CH 40 Disorders of the Female Genitourinary System NCLEX

A female client asks her healthcare provider about guidelines for clinical breast examination (CBE). The most appropriate response would be:

"Between the ages of 20 and 39 years, average risk women should undergo CBE every three years."

Female client with anorexia nervosa tells the nurse that she has been experiencing amenorrhea. The nurse is aware that this is a result of:

Alteration of critical body fat-to-muscle ratio needed for menses to occur

Select the structure primarily responsible for the secretions of luteinizing hormone (LH), follicle-stimulating hormone (FSH) and prolactin.

Anterior pituitary gland

A client who has a history of untreated cervisitis tells the nurse that she is concerned about the risk of experiencing problems with fertility. The nurse explains that problems may result from:

Ascending infection to the fallopian tubes

A female client assessment identify symptoms of dyspareunia and burning. The nurse is aware that the client may have developed:

Atrophic vaginitis

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client?

Cystocele

A female client asked the nurse practitioner what organism is considered normal vaginal flora. The best response would be:

Doderlein Bacilli

A client who has been diagnosed with pre-menstrual syndrome (PMS) asked if there is anything to help alleviate the symptoms. The best response would be:

Eating a diet low in simple sugars and high in protein

Select the most biologically potent and the most abundantly secreted product of the ovary.

Estradiol

A school nurse is providing an informational session about the prevention of cervical cancer in young girls and women. The most important information for the nurse to present would be:

HPV vaccine before becoming sexually active

A client is experiencing oligomenorrhea. The nurse interpret this as:

Infrequent menstruation with periods more than 35 days apart

The healthcare provider suspects a diagnosis of endometriosis for a female client. The diagnosis would be confirmed by:

Laparoscopy

The nurse is teaching a postpartum client about anticipated hormonal changes. In the postpartum period, the breast will become responsive to prolactin as a result of:

Placental hormones

A client asked the nurse what hormone is responsible for temperature elevation that occurs in ovulation. The best response would be:

Progesterone

A client tells the nurse that her mother recently passed from ovarian cancer. The client asked why the survival rate from ovarian cancer is so low. The best response would be:

Symptoms of ovarian cancer are non-specific and therefore difficult to interpret.

A malignant lesion extending into the endocervical canal was found on the yearly gynecological exam of a 20-year-old female. Select the most appropriate treatment.

Therapeutic conization

A woman diagnosed with fibrocystic breast disease asks if any foods should be avoided in her diet. The most important information to provide would be:

Xanthines

A client has developed a 5-cm Bartholin cyst and is experiencing pain, tenderness, and dyspareunia. The most appropriate treatment would be: select all that apply

a) moist heat applications c) drainage of cyst e) antibiotics

The nurse practitioner is reviewing risk factors for the development of PID (pelvic inflammatory disease) with her client. Select the most appropriate information to include. Select all that apply

a) multiple sex partners b) previous diagnosis of sexually transmitted disease d) sexual intercourse before the age of 15

The healthcare provider is performing an assessment on a client with a suspected diagnosis of localized vulvodynia or vestibulodynia. Select the contributing factors. Select all that apply

b) Prolong sitting c) sensitivity to tampon placement e) bicycling