Med Surge 111: Reproductive System

Which statement made by the nursing student demonstrates an understanding of the hormone oxytocin?

"It causes contractions of the uterus during birth."

A nursing student is asked to describe the corpus of the uterus. Which response by the student indicates an understanding of the anatomy of the uterus?

"It is the uppermost part of the uterus."

The nurse in a women's health clinic is reinforcing instructions to a client that is being treated for pelvic inflammatory disease (PID). Which information would be essential for the nurse to reinforce before discharge? Select all that apply.

Get plenty of rest and increase fluid intake. Refrain from sexual activity for 3 weeks. Inform your sexual partner of the need for treatment, even if no symptoms are present.

The nurse is caring for a female 45-year-old client. The client has 3 healthy children, all born via spontaneous vaginal birth. The client has been diagnosed with mild uterine prolapse and asks the nurse what she can do to prevent further prolapse. The nurse should include which instruction in her teaching? Select all that apply.

Lose weight. Perform Kegel exercises. Eat a diet high in fiber. Take a stool softener daily as needed.

The nurse discussing breast self examination with a 30 yrs. old premenopausal patient to perform her monthly examination of the breasts?

the same day each month

A nursing instructor asks a nursing student to describe Montgomery's tubercles of the breast. Which response by the student indicates an understanding of this anatomical structure?

"These are sebaceous glands that are located in the areola."

The nursing instructor asks the nursing student about the physiology related to the cessation of ovulation that occurs during pregnancy. Which response by the student indicates an understanding of this physiological process?

"Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high."

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response by the student indicates an understanding of the anatomy of this structure

"The uterus weighs about 2 ounces."

The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure?

"The uterus weighs about 2 ounces."

The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phase stated by the nursing student indicates a need for further teaching in this area?

Proliferative phase

The nurse is assisting in conducting a teaching session with a group of adolescents. The nurse tells the adolescents that the hormone that induces the growth of pubic and axillary hair at puberty is which?

Testosterone

A 35 yrs. old patient has undergone a vasectomy teaching for this patient should include what information?

he should return to the health care provider at regular intervals for sperm counts

A client has been examined in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. Which description of endometriosis by the nurse is accurate?

"Endometriosis is the presence of tissue outside the uterus that resembles the endometrium."

The nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understands the process of the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) if the student makes which statement?

"FSH and LH are released from the anterior pituitary gland."

The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the normal duration of the menstrual cycle is which?

28 days

A client is seen in the health care clinic with a diagnosis of mild anemia. The anemia is believed to be a result of the menstrual period. The woman asks the nurse how much blood is lost during a menstrual period. Which is a normal amount of blood loss during a menstrual period that the nurse should compare with the client's loss?

40 mL

The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which are functions of amniotic fluid? Select all that apply.

Allows for fetal movement Is a measure of kidney function Surrounds, cushions, and protects the fetus Maintains the body temperature of the fetus

The nurse is caring for a client with a possible ectopic pregnancy. The nurse should perform the following actions in which priority order? Arrange the actions in the order they should be performed. All options must be used.

Assess the client for signs of increased pain or vaginal bleeding. Obtain a urine specimen. Obtain a urine specimen. Prepare the client for ultrasound. Prepare the client for ultrasound. Assess the emotional state of the client. Assess the emotional state of the client.

The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormone(s) identified by the student indicates an understanding of the hormones produced by this endocrine gland?

Estrogen and progesterone

An adolescent is admitted to the hospital with complaints of lower right abdominal pain. The health care provider prescribes laboratory tests to rule out ectopic pregnancy rather than appendicitis. Which is most significant in ruling out an ectopic pregnancy?

Serum human chorionic gonadotropin

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which should the nurse expect to note?

Sharp pain located on the right side of the pelvis

The nurse is reviewing the health record of a client who is suspected of having mittelschmerz. Which should the nurse expect to note documented in the client's record?

Sharp pain located on the right side of the pelvis

The nurse at an outpatient cardiology clinic is reviewing the medical history of a 48-year-old man during a routine exam. The client is complaining of the inability to maintain an erection and asks the nurse what could be causing it. Which information should the nurse include as possible contributing factors to his erectile dysfunction? Select all that apply.

Weight 245 lb Total cholesterol 223 mg/dL Serum creatinine 1.86 mg/dL

The nurse is teaching a group of teen-ager about contraception and sexually transmitted infection. The nurse ask the student which one is the most prevalent STI? Which response by the student was correct

chlamydial infection

A 49 yrs. old obese diabetic has had a total abdominal hysterectomy. On the second second postoperative day a patient complain of increase pain in operative site. She states" it feels like something suddenly popped" With the symptoms presented it would be likely that when the nurse removes the abdominal dressing she may note what occurrence?

dehiscence has occurred

A patient visits he health care provider because of an increase in her abdominal girth and dyspnea during the past month as a result of pressure on her diaphragm. She is diagnosed as having a ovarian cancer. The cause for these manifestation can be explained by what physiological occurrence?

development of ascites

A 20 yrs. old patient goes to the health care provider's office with vaginal pruritus, burning dull pelvic pain, and purulent vaginal discharge. A diagnosis test reveal she has chlamydia. What nursing intervention would best promote a successful patient outcome?

encourage her to have her sexual partner seek medical care as soon as possible to avoid reinfection of the patient

A client presents to a women's health clinic and would like to begin taking an oral contraceptive pill (OCP). The nurse reviews the client's past medical history and suspects that oral contraceptives may not be the best option for her. Which information in the client's past medical history should trigger the nurse to question oral contraceptives for this client? Select all that apply.

hepatitis cholecystitis copd

A maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that a nursing student understands this process if the student states that fertilization of a mature ovum occurs in which areas?

in the distal third of the fallopian tube

The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. Which time of the month should the nurse tell the client to perform breast self-examination?

on a specific day of the month and on that same day every month thereafter

A 23 yrs. old man id diagnose with gonorrhea because of statement made in his patient interview. The nurse stablished nursing diagnosis of non compliance. Which is the most effective way to overcome noncompliance for this patient?

single dose treatment of ceftriaxone (Rocephin) IM

A 44 yrs. old patient admitted for a abdominal hysterectomy. She is instructed that she will have a foley catheter in place postoperatively. She asked the nurse how many days she will have the catheter in place. What is the best response by the nurse?

the indwelling catheter will generally be removed on the first postoperative day

A 52 years old patient has a ductal cell carcinoma of the left breast. After a modified radical mastectomy, a Davol drain is placed in the left axillary region. What is the primary purpose is placed in this drain?

to facilitate drainage and to prevent formation of a hematoma

A 60 year old patient underwent a vagina hysterectomy for a prolapsed uterus. The nurse is aware that patient undergoing pelvic surgery are more susceptible to what postoperative complication

venous stasis thrombophlebitis