Reproductive NCLEX

A client with a history of ovarian cysts is seen by the primary health care provider (PHCP). The client has had 2 previous surgeries related to this condition. Her PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?

"A prolonged ovarian abnormality should be evaluated thoroughly."

A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse should determine whether this method of family planning would be most appropriate?

"Do you plan to have any other children?"

The nurse is performing an assessment on a client admitted to the hospital who was diagnosed with toxic shock syndrome (TSS). Which assessment question would assist in eliciting the most specific data regarding the cause of this syndrome?

"Do you use tampons during your menstrual period?"

A female client is suspected of having a vaginal infection caused by the organism Candida albicans. Which assessment question would elicit data associated with this infection?

"Have you had any vaginal discharge?"

The clinic nurse has provided instructions regarding home care measures to a female client diagnosed with pelvic inflammatory disease (PID). Which statement, if made by the client, indicates an understanding of these measures?

"I need to avoid tight-fitting clothing."

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information should the nursing student include in this presentation? Select all that apply.

"In some types, HPV will go away on its own and does not cause health issues." "HPV is most commonly spread during vaginal or anal sexual contact." "Some forms of HPV can lead to cervical cancer."

The nurse is caring for a client with a diagnosis of endometriosis. The client asks the nurse to describe this condition. How should the nurse respond? Select all that apply.

"It is the presence of tissue outside the uterus that resembles the endometrium." "Major symptoms of endometriosis are pelvic pain, dysmenorrhea, and dyspareunia."

An adolescent seen in the health care clinic has been diagnosed with endometriosis. The client asks the clinic nurse to describe this condition. Which response should the nurse provide?

"It is the presence of tissue outside the uterus."

A 55-year-old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response?

"Please share with me more about your concerns."

The nursing student is asked to discuss information related to the uterus with female high school students. Which statements by the nursing student are accurate? Select all that apply.

"The uterus is a pelvic organ when not pregnant." "The uterus weighs approximately 2.2 lb (1000 g) at term pregnancy." "The uterus weighs approximately 2 oz (60 g) in the nonpregnant state." "The uterus is composed of 3 layers: endometrium, myometrium, and perimetrium."

The nurse is performing an assessment on a client who asks how she might recognize when she is ovulating. The nurse should explain that which occurs at ovulation? Select all that apply.

Breast tenderness Small amount of vaginal spotting Lower abdominal pain known as Mittelschmerz Presence of spinnbarkeit-thin and clear mucous discharge

The nurse is interviewing a middle-aged woman with a history of fibrocystic disorder of the breasts. Which statements made by the client indicate a need for further teaching? Select all that apply.

"Taking oral contraceptives now will increase my symptoms." "My symptoms will decrease just before menstruation."

The nurse presents a seminar on sexually transmitted infections. Which information about syphilis should the nurse include in this presentation? Select all that apply.

A blood test will confirm the diagnosis. Syphilis signs and symptoms are divided into stages. Syphilis can be spread through vaginal, anal, or oral sex.

The nurse employed in a fertility clinic is providing information to a couple considering in vitro fertilization. The nurse's explanation should most appropriately include which information? Select all that apply.

A fertilized ovum is transferred into the woman's uterus. Mild spotting or cramping may occur following egg removal. A medication protocol for follicle development will be prescribed.

The client has a regular 32-day cycle. She asks on which day she most likely ovulates. How should the nurse reply?

Day 18

A preadolescent client asks the nurse about the onset of puberty. The nurse describes which changes as indicating puberty? Select all that apply.

Height will increase due to a growth spurt. Breast development begins. Pubic hair will develop. Mood swings occur.

The instructor asks a nursing student to identify the phases of the ovarian cycle. Which phases identified by the nursing student indicate an understanding of the ovarian cycle? Select all that apply.

Ovulatory phase Follicular phase Luteal phase