been having unusually heavy menstrual periods combind with occassional urine and stook leakage over the past few week. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead? a. Cancer of the urinary tract b. Colorectal c. Cervical cancer d. Hodgkin disease

c. Cervical cancer

Which is a risk factor for cervical cancer? a. Underweight status b. Late childbearing c. Exposure to the human papilloma virus (HPV) d. Sex with circumcised males

c. Exposure to the human papilloma virus (HPV)

While caring for a client who is being treated for severe pelvic inflammatory disease (PID), which nuring action minimizes transmission of infection? a. Strictly adhering to the no visitation policy b. Implementing reverse isolation precutions c. Performing hand hygiene when entering the room d. Keepoing the client in a sitting position

c. Performing hand hygiene when entering the room

Most cervical cancers, if not detected and treated, spread to which area? a. Fundus b. Uterus c. Regional pelvic lymph nodes d. Vagina

c. Regional pelvic lymph nodes

Which STD seems to accelerate in HIV positive clients? a. Herpes b. Gonorrhea c. Syphills d. Trichomoniasis

c. Syphilis

Which statement by the client demonstrates an understanding related to a Pap test? a. "I plan to postpone my first Pap test because it is a painful experience" b. "Pap tests are not indicated for older women past childbearing age" c. "I have my Pap test every other year to reduce costs related to this expensive screeing" d. "I need to have my first Pap test when I turn 21 or earlier if I become sexually active"

d. "I need to have my first Pap test when I turn 21 or earlier if I become sexually active"

During consultations with the oncologist, a client with cervical cancer is informed that radioactive materials will be inserted in the area of the tumor. She has to undergo these sessions over a period of 3 weeks. Which method of cancer treatment is being described? a. Needle aspiration bix b. Antineoplastic therapy c. Chemoterapy d. Brachytherapy

d. Brachytherapy

Which drug is the most effective tx for trichomoniasis? a. Clotrimazole b. Miconazole c. Clindamycin d. Metronidazole

d. Metronidazole

Most cervical cancers, if not detected and treated, spread to which area? a. Uterus b. Fundus c. Vagina d. Regional pelvic lymph nodes

d. Regional pelvic lymph nodes

A 24 year old client births a healthy female infant. This client was given diethylstibestrol (DES) during her pregnancy. It is important that the nurse stressess frequent gynecologic examinations of the client's daughter when she reaches a certain age because of which concern? a. To prevent the onset of vulvar carncer in the client's daughter b. To ensure that the client's daughter has a complication free pregnancy c. To ensure regualarized menstruation cycles in the client's daughter d. To prevent the onset of vaginal carcinoma in the client's daughter

d. To prevent the onset of vaginal carcinoma in the client's daughte

Which drug is the usual treatment for vulvar dystrophy? a. Antibiotics b. Antifungals c. Prgestins d. Topical corticosteroids

d. Topical corticosteroids

Which term describes an opening between the bladder and the vagina? a. Rectovaginal fistula b. Rectocele c. Cystocele d. Vesicovaginal fistual

d. Vesicovaginal fistula

Which group represents the fastest growing segment of the population with AIDS? a. Hispanics b. African Americans c. Caucasians d. Women

d. Women